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Intervention Scalability Assessment Tool: A decision support tool for health policy makers and implementers

机译：干预可扩展性评估工具：卫生政策制定者和实施者的决策支持工具

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BACKGROUND:Promising health interventions tested in pilot studies will only achieve population-wide impact if they are implemented at scale across communities and health systems. Scaling up effective health interventions is vital as not doing so denies the community the most effective services and programmes. However, there remains a paucity of practical tools to assess the suitability of health interventions for scale-up. The Intervention Scalability Assessment Tool (ISAT) was developed to support policy-makers and practitioners to make systematic assessments of the suitability of health interventions for scale-up.METHODS:The ISAT was developed over three stages; the first stage involved a literature review to identify similar tools and frameworks that could be used to guide scalability assessments, and expert input to develop draft ISAT content. In the second stage, the draft ISAT tool was tested with end users. The third stage involved revising and re-testing the ISAT with end users to further refine the language and structure of the final ISAT.RESULTS:A variety of information and sources of evidence should be used to complete the ISAT. The ISAT consists of three parts. Part A: 'setting the scene' requires consideration of the context in which the intervention is being considered for scale-up and consists of five domains, as follows: (1) the problem; (2) the intervention; (3) strategic/political context; (4) evidence of effectiveness; and (5) intervention costs and benefits. Part B asks users to assess the potential implementation and scale-up requirements within five domains, namely (1) fidelity and adaptation; (2) reach and acceptability; (3) delivery setting and workforce; (4) implementation infrastructure; and (5) sustainability. Part C generates a graphical representation of the strengths and weaknesses of the readiness of the proposed intervention for scale-up. Users are also prompted for a recommendation as to whether the intervention (1) is recommended for scale-up, (2) is promising but needs further information before scaling up, or (3) does not yet merit scale-up.CONCLUSION:The ISAT fills an important gap in applied scalability assessment and can become a critical decision support tool for policy-makers and practitioners when selecting health interventions for scale-up. Although the ISAT is designed to be a health policy and practitioner tool, it can also be used by researchers in the design of research to fill important evidence gaps.
机译：背景：在试点研究中测试的有前途的健康干预措施只会在社区和卫生系统规模实施时才能实现人口范围影响。扩大起来有效的健康干预措施至关重要，因此否认社区最有效的服务和计划。然而，仍然是缺乏实用工具，以评估健康干预措施进行扩展的适用性。制定了干预可扩展性评估工具（ISAT），支持政策制定者和从业者，以便对Scale-Up的健康干预适用性进行系统评估。方法：ISAT开发了三个阶段;第一阶段涉及识别可用于引导可扩展性评估的类似工具和框架的文献综述，以及开发ISAT内容草案的专家输入。在第二阶段，使用最终用户测试了ISAT工具。第三阶段涉及修改和重新测试ISAT，以进一步优化最终ISAT的语言和结构。结果：应使用各种信息和证据来源来完成ISAT。 ISAT由三个部分组成。部分：'设置场景'需要考虑哪些上下文，其中用于扩大扩展并由五个域组成，如下：（1）问题; （2）干预; （3）战略/政治背景; （4）有效性的证据; （5）干预成本和福利。 B部分要求用户在五个域内评估潜在的实施和扩大规模要求，即（1）保真和适应; （2）达到和可接受; （3）交付环境和劳动力; （4）实施基础设施; （5）可持续性。第C部分产生了拟议的展示干预准备的强度和弱点的图形表示。还提示用户推荐用于扩展的干预（1）的建议，（2）是有希望的，但在缩放之前需要进一步的信息，或（3）尚未占用尺度。结论： ISAT填补了应用可扩展性评估中的一个重要缺口，可成为政策制定者和从业者在选择衡量方案的健康干预时成为政策制定者和从业者的关键决策工具。虽然ISAT旨在成为健康政策和从业者的工具，但研究人员也可以在研究方面使用，以填补重要的证据差距。

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