1. IHS Special Diabetes Program Competitive Grants Part 2: Refining Idea Maps Cardiovascular Disease Prevention Planning Cynthia C. Phillips, Ph.D. Lisa Wyatt Knowlton, Ed.D. Evaluation Training ̶ January 2005

2. Part 2: Overview  Why?  Introduction to Thinking More Strategically  Idea Map Refining Basics  “Hands-on” Idea Map Revision Exercise

3. Avoiding Potential Pitfalls  Blind Spots  Lack of Knowledge is the Problem  Access = Action or Knowing = Doing  Treatment Trickle (too little of too much)  Activities = Outcomes

4. Idea Maps Are…  One of many ways to show how you think your program will work (strategy)  A picture of how a group “sees things,” they are not the absolute truth  Usually improved over time  Like any model/theory, only as good as its last test

5. What is a Strategy?  The full allocation of resources in an all out effort to achieve an overwhelming impact on a clearly defined outcome.  What can we do to help further refine our thinking about our programs?  How can idea maps help us do this?  What is the connection to evaluation?

6. Example IHS Theory of Change IM

7. Fictional CVD Project IM CVD Risk Reduction Program Idea Map * optional, for demonstration only Outcomes Inputs/Resources Strategy/Activities* Outputs Short Term Long Term Impact Individual Activities Community Activities Case Mgrs/ Counselors Communi- cation Resources Clinical Services Social Marketing Skills Prior Health Ed Experience Diabetes Burden Tip Sheets CVD CVD Seminar Exercise Plan CVD PSAs Lifestyle Coaching Case Mgmt Nutrition Education XX% have tips XX Patients in Lifestyle Coaching for XX weeks XX Patients in Nutrition Ed for XX weeks XXXX Contacts Established Better Health Status - Improved Awareness re CVD -Increased Physical Activity -Reduced Blood Pressure -New Attitudes -New Skills Participant Prospects XX Patients in Exercise for XX weeks XX Patients in Case Mgmt for XX weeks Recruit & Select People w Diabetes Reduced CVD Incidence Knowledge re Effective Health Programming

8. Fictional CVD Project Single Strategy IM Session 1. Are you at risk? Session 2. Act in Time for Heart Attack Session 3. Be More Physically Active Individual Lifestyle Coaching Support and Monitoring Case Mgrs/ Coaches Prior Health Ed Experience Diabetes Burden session attended & understanding occurs session attended & understanding occurs session attended & understanding Better Health Status Positive Changes in Awareness, Knowledge, Skills, Behavior Participant Prospects Recruit, Select, Engage People w Diabetes Reduced CVD Incidence Knowledge re Reduced CVD Incidence CVD Coaching Idea Map * optional, for demonstration only Outcomes Inputs/Resources Activities* Outputs Short Term Long Term Impact

9. Taking A Closer Look…

10. Connecting Strategy to Results RECRUITMENT STRATEGIES RECRUITS Possible Recruits

11. Start with Outcomes  Outcomes are likely to result from activities  Outcomes address awareness, attitudes, knowledge, skills and behaviors  Outcomes are SMART  Outcomes are written as change statements (increase, decrease etc)  Outcomes are achievable within the required funding and reporting periods

12. Activities and Outputs  Major activities needed to implement the program are listed (the intervention)  The duration and intensity of the intervention are well defined and quantified  The duration and intensity of the intervention are appropriate for the type of participant targeted  Targeted participants and participation rates are described and quantified

13. Resources and Impact  Major resources needed to operate the program are listed  All activities have sufficient and appropriate resources  Impact is not beyond the scope or influence of the program

14. Program Idea Map Example: Family Harmony

15. Program Idea Map Example: Family Harmony

16. Idea Map Revision Example and Exercise

17. Fictional CVD Project IM CVD Risk Reduction Program Idea Map * optional, for demonstration only Outcomes Inputs/Resources Strategy/Activities* Outputs Short Term Long Term Impact Individual Activities Community Activities Case Mgrs/ Counselors Communi- cation Resources Clinical Services Social Marketing Skills Prior Health Ed Experience Diabetes Burden Tip Sheets CVD CVD Seminar Exercise Plan CVD PSAs Lifestyle Coaching Case Mgmt Nutrition Education XX% have tips XX Patients in Lifestyle Coaching for XX weeks XX Patients in Nutrition Ed for XX weeks XXXX Contacts Established Better Health Status - Improved Awareness re CVD -Increased Physical Activity -Reduced Blood Pressure -New Attitudes -New Skills Participant Prospects XX Patients in Exercise for XX weeks XX Patients in Case Mgmt for XX weeks Recruit & Select People w Diabetes Reduced CVD Incidence Knowledge re Effective Health Programming

18. Fictional CVD Project Single Strategy IM Session 1. Are you at risk? Session 2. Act in Time for Heart Attack Session 3. Be More Physically Active Individual Lifestyle Coaching Support and Monitoring Case Mgrs/ Coaches Prior Health Ed Experience Diabetes Burden session attended & understanding occurs session attended & understanding occurs session attended & understanding Better Health Status Positive Changes in Awareness, Knowledge, Skills, Behavior Participant Prospects Recruit, Select, Engage People w Diabetes Reduced CVD Incidence Knowledge re Reduced CVD Incidence CVD Coaching Idea Map * optional, for demonstration only Outcomes Inputs/Resources Activities* Outputs Short Term Long Term Impact

19. Fictional Recruitment Template

20. Revising Your Idea Map  Present your idea map to another team  Ask them to apply the checklist to it  Switch  Edit your idea map as needed