Background and Development

Background & Development

The Community Health Improvement Resources (CHIR) Intervention MICA and planning components were developed with input from:

  • Experts in the field (health practitioners, health care administrators and academics),
  • The scientific literature and other resources (e.g., Internet sources, government reports).

This section summarizes how findings from these resources were used to define evidence and guide the process of developing this tool, including the structure, content and format of the Intervention MICA.

Organization and framing

Intervention MICA encourages the user to consider multiple strategies and settings for intervention. Prompts and links are provided throughout to promote consideration of intervening to create changes in individuals as well as interpersonal relationships, organizations, environments and policies that influence health. The Intervention MICA component is framed within a planning process that addresses partnerships, assessment and prioritization, readiness and preparation, capacity, evaluation and momentum. Users are encouraged to use the other CHIR tools (Data MICA and Priorities MICA) to help them determine the appropriate areas for intervention. However, the user is also able to go directly to interventions without referring to the other MICA tools or background information. Lay language and visual cues are used to ensure accessibility of the information to a wide variety of audiences.

Intervention settings and strategies are organized in terms of how they influence determinants of change and short- and long-term outcomes as follows:


Evidence criteria

Recommendations for specific intervention strategies made by the Task Force on Community Preventive Services are considered the “gold standard” for scientific evidence on intervention effectiveness. Based on findings from the resource review and expert interviews in developing Intervention MICA, the Task Force’s recommendations were combined with other types of evidence or criteria to determine the appropriateness of the intervention for dissemination. Specifically, the Intervention MICA provides a summary of different types of interventions based on research- and practice-based evidence.

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