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Table 3 Suggested steps for enhancing MTFs with an intersectional lens

From: Selecting implementation models, theories, and frameworks in which to integrate intersectional approaches

1. Form an interdisciplinary team that contains end users, practitioners, and theorists from a range of backgrounds.

2. Reflect individually and as a group on privilege, oppression, biases, and unique perspectives.

3. Conduct capacity building on definitions and key terms used across disciplines.

4. If applicable, prioritize MTF areas or types of MTFs to modify (e.g., Evaluate Outcomes phase of the KTA model).

5. Decide as a group on what criteria to use for prioritizing the MTFs.

6. Collate a list of all MTFs to consider.

 • Search for and review MTF syntheses

 • Probe team members for MTF suggestions

7. Facilitate each team member’s review of the MTF.

 • Create space for all team members to clarify their understanding of the MTFs

 • If the list of MTFs is too long, split the team up into smaller interdisciplinary groups

8. Use the Delphi procedure to prioritize an MTF using established criteria.

9. Reach out to the original MTF author to confirm the most updated version of the MTF.

10. Using an iterative approach, work as a team to enhance the MTF with an intersectional lens. Enhancements to consider include:

 • Apply reflection prompts to model stages.

 • Re-conceptualize existing MTF constructs to consider broader systems and structures of power.

 • Use illustrative examples that encapsulate lived experience of intervention recipients.

11. Usability test MTFs with end-users. Modify MTFs accordingly.