Program Evaluation: Can You Prove You Are Making a Difference?

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Program Evaluation and Measurement Outcomes: Can You Prove You’re Making a Difference?

DCPNI – Isaac Castillo - @Isaac_outcomes 1

Isaac D. CastilloDeputy Director

DC Promise Neighborhood Initiative@Isaac_outcomes

Isaac.Castillo@dcpni.org

December 4, 2015

Why Should You Care About Outcomes?

December 2015 Isaac Castillo - @isaac_outcomes 2

• LAYC domestic violence story– LeapOfReason.org– First Do No Harm…Then Do More Good

• New domestic violence program component designed to teach three things: – Partner violence is not an OK expression of

love– Partner violence is not OK in Latino culture– There are safe ways to get out of violent

relationships

Learning Objectives

• Ability to define success for your organization and its programs/interventions

• Identify ways to measure progress and outcomes (using multiple approaches)

• Understand how to begin creating an organizational culture that embraces information and uses data to make programmatic improvements

December 2015 Isaac Castillo - @isaac_outcomes 3

Who Counts?

• May seem like a simple thing, but even defining who ‘counts’ as one of your participants is a very important decision.

December 2015 Isaac Castillo - @isaac_outcomes 4

Duplicated vs. Unduplicated Counts

• An unduplicated count is one that counts human beings – A person / human being would only be counted ONCE,

regardless of how many activities or sessions they have attended.

– Example: consider this class – what is the unduplicated count of this class?

• A duplicated count is one that counts ‘service slots’ – Not a count of human beings – rather it is a count of how

many service slots are occupied. – Example – if we all came back tomorrow – what would the

duplicated count be? Would the unduplicated count change?

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Talking and thinking about your counts

• What do you present publically? A duplicated count or an unduplicated count?

• Do you ‘count’ someone who only comes to a single event at your location?

• Do you collect different things for duplicated or unduplicated populations?

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Who Would You Fund?

• You have $1 million to provide funding to a tutoring program for “at-risk” youth.

• You need to pick one of two programs to fund – but you can only pick one!

• Assume everything else is equal aside from the information provided on the next page. – Same service population

– Same areas of service

– Same tutoring approach

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Which Program Would You Fund?

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Program # 1 Program # 2

Served 500 “at-risk” youth Served 50 “at-risk” youth

Provided 2,500 total hours of tutoring

Provided 2,500 total hours of tutoring

Each youth received average of 5 hours of

tutoring

Each youth received average of 50 hours of

tutoring

5 % of youth showed improved math grades on

report cards

90 % of youth showed improved math grades on

report cards

Does this Change Things?

December 2015 Isaac Castillo - @isaac_outcomes 9

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Program 1 Comparison Group

Program 1

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Program 2 Comparison Group

Program 2

Time

If You Understand Dieting…You Understand Measurement

• What are some things you want to measure if you are dieting (how do you know your diet is ‘working’)?

• Why are you measuring these things?

• How do you measure them (and who measures them)?

• How often (when) do you measure them?

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Same Concept: Different Words

What do you call this sandwich?

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Outputs vs Outcomes

• Output measures assess what you do and who you serve

(Did you actually deliver programming and to whom?)

• Served 100 youth during summer camp

• Provided 2,250 hours of tutoring during the academic year

• 9 out of 10 youth attended at least 75 % of available art instruction classes offered

Outcome measures assess changes in knowledge, attitudes, behaviors or conditions for your service population.

• 75 % of youth increased their knowledge of local history during the summer camp

• 50% of youth increased math grades by one grade level during the academic year

• 25% fewer youth reported being involved in bullying over the last year

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Outputs

• Outputs DO: – Tell you about whether your program was

implemented well. For example, they indicate whether a program:• delivered the intended number of sessions• reached its intended population• resulted in adequate participation levels

• Outputs DO NOT: – Tell you if participants benefited from your program– Serve as indicators of program success or

effectiveness

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Outcomes

• Outcomes DO:

– Tell you if participants benefited from your program

– Serve as indicators of program success or effectiveness

• Outcomes DO NOT:

– Tell you about whether your program was implemented well (or provide clues about how your program improved participant outcomes)

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Do You Need To Measure Outcomes for Every Program?

• No.

• You should measure outcomes for your activities that provide a consistent set of programming or services for participants.

• Measuring just outputs is OK for some activities or programmatic approaches.

• Activities or services that are only used once by people likely will NOT produce outcomes.

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Need to Collect Both Outputs and Outcomes

• Determine if more services lead to more/better outcomes

• Determine if there is a ‘minimum’ amount of service needed to improve outcomes

• Determine if too many services actually lead to decreased or negative outcomes

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Should You Measure Outcomes For These Activities?

• An organization provides a health fair for community members– No – this is a service that a person would access once. Unlikely

this will lead to any lasting change. – But you should still track outputs – how many attended?

• An organization provides a series of classes lasting 10 weeks that teaches how to lower cholesterol. – Yes – should measure changes in knowledge, attitudes, and

possibly behavior. – Outputs should also be tracked (attendance)

• You could potentially also track: – How many health fair attendees ended up enrolling in and

completing the classes.

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Confirmatory Outcomes

• Confirmatory outcomes: outcomes you expect will change as a result of program participation– You will hold yourself responsible for confirmatory

outcomes for all (or the majority) of your regular participants.

– You will devote adequate resources and time to achieving confirmatory outcomes .

– You will measure your confirmatory outcomes

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Exploratory Outcomes

• Exploratory outcomes : outcomes potentially, but not definitely, improved by your program– You think (have a theory) that you may have an effect

on exploratory outcomes.

– But you will not hold yourself responsible for exploratory outcomes.

– You may or may not measure exploratory outcomes.

– If you do not measure your exploratory outcomes, you should have a theory (or prior research) that supports why you think the exploratory outcomes are likely to happen.

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Confirmatory vs Exploratory Outcomes Example

• A 24-week program designed to teach teens about the dangers of tobacco use and decrease (or prevent) smoking of cigarettes

• Confirmatory outcome: decrease in the self-reported number of cigarettes smoked during the past 7 days

• Exploratory outcome: decrease in the self-reported use of alcohol, marijuana, or other drugs during the past 7 days

The program SHOULD decrease use of cigarettes. And if the program decreases cigarette use, then participants MIGHT decrease use of other substances as well.

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Some Examples of Outcomes

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Healthy eating habits

Program Outcome(s)

Sex education for teens

Parent / child communication

skills

Consumption of more fruits and

vegetables

Healthier weight

Decreased yelling / anger during conflicts

Increased knowledge of

dangers of unprotected /

early sex

Decreased risky

sexual activity

Fewer unplanned

teenage pregnancies

Timing of Outcomes

• Best to think about sequence of outcomes – and not focus just on when outcomes may/should occur.

• Early / initial outcomes should lead to more outcomes, which in turn will lead to more outcomes.

• Important question: how far down the chain of outcomes will you measure?

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Short Term Outcomes

• Expect to be affected in a short period of time

• Closely related to/influenced by the program’s outputs

• Necessary steps

– Ensure program is on track

– Realistic measure of success

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Intermediate and Long-Term Outcomes

• Intermediate Outcomes– Link between short and longer-term outcomes

– Most will be confirmatory outcomes

• Long-Term Outcomes

– Change after longer period of time

– Ultimate outcomes

– Mix of confirmatory and exploratory outcomes

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How Long Will Each Type of Outcome Take?

• Will depend on the length of your intervention.

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Short Term Intermediate Long Term

Six MonthsOne Month Twelve Months

6 Years1 Year 12 Years

Performance Management and Evaluation

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Performance Management Regular measurement,

Improve outcomes

EvaluationOccasional measurement,

Improve effectiveness

PM and Eval: Speed

Performance Management is rapid and frequent

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Evaluation is methodical and delayed

PM and Eval: Data Collection and Analysis

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Performance Management is simple and requires little

expertise

Evaluation can be complex and often requires specialized training

PM and Eval: Completeness

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Performance Management gives you enough to guess at

whole puzzle

Evaluation lays out as much of the puzzle as possible

Why Bother With All of This?

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Ultimately, you should be measuring outcomes or effectiveness for a

single reason:

To better serve your clients / population.

Isaac’s Contact Information

31December 2015 @Isaac_outcomes

Isaac D. Castillo

Deputy Director

DC Promise Neighborhood Initiative

On Twitter: @Isaac_outcomes

Email: Isaac.Castillo@dcpni.org