Optional dimension | Assessment levels and criteria for each dimension | |
---|---|---|
7. The degree of interaction between intervention components, including the independence/interdependence of intervention components | High level interaction | There is substantial interaction or inter-dependency between intervention components or actions i.e. the delivery of one intervention component impacts on the delivery of another, resulting in a synergistic effect. |
Moderate interaction | There is some degree of interaction but no evidence of synergistic effects or dysynergistic effects. | |
Independent | The intervention has only one component or action, or the components act independently. | |
Varies a | Varies across interventions to be considered for/included in the review. | |
Unclear or unable to assess | ||
8. The degree to which the effects of the intervention are dependent on the context or setting in which it is implemented | Highly context dependent | The effects of the intervention are likely to be strongly dependent on the implementation setting. |
Moderately context dependent | The effects of the intervention are likely to be transferrable across a limited range of settings only (e.g. only within a specific country or health system). | |
Independent of context | The effects of the intervention do not appear to be strongly dependent on the implementation setting, i.e. it is anticipated that the effects of the intervention will be similar across a wide range of contexts or settings. | |
Varies a | Varies across interventions to be considered for/included in the review. | |
Unclear or unable to assess | ||
9. The degree to which the effects of the intervention are changed by recipient or provider factors | Highly dependent on individual-level factors | The effects of the intervention are modified by both recipient and provider factors. |
Moderately dependent on individual-level factors | The effects of the intervention are modified by one of recipient or provider factors. | |
Largely independent of individual-level factors | The effects of the intervention are not modified substantially by recipient or provider factors. | |
Varies a | Varies across interventions to be considered for/included in the review. | |
Unclear or unable to assess | ||
10. The nature of the causal pathway between the intervention and the outcome it is intended to effect | Pathway variable, long | The causal pathway includes three or more steps between intervention and outcome or occurs over a long time period; is not linear, or is variable; and/or more than one causal pathway has been proposed. |
Pathway linear, long | The causal pathway is linear but there are three or more steps between intervention and outcome. | |
Pathway linear, short | The causal pathway is clear, short (only one or two steps), direct, linear. | |
Varies a | Varies across interventions to be considered for/included in the review. | |
Unclear or unable to assess |