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Table 2 SPIRIT change principles

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

Systems framework • Uses a multi-component approach
• Maximises interaction between the different components of the intervention
• Addresses systems, operations, structures and relations
• Is flexible in meeting the needs of different agencies
Engagement and ownership • Engages agencies in owning and driving the program
• Is tailored to focus on the agency’s priorities
Goal setting and feedback • Provides feedback about current practice
• Provides a clear rationale for change
• Develops agreement about concrete and specific change goals
• Monitors and provides feedback about change during the intervention program
Interactive skill development • Provides self-education opportunities and access to resources
• Recognises the expertise of participants
• Is interactive with a focus on shared reflection and problem solving
• Provides opportunity for rehearsal and practice
Leadership, roles and relationships • Uses champions to model and promote the use of evidence from research (including both internal and external champions)
• Uses credible, dynamic experts as presenters