Monitoring and Evaluation Toolkit A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention Author: Marvin Krank, PhD, University of British Columbia O n November 22, 2010, the Canadian Centre on Substance Abuse (CCSA) released the Portfolio of Canadian Standards for Youth Substance Abuse Prevention to support prevention workers in strengthening the quality of youth-focused substance abuse prevention initiatives in Canada. One of very few sets of standards for this area of programming in the world, the Portfolio of Canadian Standards includes the School-based Standards for Youth Substance Abuse Prevention and the Community-based Standards for Youth Substance Abuse Prevention. In developing the Standards, CCSA consulted extensively with substance abuse prevention workers (i.e., practitioners, programmers and policy officials involved in youth substance abuse prevention), who requested additional knowledge and tools regarding evaluation activities to aid implementation of the Standards. In response, CCSA created the Monitoring and Evaluation Toolkit. What you will learn The Monitoring and Evaluation Toolkit provides a brief introduction to monitoring and evaluation. Key concepts are defined and exercises are provided to help select the proper type of evaluation. Building on existing resources, links to external information sources are also included to provide further instruction in conducting evaluations. Why monitor and evaluate? The prevention of substance abuse is a long-term goal; monitoring and evaluation allows you to assess whether you have met your prevention goal, as well as the components of your initiative that are contributing to behaviour change and those that could be improved. Additionally, substance abuse prevention workers are increasingly asked to improve on what they are doing—and to prove that what they’ve done has been effective. Monitoring and evaluation can be used to accomplish both. Who is the Toolkit for? The Toolkit is a resource for substance abuse prevention workers. It is equally valuable to those new to monitoring and evaluation as well as to prevention teams with mixed experience in evaluation. How to use the Toolkit The Toolkit is written as a workbook; it can be completed from start to finish or by skipping to the sections most relevant to you using the links contained within the Toolkit. Inclusion of a resource in the Toolkit does not imply endorsement or authorization by CCSA, and any questions regarding a particular resource should be directed to the author or publisher. © Canadian Centre on Substance Abuse 2012 Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention SECTION 1: What is monitoring and evaluation? Monitoring provides information as you go—it is the ongoing collection of information about the context, content, outputs and outcomes of your initiative. You can use monitoring information to examine whether your initiative is doing what you intended, guide you in improving it, and help you evaluate its effectiveness. For example, if you or your funders are interested in determining how many students are taking part in a prevention initiative, you can routinely record the number of students attending your sessions and at the end of the day you can calculate how many students attended. Although monitoring and evaluation can be much more complex, this simple act is an effective way of monitoring one potential output of your initiative. Evaluation is the periodic assessment of how well the initiative is working and where the gaps are in current programming. Gaps identified through evaluation tell you where changes to your initiative or new approaches are needed. This information forms the raw materials out of which promising initiatives can be improved and new, more effective initiatives can be developed. Evaluation uses data from monitoring activities that is collected during and after the initiative. There are two main types of evaluation: formative evaluations, which are conducted during the planning and implementation phases of an initiative to help guide it; and summative evaluations, which are used after the initiative or a phase of the initiative is complete to evaluate its outcomes. 1 Assess 4 2 Evaluate FORMATIVE SUMMATIVE 3 2 © Canadian Centre on Substance Abuse 2012 Coordinate/ Impliment Organize/ Prepare Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention Formative evaluations: Improve delivery of your initiative Formative evaluations are used to improve what you do by enhancing and adjusting initiative delivery. They do not prove an initiative’s effectiveness; rather, as the name implies, they serve to guide and direct the form of the initiative. Formative evaluations assess the need for the initiative and the resources that are available, help with the initial planning of the initiative, and provide insight into implementation issues. Types of formative evaluations: • Needs assessment: A needs assessment is an evaluation of the context of a potential or current program, and helps determine the scope of the problem being addressed. They are typically conducted before an initiative is implemented but can also be done during or after to inform revisions to the initiative. • Process evaluation: Process evaluations assess how an initiative was delivered and whether it reached the target audience. They typically occur during implementation of an initiative and are used to modify or make corrections to the delivery plan. Process evaluations may also be conducted at the conclusion of the initiative to provide context to the summative evaluation. Evaluation type Questions addressed Needs assessment Who should the initiative target (target audience)? What should the initiative target (risk and protective factors)? What are the potential supports and barriers to implementation? What resources are available to support the initiative? Process evaluation What are the costs of the initiative? Did the initiative reach its target audience? How well was the initiative was received? Was the program delivered as planned? Notes: Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. © Canadian Centre on Substance Abuse 2012 3 Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention Summative evaluations: Demonstrate your initiative’s effectiveness Summative evaluations provide a formal appraisal of results following the conclusion of the initiative or one of its phases, and assess whether the initiative met its goals and if there was a cost-benefit of the initiative. Summative evaluations require expertise in research design and knowledge of statistical analysis, so it may be useful to work with an evaluation expert when conducting this type of evaluation. If you hire an evaluation expert, they will rely on you to plan for the evaluation. Types of summative evaluations: • Outcome evaluation: Outcome evaluations assess whether the initiative has had its intended effect. In substance abuse prevention, the outcome evaluation should measure whether a prevention initiative prevents/reduces substance use or harms arising from that use. • Cost-effectiveness and cost-benefit analysis: Cost-effectiveness and cost-benefit analysis address the efficiency of the initiative by comparing the relative costs of achieving the desired outcomes. Economic evaluation measures the comparative value of the intervention. Evaluation type Questions addressed Outcome evaluations Did the initiative prevent youth substance abuse? Did the initiative meet its short-, medium- and long-term goals? What were the unintended impacts of the initiative (both positive and negative)? Cost-effectiveness and cost-benefit analysis How much does it cost to produce a positive outcome? Is the initiative more cost-effective than alternative approaches? Notes: Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. 4 © Canadian Centre on Substance Abuse 2012 Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention SECTION 2: Planning your evaluation Carefully planning monitoring and evaluation activities can save money and time; the more planning completed upfront, the easier it will be to address questions posed by funders of the initiative and other stakeholders. This section will guide you through the initial steps of planning for evaluation. If your prevention initiative does not yet have a clear documented evaluation plan, it is not too late to start. By planning—even at this point—you will still be able to gather information that will be helpful in your initiative’s evaluation. The first tasks in conducting an evaluation are to: • identify the purpose of your evaluation; and • identify your stakeholders. Identify the purpose of your evaluation Take a moment to reflect on why you are considering an evaluation. Is it to assess the need for an initiative or to justify one? Assess whether the initiative is being implemented as planned? Assess the impact of the initiative? Examine whether it is costeffective compared to similar initiatives? Exercise 1 Think about why you are considering an evaluation and the questions you are hoping to answer. Include as many reasons as you can. Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. © Canadian Centre on Substance Abuse 2012 5 Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention Identify your stakeholders Stakeholders are individuals, groups or organizations that would have an interest in your initiative and will want to see and use the results of your evaluation report. Examples include: • parents; • school teachers and administrators; • funding agencies; • community partners; • youth/families that will be targeted by your initiative; and • you—the people who plan and deliver initiatives. To meet stakeholder needs, you need to know what information they need and for what purpose. Is it to ensure initiative delivery goes smoothly (formative evaluation)? Is it to demonstrate client satisfaction and improve uptake in other potential clients (process evaluation)? Or is it to demonstrate a reduction in youth substance use (outcome evaluation) or cost-effective outcomes for a funding agency (cost-effectiveness evaluation)? It may be helpful to prioritize stakeholders and identify how they may want to be involved, either by being engaged through the evaluation process or by just receiving the evaluation results. Exercise 2 Complete the template below to identify your stakeholders and their interests. Stakeholder Stakeholder interests Funders Administrators (especially decision makers) Other program providers Politicians Community members Staff in an institution or agency where the initiative will be delivered Potential staff who will work with the program Unions Interest groups Potential clients or recipients of the initiative Other (specify) 6 © Canadian Centre on Substance Abuse 2012 Receive evaluation Type of information they may results? want to receive Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention Exercise 3 Review the above list in relationship to the purpose of the evaluation. Who on this list should receive the results? Write a brief statement about who should receive this information. Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. Exercise 4 Identify any questions of interest that your stakeholders may want your evaluation to address. Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. © Canadian Centre on Substance Abuse 2012 7 Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention Identify the type of evaluation Exercise 5 Considering the questions of interest to you and your stakeholders, what are the primary questions you would like answered through your evaluation? Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. What type of evaluation(s) do your questions correspond to? See the descriptions of each type of evaluation and questions of interest above. The questions of interest to you and your stakeholders may span more than one type of evaluation. If this is the case, where you are in the lifecycle of an initiative may help you prioritize the type of evaluation you start with. • In the planning stages, you and your stakeholders will be interested in a needs assessment. • During implementation, you and your stakeholders will want to monitor what you are doing and what happens to improve what you do (process evaluations). • At important milestones, you and your stakeholders will want to evaluate against the goals of your initiative and determine the impact of the initiative (summative evaluations). Exercise 6 Identify the type of evaluation that is most appropriate for you to begin with and describe why. Please note: You may type (save and access) an unlimited amount of text characters in this box, however, only the first 650 characters (including spaces) will be printable. 8 © Canadian Centre on Substance Abuse 2012 Monitoring and Evaluation Toolkit: A resource to support the Portfolio of Canadian Standards for Youth Substance Abuse Prevention If you identified a needs assessment Go to the Canadian Standards Needs Assessment Toolkit (available mid-2012). If you identified a process evaluation The following resources will provide further information and tools to get you started: The Health Communication Unit. (2007). Evaluating health promotion programs. Toronto: University of Toronto, Centre of Health Promotion. Retrieved from: http://www.thcu.ca/resource_db/pubs/107465116.pdf Work Group for Community Health and Development. (2011). A framework for program evaluation: A Gateway to tools. Lawrence, KS: University of Kansas. Retrieved from: http://ctb.ku.edu/en/tab...tents/section_1338.aspx If you identified an outcome evaluation Tthe following resources will provide further information and tools to get you started: Aromaa, S., Guckenburg, S., Rosenbloom, D., & Edwards, E. (2005). How do we know we are making a difference? A community alcohol, tobacco, and drug indicators handbook. Boston: Join Together. Retrieved from: http://www.promoteprevent.org/resources/how-do-we-know-we-are-makingdifference-community-alcohol-tobacco-and-drug-indicators-hand The Health Communication Unit. (2007). Evaluating health promotion programs. Toronto: University of Toronto, Centre of Health Promotion. Retrieved from: www.thcu.ca/resource_db/pubs/107465116.pdf Work Group for Community Health and Development. (2011). Developing an evaluation plan. Lawrence, KS: University of Kansas. Retrieved from: http://ctb.ku.edu/en/tab...b_section_main_1352.htm If you identified cost-benefit evaluation The following resource will provide further information and tools to get you started: The Health Communication Unit. (2007). Evaluating health promotion programs. Toronto: University of Toronto, Centre of Health Promotion. Retrieved from: www.thcu.ca/resource_db/pubs/107465116.pdf ISBN 978-1-927467-03-9 Canadian Centre on Substance Abuse 75 Albert Street, Suite 500 Ottawa, ON K1P 5E7 Tel.: 613-235-4048 | Fax: 613-235-8101 www.ccsa.ca © Canadian Centre on Substance Abuse 2012 9