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Building A Conceptual Framework for Outcomes Evaluation
NINR Health Disparities Program Feasibility Study Building A Conceptual Framework for Outcomes Evaluation
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Program Conceptual and Organizational Structure
It is a simple truism that if stakeholders do not have a clear idea about what a program is supposed to be doing, it will be difficult to evaluate how well it is doing it. Peter Rossi, 2004
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Conceptual Framework & Logic Model Development
Literature review Concept and measurement of health disparities Examination of disparity research projects Portfolio analysis Evaluation Advisory Committee Key informant interviews Identification of comparison frameworks
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Preliminary Conceptual Framework
Sources: James 2009; Myers 2009; Rew et al., 2009; Sanders-Phillips et al., 2009
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Application of Sample Publications to Conceptual Framework
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Health Disparities Program Logic Model
Investigator development Institutional development Stakeholder participation Collaboration Translation of research knowledge into practice Increased awareness of HD Community outreach and participation Policy Practice- health care & promotion Training Knowledge & science advances Institutional research capacity Trained minority nurse scientists who applied for & conducted research studies Publications Dissemination Further research identified INPUTS What is invested ACTIVITIES OUTPUTS What is done, who is reached SHORT-TERM OUTCOMES Learning and action MEDIUM & LONG-TERM OUTCOMES Ultimate transformations Research focus: Methods Models Topics Applications reviewed and funded to: Train minority faculty and students Train Traditionally Minority Based Institutions to develop research capacity Detect, define, & measure HD Intervene to reduce HD Identify causes of HD Intervention development & testing Reduce and eliminate HD & Improve health of HD populations EXTERNAL FACTORS / CONTEXT Patient factors (e.g., beliefs, culture, biology), Neighborhood factors, Community factors, Health care system factors, Clinical encounter, Provider factors Sources: Holmes et al., 2008; Kilbourne et al., 2006; Stockols et al., 2008; NIH Health Disparities Strategic Plan,
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Application of Logic Model
Text in italics indicates one of two corresponding evaluation questions.
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Application of Logic Model
Activities Research focus Training Develop institutional research capacity Outputs Publications Dissemination Trained researchers Institutional research capacity Short-term Outcomes Translation of research knowledge into practice Increased awareness of health disparities Medium & Long-term Outcomes Knowledge & science advances Policy Practice Training Intervention development & testing Reduce/eliminate health disparities Improve health of populations experiencing health disparities
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Challenges: Definitions and Terminology
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Conceptual Framework: Findings and Challenges
Lack of a definition of health disparities Inconsistent terminology Conceptual frameworks differed when offered Measurement of health disparities differs Developed preliminary conceptual framework for feasibility study
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Using Conceptual Framework & Logic Model
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Paul Cotton Margarita Hurtado
Acknowledgements Paul Cotton Margarita Hurtado Evaluation Advisory Committee Yvonne Bryan Shanita Williams Larry Solomon Carl Hill Fannie G. Gaston-Johansson American Institutes for Research Maureen Maurer Rikki Mangrum Megan Bookhout Jennifer Richmond This study was partially funded by the NIH Evaluation Set-Aside Program administered by the Office of Program Evaluation and Performance, DPCPSI, Office of the Director.
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