Checklist Item | Description |
---|---|
Item 1. Brief name | Provide the name or a phrase that describes the intervention |
Item 2. Why | Describe any rationale, theory, or goal of the elements essential to the intervention |
Item 3. What (materials) | Describe any physical or informational materials used in the intervention. |
Item 4. What (procedures) | Describe each of the procedures, activities, and/or processes used in the intervention |
Item 5. Who provided | For each category of intervention provider, describe their expertise, background and any specific training given |
Item 6. How | Describe the modes of delivery of the intervention and whether it was provided individually or in a group |
Item 7. Where | Describe the type(s) of location(s) where the intervention occurred, including any necessary infrastructure |
Item 8. When and how much | Describe the number of times the intervention was delivered and over what period of time |
Item 9. Tailoring | If the intervention was planned to be personalized, titrated or adapted, then describe what, why, when, and how |
Item 10. Modifications | If the intervention was modified during the course of the study, describe the changes (what, why, when, and how) |
Item 11. How well (planned) | If intervention adherence or fidelity was assessed, describe how and by whom |
Item 12: How well (actual) | If intervention adherence or fidelity was assessed, describe the extent to which the intervention was delivered as planned |