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The Feasibility of the Realist Approach with
Canadian Evaluations
Donna Smith-Moncrieffe
Canadian Evaluation Society
Ottawa Convention Centre
June 17,2014
2
Summary of the Presentation
1. Public Safety: Crime Prevention Evaluation Research
2. Realist Approach Using Multi-site evaluations
1. Using Multi-site theories to assess the feasibility of the Realist Approach
3. Case Study 1
● Assessing the Critical Elements in the Theory of Change
● Assessing between-site differences
● What Works for Whom and in What Circumstances?
4. Case Study 2
● Understanding the Context
● Outcome Assessment
● Utilizing New Theory to Strengthen the Intervention
4. Summary/Recommendations/Discussion
3
Realist Approach using multi-site evaluations
4
Case Study 1: Stop Now and Plan®
Assessing the critical elements in the Theory of Change
5
Case Study 1 Cont’d:
Assessing Between-site Differences
Key elements Site 1 Toronto Site 2 Edmonton Site 2
Cree, Quebec
Effect sizes related
to emotional
regulation
(aggression)
Moderate to High
(0.54-1.17 effect
size)
Method: Quasi-
experiment with
comparison group
Moderate to High
(0.4-0.61 effect
size)
Method: Quasi-
experiment with
comparison group
Statistical
Assumptions not
met
Method: Single site
longitudinal analysis
Fidelity rating High High Low
Contextual
differences
• Project
implemented as
per the model
• Project
implemented as
per the model
• Literacy in
English
• Parental
engagement is
low
• Logistical
Challenges
• Cultural
differences 6
Case Study 1 cont’d :
What Works for Whom and it What Circumstances?
● In this case we identified Site 3 as not reaching the typical reductions in aggression;
● Questions about what worked for whom and in what circumstances were
answered via assessing the between-site differences
- Aboriginal youth who reside in rural communities will have more difficulty
completing the required number of cognitive therapy sessions due to distance
between the home and the program location;
- These Aboriginal youth will have more difficulty understanding the content if their
first language (Cree) and cultural norms are not adapted in their curriculum;
- The parents of Aboriginal youth at risk who reside in rural communities have a
higher rate of concern related to stigmas and therefore their involvement in
parental groups are significantly reduced;
These three key variables in the Cree site affected the achievement of typical
outcomes. These confounding variables were not present in the other two sites.
7
Case Study 2: Alternative Suspension Program
Step 1: Understanding the Context
Examining the Context Description
What is the aim of the program? To reduce crime by :
•Decreasing school disciplinary action
•Increasing school attachment
•Decreasing antisocial behavior
What is the nature of the target
population?
• Youth between 12-17 years who are at risk
of being suspended or have been
suspended
• Persistent behavior challenges
• Difficulties in academic and social life
In what context and settings does it
operate?
• Urban setting
• High deprivation, high dropout rates,
juvenile delinquency and criminality
• At-risk communities (low education rate,
high unemployment rate, high proportions of
single-parent families and of low-income
household
What are the prevailing theories
about how school suspensions
reduce crime?
• Drop out of school is a pathway to
delinquency and criminality
• Anti-social behavior in school has been
8
Case Study 2 cont’d:
Step 2: Outcome Assessment
● Interim school data
results (2012- 2013 )
indicate that
although the three
sites have delivered
the same program,
Edmonton has had
greater impact on
key variables;
● The original theory
works best for
Edmonton and not
the other sites;
● Examine what works
for whom in Step 3
Variable Site 1
Edmonton
Site 2
Moncton
Site 3
Chilliwack
Disciplinary
actions
71.4% decrease 45.3%
decrease
60.5%
decrease
Improvement
in School
Behaviour
(end of year)
73.5 %
improvement
45.6 %
improvement
68.3%
Improvement
9
Case Study 2 cont’d
Step 3: Utilizing New Theory to Strengthen the Intervention
● What are the elements that may be contributing to efficacy in one site and not
another?
● At the interim stage of the evaluation, the ANOVA results indicate that the
following variables may be contributing to between-site differences:
- Previous suspension history varies by site with Edmonton having
relatively lower rates of prior school suspensions than Moncton. Further
analysis is required to determine if this variable is contributing to outcome
differences
- School act legislation enforced in one site
● The Edmonton site was limited to YMCA activities only during the
suspension period. Participants in the two other sites had access to a
variety of other complementary activities outside of the YMCA.
● During the final two years of this longitudinal evaluation, these variables will
need to be addressed and then tested via multivariate analyses to determine
what elements enhance efficacy for the participants in their unique contexts
10
Summary
● Realist Theory is feasible and useful in a Canadian context:
- Prioritize evaluation questions that focus on the context;
- Examine the elements in the theory of change;
- Use a multi-site framework where possible to examine between-site
differences;
- Modify elements of the program or develop a new theory of change to
enhance favorable change for program participants operating in unique
contexts; and
● The approaches used in Case Study 1 and 2 can be used retrospectively or
can be used at the interim evaluation stage to apply modifications and
enhance outcomes
11
Recommendations
● Use program models with standardized content to facilitate the
identification of what works for whom and in what circumstances;
● Use mixed model techniques (multivariate analysis and qualitative
methods to isolate the between-site differences and the elements that
are contributing to variation in the original theory of change;
● Develop detailed theories of change and consider modifying theories
during long term evaluations to ensure that the appropriate context is
considered in the “evidence chain”;
● Ensure that stakeholders understand that the context, and theory of
change in each of the sites are as important as the quantitative
outcomes;
● Develop and share new theories of change for each of the sites to
clarify what works, for whom in each site. 12
Discussion
● How will we advance the Realist Approach in Canada?
● How will we ensure that evaluators use innovation and rigor to build
and rebuild theories of change that take into consideration the context
of each intervention?
● Who will facilitate and support the development and exchange of
information that will ensure this approach is integrated into evaluation
plans?
13
14
Thank You
References
Astwood Strategy (2014) Impact Evaluation Final Report, Public Safety Canada
Laliberté, D. (2014). Alternative Suspension Impact Evaluation Summary, 2013-2014 Updates, Public Safety,
to be published.
Pawson R., & Tilley, N. (2006) Realist Evaluation. Development Policy Review Network Thematic Meeting, Re
Report on Evaluation , Amsterdam, Netherlands
R.A. Malatest & Associates Ltd (2014). Multi-site Evaluation of the Alternative Suspension Program. Second
Annual Report, Submitted by Glenda Shaw-Garlock, G. to Danièle Laliberté, Senior Evaluation Analyst.
Smith-Moncrieffe, D (2013) Stop Now and Plan: Impact Evaluation Summary 2013-2014, Public Safety
Canada
Treasury Board of Canada, Theory-Based Approaches to Evaluation: Concepts and Practices , Published by the
Government of Canada
Special thanks to evaluation team members: Donna Smith-Moncrieffe, Danièle Laliberté and Giselle Rosario for
compiling evaluation data for analysis and use for this presentation

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Feasibility of Using Realist Approaches in Canadian Evaluations

  • 1. The Feasibility of the Realist Approach with Canadian Evaluations Donna Smith-Moncrieffe Canadian Evaluation Society Ottawa Convention Centre June 17,2014
  • 2. 2 Summary of the Presentation 1. Public Safety: Crime Prevention Evaluation Research 2. Realist Approach Using Multi-site evaluations 1. Using Multi-site theories to assess the feasibility of the Realist Approach 3. Case Study 1 ● Assessing the Critical Elements in the Theory of Change ● Assessing between-site differences ● What Works for Whom and in What Circumstances? 4. Case Study 2 ● Understanding the Context ● Outcome Assessment ● Utilizing New Theory to Strengthen the Intervention 4. Summary/Recommendations/Discussion
  • 3. 3
  • 4. Realist Approach using multi-site evaluations 4
  • 5. Case Study 1: Stop Now and Plan® Assessing the critical elements in the Theory of Change 5
  • 6. Case Study 1 Cont’d: Assessing Between-site Differences Key elements Site 1 Toronto Site 2 Edmonton Site 2 Cree, Quebec Effect sizes related to emotional regulation (aggression) Moderate to High (0.54-1.17 effect size) Method: Quasi- experiment with comparison group Moderate to High (0.4-0.61 effect size) Method: Quasi- experiment with comparison group Statistical Assumptions not met Method: Single site longitudinal analysis Fidelity rating High High Low Contextual differences • Project implemented as per the model • Project implemented as per the model • Literacy in English • Parental engagement is low • Logistical Challenges • Cultural differences 6
  • 7. Case Study 1 cont’d : What Works for Whom and it What Circumstances? ● In this case we identified Site 3 as not reaching the typical reductions in aggression; ● Questions about what worked for whom and in what circumstances were answered via assessing the between-site differences - Aboriginal youth who reside in rural communities will have more difficulty completing the required number of cognitive therapy sessions due to distance between the home and the program location; - These Aboriginal youth will have more difficulty understanding the content if their first language (Cree) and cultural norms are not adapted in their curriculum; - The parents of Aboriginal youth at risk who reside in rural communities have a higher rate of concern related to stigmas and therefore their involvement in parental groups are significantly reduced; These three key variables in the Cree site affected the achievement of typical outcomes. These confounding variables were not present in the other two sites. 7
  • 8. Case Study 2: Alternative Suspension Program Step 1: Understanding the Context Examining the Context Description What is the aim of the program? To reduce crime by : •Decreasing school disciplinary action •Increasing school attachment •Decreasing antisocial behavior What is the nature of the target population? • Youth between 12-17 years who are at risk of being suspended or have been suspended • Persistent behavior challenges • Difficulties in academic and social life In what context and settings does it operate? • Urban setting • High deprivation, high dropout rates, juvenile delinquency and criminality • At-risk communities (low education rate, high unemployment rate, high proportions of single-parent families and of low-income household What are the prevailing theories about how school suspensions reduce crime? • Drop out of school is a pathway to delinquency and criminality • Anti-social behavior in school has been 8
  • 9. Case Study 2 cont’d: Step 2: Outcome Assessment ● Interim school data results (2012- 2013 ) indicate that although the three sites have delivered the same program, Edmonton has had greater impact on key variables; ● The original theory works best for Edmonton and not the other sites; ● Examine what works for whom in Step 3 Variable Site 1 Edmonton Site 2 Moncton Site 3 Chilliwack Disciplinary actions 71.4% decrease 45.3% decrease 60.5% decrease Improvement in School Behaviour (end of year) 73.5 % improvement 45.6 % improvement 68.3% Improvement 9
  • 10. Case Study 2 cont’d Step 3: Utilizing New Theory to Strengthen the Intervention ● What are the elements that may be contributing to efficacy in one site and not another? ● At the interim stage of the evaluation, the ANOVA results indicate that the following variables may be contributing to between-site differences: - Previous suspension history varies by site with Edmonton having relatively lower rates of prior school suspensions than Moncton. Further analysis is required to determine if this variable is contributing to outcome differences - School act legislation enforced in one site ● The Edmonton site was limited to YMCA activities only during the suspension period. Participants in the two other sites had access to a variety of other complementary activities outside of the YMCA. ● During the final two years of this longitudinal evaluation, these variables will need to be addressed and then tested via multivariate analyses to determine what elements enhance efficacy for the participants in their unique contexts 10
  • 11. Summary ● Realist Theory is feasible and useful in a Canadian context: - Prioritize evaluation questions that focus on the context; - Examine the elements in the theory of change; - Use a multi-site framework where possible to examine between-site differences; - Modify elements of the program or develop a new theory of change to enhance favorable change for program participants operating in unique contexts; and ● The approaches used in Case Study 1 and 2 can be used retrospectively or can be used at the interim evaluation stage to apply modifications and enhance outcomes 11
  • 12. Recommendations ● Use program models with standardized content to facilitate the identification of what works for whom and in what circumstances; ● Use mixed model techniques (multivariate analysis and qualitative methods to isolate the between-site differences and the elements that are contributing to variation in the original theory of change; ● Develop detailed theories of change and consider modifying theories during long term evaluations to ensure that the appropriate context is considered in the “evidence chain”; ● Ensure that stakeholders understand that the context, and theory of change in each of the sites are as important as the quantitative outcomes; ● Develop and share new theories of change for each of the sites to clarify what works, for whom in each site. 12
  • 13. Discussion ● How will we advance the Realist Approach in Canada? ● How will we ensure that evaluators use innovation and rigor to build and rebuild theories of change that take into consideration the context of each intervention? ● Who will facilitate and support the development and exchange of information that will ensure this approach is integrated into evaluation plans? 13
  • 14. 14 Thank You References Astwood Strategy (2014) Impact Evaluation Final Report, Public Safety Canada Laliberté, D. (2014). Alternative Suspension Impact Evaluation Summary, 2013-2014 Updates, Public Safety, to be published. Pawson R., & Tilley, N. (2006) Realist Evaluation. Development Policy Review Network Thematic Meeting, Re Report on Evaluation , Amsterdam, Netherlands R.A. Malatest & Associates Ltd (2014). Multi-site Evaluation of the Alternative Suspension Program. Second Annual Report, Submitted by Glenda Shaw-Garlock, G. to Danièle Laliberté, Senior Evaluation Analyst. Smith-Moncrieffe, D (2013) Stop Now and Plan: Impact Evaluation Summary 2013-2014, Public Safety Canada Treasury Board of Canada, Theory-Based Approaches to Evaluation: Concepts and Practices , Published by the Government of Canada Special thanks to evaluation team members: Donna Smith-Moncrieffe, Danièle Laliberté and Giselle Rosario for compiling evaluation data for analysis and use for this presentation

Editor's Notes

  1. Crime prevention is a mandate of the Department under the Countering Crime priority in the PAA CSPB is the branch responsible and the NCPC is the Directorate; we are responsible for implementing the NCPS NCPC has about 40 employees most of whom are located in the Ottawa office at 269 Laurier with 6-7 employees located in the Regions; NCPC works very closely with EM&RO colleagues who focus on delivery of the NCPS and used to be employees of the NCPC The goal of the NCPS is to provide leadership : 1. implementing targeted interventions, and 2. disseminating information about what works in crime prevention. Our goal is to have stakeholders (specifically provincial partners) incorporate the lessons learned during the development of their crime prevention projects. NCPC will publish the report related to this presentation titled, Youth Gang Prevention Fund Projects: What did we learn about what works in preventing gang involvement? This presentation highlights some of the key information that can be found in this report. We also have some of the evaluation summaries posted on the PS website and eventually an evaluation summary for each of the YGPF projects will be available.
  2. TABLE 2: SUMMARY OF KEY PARTICIPATION METRICS FROM EACH SITE Variable  Edmonton Toronto Cree Nation # Referrals 147 202 150 # Children Enrolled 104 121 150 # Children/8 of 12 SNAP sessions 96 109 49 (CREE) Attrition Rate 7.7% 11.0% 69.3% Average Duration in Program (Weeks) 61.3 55.3 6.3 (CREE) Mean Age (years) 9.1 8.4 8.8 Male/Female (%) 70/30 75/25 63/37 Primary Source of Referrals Schools (41%) Schools (64%) Schools (86%) Average Sessions/Child 10.4 10.3 6.8 (CREE) Average Sessions/Parent 10.2 9.3 4.2 (CREE) SNAP Works? (Children Satisfaction) 98.9% 84.7% 78.0% Satisfied? (Parent Satisfaction) 98.8% 90.0% Unknown