Instructional Design and Materials Evaluation Form Note: This form is to be used together with “Instructional Design and Evaluation Guidelines.” Country Organization Date Reviewer Title Intended audience Summary description Instructional Design and Materials Evaluation Form 1 of 3 August 2004 I. INSTRUCTIONAL DESIGN ELEMENTS Elements Value A. Trainer or facilitator manual with: 1. Planning forms and checklists 2. Needs assessment materials 3. Guidance on teaching approaches and learning principles 4. Summary of key messages/learning 1 1 1 1 B. Structured curriculum/manual with: 1. Agenda 2. Measurable objectives 3. Combination of affective, didactic, and psychomotor domain objectives 4. Teaching methods appropriate to stated objectives 5. Teaching notes 6. Teaching aids and handouts 7. Active learning exercises 8. Directions, including timeframe for facilitating active learning 9. Additional resource and reference materials 1 1 1 1 Subtotal 17 Score Note Score Note 1 1 1 1 1 1 1 II. CONTENT Element Value A. Accuracy B. Timeliness or relationship to current guidelines C. Referenced/evidence based D. Locally appropriate, adapted to local context E. Information sequenced from basic to specialized, simple to complex 4 4 4 4 4 Subtotal 20 III. EVALUATION METHODOLOGY Instructional Design and Materials Evaluation Form 2 of 3 August 2004 Elements Value A. Evaluation guidelines for assessing participant: 1. Reaction 2. Learning 3. Behavior or outcome 4. Results or impact 1 2 2 B. Evaluation instrument including: 1. Participant reaction 2. Participant learning 3. Participant behavior C. If applicable, marking criteria for grading or scoring assignments 1 2 2 2 Subtotal 12 Score Note Total Score IV. SUMMARY RECOMMENDATIONS Instructional Design and Materials Evaluation Form 3 of 3 August 2004