HLTH 8242 Week 8 TIDieR Intervention Draft Example

Intervention Draft: The Fallbrook Kit Return Program Written Item by Item Against the TIDieR Checklist, So a Site Could Run It From the Page, With What Counts as Faithful Delivery

Student Name

Walden University

HLTH 8242: Changing Health Behavior: Theory and Practice

Instructor Name

Month Day, Year

Intervention Draft: The Fallbrook Kit Return Program Written Item by Item Against the TIDieR Checklist, So a Site Could Run It From the Page, With What Counts as Faithful Delivery

Brief Name and Rationale

Name: Fallbrook Kit Return Program. Why: Many patients due for colorectal cancer screening who receive a mailed stool test kit do not return it, and the barrier analysis found that forgetting and uncertainty about collection explain more non-return than doubts about screening. The program targets salience, skill, experiential attitude and perceived norms, constructs from the integrated behavioral model (Montano & Kasprzyk, 2015). The description follows the Template for Intervention Description and Replication, which lists the items needed for others to understand and replicate an intervention (Hoffmann et al., 2014).

What: Materials

The pre-notice letter is one page, in English and the network's two other most common languages, stating that a kit will arrive within a week, why the test matters and that it can be done at home. The kit contains the laboratory's test tube and collection paper, a picture guide of six panels showing each step from unfolding the paper to sealing the mailer, a prepaid return envelope and a card with a short web link and a scannable code for a two-minute video. Text messages are fixed scripts of under 160 characters each, pitched at about a sixth-grade reading level, then translated. The outreach call follows a one-page guide with four open questions and a list of common problems with suggested responses.

What: Procedures

Week 0: the pre-notice letter is mailed. Week 1: the kit is mailed. Day 7 after the kit: a text invites the patient to pick and send back a test date. Day 14: a second text, sent only if the kit has not been logged, includes a descriptive norm line. Day 21: patients whose kits have not been logged receive a call. Day 30: the program records return or non-return from the laboratory log.

Who Provides

Mailings and texts are sent by the network's quality office through its mailing vendor and messaging system. Calls are made by outreach workers who have completed a two-hour training covering the call guide, kit collection steps, privacy rules and when to refer a patient to a nurse.

How and Where

All contacts are remote: by mail, text and phone. Patients complete the test at home and return it by mail or drop it at any network clinic.

When and How Much

Each patient receives up to five contacts over 30 days: one letter, one kit mailing, two texts and one call. Patients who return the kit stop receiving contacts once the laboratory logs it, usually within two business days.

Tailoring

Language is tailored to the patient's preference recorded in the health record. Patients without a mobile phone on file receive a mailed reminder card instead of texts. The call guide lets outreach workers address the barrier a patient names, but the four opening questions are the same for every call.

Modifications

Any change to scripts, timing or eligibility during the program will be logged with the date and the reason.

How Well: Fidelity

For a mailed and texted program, fidelity means that each patient receives each contact in the right form at the right time. The program will measure it in four ways: the share of eligible patients sent each mailing on schedule, checked against the vendor's mailing reports; the share of texts delivered, from the messaging system; the share of eligible non-returners called by day 23; and, for a random 10% of calls, whether the outreach worker asked all four opening questions, checked from call notes. A delivery rate below 90% for any mailed or texted contact, or a call completion rate below 70%, will trigger a review before the next mailing cycle.

Techniques Named

The draft uses techniques named in the behavior change technique taxonomy: seven labels from that taxonomy, among them prompts and cues, action planning, social comparison and problem solving, along with the instruction and demonstration techniques used in the kit itself (Michie et al., 2013). Naming them lets an evaluator check that each was delivered and lets another site reproduce the program's content rather than only its schedule.

References

Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan, A.-W., & Michie, S. (2014). Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. BMJ, 348, Article g1687. https://doi.org/10.1136/bmj.g1687

Michie, S., Richardson, M., Johnston, M., Abraham, C., Francis, J., Hardeman, W., Eccles, M. P., Cane, J., & Wood, C. E. (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46(1), 81-95. https://doi.org/10.1007/s12160-013-9486-6

Montano, D. E., & Kasprzyk, D. (2015). Theory of reasoned action, theory of planned behavior, and the integrated behavioral model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior: Theory, research, and practice (5th ed., pp. 95-124). Jossey-Bass.