From theory to design: Bringing the intervention to life

Abstract

Step 4 of the Intervention Mapping (IM) protocol, known as Program Production, emphasizes translating a carefully planned program into a practical, effective, real-world intervention. A program's success can be compromised by deviations from its core principles, poor contextual adaptation, or ineffective implementation planning. We outline key considerations for intervention planners for step 4 of the IM protocol, including early engagement with participants and implementers to ensure relevant and respectful interventions. Recommendations include refining program structure, creating and pre-testing draft materials, leveraging existing resources, and enlisting expert design support. Interventions should remain aligned with theoretical principles, feasible within available resources, and culturally grounded to reflect the values, beliefs, and lived experiences of the target population.