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Evidence: What It Is And Where To Find It
Evidence: What It Is and Where to Find It
How evidence helps you select an effective intervention
Evidence: What It Is And Where To Find It
Learning Objectives
By the end of the module, you will be able to:
•Describe evidence-based interventions
•Identify the approved sources of evidence
•Find evidence for your intervention
•Assess the utility of evidence you have located
Evidence: What It Is And Where To Find It
Module Overview
• What is evidence?
• What are evidence-based interventions?
• What are sources of evidence?
• What are the criteria for assessing evidence?
Evidence: What It Is And Where To Find It
Theory of Change Elements
Community Need
Community Need
Specific Intervention
Specific Intervention
Intended OutcomeIntended Outcome
Evidence•Guides choice of intervention
•Supports cause-effect relationship
Evidence•Guides choice of intervention
•Supports cause-effect relationship
Statistics documenting the
need
Statistics documenting the
need
Evidence: What It Is And Where To Find It
Evidence-Based Intervention
Service activities that are supported by research to demonstrate a high likelihood that these activities will address the need, and result in intended changes.
Evidence demonstrates that the proposed intervention (design, dosage) is likely to lead to the outcome. (X → Y)
Evidence: What It Is And Where To Find It
Everyday Life Example of a Theory of Change
But which antibiotic(s) fights strep the best? Look at evidence to make the choice.
• I have strep throat (problem / need).
• I take antibiotics (intervention)
• I will be healthy (outcome)
Evidence: What It Is And Where To Find It
EVIDENCE: Information that supports your choice of a specific intervention and its ability to produce your intended outcome.
It is NOT enough to just say “we believe” our intervention is “likely” to be successful. You need to justify your choice with evidence.
Evidence
Evidence: What It Is And Where To Find It
Lessons from the Evidence
Evidence provides a “reality check” for theory of change elements. •For new programs:
• What is the recommended design and dosage (frequency, intensity, and duration) needed to achieve an intended outcome?
•For existing programs:
• Is there sufficient evidence for the intervention to continue its use?
• Based on the evidence, are there modifications to the intervention that should be considered to have greater impact?
• Do you need to choose a new intervention?
Evidence: What It Is And Where To Find It
Sources of Evidence
Evidence: What It Is And Where To Find It
Evidence Source: Your Performance Measurement Data
Past performance measurement outcome data:
• What do your past performance measurement results tell you?
• Can you show positive outcomes over time?
Your
PM Results
Evidence: What It Is And Where To Find It
Evidence Source: Your Program Evaluation
Results from your program evaluation:
• Is it an impact evaluation?
• Does it document change?
• Does it clearly show that your intervention is what caused the change?
Your
Impact
Evaluation
Evidence: What It Is And Where To Find It
Sources of Evidence
Evidence: What It Is And Where To Find It
Assessing Evidence
Criteria include:
• Relevant: Cites comparable intervention with similar beneficiaries and results
• Compelling: Persuasive, shows clear likelihood of success
• Up-to-date: Recently published or most recent available
• Objective: Source with no stake in outcome and published in a peer reviewed journal or by a credible organization
Research Studies
Impact Evaluations
Evidence: What It Is And Where To Find It
•University or research organizations (national or local)
•Known professionals/ experts in the field
•Similar sounding programs/ descriptions
•Articles that review multiple studies
Evidence Sources
Evidence: What It Is And Where To Find It
Web Search for Evidence
•Google Scholar is one web search tool that helps narrow the search for your keywords to professional journals http://scholar.google.com
Tip:•Use quotation marks around key terms - helps
narrow the number of search results
Evidence: What It Is And Where To Find It
Search Result Questions
Is the article:•Relevant?•Compelling?•Up-to-date?•Objective?
Evidence: What It Is And Where To Find It
• Preliminary:• Outcome results from performance measurement • Doesn’t show causality
• Moderate: • Results from studies/evaluations using “quasi-
experimental design,” i.e. comparison groups• Shows causality
• Strong:• Results from studies/evaluations using
“experimental design,” i.e. control groups• Strongest way to show causality
CNCS Evidence Continuum
Evidence: What It Is And Where To Find It
CNCS Evidence Continuum
Preliminary Moderate Strong
Performance measurement shows that 75% of girls age 14-16 participating in the Shape Up program made more healthy food choices
A 2005 impact evaluation by internal evaluators (using a quasi-experimental design of girls participating in a similar program to Shape Up) found that after 12 weeks, the girls in the program made 50% more healthy food choices than the comparison group.
A 2010 impact evaluation of the GEMS program by University of MN using experimental design/random assignment found after 12 weeks, the girls in the experimental group made 50% more healthy food choices than control group girls
Evidence: What It Is And Where To Find It
Key Points Summary
• The term “evidence-based intervention” describes service activities that are supported by research to indicate a high likelihood that the intervention will address the need and result in intended outcomes.
• Evidence is information or documentation that a specific intervention (design and dosage) will produce your intended outcome.
Evidence: What It Is And Where To Find It
Key Points Summary
•The four sources of evidence include:• Past performance measurement data
• Results from a program evaluation
• Research studies that document the outcomes of similar programs
• Evaluations that document outcomes of similar programs
•When assessing evidence, check to be sure it is relevant, compelling, up-to-date, and objective.
•The strongest evidence clearly proves that the intervention caused the positive change by using an experimental design.
Evidence: What It Is And Where To Find It
ResourcesCNCS Priorities and Performance Measures: http://www.nationalservice.gov/resources/npm/home
Program-Specific Notices of Funding Opportunities and Application Instructions: http://www.nationalservice.gov
Additional Resources