FinalDEDIPAC -Template for scoring good practicesvs 26 Feb 2016

Template 'Scoring of good practice interventions'

Name of the intervention / KleurrijkGezond
Country / Belgium
PART 1
Type of good of practice? / Intervention / ☒ /
Policy / ☐ /
Does the target behaviour include nutrition, physical activity or both? / No / ☐ /
Yes / ☒ / If yes, then continue to Part 2
PART 2 / Minimal requirement for Good Practice Interventions or Policies / Yes / Partly / No
Well-described / Is the aim of the intervention or policy described? / ☒ / ☐ / ☐ /
Is the target audience defined? / ☒ / ☐ / ☐ /
Is a protocol or manual available? / ☐ / ☐ / ☒ /
Evidence-based / Has an effect evaluation been planned or carried out? / ☒ / ☐ / ☐ /
Feasible or transferable / Has a process evaluation been planned or carried out or has the intervention or policy been transferred to other settings or contexts? / ☒ / ☐ / ☐ /
If all boxes ticked 'yes', then continued to Part 3 - Checklist for GPs
PART 3 / Checklist for Good Practice Interventions or Policies
Main intervention characteristics / Yes / Partly / No / Unknown
Aim of the intervention / Is the formulation of the objectives SMART
Specific? / ☐ / ☐ / ☐ / ☐ /
Measurable? / ☐ / ☐ / ☐ / ☐ /
Acceptable or realistic? / ☐ / ☐ / ☐ / ☐ /
Time-framed? / ☐ / ☐ / ☐ / ☐ /
Target population / Does the target population include vulnerable groups? / ☐ / ☐ / ☐ / ☐ /
Is a needs assessment performed? / ☐ / ☐ / ☐ / ☐ /
Content / Is a protocol or manual available to others? / ☐ / ☐ / ☐ / ☐ /
Approach / Are the types of activities defined? / ☐ / ☐ / ☐ / ☐ /
Is the duration of activities defined (number of sessions, duration and frequency)? / ☐ / ☐ / ☐ / ☐ /
In case of intervention: Is the form of delivery tailored to the target group? / ☐ / ☐ / ☐ / ☐ /
Resources / Are the resources needed mentioned? / ☐ / ☐ / ☐ / ☐ /
Staff (only applicable if an intervention) / Is the amount of staff needed mentioned? / ☐ / ☐ / ☐ / ☐ /
Are the practitioners trained to be able to implement the intervention? / ☐ / ☐ / ☐ / ☐ /
Monitoring and evaluation / Yes / Partly / No / Unknown
Outcome / Are the outcomes published? / ☐ / ☐ / ☐ / ☐ /
Effect / Does the outcome have a relevant contribution to the intended change? / ☐ / ☐ / ☐ / ☐ /
Reach / In case of intervention: Is the participation rate reported? / ☐ / ☐ / ☐ / ☐ /
In case of policy: is the uptake of the policy reported? / ☐ / ☐ / ☐ / ☐ /
Is the attrition rate reported (only applicable if intervention)? / ☐ / ☐ / ☐ / ☐ /
Processes and active components / Have the planned activities been monitored? / ☐ / ☐ / ☐ / ☐ /
Are the negative consequences or risks evaluated? / ☐ / ☐ / ☐ / ☐ /
Sustainability / Are mid-term (> 6 months) or long-term (>12 months) effects monitored after the end of the intervention or policy implementation? / ☐ / ☐ / ☐ / ☐ /
Are the mid-term or long-term changes observed after the end of the intervention or policy implementation? / ☐ / ☐ / ☐ / ☐ /
Implementation / Yes / Partly / No / Unknown
Feasibility / In case of intervention: Was it supported by the staff or institution? / ☐ / ☐ / ☐ / ☐ /
In case of policy: Was it supported by political leadership? / ☐ / ☐ / ☐ / ☐ /
Maintenance / Is the intervention or policy maintained over time? / ☐ / ☐ / ☐ / ☐ /
Are external parties involved to maintain the intervention or policy? / ☐ / ☐ / ☐ / ☐ /
Transferability / Is there experience in implementing the intervention or policy in other contexts, settings or institutions? / ☐ / ☐ / ☐ / ☐ /