Iowa Strategic Prevention Framework State Incentive Grant: Evaluation Primer and Guide Acknowledgements This Guide is the result of a collaborative effort by the members of the Iowa Strategic Prevention Framework State Incentive Grant (SPF SIG) Evaluation Workgroup. The workgroup is made up of the following members and organizations: Angie Asa-Lovstad, Kossuth Connections Phyllis Blood, Consultant Derek Clark, Clinton Substance Abuse Council Dr. Ousmane Diallo, Iowa Department of Public Health Julie Hibben, Iowa Department of Public Health Jennifer Husmann, Area Substance Abuse Council Martha McCormick, Next Step, Inc. Linda McGinnis, Iowa Department of Public Health Patrick McGovern, Iowa Consortium for Substance Abuse Research and Evaluation Linda Phillips, Siouxland CARES Deb Rohlfs, Community and Family Resources Debbie Synhorst, Iowa Department of Public Health Sections of this guide were adapted from material developed by the following organizations/sources: Community Anti-Drug Coalitions of America (CADCA). Evaluation Primer: Setting the Context for a Community Anti-Drug Coalition Evaluation (2010). Maine SPF SIG Program, Maine’s Strategic Prevention Framework Guide to Evaluation and Planning (2009). South Carolina SPF SIG Program, Evaluation Planning for CAST Counties (2008). 1 Table of Contents Acknowledgements............................................................................................................................................... 1 Table of Contents ................................................................................................................................................... 2 Introduction ............................................................................................................................................................ 3 Directions for Completing your SPF-SIG Evaluation Plan ....................................................................... 5 Appendix 1: ODSS Codes ...................................................................................................................................10 Appendix 2: CADCA Seven Approaches........................................................................................................11 2 Introduction Over the last year or so, you and your coalition have been participating in the Strategic Prevention Framework State Incentive Grant (SPF SIG) and working with the Iowa Department of Public Health (IDPH) to implement the Strategic Prevention Framework (SPF) process. The fifth step of this process is evaluation of your SPF-SIG implemented strategies. This guidance document provides a brief overview of how evaluation fits within the SPF process and how evaluation can be useful to your county. This guide will then provide an overview of the required county-level evaluation. While this guide is organized around the Strategic Prevention Framework principles, it can be used as a framework to evaluate any substance abuse prevention strategy. The SPF-SIG evaluation is intended to help your county monitor strengths, weaknesses, and effectiveness of your project so that you may make informed decisions about future prevention efforts within your county. If you have any questions at any time regarding this process, please feel free to contact Patrick McGovern, lead evaluator, your capacity coach, or IDPH project staff. Why evaluate? Evaluation is a systematic way of assessing your initiative. It helps you understand whether there has been positive impact on your county’s priority issue(s), as well as the associated intervening variables. The results of evaluation may be used to refine strategy implementation, concretely illustrate progress toward project goals and objectives, and even solicit funding for additional prevention efforts. The goal of the SPF is to implement strategies that “fit” with your population’s needs, as identified during the needs assessment phase. Evaluating your progress can help you to determine whether the strategies do, in fact, address your county’s needs and whether they have been effective. In addition to monitoring the effectiveness of strategies in your county, evaluation can also provide you with information on how to proceed with prevention strategies in the future. For example, did any unforeseen circumstances or needs prevent you from implementing a strategy as planned? Did any strategies face a substantial amount of reluctance or excitement by participants? Did the plan result in improvements in your priority issue? The answers to these questions can help you prepare for future prevention efforts. The language of evaluation comes from many disciplines, and can be confusing. Here is a list of some common evaluation terms: 3 Common Words and Terms (Excerpted from “A Word About Words” in CADCA’s Evaluation Primer) What you want Aim Goal Objective Target What you do to get there Activity Input Approach Initiative Method Policy Practice Program Strategy Are you getting there? Output Benchmark Indicator Measure Milestone Short-term Outcome Intermediate Outcome Did you get there? Impact Outcome Results Five functions of evaluation A sound evaluation serves five key functions, including improvement, coordination, accountability, celebration, and sustainability. During the regional trainings, the capacity coaches provided an overview of each function. A summary is shared again here: IMPROVEMENT: Volunteers, leaders, and supporters should get better at the work of county problem solving because of what they learn. COORDINATION: SPF efforts are made up of many partners working on different parts of an overall response to county alcohol problems. Keeping these partners and activities pointing in the same directions can be difficult unless the evaluation fosters coordination. The information should help members know what others are doing, how this work fits with their own actions and goals and what opportunities exist for working together in the future. ACCOUNTABILITY: Volunteers want to know if their time and creativity make a difference. Funders want to learn how their money factors in county improvements. Everyone involved in the process want to see outcomes. A good evaluation allows the coalition to describe its contribution to important population–level change. CELEBRATION: A stated aim of any evaluation process should be to collect information that allows for the celebration of genuine accomplishments. SUSTAINABILITY: The path to reduced alcohol use can be long, often requiring years of hard work to see movement in population–level indicators. Evaluation should help your group stay “in the game” long enough to make a difference by sharing information with key stakeholders and actively reinforcing their continued support. 4 Cultural competence and evaluation A culturally competent evaluation calls attention to questions of diverse stakeholders and cultures, and includes representatives of the population served in the design process. The data collection process should be culturally appropriate for all members of the target community. Once data are collected, representatives from the target population should be involved in the interpretation and dissemination of results. Sustainability and evaluation Evaluation is a key ingredient of sustainability. Evaluation data tracks trends and can be used to modify or update your strategic plan. Evaluation data may also be used to demonstrate additional needs, in turn justifying more funding. Evaluation also provides information to raise awareness and to strengthen community support for your actions. Evaluation provides a system for continuous improvement by identifying what is working and what needs to be revised. Directions for Completing your SPF-SIG Evaluation Plan The SPF-SIG Evaluation Plan is a required component of your implementation of the SPF process. The following directions are intended to help and guide your work. However, you are encouraged to develop and add to your plans to ensure that you collect meaningful and useful data for you, your coalition, and your county. Overview of Evaluation Guidance Document Please find the Evaluation Guidance Document on the Iowa SPF-SIG website in the SPF Resources: Evaluation: Evaluation Resources folder. This document is organized by strategy (the orange rows), with at least two questions (found in column A) per strategy. The first questions are cross-cutting questions that should be applied for all strategies; these questions address cultural competence, sustainability, use of the media campaign(s), and a summary of how the strategy has worked within your community. Column B contains suggestions as to where the data may be found. Much of the data needed to answer the questions can be found in the Online Documentation and Support System (ODSS); the key for these codes may be found in Appendix 1 or refer to the ODSS User Manual. Column C contains the approach type, as defined by CADCA. See Appendix 2 for additional information about these approaches. The Approaches column is included to help you identify the fit; these are recommendations and may not be accurate for all situations across all counties. Column D contains the measure, a description of the data to be used. Reporting Requirements All questions included for a strategy must be included in your evaluation plan. You may add additional items to your plan that you would find useful within your county, but you must at least include the questions associated with your identified strategies. To complete this process, you should copy the strategy-specific questions from the Evaluation Guidance document into Table 1 beginning on page 7. This table already includes the cross-cutting questions that should apply to almost all strategies; if not applicable (e.g. no modifications 5 made to fit unique cultural groups) then the cross-cutting question(s) may be deleted. You may choose to copy the Measure(s) and Data Source(s), but this is not necessary. Once you have discussed and decided upon your county-specific measures and data sources, you may enter them in their respective boxes in the table (if different). The Measure(s) should be a clear and concise description of the data that will be used to answer the question. When possible, this should include an estimated timeline for data collection, who collects it, and (where applicable) the number of times the strategy was implemented (i.e. the number of server trainings offered.) For example, for the Alcohol use Restrictions in Public Places strategy, one measure might read, “The number of alcohol-free signs displayed during community festivals by calendar year, as reported by the LEW in the Community Assessment Workbook.” The Data Source(s) should be completed with one source listed whenever possible. If some uncertainty exists about whom or what organization collects those data, multiple sources may be listed. If this occurs, you will need to clearly identify the data source used when you submit your data or reports. If you are implementing more than six strategies, please copy and paste the table into a blank page to accommodate additional strategies. Once you insert your questions, you may delete any blank rows. For assistance doing either of these options, or with any questions about this process, please contact Pat McGovern at: patrick-mcgovern@uiowa.edu. Once you have completed the table, please write a short paragraph describing how you intend to collect information to address the questions for each strategy. This information should be inserted below to replace the line that begins with, “Insert paragraph.” As implementation continues, these paragraphs will be modified to include a summary of the data collected and any changes to your plan. Strategy (Insert Strategy Name): Insert paragraph description. Repeat for each strategy. 6 Table 1. County Evaluation Plan Question Measure(s) Strategy: Insert Strategy Name What modifications or adaptations were applied to address unique cultural groups? What efforts were undertaken to sustain this strategy? What media advocacy was used with this strategy? Provide a brief summary of the process taken on each component of the strategy. Strategy: Insert Strategy Name What modifications or adaptations were applied to address unique cultural groups? What efforts were undertaken to sustain this strategy? What media advocacy was used with this strategy? Provide a brief summary of the process taken on each component of the strategy. 7 Data Source(s) Table 1. County Evaluation Plan (continued) Question Measure(s) Strategy: Insert Strategy Name What modifications or adaptations were applied to address unique cultural groups? What efforts were undertaken to sustain this strategy? What media advocacy was used with this strategy? Provide a brief summary of the process taken on each component of the strategy. Strategy: Insert Strategy Name What modifications or adaptations were applied to address unique cultural groups? What efforts were undertaken to sustain this strategy? What media advocacy was used with this strategy? Provide a brief summary of the process taken on each component of the strategy. 8 Data Source(s) Table 1. County Evaluation Plan (continued) Question Measure(s) Strategy: Insert Strategy Name What modifications or adaptations were applied to address unique cultural groups? What efforts were undertaken to sustain this strategy? What media advocacy was used with this strategy? Provide a brief summary of the process taken on each component of the strategy. Strategy: Insert Strategy Name What modifications or adaptations were applied to address unique cultural groups? What efforts were undertaken to sustain this strategy? What media advocacy was used with this strategy? Provide a brief summary of the process taken on each component of the strategy. 9 Data Source(s) Appendix 1: ODSS Codes Code Title Definition DA Developmental Activity New or modified programs, policies, or practices in the community facilitated by SPF-SIG and related to your goals and objectives Activities performed by members of the initiative or group to bring about a new or modified program, policy, or practice in the community related to your goals and objectives (acting directly to make changes in your community, actively lobbying, or advocating with change agents. Ex. personal contacts, phone calls, demonstrations, petitions, and letter writing). The delivery of information, training, materials, or other valued goods or activities by project team members to people in the community. (Ex. classes, programs, screenings, workshops, communications). Actions taken to prepare or enable the project to address its goals and objectives (e.g., attending a training session for self-development, working on a strategic plan, receiving CSAP training). M Media Coverage of the project or its activities through a media outlet RG Resources Generated O Other CC CA SP Community Change Community Action Services Provided Acquisition of funding or other resources for the project through grants, donations, or in-kind gifts Additional activities that are recorded for which no code or definition has been created. 10 Criteria: Have occurred; related to priority area; new or modified strategy in different part of the community; facilitated by SPF-SIG representatives; must be first occurrence Have occurred; related to priority area; taken to bring about community change; facilitated by SPFSIG representatives Have occurred and/or ongoing; conducted by SPFSIG representatives; delivered to community; information training, material goods, or other services Have occurred; provided to members of the project or those acting on project's behalf; are not (or not yet) other codable steps Occurred; instance of coverage; feature the SPF-SIG project or its activities OR coverage is facilitated by the project Occurred; in the form of money, materials, or donated time; used to facilitate activities related to the SPF-SIG priority areas; allocated to the SPF-SIG project Appendix 2: CADCA Seven Approaches 1. Provide information— Educational presentations workshops or seminars data or media presentations public service announcements brochures billboard campaigns community meetings town halls forums Web-based communication 2. Enhance skills— Workshops, seminars or activities designed to increase the skills of participants, members and staff Training technical assistance distance learning strategic planning retreats parenting classes model programs in schools 3. Provide support— Creating opportunities to support people to participate in activities that reduce risk or enhance protection providing alternative activities mentoring referrals for services support groups youth clubs parenting groups Alcoholics or Narcotics Anonymous 4. Enhance access/reduce barriers**— Improving systems and processes to increase the ease, ability and opportunity to utilize systems and services access to treatment childcare transportation housing education 11 special needs cultural and language sensitivity **Note: This strategy also can be utilized when it is turned around to reducing access/enhancing barriers. Establish barriers to underage drinking or other illegal drug use, they decrease its accessibility. When more resources (money, time, etc.) are required to obtain illegal substances, use declines. Mandating the placement of pseudoephedrine-based products behind the pharmacy counter- significant decrease in local clandestine meth labs. 5. Change consequences (incentives/disincentives)— Increasing or decreasing the probability of a specific behavior that reduces risk or enhances protection by altering the consequences for performing that behavior increasing public recognition for deserved behavior individual and business rewards taxes, citations and fines revocations/loss of privileges 6. Change physical design— Changing the physical design or structure of the environment to reduce risk or enhance protection parks landscapes signage lighting outlet density 7. Modify/change policies— Formal change in written procedures, by-laws, proclamations, rules or laws with written documentation and/or voting procedures workplace initiatives law enforcement procedures and practices public policy actions systems change within government, communities and organizations 12