This article describes the design and evaluation approaches to address the complexity posed by systems change initiatives. The role of evaluations in addressing the following issues is briefly reviewed: moving from strategic planning to implementation, impacts on system-level coordination, anticipated timeline of impact, and individual level…

D'Eon et al. concluded that change in performance self-assessment means from before to after a workshop can detect workshop success in their and other situations. In this commentary, their recommendation is refuted by showing that (a) self-assessments with balanced over- and underestimations are still biased and should not be used to evaluate…