PFS Evaluation Presented by Alaska PFS State Evaluators: Bridget Hanson and Jodi Barnett WELCOME! WHO’S JOINING US? Let’s introduce ourselves Name Community Project role Please use the chat box Meeting Guidelines We encourage participation! Share your comments, questions, ideas. Be positive, be problem solvers. Keep chat box comments on-topic. “One of the great mistakes is to judge policies and programs by their intentions rather than their results” Milton Friedman Webinar Objectives Alaska PFS staff will understand: project evaluation expectations importance of baseline data collection the difference between the federally required versus Alaska PFS evaluation Your Turn (Raise Your Hand) How many of you have read the evaluation section of the guidance document in the past month? Alaska PFS timeline Key Elements of the Alaska PFS Project Data driven Key Elements of the Alaska PFS Project Ultimate goal is to prevent/reduce non-medical use of prescription opioids (12-25 year olds) use of heroin (18-25 year olds) Reminder: Federal vs Alaska PFS evaluation Community Level Instrument (CLI-R) is a federal evaluation requirement Strategy evaluation efforts (using time series graphs) are specific to the Alaska PFS project Community-Specific Logic Model Elements Social Availability Community Strategies “What strategies will we choose to address the community factors” Community Factors “Why does Rx opioid misuse/abuse occur specifically in our community?” Easy access to Rx opioids through social sources Retail Availability Easy access to Rx opioids through providers & dispensers Perceived Risk of Harm from Rx opioid misuse or heroin use Your Turn! (Chat Box) Describe 1 or 2 community factor(s) that rose to the top in your data assessment? Please use the chat box Alaska PFS Evaluation Planning Step 1: Finalize Community Logic Models snapshot of what the project is trying to accomplish communication tool help guide and focus planning efforts Alaska PFS Logic Model Components Community Strategies Community Factors “What strategies will “Why specifically we choose to does Rx opioid address the misuse/abuse community factors” occur specifically in our community?” Intervening Variables Consumption Consequences “Why does Rx opioid misuse/abuse occur?” “Rx opioid misuse/abuse among 12-25 year olds” “Consequences of Rx opioid misuse / abuse (i.e. Why do we care?)” Direction of influence once implementation begins If-then statements Example Community Logic Model State-level evaluators at CBHRS have identified indicators and will collect data for intervening variables, consumption, and consequences related to NMUPO and heroin use at the state and funded community levels. This data will be provided to communities in order to monitor outcomes. Communities will focus on local data related to community factors for the PFS outcome evaluation. Your Turn! (Raise Your Hand) Has your coalition discussed any potential strategies to target community factors? Alaska PFS Evaluation Planning Step 2: Develop Strategy Evaluation Plans (for time series graphs) Identify outcomes, indicators, and measures to answer: How much are you doing? How many are you reaching? Is change on community factors occurring? STRATEGY: MULTI-LEVEL CAMPAIGN TO INCREASE KNOWLEDGE ABOUT HARMS OF SOCIAL ACCESS AND WAYS TO PREVENT SOCIAL ACCESS TO RX OPIOIDS Community Factor: Lack of community knowledge among adults about harms associated with easy access to Rx opioids Community Factor: Lack of knowledge among adults about how to prevent social access to Rx opioids KEY STRATEGY OUTCOMES Multi-level campaign to: Intervening Variable: Social Availability of Rx opioids 1. 1) Increase knowledge about harms associated 2. with easy access to Rx opioids 2) Increase knowledge about ways to reduce social access to Rx opioids 3. 3) Increase safe storage, monitoring, and disposal of Rx opioids 4. (O) Outcome indicators; (P) Process indicators INDICATORS # and reach of awareness products disseminated (posters, articles, etc) (P) % of adults who have seen campaign messages about safe storage and disposal of Rx opioids (P) % of adults reporting safe storage and monitoring of Rx opioid prescriptions (or intentions) (O) % of adults who report disposing of Rx opioids safely (or intentions) (O) CSAP Category: Information Dissemination Strategy Target Population: Adults 18+ METHOD / MEASURE 1. Dissemination tracking 2. Quarterly random survey of 100 adults (e.g., DMV) 3. Quarterly random survey of 100 adults (e.g., DMV) 4. Quarterly random survey of 100 adults (e.g., DMV) STRATEGIES: 1) INCREASE THE NUMBER OF SAFE DISPOSAL SITES AND 2) IMPLEMENT A CAMPAIGN TO INCREASE AWARENESS AND USE OF SAFE DISPOSAL SITES CSAP Category Community Factor: Lack of convenient Intervening Variable: and/or recognized sites for adult community Social Availability of Rx members to dispose of Rx opioids safely opioids KEY STRATEGY OUTCOMES 1. Increase safe disposal sites to: 2. 1) Increase access to safe disposal sites 3. Multi-level campaign to: 4. 1) Increase awareness of safe disposal sites 2) Increase use of safe disposal sites Create safe disposal sites: Environmental INDICATORS # of disposal sites created and # of days open (P) # and reach of awareness products disseminated (posters, radio ads, etc.) (P) % of adults aware of at least one local safe disposal site (O) # visitors of visitors and/or pounds of Rx opioid pills discarded at disposal sites (O) (O) Outcome indicators; (P) Process indicators Campaign to promote safe disposal sites: Information Dissemination Strategy Target Population: Adults 18+ METHOD / MEASURE 1. Activity tracking 2. Dissemination tracking 3. Quarterly random survey of 100 adults (e.g., DMV) 4. Activity tracking Alaska PFS Evaluation Planning Step 3: Collect Strategy Data (for time series graphs) collect data on a regular basis over time graph results Interpret results revise strategy efforts as needed CF: Lack of convenient and/or recognized sites for adult community members to dispose of Rx opioids safely Cumulative # of safe disposal sites that are open for use Cumulative # of TV ads seen per adult about locations of safe dipsosal sites 4 3 2 10 8 6 4 1 0 2 0 *Process indicators CF: Lack of convenient and/or recognized sites for adult community members to dispose of Rx opioids safely # of people who drop off prescriptions at safe disposal sites per quarter % of adults who can identify at least one safe disposal site per quarter 100 160 80 120 60 40 80 20 40 0 0 *Outcome indicators B Baseline Data Rule of thumb for PFS: Two quarters prior to implementation Quantitative Data Collection Ideas Policy Change • progress towards policy establishment • compliance with policy • efforts to ensure policy compliance • # of individuals reached Telling Stories Quantitative Data “head” vs Stories “emotions” “The measure of our success will not be determined by the number of evaluations done or even upon the quality of the findings … success will depend on the ability to use evaluation findings to strengthen our efforts and sharpen our decision-making” U.S. Agency for International Development. (2011). Evaluation learning from experience: USAID evaluation policy. Washington, DC: USAID. When choosing strategies, consider: relevance to your chosen CF/IV time needed to plan and implement evaluation requirements (baseline) budget available potential for community level change sustainability Next cohort call: Discuss strategic planning & strategy selection - May 22nd at 10:00am YOUR TURN! (MULTIPLE CHOICE) How confident do you feel in your team’s ability to fulfill the PFS evaluation expectations? 1) 2) 3) 4) Not at all confident Somewhat confident Mostly confident Very confident Questions? Please use the chat box
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