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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: How Evidence Helps You Select An Effective Intervention
Copyright 2012 by JBS International, Inc. Developed by JBS International for the Corporation for National & Community Service
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 Use evidence for your intervention
Module Overview
What is evidence? What are evidence-based interventions? What are sources of evidence? What are methods to assess evidence?
Community Need
Specific Intervention
Intended Outcome
Statistics
documenting the need
Evidence
Guides choice of intervention Supports cause-effect relationship
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.
Intervention Antibiotics
Outcome Healthy
Evidence
Penicillin Amoxicillin Tetracycline
Evidence
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 provides a reality check for theory of change elements For new programs:
What is the recommended design (specific program activities) and dosage (frequency, intensity, and duration) to achieve an intended outcome?
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?
Possible sources of evidence include: Your past performance measurement outcome data Results from an impact evaluation of your program Research that documents the outcomes of similar programs Impact evaluations that document outcomes of similar programs
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?
Does it document change? Does it clearly show that your intervention is what caused the change?
Research studies: Focused on increasing knowledge or understanding of a particular group, problem or issue Impact Evaluations: Look at intervention success and outcomes produced
Assessing Evidence
Criteria include:
Sources of Strong Evidence University or research organizations (national or local) Known professionals/ experts in the field Similar sounding programs/ descriptions Articles that review multiple studies (meta studies)
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 - may help narrow the number of search results
Evidence Continuum
Causality Low
Preliminary
Doesnt show causality Outcome results from performance measurement
High
Moderate
Show causality, compares intervention recipients to nonrecipients Results from studies/impact evaluations Comparison groups: Quasi-experimental Design
Strong
Show causality, compares intervention recipients to nonrecipients Results from studies/impact evaluations Randomly-assigned control groups: Experimental Design
Evidence Continuum
Shape Up: afterschool obesity prevention program
Preliminary
Performance measurement shows that 75% of girls age 1416 participating in the Shape Up program made more healthy food choices
Moderate
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.
Strong
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
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.
Past performance measurement data Results from a program impact 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.
Additional Resources
Resources
CNCS Priorities and Performance Measures: http://www.nationalservice.gov/resources/npm/home Program-Specific Notices of Funding Opportunities and Application Instructions: http://www.nationalservice.gov