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Table 5 Overview of SPIRIT’s final essential elements: their scoring, how they were monitored and which of the interventions components they applied to

From: Figuring out fidelity: a worked example of the methods used to identify, critique and revise the essential elements of a contextualised intervention in health policy agencies

Final essential elementsa

Final scoring of essential element

Activity that provided data for scoring

Intervention components to which essential elements apply

Audit & feedback

Leaders forums

Symposia

Research exchanges

1.

Provider had expertise and credentials in the topic/field appropriate to the session

Yes / No

Review of publicly available biographical information and, for no. 1, participant feedback form item

✓

✓

✓

✓

2.

Provider had experience in presenting to policy/program developers

Yes / No

✓

✓

✓

✓

Engagement and facilitation: the methods used to deliver the presentation and encourage participation

3.

Non-didactic presentation strategies were used

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

✓

✓

4.

Content was delivered in an engaging manner

Yes / No

Participant feedback form item

✓

✓

✓

✓

5.

The provider encouraged participants to contribute to session (ask questions, make comments, provide examples, participate in discussion)

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

✓

✓

6.

The provider encouraged participants to discuss how information / learning from the session might be applied in their setting

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

✓

✓

7.

Provider showed respect for participants’ contributions and work

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

✓

✓

8.

Provider demonstrated sensitivity to the ‘real world’ of the agency’s policy/program work

Extensive | Moderate | Limited | Not at all

Direct observation and participant feedback form item

✓

✓

✓

 

Content: key topics, messages, activities and resources

9.

Core content outlined in session plan was delivered

Aggregated rating across all items specified in session plan: Wholly | Mostly | About half | Limited | Not at all

Direct observation and multiple participant feedback form items

✓

✓

✓

✓

10.

The session content was relevant to the agency’s work

Yes | No

Participant feedback form item

 

✓

✓

✓

11.

Where specified in the session plan, provider identified or provided resources that supported or extended learning from the session

Yes / Partially / No / N/A - not specified in plan

Direct observation of session delivery

✓

✓

✓

✓

12.

The value of using research / evaluation in agency work was conveyed

Yes | No

Participant feedback form item

✓

✓

✓

✓

13.

Synthesised data from measures was provided and discussed

Yes | No

Direct observation of session delivery

✓

   

14.

Opportunities to improve use of research were identified

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

  

Participation: characteristics of attendees’ interaction and contribution to the session

15.

Targeted agency staff attended

Numbers and roles of all attendees. Approximate proportion of those targeted

Direct observation and review of data from session ‘sign in sheet’

✓

✓

✓

✓

16.

A leader (e.g. CEO, member of executive) introduced the session or contributed to it positively in other ways

Yes | No

Direct observation of session delivery

  

✓

✓

17.

Participants contributed to session (asked questions, made comments, participated in discussion)

All | ~ ¾ | ~ ½ | ~ ¼ | Few | None

Direct observation of session delivery

✓

✓

✓

✓

18.

Participant contributions included knowledge/examples from their own experience

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

✓

✓

19.

Discussion included how information/learning from the session might be applied in their setting

Extensive | Moderate | Limited | Not at all

Direct observation of session delivery

✓

✓

✓

✓

20.

Participants identified one or more agency research-related areas that could benefit from improvement

Yes | No

Direct observation of session delivery

✓

✓

  
  1. aEssential elements are one type of fidelity criteria. Other fidelity measures concerning frequency, duration, coverage, etc., plus participants’ perspectives, were collected for each session but are not shown on this table