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YES CENTER EVALUATI= ON STRATEGY
Where we are, where we are going

OVERVIEW

YES Center’s Roles<= /a>

1. Evaluation Goals=

2. Evaluation Goals=

Slide 6

Evaluation methods
conceptual framework

1. What are mixed methods?

2. What are mixed methods?

3. What are mixed methods?

4. What are mixed methods?

Slide 12

Evaluation Continuu= m

Evaluation Flow=

1. Evaluation steps=

2. Evaluation steps=

A. Evaluation Exerc= ise

B. Evaluation Exerc= ise

C. Evaluation Exerc= ise

D. Evaluation Exerc= ise

3. Evaluation steps=

4. Evaluation steps=

5. Evaluation steps=

6. Evaluation steps=

7. Evaluation steps=

8. Evaluation steps=

9. Evaluation steps=

10. Evaluation step= s

11. Evaluation step= s

12. Evaluation step= s

Slide 31

Don’t forget…

Thank you!<= /font>

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YES CENTER EVALUATI= ON STRATEGY
Where we are, where we are going
Manya Magnus, PhD, = MPH
George Washington U= niversity
School of Public He= alth and Health Services
Department of Epide= miology and Biostatistics
26 January 2005

OVERVIEW
Overall approach
GWU’s roles<= /td>
Methodological appr= oaches
Getting from here t= o there
What is next=
Our commitment to y= ou
Questions and answe= rs

YES Center’s Roles<= /a>

1. Evaluation Goals=
Here to assist YMSM= C Initiative sites
24/7 support availa= ble via phone or email

2. Evaluation Goals=
Ensure quality data= are:
Ascertained<= /td>
Using forms that wi= ll provide useful information without overburdening sites
Entered
Into secure, user-f= riendly web-portal
Analyzed
To yield practical, scientifically sound results
Interpreted<= /td>
To help us identify= innovative and effective models of care to YMSM of color
To improve service = provided by your site and other programs’ services to YMSMC

Slide 6

Evaluation methods
conceptual framework
Mixed method approa= ch
Sounded good on pap= er: here is why it really works!
What are mixed meth= ods?
Formalized mixing of qualitative and quantitative methodologies
Perfect for handlin= g our diverse…
Sites
Populations<= /td>
Interventions
Methods for follow-= up and local evaluation

1. What are mixed methods?
Briefly, mixed meth= ods an alternative to the mono-methodological approach
This approach is mo= re than the sum of its parts
It is not just cond= ucting “another” study
Mixed methods combi= ne paradigms (Qual/Quant) and expertise, in a multidisciplinary way
Perfect for this mu= lti-site evaluation
May also be helpful= for you local evaluations, and any desired cross-site evaluations

2. What are mixed methods?
Mixed methods are
Useful for evaluati= on, which seldom has a “perfect” design
Flexible
Multidisciplinary
Able to provide a r= icher understanding of the phenomena of interest
This approach will = allow use of all types of data that you collect—not only quantitative
As the YES Data Cen= ter, we will be collecting both qualitative and quantitative data—just like you=

3. What are mixed methods?
Qualitative<= /td>
Open-ended question= s
Ethnography<= /td>
Observation<= /td>
Key informant inter= view
Purposive sampling<= /font>
Focus groups=
Content analysis
Quantitative=
Close-ended questio= ns
Statistical testing=
p-values
Numeric analysis
Random samples
Multivariable model= ing

4. What are mixed methods?
At many sites, mixe= d methods are used already
Looking at all the interventions and methods being used, this is most fruitful approach
Mixed methods will = allow us to gain superior insight into our client population, how the interventions impact them, and how they can be evaluated and—if effective—generalized

Slide 12

Evaluation Continuu= m

Evaluation Flow=

1. Evaluation steps=
Comprehensive evalu= ation of each site
First site phone co= nference ü
Site visit <= font face=3DWingdings size=3D2>ü
IT/HIPAA assessment= (AETBS) ü[underway]<= /font>

2. Evaluation steps=
Gathering of tools = from sites ü[underway]<= /font>
Evaluation exercise= [in your packet]

A. Evaluation Exerc= ise

B. Evaluation Exerc= ise

C. Evaluation Exerc= ise

D. Evaluation Exerc= ise

3. Evaluation steps=
Gathering of tools = from sites ü[underway]<= /font>
Evaluation exercise= [in your packet]
Identification of a= vailable variables at sites
Quality of data
Ease of procurement=

4. Evaluation steps=

5. Evaluation steps=
Baseline program characteristics
Form to ascertain b= aseline status of program

6. Evaluation steps=

7. Evaluation steps=
Refinement of resea= rch questions
With consensus buil= ding between
Site personnel
Peers and members o= f target client population
Community advisory = boards
HRSA—HIV/AIDS Burea= u
YES Center
Others

8. Evaluation steps=
Preliminary researc= h questions on which to build:
Which individual- a= nd program-level characteristics are associated with improved…
Outreach to YMSM of= color?
Access to preventio= n services?
Entry into and rete= ntion in care?
Adherence with PHS = guidelines for care? (provider, client)
HIV-related clinica= l and behavioral outcomes?

9. Evaluation steps=
Which individual- a= nd program-level characteristics are associated with improved…
Outreach to YMSM of= color?
Access to preventio= n services?
Entry into and rete= ntion in care?
Adherence with PHS = guidelines for care? (provider, client)
HIV-related clinica= l and behavioral outcomes?
What are the unique= barriers from and facilitators into care for this hard-to-reach population?=
Which clinical envi= ronments are most effective at assisting youth to enter and remain in care?

10. Evaluation step= s
Mixed method approa= ch
Triangulation of da= ta from site visit reports, organizational assessments, individual-level data to understand what works and what does not
Quantitation of qua= litative variables (QUAN/qual) to provide rich outcomes evaluation
Use of process and = fidelity data to characterize the initiative as a whole and its strengths/challeng= es

11. Evaluation step= s
Proposal to sites o= f minimal dataset and modules
Consensus building = and creation of multi-site forms
Protocol developmen= t to ensure consistent, high quality data collection and entry
Submission (amendme= nts) to IRB

12. Evaluation step= s
Secure website beta= testing and initial data entry from all sites
Data entry begins
Ongoing QA/QM by th= e YES Center
Queries
Logical checks
Preliminary data an= alyses as indicated
Access to site’s ow= n data

Slide 31

Don’t forget…
Evaluation research= is more than just “paperwork.”  It will:<= /font>
Be fun
Help us understand = which models of care are effective and why
Enable us to genera= lize to other care settings
Allow development o= f new methods specific to assessing and caring for this target population
Help document your = funding request

Thank you!<= /font>
Questions?

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‹h= eader›
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‹date/time›
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‹f= ooter›
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------=_NextPart_01C554BC.59486A30 Content-Location: file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C554BC.59486A30 Content-Location: file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/v3_slide0018.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
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YES CENTER
EVALUATION STRATEGY
Where we are, where we are going
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OVERVIEW
<= /td> <= /td> = <= /td> <= /td> <= /td>
Overall approach
GWU’s roles
Methodological approaches
Getting from here to there
What is next
Our commitment to you
Questions and answers
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YES Center’s Roles
YES Center
= TA and Support
= Evaluation
Multi-site evaluation
= Assist with local evaluations
= Assist with cross-site evaluations
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Here to assist YMSMC Initiative sites
24/7 support available via phone or email
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2. Evaluation Goals
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Ensure quality data are:
Ascertained
• Using forms that will provide useful information without
overburdening sites
Entered
• Into secure, user-friendly web-portal
Analyzed
• To yield practical, scientifically sound results
Interpreted
• To help us identify innovative and effective models of care to
YMSM of color
• To improve service provided by your site and other programs’
services to YMSMC
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= =
But wait—before we go on… what
is the overarching framework for the
evaluation?
<= /td> = =
…what on Earth are mixed methods and<= /font>
how will they help to better understand
innovative models of care to adolescent
YMSM of color?
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<= /td> <= /td> <= /td> <= /td> <= /td> = <= /td> <= /td> <= /td> <= /td>
Mixed method approach
Sounded good on paper: here is why it really=
works!
What are mixed methods?
Formalized mixing of qualitative and<= br>
quantitative methodologies
Perfect for handling our diverse…
• Sites
• Populations
• Interventions
• Methods for follow-up and local evaluation
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1. What are mixed methods?
<= /td> <= /td> <= /td> = <= /td> <= /td> <= /td> <= /td> <= /td>
Briefly, mixed methods an alternative to the=
mono-methodological approach
This approach is more than the sum of its pa= rts
It is not just conducting “another” study
Mixed methods combine paradigms
(Qual/Quant) and expertise, in a multidisciplinary
way
Perfect for this multi-site evaluation
May also be helpful for you local evaluations, and any<= br>
desired cross-site evaluations
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2. What are mixed methods?
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> = <= /td> <= /td>
Mixed methods are
Useful for evaluation, which seldom has a “p= erfect”
design
Flexible
Multidisciplinary
Able to provide a richer understanding of the
phenomena of interest
This approach will allow use of all types= of data
that you collect—not only quantitative
As the YES Data Center, we will be collectin= g
both qualitative and quantitative data—just like
you
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3. What are mixed methods?
What characterizes each approach?
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Qualitative
Open-ended questions
Ethnography
Observation
Key informant interview
Purposive sampling
Focus groups
Content analysis
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Quantitative
Close-ended questions
Statistical testing
p-values
Numeric analysis
Random samples
Multivariable modeling
= =
Note: Study designs can use multiple types of data collection. For example,
RCTs can collect qualitative data; ethnographic studies can describe samples=
using quantitative data.
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4. What are mixed methods?
<= /td> <= /td> <= /td> = = <= /td>
At many sites, mixed methods are used
already
Looking at all the interventions and
methods being used, this is most fruitful
approach
Mixed methods will allow us to gain
superior insight into our client population,
how the interventions impact them, and
how they can be evaluated and—if
effective—generalized
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3D"What
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Evaluation Continuum
<= /td> <= /td>
Year 5—
Answers!
<= /td>
Year 1—
Questions
=
How do we get from where we
are to where we are going?
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Ox== ------=_NextPart_01C554BC.59486A30 Content-Location: file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/v3_slide0034.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
<= /td> <= /td>
Ground work
Foundation building
Evaluation Flow
Research question
Study design
Data collection
Quality assurance
<= /td> =
Communication to scientific
community and staff
<= /td> <= /td>
Analysis/
interpretation
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file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/v3_slide0034_image015.gif Content-Transfer-Encoding: base64 Content-Type: image/gif R0lGODlhCgAjAHcAMSH+GlNvZnR3YXJlOiBNaWNyb3NvZnQgT2ZmaWNlACH5BAEAAAAALAMAAQAF AB8AgAAAAAAA/wIaBGKGuZr3GmSx0uvwzHx7CVpdeATmaSppaRUAOx== ------=_NextPart_01C554BC.59486A30 Content-Location: file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/v3_slide0035.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
1. Evaluation steps
<= /td> <= /td> = = <= /td>
Comprehensive evaluation of each site
First site phone conference   =
Site visit =
IT/HIPAA assessment (AETBS) [underway]
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2. Evaluation steps
<= /td> =
Gathering of tools from sites == 692;[underway]
Evaluation exercise [in your packet]
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A. Evaluation Exercise
<= /td> <= /td> <= /td> <= /td> <= /td> = <= /td>
Purpose of the Exercise:
The ability to participate in multi-site eva= luation activities is essential
to the success of the overall initiative. In addition, local evaluation
plays an important role in the success of the initiative as a whole as=
well as that of individual grantees. The purpose of this exercise is to
articulate specific data sources and data flow, such that partners at
each site (as well as the GWU YES Center) are aware how each
data point will be collected, checked for accuracy, and ultimately
submitted.
Exercise Participants:
Care providers, front-line, evaluation, data and management st= aff
from all partners
Members of the target population these crucial consumers.
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B. Evaluation Exercise
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file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/v3_slide0052.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
C. Evaluation Exercise
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D. Evaluation Exercise
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3. Evaluation steps
<= /td> <= /td> = <= /td> = <= /td>
Gathering of tools from sites == 692;[underway]
Evaluation exercise [in your packet]
Identification of available variables at sites
Quality of data
Ease of procurement
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4. Evaluation steps
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5. Evaluation steps
<= /td> <= /td> =
Baseline program characteristics
Form to ascertain baseline status of program
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6. Evaluation steps
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7. Evaluation steps
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Refinement of research questions
With consensus building between
• Site personnel
• Peers and members of target client population
• Community advisory boards
• HRSA—HIV/AIDS Bureau
• YES Center
• Others
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8. Evaluation steps
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Preliminary research questions on which
to build:
Which individual- and program-level
characteristics are associated with
improved…
• Outreach to YMSM of color?
• Access to prevention services?
• Entry into and retention in care?
• Adherence with PHS guidelines for care?
(provider, client)
• HIV-related clinical and behavioral outcomes?
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9. Evaluation steps
<= /td> <= /td> = <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Which individual- and program-level characte= ristics are
associated with improved…
Outreach to YMSM of color?
Access to prevention services?
Entry into and retention in care?
Adherence with PHS guidelines for care? (provider, client)
HIV-related clinical and behavioral outcomes?
What are the unique barriers from and facili= tators into
care for this hard-to-reach population?
Which clinical environments are most effecti= ve at
assisting youth to enter and remain in care?
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10. Evaluation steps
<= /td> <= /td> = <= /td> <= /td> <= /td> <= /td>
Mixed method approach
Triangulation of data from site visit reports,
organizational assessments, individual-level data to
understand what works and what does not
Quantitation of qualitative variables (QUAN/qual) to
provide rich outcomes evaluation
Use of process and fidelity data to characterize the
initiative as a whole and its strengths/challenges
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11. Evaluation steps
<= /td> <= /td> <= /td> = <= /td> <= /td> <= /td>
Proposal to sites of minimal dataset and
modules
Consensus building and creation of multi-site
forms
Protocol development to ensure consistent, high
quality data collection and entry
Submission (amendments) to IRB
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12. Evaluation steps
<= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td> <= /td>
Secure website beta testing and initial data= entry
from all sites
Data entry begins
Ongoing QA/QM by the YES Center
Queries
Logical checks
Preliminary data analyses as indicated
Access to site’s own data
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3D"Our
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38Q2RHE7BnKQhTzkDG9YxwEBADs= ------=_NextPart_01C554BC.59486A30 Content-Location: file:///C:/EA4BA159/YESCenterEvaluationStrategy_files/v3_slide0047.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" Slide 1
Don’t forget…
<= /td> <= /td> <= /td> <= /td> = <= /td> <= /td>
Evaluation research is more than just
“paperwork.”  It will:
Be fun
Help us understand which models of care are
effective and why
Enable us to generalize to other care settings
Allow development of new methods specific to
assessing and caring for this target population
Help document your funding request
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