Pressing social problems and inequities call attention to the need for interventions that target root causes and change systems. A significant challenge facing system change efforts is the lack of systems-based evaluation theory and methods. To address this challenge, we conducted an instrumental case study of evaluation within an exemplary…

Background: Whole-of-community interventions have been recommended and show promise for preventing obesity; however, research to understand the mechanisms underlying their success or failure is lacking. Complex systems approaches may be useful to address this gap. Purpose: To describe the evolution and utilization of qualitative and quantitative…

Amidst decades of attention directed toward improving employment outcomes for people with intellectual and developmental disabilities (IDD), few efforts have been made to engage communities in identifying local solutions for expanding integrated employment opportunities. We examined the implementation and outcomes of "community…

Early care and education settings are essential partners in the battle against childhood obesity. We describe an Extension-facilitated early childhood obesity prevention intervention conducted in 25 rural early care and education settings. A total of 148 policy, systems, or environmental changes were achieved, reaching approximately 450 young…

Homelessness is a serious and growing issue. Evaluations of systemic-level changes are needed to determine progress in reducing or ending homelessness. The report card methodology is one means of systems-level assessment. Rather than solely establishing an enumeration, homelessness report cards can capture pertinent information about structural…

The evolution of multi-tier systems of support (MTSS) for both academics and behavior has reflected the diverse interests of those leading implementation efforts, the influence of various state and local regulatory requirements, and differing funding methods and priorities. These variations have naturally led to many different pathways for…

States, school districts, and schools across the country are increasingly implementing multi-tier systems of support (MTSS) to improve outcomes for all students. Kansas is no exception. The Kansas MTSS is designed to improve outcomes for all students by instituting system-level change across the classroom, school, district, and state. Such…

Despite scholarly calls for school social work (SSW) practice to orient more toward systems within and around schools, evidence indicates that individual and small-group interventions continue to dominate practice as well as the research that informs it. In response, the authors propose a more thorough consideration of educational and sociological…

The origins and evolution of the field of emotional/behavioral disorders (E/BD) provide a context for offering suggestions for advancing the field. Building from this historical past and the research of others in the field, four broad recommendations which focus on academic and social needs of students with E/BD are offered: (a) ensuring high…

This article reviews current scholarship about how to promote change in instructional practices used in undergraduate science, technology, engineering, and mathematics (STEM) courses. The review is based on 191 conceptual and empirical journal articles published between 1995 and 2008. Four broad categories of change strategies were developed to…

The final rules for the $4 billion Race to the Top competition give states and districts more leeway in how they intervene in chronically underperforming schools, a subtle but important change that raises new questions about whether the push to turn around struggling campuses will succeed in rehabilitating large numbers of them. Under the…

Numerous studies have identified that delays in diagnosis related to the mishandling of abnormal test results are an import contributor to diagnostic errors. Factors contributing to missed results included organizational factors, provider factors and patient-related factors. At the diagnosis error conference continuing medical education conference…

This Evidence Based Education (EBE) Request seeks to provide an overview of recent research regarding school improvement and reform with special concentration on turning around chronically low-performing schools. The response is divided into four main sections: Research on Effective Methods for Turning Around Low-Performing Schools, Frameworks for…

A system for describing the specific elements that constitute any psychological intervention is presented. The system includes 39 operations or controlling responses which may be administered by the psychologist, the client, or both together. Varying the administration of the operations can provide over 100 source/operation elements in the coding…

Uses a case study to show how a therapist can help a family by breaking their loops of preferential behaviors. Describes a systemic approach that helps prevent families from using the same feedback loops that lead to dead-ends in their behavior. (JAC)