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Session Title: Strategies for Building and Evaluating Organizational Capacity: A Case Study of 30 Children's Residential Homes Utilizing Strategies to Address Childhood Obesity
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Panel Session 574 to be held in Mencken Room on Friday, November 9, 11:15 AM to 12:00 PM
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Sponsored by the Non-profit and Foundations Evaluation TIG
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| Chair(s): |
| Toni Freeman,
The Duke Endowment,
tfreeman@tde.org
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| Discussant(s):
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| Toni Freeman,
The Duke Endowment,
tfreeman@tde.org
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| Abstract:
Structural or environmental interventions demonstrate promise in addressing obesity in young people. However, these interventions, which focus on organizational change rather than individual change, are challenging to design, implement and evaluate. Effective programs of these types require the development and maintenance of numerous partnerships, including participating organizations, funders, and other key stakeholders.
This presentation will describe the approach utilized in The ENRICH (Environmental Interventions in Children's Homes) Duke Endowment Wellness Program for developing and evaluating a structural intervention to promote and support physical activity and healthful nutrition among children and adolescents residing in approximately 30 residential children's homes (RCHs) in North Carolina and South Carolina.
The presenters will discuss the successful implementation of the processes described above. Additionally, they will provide copies of the project's conceptual framework, logic model, and comprehensive evaluation plan. Copes of project instruments will also be available for participants to review.
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An Implementation and Evaluation Planning Process for Structural Interventions
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| Ruth Saunders,
University of South Carolina,
rsaunders@sc.edu
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Involving the stakeholders in developing a logic model for any intervention is important. Logic models are particularly useful in structural interventions as a framework to integrate multiple elements and to organize measures from multiple data sources. A structural intervention includes the desired organizational changes based on the conceptual framework as well as the influence of the changed environment on individual behavior. This information forms the basis for outcome or impact evaluation. The structural logic model includes information needed to facilitate organizational change. These form the basis for process evaluation.
Once both the conceptual framework and logic model are well defined and acceptable to key stakeholders, it is imperative to identify and develop appropriate process and outcome measures. The logic model allows evaluators to easily identify what needs to measured or documented. The conceptual framework provides the foundation for what questions to ask or what to observe in the participating organizations.
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Environmental Intervention in Children's Homes (ENRICH) Process Evaluation: Implementation Monitoring Results
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| Kelli Kenison,
University of South Carolina,
enrichkelli@aol.com
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In this presentation, the ENRICH Program will be described, along with the methods for the implementation monitoring aspect of the process evaluation plan. Results of the implementation monitoring which includes the measurement of dose delivered, dose received and fidelity and completeness will be shared.
In ENRICH, the Wellness Teams (WT), composed of key staff from each children's home, are trained to assess the physical activity and nutrition environments in their homes and then develop a Wellness Plan specific to their home. The Wets carry out the plan with administrative support from the home and with community resources they have identified, as well as with on-going technical support from USC ENRICH staff.
In End of Year Surveys, WT Coordinators indicate that the majority of the teams successfully developed and implemented plans which had a big effect on the physical activity and fruit and vegetable consumption of their residents.
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