Applying Theory of Change to a Structural Change Initiative: Evaluation of Model Communities in a Diverse County
| Autor: | Kelsey Gilmet, Devangna A. Kapadia, Yuka Asada, Christina Welter, Gina Massuda-Barnett, Michael C. Fagen |
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| Rok vydání: | 2018 |
| Předmět: |
Program evaluation
medicine.medical_specialty Environmental change Health Promotion 03 medical and health sciences 0302 clinical medicine Arts and Humanities (miscellaneous) Political science medicine Humans 030212 general & internal medicine Healthy Lifestyle Longitudinal Studies Program Development Environmental planning 030505 public health Public health Public Health Environmental and Occupational Health Capacity building Theory of change Models Theoretical Primary Prevention Structural change Sustainability Organizational Case Studies Illinois 0305 other medical science Delivery of Health Care Qualitative research Program Evaluation |
| Zdroj: | Health educationbehavior : the official publication of the Society for Public Health Education. 46(3) |
| ISSN: | 1552-6127 |
| Popis: | Structural change approaches, also called policy, systems, and environmental change approaches, have been increasingly promoted and adopted by public ealth agencies in the past decade. These interventions require attention to multilevel, complex and contextual influences on individual and community health outcomes, requiring a sound theoretical framework that links the many processes and outcomes over time. The Model Communities program of Cook County, Illinois Communities Putting Prevention to Work program employed a theory of change (ToC) framework to inform the evaluations’ design and execution. The main objective of this study was to apply findings from the longitudinal multiple case study evaluation to develop an adapted ToC. We conducted 97 key informant interviews across three waves, with a focus on Model Communities program participants’, Communities Putting Prevention to Work staff, and technical assistance providers’ experiences over time. Four analysts organized and coded the data using qualitative software; exploratory functions and data matrices were employed throughout three waves of analysis. Adaptations to the ToC included the addition of a construct, “change readiness,” as well as refinements to constructs: organizational capacity (human capital, technical assistance, informal and formal leadership), local partnerships, and the importance of sustainability. The findings offer a data-informed theoretical framework that may be considered for use in evaluations of structural change interventions in complex and diverse counties. |
| Databáze: | OpenAIRE |
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