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Using Rubrics to Enhance Extension
  Program Planning and Evaluation:
 A Health Insurance Literacy Example

             Bonnie Braun, PhD
  Professor, Department of Family Science
Specialist, University of Maryland Extension
               Faculty Scholar,
    Horowitz Center for Health Literacy
            University of Maryland
              bbraun@umd.edu
Rubrics
Why Rubrics?

 Encourages consistent and thorough
   evaluation
 Assists in evaluation of existing and new
  programs, curricula and educational materials
 Permits multiple individuals to make judgments
  using common definitions
University of Maryland Health Smart
Health Insurance Literacy Initiative
(HILI)
  Emergent area for education
    Strives to enhance the confidence and
     competence of consumers in making health
     insurance purchasing decisions
    Targets both those who already purchase
     insurance and those newly eligible for
     health insurance under the Affordable
     Care Act
  From Maryland-only to multi-state initiative
  Pilot testing launched April 1, 2013
Design Specifications &
Products
  Comprehensive, systematic process*
      Health literacy principles
                Science
                Theory




             *Coleman, et al, 2011
What did we create?
1. Program Assessment Tool©
2. Curriculum Assessment Tool©
3. Materials Assessment Tool©
Curriculum Assessment Tool
 Curriculum Assessment Tool -- provides
  a standardized set of criteria to evaluate
  existing educational curricula and to use in
  creating new educational curricula.
 Uses a four-point scale
  (Effective, Good, Fair, and Ineffective)
 Based on recommendations of Extension
  educators who provided a rationale for
  curricula review*
  *Coleman et al, (2011)
Educational Materials Tool
 Educational Materials Assessment Tool --
  provides a standardized set of criteria to judge
  educational materials used in programs and in
  curricula.
 Can be used both for critiquing existing
  educational materials and creating new
  materials.
 Based on Doak et al (2007) which provides a
  standardized way to analyze materials for
  learners with varying levels of prose, document
  and quantitative literacy.
How did we create them? The role
    of theory…
 Both rubrics grounded in theoretical principles of adult
  learning, health literacy, health behavior
 WHY?
   Application of theory to educational interventions increases
    the likelihood that intended outcomes will be achieved;
   Theories provide the rationale for how the intervention is
    strategically structured and delivered; and
   Theories offer the basis for assessment of the program’s
    degree of success in achieving intended outcomes.

  Braun, et al (forthcoming)
How did we create them? The role
of theory…
  Depends on situation, targeted population,
   understanding of behavior change and determination
   of outcomes that are strategic, measurable,
   achievable, relevant and timely*
  Level of intervention—individual, family or other
   group, community or policy—will guide the
   appropriate programming theories.
  For the Health Insurance Literacy Initiative
   curriculum, we used individual-level theories: social
   cognitive theory, stages of change or readiness, theory
   of planned behavior, communications, adult or youth
   development, empowerment, and evaluation and action
   research
  *Doran, 1981
How did we create them? The role
 of theory…
 Key theoretical concepts can be combined into a
  model that frames the design and measurement of
  educational programming impact.
 The theories we selected directed us to:
   Involve the targeted population
   Identify the level of confidence, competence and
    sense of control before and after interventions.
   Create messages and deliver via appropriate channels
   Design learning experiences to increase critical
    thinking and reflection.
   Assure that evaluation of need, process and outcome
    is effectively conducted and reported.
How can you use these tools?
 Language of the rubrics could be substituted with
  appropriate vocabulary for the curricula content
  under review.
 May need revise based on the level of intervention
  (family, individual, community) and the intent or goals
  of the program.
 May need other theories to guide the development of
  programs and assessment tools if not focused on
  change-making.
Let’s practice…
1. Find your copy of the
   Educational Materials
   Assessment Tool and the
   Scoring Sheet
2. Review the provided document
3. Complete the scoring sheet as it
   relates to the material
Questions for discussion:

 What are your thoughts about the
  material after using the rubric
  guidelines to assess it?
 In what ways did you find the
  rubric useful in guiding your
  evaluation of the material?
Coming Soon
References
 Braun, B., McCoy, T., & Finkbeiner, N. (In press).
  Extension Education Theoretical Guide with Criterion-
  Referenced Assessment Tools. College Park:
  University of Maryland Extension
 Coleman, G., Byrd-Bredbenner, C., Baker, S., &
  Bowen, E. (2011). Best practices for extension
  curricula review. Journal of Extension, 49, Article
  2T0T1. Available at:
  http://www.joe.org/joe/2011april/tt1.php
 Doak, C.C., Doak, L.G., & Root, J.H. (2007). Teaching
  patients with low literacy skills. (2nd ed.). Philadelphia:
  J.B. Lippincott Company.
 Doran, G. T. (1981). There’s a S.M.A.R.T. way to write
  management’s goals and objectives. Management
  Review, 70, 35-36.
Acknowledgement

This presentation and the rubrics were co-created
with           Nicole Finkbeiner, MS, Graduate
Research Assistant, University of Maryland
Department of Family Sciences.

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Bonnie Braun Rubric #PriesterHealth 2013

  • 1. Using Rubrics to Enhance Extension Program Planning and Evaluation: A Health Insurance Literacy Example Bonnie Braun, PhD Professor, Department of Family Science Specialist, University of Maryland Extension Faculty Scholar, Horowitz Center for Health Literacy University of Maryland bbraun@umd.edu
  • 3. Why Rubrics?  Encourages consistent and thorough evaluation  Assists in evaluation of existing and new programs, curricula and educational materials  Permits multiple individuals to make judgments using common definitions
  • 4. University of Maryland Health Smart Health Insurance Literacy Initiative (HILI)  Emergent area for education  Strives to enhance the confidence and competence of consumers in making health insurance purchasing decisions  Targets both those who already purchase insurance and those newly eligible for health insurance under the Affordable Care Act  From Maryland-only to multi-state initiative  Pilot testing launched April 1, 2013
  • 5. Design Specifications & Products Comprehensive, systematic process* Health literacy principles Science Theory *Coleman, et al, 2011
  • 6. What did we create? 1. Program Assessment Tool© 2. Curriculum Assessment Tool© 3. Materials Assessment Tool©
  • 7. Curriculum Assessment Tool  Curriculum Assessment Tool -- provides a standardized set of criteria to evaluate existing educational curricula and to use in creating new educational curricula.  Uses a four-point scale (Effective, Good, Fair, and Ineffective)  Based on recommendations of Extension educators who provided a rationale for curricula review* *Coleman et al, (2011)
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  • 10. Educational Materials Tool  Educational Materials Assessment Tool -- provides a standardized set of criteria to judge educational materials used in programs and in curricula.  Can be used both for critiquing existing educational materials and creating new materials.  Based on Doak et al (2007) which provides a standardized way to analyze materials for learners with varying levels of prose, document and quantitative literacy.
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  • 13. How did we create them? The role of theory…  Both rubrics grounded in theoretical principles of adult learning, health literacy, health behavior  WHY?  Application of theory to educational interventions increases the likelihood that intended outcomes will be achieved;  Theories provide the rationale for how the intervention is strategically structured and delivered; and  Theories offer the basis for assessment of the program’s degree of success in achieving intended outcomes. Braun, et al (forthcoming)
  • 14. How did we create them? The role of theory…  Depends on situation, targeted population, understanding of behavior change and determination of outcomes that are strategic, measurable, achievable, relevant and timely*  Level of intervention—individual, family or other group, community or policy—will guide the appropriate programming theories.  For the Health Insurance Literacy Initiative curriculum, we used individual-level theories: social cognitive theory, stages of change or readiness, theory of planned behavior, communications, adult or youth development, empowerment, and evaluation and action research *Doran, 1981
  • 15. How did we create them? The role of theory…  Key theoretical concepts can be combined into a model that frames the design and measurement of educational programming impact.  The theories we selected directed us to:  Involve the targeted population  Identify the level of confidence, competence and sense of control before and after interventions.  Create messages and deliver via appropriate channels  Design learning experiences to increase critical thinking and reflection.  Assure that evaluation of need, process and outcome is effectively conducted and reported.
  • 16. How can you use these tools?  Language of the rubrics could be substituted with appropriate vocabulary for the curricula content under review.  May need revise based on the level of intervention (family, individual, community) and the intent or goals of the program.  May need other theories to guide the development of programs and assessment tools if not focused on change-making.
  • 17. Let’s practice… 1. Find your copy of the Educational Materials Assessment Tool and the Scoring Sheet 2. Review the provided document 3. Complete the scoring sheet as it relates to the material
  • 18. Questions for discussion:  What are your thoughts about the material after using the rubric guidelines to assess it?  In what ways did you find the rubric useful in guiding your evaluation of the material?
  • 20. References  Braun, B., McCoy, T., & Finkbeiner, N. (In press). Extension Education Theoretical Guide with Criterion- Referenced Assessment Tools. College Park: University of Maryland Extension  Coleman, G., Byrd-Bredbenner, C., Baker, S., & Bowen, E. (2011). Best practices for extension curricula review. Journal of Extension, 49, Article 2T0T1. Available at: http://www.joe.org/joe/2011april/tt1.php  Doak, C.C., Doak, L.G., & Root, J.H. (2007). Teaching patients with low literacy skills. (2nd ed.). Philadelphia: J.B. Lippincott Company.  Doran, G. T. (1981). There’s a S.M.A.R.T. way to write management’s goals and objectives. Management Review, 70, 35-36.
  • 21. Acknowledgement This presentation and the rubrics were co-created with Nicole Finkbeiner, MS, Graduate Research Assistant, University of Maryland Department of Family Sciences.