Develop a logic model for the formative evaluation of a new program that you want to develop at your agency. As you analyze your program, begin by describing basic assumptions and then add the following program components. Your narrative section will focus on your analysis of the problematic condition which demands intervention, and underlying assumptions about the sequences (if... then relationship).  A typical logic model template would have the following components 1. Resources/Inputs include the human, financial, organizational, and community resources a program has available to direct toward the work. Sometimes this component is referred to as 2. Activities are what the program does with the resources. Activities are the processes, tools, events, technology, and actions that are an intentional part of the program implementation. These interventions are used to bring about the intended program changes or results. 3. Outputs are the direct products of program activities and may include types, levels and targets of services to be delivered by the program. 4. Outcomes (Intermediate) are the specific changes in program participants’ behavior, knowledge, skills, status and level of functioning. 5. Impact/Long-term Outcome is the fundamental intended or unintended change occurring in organizations, communities or systems as a result of program activities. Logic Model Template CSSW 586 Research Methods II Program: logic model Situation: Inputs Outputs Outcomes-Impact Activities Participants Short Medium Long-term Assumptions External Factors Inputs Outputs Activities Participation Outcomes – Impact Short Term Medium Term Long Term Accident-Related E-Scooter Trauma Logic Model What we invest: * Partnerships (i.e. CDC, health departments & DOT ) * Trauma center staff * Volunteers * Materials (i.e. pamphlets) * Time * Funding (i.e. What we do: * Conduct training w/ partners * Networking * Delivery of educational material to at-risk population * Town hall meetings * Ads/Billboards Who we reach: * People who use alternative transportation between the ages of 15-35 Attitude changes: * Increased awareness about e- scooter injuries Behavior changes: * Helmet policy * Expansion of bike lanes * Reduction in the number of operational permits available to each company Status changes: • Reduction in accident-related e-scooter traumas Assumptions: 1. Most e-scooter injuries involve a motor vehicle. 2. First-time riders are more likely to be involved in accident related e-scooter trauma. 3. E-scooter injuries typically occur at night. External factors: 1. The Atlanta City Council may reject law / policy proposals. 2. Confidentiality laws may limit participant accessibility. 1 Keisha Williams CSSW 586 Research II: Evaluation of Practice Logic Model Narrative Dr. Kim October 7, 2019 Program: Accident-Related E-Scooter Trauma Logic Model Situation: Currently, ...

1. Develop a logic model for the formative evaluation of a new
program that you want to develop at your agency. As you
analyze your program, begin by describing basic assumptions
and then add the following program components. Your narrative
section will focus on your analysis of the problematic condition
which demands intervention, and underlying assumptions about
the sequences (if... then relationship). A typical logic model
template would have the following components
1. Resources/Inputs include the human, financial,
organizational, and community resources a program has
available to direct toward the work. Sometimes this component
is referred to as
2. Activities are what the program does with the resources.
Activities are the processes, tools, events, technology, and
actions that are an intentional part of the program
implementation. These interventions are used to bring about the
intended program changes or results.
3. Outputs are the direct products of program activities and may
include types, levels and targets of services to be delivered by
the program.
4. Outcomes (Intermediate) are the specific changes in program
participants’ behavior, knowledge, skills, status and level of
functioning.
5. Impact/Long-term Outcome is the fundamental intended or
unintended change occurring in organizations, communities or
systems as a result of program activities.
Logic Model Template
CSSW 586 Research Methods II
Program: logic model
Situation:
Inputs

2. Outputs
Outcomes-Impact
Activities
Participants
Short
Medium
Long-term
Assumptions
External Factors
Inputs
Outputs
Activities Participation
Outcomes – Impact

3. Short Term Medium
Term
Long Term
Accident-Related E-Scooter Trauma Logic Model
What we invest:
* Partnerships (i.e. CDC, health
departments & DOT )
* Trauma center staff
* Volunteers
* Materials (i.e. pamphlets)
* Time
* Funding (i.e.
What we do:
* Conduct training
w/ partners
* Networking
* Delivery of
educational material
to at-risk population
* Town hall meetings
* Ads/Billboards
Who we reach:
* People who use
alternative
transportation
between the ages of
15-35
Attitude

4. changes:
* Increased
awareness about e-
scooter injuries
Behavior
changes:
* Helmet policy
* Expansion of
bike lanes
* Reduction in the
number of
operational
permits available
to each company
Status
changes:
• Reduction in
accident-related
e-scooter traumas
Assumptions:
1. Most e-scooter injuries involve a motor vehicle.
2. First-time riders are more likely to be involved in accident
related e-scooter trauma.
3. E-scooter injuries typically occur at night.
External factors:
1. The Atlanta City Council may reject law / policy proposals.

5. 2. Confidentiality laws may limit participant accessibility.
1
Keisha Williams
CSSW 586 Research II: Evaluation of Practice
Logic Model Narrative
Dr. Kim
October 7, 2019
Program: Accident-Related E-Scooter Trauma Logic Model
Situation: Currently, there are no policies that govern e-scooter
usage which has resulted in an
increase of emergency room visits. In particular, most facilities
are witnessing a surge in e-scooter
injuries that involves trauma to the head.
Goal: To reduce the number accident-related e-scooter injuries.
What’s the problem:
A new form of transportation has appeared on the streets of
urban areas for the past 18 months.
It is faster than walking, more convenient than sitting in lengthy
traffic jams, and cheaper than the
rideshare companies, Uber or Lyft. Despite not being in
existence for long, Atlanta has already
had 4 of its citizens to die as a result of e-scooter injuries;
others have experienced countless, less
severe wounds such as dislocations, fractures, or organ damage.
Nevertheless, because there is no
defined regulations for e-scooters, many physicians believe that

6. the increase of accidents requiring
emergency room visits from these 2-wheeled vehicles will soon
become a public health issue.
Significance of the project:
The primary concern of this intervention is to examine what
about e-scooters are causing its
users to report to the emergency room in such alarming rates.
Because the phenomenon of electric
scooters being a mode of transportation is still relatively new,
there has not been much data
collected on how to manage these devices nor how to keep their
customers safe.
Basic assumptions:
When people consider the time of day most accident-related
e-scooter traumas take place, the
assumption is that they typically occur at night, or that the
collision involves a novice scooter rider
and a car. However, the research could prove quite the
opposite, that most e-scooter accidents
happen during daylight hours, by those who frequent the device
often and is injured by running
over potholes or loose concrete.
Contributing Factors:
A few reasons that could possibly contribute to the
likelihood of a trauma-related scooter
accident occurring is the fact that they have no sideview

7. mirrors, nor are they equipped with turn
signals and are forced to ride on the street with other vehicles.
Inputs / Resources:
2
In order for the intervention to take place, the following
resources will be needed:
* Partnerships (i.e. CDC, health departments & DOT)
* Trauma center staff
* Volunteers
* Materials (i.e. pamphlets)
* Time
* Funding
Outputs: Activities / Participation:
In an effort to reach our targeted population (ages 15-35)
and achieve our desired outcome, the
following activities must be completed:
* Conduct training w/ partners
* Networking
* Delivery of educational material to at-risk population
* Town hall meetings
* Ads/Billboards
Outcomes:

8. Short-term goal – Change in awareness and change in attitude:
participants’ awareness and knowledge about e-scooter
injuries will be increased significantly
by receiving educational information about accident
prevention
Intermediate goals – Changes in behavior and changes in
decision-making:
Policies such as the requirement of helmets or the expansion
of bike lanes to accommodate e-
scooters by the Atlanta City Council will hopefully improve
the statistics of trauma-related
fatalities.
Long-term goal - Changes in social well-being:
reduction of accident-related e-scooter trauma will
positively influence social and economic
conditions in the United States
Intervention plan:
* Targeted Population – individuals between the ages of 15-35
because they are the most
vulnerable to motor vehicle accidents.
Participants – 250 pamphlets will be distributed amongst
four town hall meetings (one meeting
every quarter for a total of 1000 pamphlets). Those who
received the information are to be
considered a “participant.”
*. Recruitment Method – An educational pamphlet was created
and handed out during town hall
meetings and high traffic e-scooter areas. Involvement is
strictly voluntary and the participant has

9. the option to receive the document or not.
3
* Development of Intervention Materials - The project team
which consist of volunteers and staff
members will develop flyers guided by the Protection
Motivation Theory targeting e-scooters users
between the ages of 15-35. Also, several training opportunities
/ lunch and learns will be
conducted throughout the assessment period so that the
organizations can become aware of the
problem providers face and how their company effects the
intended outcome.
*. Procedure of Implementation – Project team will distribute
educational pamphlets to participants
soon after they complete a preassessment survey.
* Measures and Assessments – At the end of the year, the
project team will reach out to the
identified volunteers via their contact information (phone,
email, etc.) to have them complete a
post assessment survey. This will help assess their level or
awareness.
*. Expected difficulties – The Atlanta City Council may be
reluctant to pass e-scooter regulation
bills and the companies of these scooter maybe unwilling to
change the design of their product.
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