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Selecting an Intervention Chesbro


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Selecting an Intervention Chesbro

  1. 1. PROGRAM FIT AND SELECTION Family and Youth Services BureauTribal Personal Responsibility Education Program (Tribal PREP) Grantee Kick-Off Meeting December 6, 2011 10:15 AM – 12:15 PM RTI International Healthy Teen Network Presenter: Tommy Chesbro
  2. 2. #3 #2 Best #4 #1 Goals Practices Fit #5 Needs/Resources Capacities #10 #6Sustain #7 Plan #9 Implementation #8 Improve / Process Outcome CQI Evaluation Evaluation 2 2
  3. 3. LEARNING OBJECTIVESAt the conclusion of thissession, participants will be able to: Assess how well a program fits the needs of youths they serve and their community Utilize assessment results to determine program fit with the targeted population Identify first steps for incorporating adulthood preparation subjects in their program 3
  4. 4. What type of information do you need to know beforeselecting an evidence-based program? 4
  5. 5. Why is it important to know this information before selecting a program? 5
  6. 6. BEFORE SELECTING A PROGRAM… Complete a needs and resource assessment – Sexual risk-taking behaviors – Risk & protective factors – Community resources, services, partnerships Select a target population and identify their culturally specific indicators Establish goal & objectives for program Research potential evidence-based programs Identify a list of potential programs 6
  7. 7. WHAT IS AN EVIDENCE-BASEDPROGRAM?• Rigorously evaluated• Shown to positively change behavior (proven to be effective)• Approved list of 28 EBPs: prevention/research/programs/index.htmlGrantees are not limited to selecting one of the 28 model EBPs identified in the DHHS study 7
  8. 8. WHAT ARE CORE COMPONENTS?• Core components are the program characteristics that must be kept intact when the program is being replicated or adapted in order for it to produce program outcomes similar to those demonstrated in the original evaluation research.• Three categories:  Content  Pedagogy  Implementation 8
  9. 9. WHAT ARE CORE COMPONENTS?Content: WHAT is being taught  knowledge, attitudes, values, norms, &skills addressed in learning activitiesPedagogy: HOW the content is taught  teaching methods, strategies, & youth– facilitator interactionsImplementation: LOGISTICS responsible for a conducive learning environment  program setting, facilitator-youth ratio, dosage and sequence of sessions 9
  10. 10. WHAT IS ADAPTATION?Adaptation is a process ofmaking changes to anevidence-based program tomake it more suitable for aparticular population or anorganization’s capacity withoutcompromising its corecomponents 10
  11. 11. IT’S IMPORTANT TO REMEMBER…When considering for fit, you are NOTmaking adaptations to the programYou are thinking through potentialadaptations that might be necessary inorder for a program to be a good fit 11
  12. 12. WHAT IS FIT?Fit refers to how well theselected programmatches, or is appropriatefor, thecommunity, organization, stakeholders, and potentialparticipants. 12
  13. 13. ASPECTS OF COMMUNITY• Culture• Values & practices• Readiness for the program• Organizational mission & philosophy• Characteristics & context of the youth• Priorities of key stakeholders• Existing programs & services for youth 13
  14. 14. ASPECTS OF ORGANIZATIONALCAPACITY• Staff & volunteer capacities• Leadership capacity• Partnership & collaboration capacities• Fiscal, resource, & technical capacities 14
  15. 15. EXAMPLE: INTER TRIBAL COUNCIL OFTHE SOUTHWEST•Completed needs & resource assessment•Established goal & outcomes•Researched programs•Identified candidate programs*: 1. All4You 2. Making Proud Choices! 3. Reducing the Risk* Sample programs included for instructional purposes only 15
  16. 16. BENEFITS OF A GOOD FIT• More likely to be accepted by youth and community• Complement services & resources in community; reduce duplication & leverage resources• Build strong relationships with other providers, funders, & stakeholders• Ensure sufficient participation in the program• Increase chances of achieving desired outcomes 16
  17. 17. WHAT YOU NEED TO KNOWABOUT POTENTIAL PROGRAMS• Content• Activities• Dosage• Setting• Youth from evaluated version of program – Age, gender, race/ethnicity 17
  18. 18. 5 STEPS TO ASSESS A PROGRAM& SELECT FOR FIT1. Assess fit with participants (youth)2. Assess fit with organization3. Assess fit with stakeholders4. Consider adaptations to improve fit5. Narrow list of potential programs & select a program that fits 18
  19. 19. 1. ASSESS FIT WITH PARTICIPANTSa. Have youth similar to ours been helped by the same program?b. Are the planned activities socially & developmentally suitable for our youth?c. Are the planned activities culturally & linguistically suitable?d. Would the youth we plan to serve enjoy & 19 attend the program?
  20. 20. 1. ASSESS FIT WITH PARTICIPANTS (CONTINUED)• Gather basic information about the characteristics of potential participants.• Learn about the cultural context. o Traditional beliefs about health care o Value of pregnancy, parenthood, & family o Practices around accessing health care & practicing preventative care o Communication about sexuality o Knowledge & understanding of reproduction o Cultural characteristics of other critical organizations o Ways of relating in meaningful & sustained ways• Identify issues arising from special situations in 20 Tribal communities.
  21. 21. 2. ASSESS FIT WITH ORGANIZATIONa. Is the program goal compatible with your organization’s mission?b. What do board, staff, and leadership think of the potential programs?c. What is the context/setting in which the program was delivered (and evaluated) versus the one you plan to use?d. How realistic is the program dosage (i.e., number & duration of sessions)? 21
  22. 22. 2. ASSESS FIT WITH ORGANIZATION(CONTINUED)e. Do you have the staff capacity necessary to implement the program with fidelity? o LOE, qualifications, comfort levels, training, support stafff. Do you have the necessary leadership capacity? o Diversity, longevity, supportg. Do you have the necessary partnerships & collaborations? o Leverage resources, complement servicesh. Do you have the necessary fiscal, resource, & technical capacities? o Training, space, transportation, computers, software, manua ls, condoms, anatomy models, notebooks, incentives, DVDs, A/V equipment, etc. 22
  23. 23. 3. ASSESS FIT WITH STAKEHOLDERSa. Is another group already implementing similar efforts? o Complement or conflict? o Collaboration? o Need?b. What is the level of readiness, for youth and the community? o Really ready for the activities? o Support the program? o Health literacy necessary?c. What are key stakeholders’ priorities? 23 o Shared vision?
  24. 24. 4. CONSIDER ADAPTATIONS TOIMPROVE FITa. Will the potential adaptation(s) maintain the program’s core components, so the program can be implemented will be fidelity?b. Are there any costs associated with making the potential adaptation(s)?c. What staff training will be required so facilitators can implement the adapted program with fidelity?d. What is the feasibility of making the potential adaptation(s)?e. What materials or information is needed to make 24 the potential adaptation(s)?
  25. 25. 5. NARROW LIST OF POTENTIAL PROGRAMS & SELECT A PROGRAM THAT FITSa. Reconsider each program with information gathered in steps #1-4.b. Narrow list based on information, to determine most appropriate fit. o Implementation with fidelity and quality is critical. c. Select a program that fits, based on criteria assessed in Steps 1-4, to implement with 25 fidelity.
  30. 30. IF YOU HAVE ALREADYSELECTED A PROGRAM…• Consider your needs assessment results• Discuss program fit• Take a fresh look• Review adulthood preparation subjects handout to identify ways to incorporate these• Update adaptations 30
  31. 31. LESSONS LEARNED• Do we have organizational support for our program?• How do we communicate the benefits of our program?• Do we have a variety of champions who support our work? 31
  32. 32. SELECTED RESOURCES• Healthy Teen Network:• Program Fit Checklist Tool by Healthy Teen Network 4784-BA7C-5D0436F6040C%7D/uploads/Fit_Checklist_Tool.pdf• Healthy Teen Network: Fit and Selection Case Study 4784-BA7C-5D0436F6040C%7D/uploads/HTN_GTO_Community- wide_initiative__Case_Study_FINAL.pdf• Advocates for Youth:• CDC DRH:• ETR Associates:• National Campaign to Prevent Teen & Unplanned Pregnancy: 32
  33. 33. QUESTIONS & ANSWERS 33
  35. 35. THANK YOU! 35