This study tested a 'wise' intervention (quick prompt of a specific psychological mec) in acute care hospital units to improve nurses' hand hygiene compliance (HHC). A multiple baseline design in two medical-surgical teaching hospitals in the United States. Hand hygiene data was collected using an electronic compliance monitoring system with…

As evidence-based interventions are scaled, fidelity of implementation, and thus effectiveness, often wanes. Validated fidelity measures can improve researchers' ability to attribute outcomes to the intervention and help practitioners feel more confident in implementing the intervention as intended. We aim to provide a model for the validation of…

Background: The dominant theoretical basis of our public health practice originates from a positivist or reductionist paradigm. It fails to take into account the complexity emerging out of public health's multiple influences originating from biological and social worlds. A deeper understanding of the interaction of elements that characterize the…

Objective: This article describes the process implemented in order to define and build up a Basic Monitoring and Evaluation System for Spanish Cooperation's Culture and Development Strategy (CD-S). Research Design: Delphi techniques were used to assess a wide catalogue of indicators for each of the strategic areas included in the CD-S. Afterward,…

This study reports the results of the process evaluation component of the Process and Outcome Evaluation of the Gang Resistance Education and Training (G.R.E.A.T.) program. The process evaluation consisted of multiple methods to assess program fidelity: (a) observations of G.R.E.A.T. Officer Trainings (G.O.T); (b) surveys and interviews of…

Evaluation designs for social programs are developed assuming minimal or no disruption from external shocks, such as natural disasters. This is because extremely rare shocks may not make it worthwhile to account for them in the design. Among extreme shocks is the 2010 Chile earthquake. Un Buen Comienzo (UBC), an ongoing early childhood program in…

Previous research on program implementation is integrated and extended to form a participatory approach to evaluating program implementation. This method focuses on the continuous active involvement of program developers, managers, and staff in the evaluation process. The methodology is applied to an actual program to highlight the steps involved.…

Presents a case study of the development and implementation of the "results framework," an innovative planning and evaluation tool that is becoming a standard for U.S. Agency for International Development projects. Explains the advantages of this evaluation and monitoring approach. (SLD)

Although widely available, little is known about the effectiveness of youth cessation treatments delivered in real-world settings. The authors recruited a nonprobability sample of 41 community-based group-format programs that treated at least 15 youth per year and included evidence-based treatment components. Data collection included longitudinal…

The assumption of equal treatment implementation is questioned. Through the reanalysis of data from a nutrition supplementation program evaluation, the power of the analysis of treatment effects is shown to increase when data on the level of treatment implementation is included. (Author/CM)

After a brief discussion of the terms implementation and monitoring, this article illustrates a strategy for monitoring program implementation. The strategy, called model-guided method, offers a way to develop conceptual and empirical specifications for testing the adequacy of a program implementation. It also provides feedback to program…

The use of theoretical models in impact assessment can heighten the power of experimental designs and compensate for some deficiencies of quasi-experimental designs. Theoretical models of implementation processes are examined, arguing that these processes are a major obstacle to fully effective programs. (Author/CM)

Federal evaluations in education contributed in numerous and important ways to changes in law, regulation, and management. Information about implementation contributed most often, but information about outcomes, cost, and federal administration also made contributions. These findings differ from previous research that concluded evaluations do not…

To explore the treatment fidelity of employee safety-belt programs, 614 organizations were divided into 2 groups: those that had (n=183), and those that had not (n=431) conducted an evaluation. Multiple regression analysis of associated data indicated that evaluation-active organizations were generally more active in other program areas. (TJH)

A methodology is presented for collection of cost data in evaluation of community-level health interventions that coincides with the intervention implementation. The seven discrete steps of the analysis are described, and the Minimal Contact Education for Cholesterol Change study is used as an example of how the strategy is used. (SLD)