| Item number | Item | Where located** | |
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| Primary paper (page or appendix number) | Other† (details) | |
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| BRIEF NAME |
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| 1. | Provide the name or a phrase that describes the intervention. | ____________ | ______________ |
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| WHY |
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| 2. | Describe any rationale, theory, or goal of the elements essential to the intervention. | ____________ | _____________ |
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| WHAT |
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| 3. | Materials: Describe any physical or informational materials used in the intervention, including those provided to participants or used in intervention delivery or in training of intervention providers. Provide information on where the materials can be accessed (e.g. online appendix, URL). | ____________ | _____________ |
| 4. | Procedures: Describe each of the procedures, activities, and/or processes used in the intervention, including any enabling or support activities. | ____________ | _____________ |
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| WHO PROVIDED |
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| 5. | For each category of intervention provider (e.g. psychologist, nursing assistant), describe their expertise, background and any specific training given. | ____________ | _____________ |
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| HOW |
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