To prepare for your discussion posting with your peers, review the resource provided here to better understand six careful steps to consider before designing an intervention.
An important consideration to keep in mind in this course is that before we begin data analysis, we need to make sure we collect data for the questions we are trying to answer.
Now imagine your supervisor has asked you to propose an oral health-based intervention related to helping patients better manage their hypertension and wants a data-driven report (including data analysis and meaningful data visualization) from you on whether or not the intervention had any impact.
Using the Six steps in quality intervention development resource as a guide, brainstorm a possible intervention for the hypertension patients in your hypothetical practice related to oral health. You must consider each of the six steps in designing your intervention. Use the figures in the resource as a guide for each step for the case study example on gender-based violence (i.e., see boxes labeled “Case study step 1”, “Case study step 2”, etc.). Specifically, brainstorm these points for each step for your oral health-hypertension intervention:
Step 1: Define and understand the problem and its causes
Step 2: Identify which causal or contextual factors are modifiable – state the factors with the greatest scope for change and who would benefit most
Step 3: Decide on how to bring about change – describe the mechanisms of change
Step 4: Identify how change mechanisms will be delivered
Step 5: Test and adapt the intervention on a small scale
Step 6: Collect sufficient evidence of effectiveness to justify proceeding to a rigorous evaluation/implementation
For example, let’s consider that you are designing an intervention to see if you can motivate patients to brush their teeth with more consistency or frequency (because you are assuming your patients are not doing this, leading to poor outcomes in terms of oral health and/or control of hypertension). So you would brainstorm with the six steps above first to design the intervention. To gather the data for Step 6, you might ask a question on a survey before and after the intervention to determine how many seconds each patient spends brushing their teeth each day. This is just one example – choose a different one for your submission.
To complete this section:
Post your responses to these TWO points to the Google Forms Data Collection DISCUSSION forum area:
Item 1, PROPOSED INTERVENTION: [6 points] In 6 sentences, describe the intervention you designed based on the six steps outlined above. Label each sentence at the start with Step 1, Step 2, Step 3, etc.
and
Item 2, NEW SURVEY QUESTION: [1 point] Provide ONE specific new question you propose be added to your Dental Care – Hypertension Survey to collect data to assess the effectiveness of your plan. (NOTE: The new question you propose here in your posting will be added by you as the fifth question on the survey, using the instructions below under “Project with Google Forms”.)
Questions already in the survey are:
1. Date
2. Address
3. Do you currently have a dentist you visit at regular intervals?
4. In the past 12 months, has a health professional informed you that you
have elevated blood pressure or hypertension?
Using the six steps in quality intervention development resource as a guide, brainstorm a possible intervention for the hypertension patients in your hypothetical practice related to oral health.
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