Intervention Design: Theory of Change Model
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cf_theory_of_change_template1.pptxTitle
Public Health Problem:
(Identify why the topic you selected is an issue.)
Target Population:
(Who is the specific population targeted for your intervention)
Intervention Summary:
(Summarize what will be done to address the public health problem. This should be an overview. Must identify: components of intervention, theory backing the behavior change, and the location of the intervention.)
Title
| Inputs | Activities | Outputs | Outcomes | Impact |
| Identify the internal stakeholders (who is implementing this intervention), resources, and/or funding needed for the intervention/program to be successful. | Identify the activities the external stakeholders (population selected) will be participating to achieve the overall goal. Identify the activities the internal stakeholders will be performing to achieve the overall goal. The activities of the intervention must be evidence-based. Utilize literature reviews, Blueprint programs, or CDC recommendations to support the activities. | How will you measure the success of the initiative/initial implementation. These are your short term process outcomes that show successful implementation of your intervention. Must have 2 written in one-sentence SMART format. | Identify outcomes that show the program is moving to success. There should be 2-3 mid-term outcomes (written in SMART format) to show the program is operating successfully and is moving to the overall goal. | Identify the overall goal of the intervention. In SMART format, discuss the achievable outcome that will make an impact on your selected public health issue. |
Start here with overall goal.
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