Applying Theory of Change to a Structural Change Initiative: Evaluation of Model Communities in a Diverse County

Autor/inn/en	Asada, Yuka; Gilmet, Kelsey; Welter, Christina; Massuda-Barnett, Gina; Kapadia, Devangna A.; Fagen, Michael
Titel	Applying Theory of Change to a Structural Change Initiative: Evaluation of Model Communities in a Diverse County
Quelle	In: Health Education & Behavior, 46 (2019) 3, S.377-387 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198118818233
Schlagwörter	Counties; Change; Theories; Public Health; Community Programs; Program Evaluation; Readiness; Capacity Building; Sustainability; Illinois + Suchen Sie Ihr Suchwort? Wandel; Theory; Theorie; Gesundheitswesen; Programme evaluation; Programmevaluation; Nachhaltigkeit
Abstract	Structural change approaches, also called policy, systems, and environmental change approaches, have been increasingly promoted and adopted by public health 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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01