PRISM Intervention Characteristics

PRISM is interested in perceptions of intervention characteristics at both the organizational level and beneficiary (e.g., patient or community member) level. They are based on a combination of Diffusions of Innovations, Chronic Care Model, RE-AIM, and Model for Improvement.

Organizational perspective:

It is important to consider the specific program or intervention elements from the perspective of the organization and staff to be targeted. We recommend you assess:

  • the organizational readiness for the program
  • the strength of the evidence-base for the clinical target area and proposed implementation strategy
  • whether or not the program addresses the barriers of frontline staff,
    the need for coordination across departments and specialties 
  • the burden the program presents (complexity and cost), 
  • the program usability (ease of use and perceived usefulness) and adaptability to local settings,
  • the ability to try the program (trialability) and reverse course (reversibility) if indicated, and the ability to see program results (observability).

The Patient/Community Perspective:

Key patient/community-member-related features of interventions that should be considered when attempting to successfully implement a program include:

  • patient-centeredness,
  • providing choices,
  • Addressing barriers,
  • striving for seamless transition between program elements
  • addressing service and access
  • minimizing patient burden (that is, the complexity and cost
    required to respond),
  • developing collaboratively set goals and action plan,
    providing patient feedback

Key Elements for the PRISM Intervention domain include: