Attachment 4:
Drug Free Communities National Evaluation: Systems, Measures,
and Tools
Drug Free Communities National Evaluation: Systems, Measures, and Tools
Final Report
December 23, 2010
Report prepared for the:
White House Office of National Drug Control Policy
Drug Free Communities Support Program
by:
I CF International
9300 Lee Highway
Fairfax, VA 22031
under contract number BPD-NDC-09-C1-0003
Drug Free Communities National Evaluation: Evaluation of Systems, Measures, and Tools
Table of Contents
Introduction to the Systems, Measures, and Tools Plan 1
DFC National Evaluation Logic Model 11
Major Recommendations for System Enhancements 16
COMET: Review of Data Collection Items and Burden 17
CCT: Review of Data Collection Items and Burden 20
Appendix A: Internal Logic Model, Measurement Mapping, & Brief literature Review 29
Appendix B: COMET Data Collection Plan 62
Appendix C: COMET Qualitative Analysis and Possible Dropdown Lists by SPF Category 103
Drug Free Communities (DFC) Support Program
National Evaluation
Submitted by ICF International – December 23, 2010
As ONDCP's evaluation contractor for the Drug Free Communities Support Program (DFC) National Evaluation, ICF has been asked to determine appropriate systems, measures, and tools for the new five-year project period. Much of this assessment focused on the Coalition Online Management and Evaluation Tool (COMET), which is the major data collection system for the national evaluation. Grantees report data every six months in COMET to meet eligibility and programmatic requirements pertaining to their day-to-day activities and operating context. This system is also used to collect core outcomes on youth substance use every other year, as well as an annual survey of coalition operations called the Coalition Classification Tool (CCT).
The multipurpose nature of this online data system has led to confusion among DFC grantees on exactly what data is to be collected and for what purpose – and most significantly, it has posed substantial burden. As part of our assessment to determine the most appropriate measures, systems, and tools, ICF formulated a number of research questions to guide our efforts in enhancing the data system to better meet ONDCP and SAMHSA needs, improve the quality of evaluation data collected, and reduce burden for grantee communities. The guiding research questions are listed below.
To
what extent is the present COMET system meeting the needs and
expectations of DFC end-users?
To
what extent is the present COMET system meeting the needs and
expectations of ONDCP?
To what extent is the present COMET system meeting the needs and expectations of SAMHSA Project Officers?
To
what extent does the new evaluation plan require changes in the data
presently being collected by COMET?
What options exist for dealing with the distinct data needs of the DFC National Evaluation and SAMHSA’s grants management/reporting oversight?
5a.
If a new data system were designed and developed to replace COMET,
what are the opportunities for increasing its usability and
decreasing the reporting burden of grantees?
5b.
If a new data system were designed and developed, what are the
opportunities for increasing its usability for ONDCP and for SAMHSA
Project Officers?
5c.
If a new data system were designed and developed, what are the
opportunities for increasing its usability and efficiency for ONDCP's
evaluation contractor?
ICF conducted the following evaluation activities, which are described below, to assess the usefulness and effectiveness of the COMET data system for ONDCP, SAMHSA personnel (i.e., project officers and managers), ONDCP personnel, and DFC grantees.
Drug Free Communities National Evaluation’s Stakeholder Meeting. In June 2010, ONDCP convened a group of stakeholders, which included ONDCP staff, SAMHSA project officers, Kit Solutions (the developer of the COMET system), HSRI (SAMHSA’s DITIC contractor), and the DFC national evaluation team to discuss potential changes to COMET. During this meeting, ICF presented findings from our initial review of COMET (and CCT), queried attendees on current strengths and challenges with the COMET system, and asked for guidance on how COMET could be improved as a programmatic tool and an evaluation tool in a manner that would reduce grantee burden.
Focus Groups. Focus groups were conducted separately for SAMHSA managers and SAMHSA project officers in June 2010. These focus groups were designed to obtain each stakeholder group’s perspectives regarding the current system and how it could be improved. Focus group questions, tailored to SAMHSA personnel’s specific roles in the study, asked participants to reflect on and discuss:1
Experience with the COMET system
Pros and cons of the COMET system
COMET as a tool to support and ensure needed information
Suggestions for improvements to the COMET system
Vision for the “ideal” data system
A total of twenty participants took part in two single-session focus groups. This included a session for thirteen project officers and another session that included seven managers. Participants represented DFC programs from urban, rural, and suburban locations nationwide.
DFC Grantee Feedback via a Social Media Website. To obtain real-time feedback from DFC grantees regarding their experiences with COMET, ICF established a social media website. Respondents were asked to provide information about their general experience(s) with COMET, both pro and con; suggestions for specific areas that could be improved; and what their vision would be, as a DFC grantee, for an “ideal” system. In total, 384 responses were received during the two-week period that the social media website was open.
Focus Groups at the CADCA Mid-Year Training Institute. Two focus groups with DFC grantees were held at the CADCA Mid-Year Training Institute in July 2010. One focus group was primarily devoted to understanding how grantees use the COMET system and what changes were needed. The other focus group was devoted to receiving grantee input on the new logic model and theory of change, which allowed the national evaluation team to understand what additional measures need to be included in the COMET system in order to accurately capture both processes and outcomes of DFC grantees.
Logic Model Workgroup Meetings. Based on extensive feedback during the initial TAG meeting, ICF formed a workgroup to inform the development of a new DFC National Evaluation Logic Model. In addition to the revision the National DFC Evaluation Logic Model (external model), workgroup members recommended the development of a more specified logic model (internal model). The development of the internal model was necessary to ensure that enhancements to the data system were aligned with the new evaluation plan. ICF’s evaluation team also comprehensively mapped the data source for every variable and corresponding item identified in the internal model. Finally, the National Evaluation team conducted a brief literature review documenting the empirical rationale for each of the major constructs and variables in the internal logic model.
COMET and CCT Review and Recommendations. The National Evaluation team systematically reviewed every item in both COMET and the CCT in order to recommend which items should be retained, which items should be retained but modified, which items should be added, and which items should be deleted to increase the collection of quality data and simultaneously reduce grantee burden. Based on feedback from the initial TAG meeting, and to align data collection with our external and internal logic models, the National Evaluation Team re-reviewed COMET and CCT data to make certain that we are collecting the appropriate measures to assess our hypothesized relationships regarding the importance of coalition structures, processes, strategies and activities, and how these are linked to differential coalition and community outputs and outcomes. During this systematic re-review of items within COMET and CCT, content analysis was conducted on sections within COMET that (1) either already had dropdown menus, or (2) could benefit by the inclusion of dropdown menus.
Although a formal DFC user survey of COMET usage and focus groups are desirable, they require OMB approval in advance, which takes several months to accomplish. In order to collect data in real-time and inform both refinements to COMET and the evaluation design, ICF capitalized on a recent OMB decision to allow the the use of social media technologies for "general solicitations" that pose a series of specific questions designed to elicit relevant public feedback. Specifically, "agencies may offer the public opportunities to provide general comments on discussion topics through . . . social media websites, blogs, microblogs, audio, photo, or video sharing websites, or online message boards (whether hosted on a .gov domain or by a third-party provider)."
In response, ICF developed a social media site to which DFC grantees were directed to provide feedback on the current data system. As mentioned, this feedback was purposely aligned with feedback obtained via focus groups with SAMHSA managers and project officers, in order to obtain multiple perspectives from those who directly or indirectly interface with the COMET system. This includes the pros and cons of the current COMET systems, suggested refinements and improvements, and what would be included in an “ideal” on-line data system. Below is a listing of major themes identified by DFC grantees, including specific quotes from the social media website.
Using the Strategic Prevention Framework (SPF) to Organize Data Entry – Familiar & Reinforces Coalition Work but not User-Friendly
COMET requires grantees to enter data according to the SPF framework and its five major steps: assessment, capacity, planning, implementation, and evaluation. Grantees’ reflections on their experiences using this framework to guide data entry resulted in the identification of a number of pros and cons.
Familiarity and Reinforcement of DFC Coalition Framework/Model. Many of the participants, who have extensive experience and exposure to the SPF, liked the fact that the COMET system is organized using this framework/model because familiarity and experience with SPF allowed for an easier understanding of COMET.
I like how the COMET system follows the SPF/SIG model. It really is the ONLY reporting tool that is established for coalition/prevention work. It’s much better than many other systems I have to use, which mainly count numbers, is based on classes or treatment. So, I like the logic model it follows. [Grantee]
I like that the system [COMET] has categories based on the SPF. I like that the reporting system is cumulative since it helps us be able to see in one report the progression of our work. [Grantee]
Furthermore, this data system reinforces the importance of the SPF not only in meeting program requirements, but also in reducing youth substance use through evidence-based structures, processes, and practices. It also provides grantees an opportunity to reflect on the complex work coalitions undertake to plan and implement community-based prevention and intervention activities.
Keeps us organized and places a data collection, check and balances system with our coalition and its members. Bi-annually the entire aspect of the coalition is reviewed and discussed for the purpose of the data entry process and follow-up, in advance of our annual strategic planning meetings in May. Reminds me how thankful I am for the laptop and technology affiliated with this grant, because this data collection tool while challenging, does stir thought into planning, reporting, and marketing the information to the community it serves. The technology eases the complexity of producing the outcome reports. [Grantee]
Not User-Friendly. However, while this familiarity and reinforcement of the major steps involved in coalition efforts to reduce youth drug use are beneficial, the utilization of this framework for data entry entails much repetition, redundancy, and is not user-friendly. In particular, the direct linking of goals to objectives and then to specific activities and risk and protective factors leads to substantial burden, and often, confusion. Grant communities also reported that some of the same strategies and activities address multiple objectives, leading to considerable duplication of effort. This is particularly the case since grant communities are already required to link goals, objectives, strategies, and activities in their strategic and action plans which are uploaded into COMET; thus, this format essentially duplicates this effort.
[COMET] is repetitive—some of our strategies are linked to multiple objectives and we find ourselves entering duplicate information into multiple places throughout the reporting system, this is very time consuming and frustrating. [Grantee]
Don’t like the repetitive process. The worst part for me is where we place our activities under each goal. There has to be an easier way to do this. I feel like I do not do that section justice because of the repetitive and difficult process to insert each activity. [Grantee]
It is not user friendly—a few examples of this: Items are not organized or alphabetized (such as coalition lists); items are difficult to revise (IF we are even allowed to do so, such risk and protective factors, that have changes from the first 5 years to the next 5 years); … Having to enter “Active; Inactive; Planned; Complete; Discontinued” each time requires us to go back to things previously entered as well as update what needs to be entered. [Grantee]
The largest threat posed by this structure is the duplicate entry of activities to fulfill multiple SPF objectives. This not only increases response burden; it also results in the over-counting of certain activities which does not provide an accurate representation of DFC grantees’ efforts. This situation compromises the DFC evaluation team’s ability to establish causal linkages between processes and outcomes.
Substantial Burden
While certainly related to the redundancy issues noted above, burden itself emerged as a major theme from social media entries. Also, according to technical advisory group meetings, this has been one of the major issues noted since the inception of COMET.
It takes me about 4 days to complete this report, and the only way that I am able to do so is to first create a Microsoft Word document that follows COMET’s structure, and figure out how I am going to put our coalition’s accomplishments into the different parts. (And when I do a new report, I can easily see what it was that I reported the last time.) I think my reports are reasonably good because I do it this way. I would go insane if I tried to just plug our results in “live,” going through COMET screen by screen. [Grantee]
It takes me a good 2 weeks to enter all the information and activities our coalition participates in within a reporting period. It would be nice if we could enter the activity in once and have radio buttons or a drop down box where we could select the various categories the activity falls into (implementation, evaluation, etc.). That would save me a lot of time. [Grantee]
Utilization of Dropdown Categories. The utilization of dropdown menus for grantee data collection are often commonplace as this substantially reduces burden and also provides aggregated data that is helpful in evaluation activities. Grantee submissions to the social media website, similar to comments regarding the SPF framework, included both the benefits and costs of this type of data entry. Interestingly, one of the main con themes centered on the appropriateness or relevance of the current dropdown categories.
The drop-down menus are so limiting and counter-intuitive; I finally did a print-screen of every drop down menu to try and figure it all out! I don't mind using someone else's verbiage to describe what we are doing, but I need to see the bigger picture to figure out how to make an imposed system link up with our actual work. [Grantee]
In summary, the social media website proved to be an effective way to reach out to DFC grant communities and learn in real-time their likes and dislikes of COMET, as well as their suggestions for improvement. ICF learned a great deal from grantees during the two week timeframe the social media website was open for submission. In fact, the sheer number of submissions, along with the topics of their submissions, indicates that grantees have long struggled with this system and desire major enhancements, if not a complete re-design. While a complete re-design is likely not possible in the short-term, ICF believes a number of enhancements can be implemented to improve the quality of both programmatic and evaluation data collected through the system.
ICF has engaged in extensive discussions with our ONDCP contacts about their experiences with COMET. ICF may conduct a structured group interview with ONDCP staff that have had direct experience with DFC use of COMET, or with ONDCP use of COMET data. Discussion questions would include (1) what does ONDCP need and want from a DFC data collection and reporting system, and (2) how has COMET met or failed to meet these needs?
ICF conducted focus groups with SAMHSA personnel regarding their experiences with the current COMET data system. Given their different roles and responsibilities, ICF conducted separate focus groups for SAMHSA managers and for SAMHSA project officers. As highlighted earlier, questions focused on pros and cons of the current system, ability of COMET to be used to collect and access needed information, suggestions for refinement and improvement, and what elements would constitute their ideal system.
It should first be noted that many of the same themes reported by grantees were also reported by SAMHSA staff. For instance, they recognized both the costs and benefits of utilizing the SPF framework and dropdown categories for grantees to select from to reduce burden. They also acknowledged and verbalized the extensive time-consuming nature of the current COMET system. This section focuses on the extent to which COMET is meeting the needs and expectations of SAMHSA project officers and managers. In terms of what information SAMHSA most needs from grantees and how COMET can better support these needs, three major themes emerged.
Compliance and Technical Data Needs
Both project officers and managers reported very specific needs for compliance and program data, which included core outcome data, compliance data (e.g., sector information and use of environmental strategies), and appropriate contact information.
The compliance information is very important; program evaluation and the program evaluation encompasses all of that information about what are they doing, what is their focus, what activities are they doing—that implementation information that we need. We also need organizational information and we need impact information...we need to get the technical needs information, but we also need to get information that allows us to identify issues that are happening in communities. [Manager]
[W]e have to have the core measures data every other year so we definitely check for that…We need the 12 sector data and then we need to make sure they have environmental strategies. Those are the three key monitoring pieces from the terms and conditions perspective that we need. [Project Officer]
A lot of times the grantees, the coalition members come and go, so to have an accurate picture of who the 12 active representatives are, those they have MOUs [memorandums of understanding] with, and also any other members that are representing those sectors. So whenever they report, they can accurately report who is a part of the coalition and who’s not. [Project Officer]
Contextual Data – Grantee Activities, Accomplishments, Challenges, & Needs
Project officers and managers reported that, many times, they find the most useful information in the narrative text. For instance, selection of an environmental strategy provides little no information as to whether it was useful, how it was used or implemented, or whether it was adapted to achieve success. A reality of DFC work is that each community is unique and communities are encouraged to tailor proven strategies and activities to their local context. Project officers and managers acknowledged that they would like to have more contextual information to understand the day-to-day work in each of their grant communities.
The other pieces I need are the details when we ask them to write descriptions, when we ask them to describe their activities, those descriptions are the key pieces for me to understanding what they’re doing. [Project Officer]
One of the things we don’t have that’s critical to the day-to-day understanding on the part of the project officer is narrative information, simple and brief as it can be, but narrative stuff, and I bulleted some things. What’s the general progress per the action plan? The action plan is the heart and soul of the grant so are you making—can you tell us in two paragraphs what are you doing generally? [Manager]
Being able to query for all the information needs we have. Demographics, everything. [Manager]
While both project officers and managers reflected this need for more contextual and idiosyncratic information, there was a detectable difference. Project officers seemed to want to know more about the here and now while managers wanted better organization of COMET to capture the developmental nature of progress over the five-year grant period in terms of strategies employed, activities, and successes and challenges encountered. As stated by one participant, one way to meet both of their needs, and increase user-friendliness for grantees, was the potential to be able to archive information from prior report periods.
We’ve not had an opportunity to get the type of information, the developmental progress that the grantees are making over a 5-year period. One of the things that we do within the program is we focus on grantees in years 1 through 3, and we put a lot of our attention to those. But we are not getting direct feedback from the data that lets us know how successful we’re being, what types of strategies we need to implement to help the grantees be more successful.[Manager]
What I want is an understanding of what happened during the last 6 months. I want to understand that and I want it to be clear, I want it to be concise, and I want it to be in such a format that I can pick up the phone and talk to somebody that put it together and can stand by that because when I go on a site visit that’s what I do, I take the COMET with me and I sit down with them and I spend unfortunate amounts of time trying to sort through to get them to actually tell me what happened. [Project Officer]
I would really like to have COMET be that one place to have a repository of a lot of different documents that we would have handy because as the government goes greener and greener, we’re getting more and more away from the paper files. …and I’d like to see us be able to look at a snapshot of where is the project officer with their portfolio in site visits, in reviewing the progress reports, in a number of different categories, and then also aggregated by teams and branches so that you’ve got a good picture of what’s going on and where people are in the progress of things, whatever the task might be. [Manager]
Need for more Innovation, Integration, & Interaction
Given the multipurpose nature of the COMET data system, future refinements and improvements need to focus on facilitating interaction among users (grantees, project officers, managers, ONDCP), integrating the various data elements where appropriate, and applying innovative methodologies to make the data not only accessible, but facilitate real-time analyses that will help inform grantee strategies and activities. This could include implementing some canned queries that provide information in real-time for SAMHSA and ONDCP staff, including how communities compare to each other on national and/or regional averages for core outcomes, coalition functioning scores derived from the CCT, as well as strategies and activities employed (e.g., numbers, hours of contact with target population) to reduce substance use and the associated challenges and accomplishments of such approaches.
We don’t have the capability of pulling that data up and doing a very simple report or doing some analysis that will allow us to structure or paint a picture of what are the issues out there that communities are focusing on. We also don’t have the ability to summarize where the grantees are having problems at, and then structure a strategy or some planning to help them. If grantees are having, if the majority of grantees are having issues in their capacity development phase of the grant, we can’t pull that information … We have no abilities like that. So we’re a bit at a disadvantage in terms of being effective to even provide support and advice to grantees. [Manager]
If we could just get this system to create a contact person and a name of a coalition and their telephone number and their email address, we would be 20 years ahead of where she said we were in 1993. We’d be back to where we were in 1993. That’s sort of how bad it is. [Manager]
[T]he key pieces of the trend information is important if we could see the graphs. However, they report every 6 months, a lot of times the data information is only reported every 2 years. So you’re not going to see a trend from 6 months to 6 months until they hit that second-year evaluation review, and that’s where probably looking at the strategies to try and find out—or other assessment tools—to find out if they’re actually moving the needle, is going to be important. [Project Officer]
In summary, a balanced approach needs to be employed in order to obtain the technical, programmatic, contextual, and evaluation information that ONDCP and SAMHSA need, while also providing beneficial evaluation data to grantees. Similarly, COMET can be a more supportive system to the data collection process by being more innovative, integrated, and interactive. Such modifications would ensure that the system is both responsive grantees’ concerns and accurately captures and reflects their experiences. Specific changes and enhancements to the current COMET data system (and CCT and core measures), informed by focus group data, social media website data, the Technical Advisory Group, and our own internal review will be highlighted later in the report.
To answer this question, ICF formed a workgroup to review and revise the DFC National Evaluation Logic Model (external model), created a more specified internal logic model linking theoretical constructs to COMET and CCT items, and reviewed the literature to ensure empirical support for all processes, structures, and variables incorporated into the national evaluation. Finally, ICF conducted a qualitative review of historical data to identify more appropriate dropdown categories. This activity was conducted in direct response to grantee feedback and was intended to result in reduced grantee burden and increased quality of data collected; specifically, the dropdowns were focused on accurately capturing the amount and type(s) of strategies and activities employed to address the two main goals of DFC, which include (1) to establish and strengthen collaboration, and (2) to reduce substance use among youth and adults.
To address the fourth guiding research question, we will first discuss what activities and outputs were created by the Logic Model Workgroup. This includes a focus on the National DFC Evaluation Logic Model (external model), with supporting information provided through the development of a more specified internal logic model. This will be followed by a brief overview of the COMET, core measures, and CCT reviews, including overall or major recommendations for system enhancements along with some specifics of possible enhancements and changes by data source (e.g., CCT). Please see Appendix A for specified indicators of each construct and a brief literature review.
At its first meeting, the DFC National Evaluation Technical Advisory Group (TAG) identified the need for revision of the “legacy” logic model prepared by the previous evaluator. A Logic Model Workgroup was established and charged with producing a revised model that provides a concise depiction of the coalition characteristics and outcomes that will be measured and tested in the national evaluation. The TAG directed the Workgroup to develop a model that communicates well with grantees, and provides a context for explicating evaluation procedures and purposes.
The Workgroup held its first meeting by telephone conference in July 2010. In the following two months, the committee (1) developed a draft model, (2) reviewed literature and other documents, (3) mapped model elements against proposed national evaluation data, (4) obtained feedback from grantees through focus groups at the CADCA mid-year training in Phoenix, (5) developed and revised several iterations of the model, and (6) produced the recommended logic model shown in Figure 1. The National Evaluation logic model has six major features, described below, that define the broad coalition intent, capacity, and rationale that will be described and analyzed in the National Evaluation.
Theory of Change. The DFC National Evaluation Logic Model begins with a broad theory of change that focuses the evaluation on clarifying those capacities that define well functioning coalitions. This theory of change is intended to provide a shared vision of the overarching questions the National Evaluation will address, and the kinds of lessons it will produce.
Community Context & History. The ability to understand and build on particular community needs and capacities is fundamental to the effectiveness of community coalitions. The National Evaluation will assess the influence of context in identifying problems and objectives, building capacity, selecting and implementing interventions, and achieving success.
Coalition Structure & Processes. Existing research and practice highlights the importance of coalition structures and processes for building and maintaining organizational capacity. The National Evaluation will describe and test variation in DFC coalition structures and processes, and how these influence capacity to achieve outcomes. The logic model specifies three categories of structure and process for inclusion in evaluation description and analysis:
Member Capacity. Coalition members include both organizations and individuals. Selecting and supporting individual and organizational competencies are central issues in building capacity. The National Evaluation will identify how coalitions support and maintain specific competencies, and which competencies contribute most to capacity in the experience of DFC coalitions.
Coalition Structure. Coalitions differ in organizational structures such as degree of emphasis on sectoral agency or grassroots membership, leadership and committee structures, and formalization. The logic model guides identification of major structural differences or typologies in DFC coalitions, and assessment of their differential contributions to capacity and effectiveness.
Coalition Processes. Existing research and practice has placed significant attention on the importance of procedures for developing coalition capacity (e.g., implementation of SAMHSA’s Strategic Prevention Framework). Identifying how coalitions differ in these processes, and how that affects capacity, effectiveness, and sustainability is important to understanding how to strengthen coalition functioning.
Coalition Strategies & Activities. One of the strengths of coalitions is that they can focus on mobilizing multiple community sectors for comprehensive strategies aimed at community-wide change. The logic model identifies the role of the National Evaluation in describing and assessing different types and mixes of strategies and activities across coalitions. As depicted in the model, this evaluation task will include at least the following categories of strategies and activities.
Information & Support. Coalition efforts to educate the community, build awareness, and strengthen support are a foundation for action. Identifying how coalitions do this, and the degree to which different approaches are successful, is an important evaluation activity.
Enhancing Skills. This includes activities such as workshops and other programs (mentoring programs, conflict management training, programs to improve communication and decision making) designed to develop skills and competencies among youth, parents, teachers, and/or families to prevent substance use.
Policies / Environmental Change. Environmental change strategies include policies designed to reduce access; increase enforcement of laws; change physical design to reduce risk or enhance protection; mobilize neighborhoods and parents to change social norms and practices concerning substance use; and support policies that promote opportunities and access for positive youth activity and support. Understanding the different emphases coalitions adopt, and the ways in which they impact community conditions and outcomes, are important to understanding coalition success.
Programs & Services. Coalitions also may promote and support programs and services that help community members strengthen families through improved parenting; that provide increased opportunity and access to protective experiences for youth; and that strengthen community capacity to meet the needs of youth at high risk for substance use and related consequences.
Community & Population-Level Outcomes. The ultimate goals of DFC coalitions are to reduce population-level rates of substance use in the community, particularly among youth; to reduce related consequences; and to improve community health and well-being. The National Evaluation logic model represents the intended outcomes of coalitions in two major clusters: (1) core measures data, which are gathered by local coalitions, and (2) archival data (UCR, FARS), which synthesized by the National Evaluation team. These data will be utilized to assess the impact of DFC activities on the community environment and substance use and related behaviors.
Community Environment. Coalition strategies often focus on changing local community conditions that needs assessment and community knowledge identify as root causes of community substance use and related consequences. These community conditions may include population awareness, norms and attitudes; system capacity and policies; or the presence of sustainable opportunities and accomplishments that protect against substance use and other negative behaviors.
Behavioral Consequences. Coalition strategies are also intended to change population-level indicators of behavior, and substance use prevalence in particular. Coalition strategies are also expected to produce improvements in educational involvement and attainment; improvements in health and well-being; improvements in social consequences related to substance use; and reductions in criminal activity associated with substance use.
Line Logic. The National Evaluation Logic Model includes arrows representing the anticipated sequence of influence in the model. If changes occur in an indicator before the arrow, the model represents that this will influence change in the model component after the arrow. For the National Evaluation Logic Model, the arrows represent expected relations to be tested and understood. How strong is the influence? Under what conditions does it occur?
In summary, the National Evaluation Logic Model is intended to summarize the coalition characteristics that will be measured and assessed by the National Evaluation team. The model depicts characteristics of coalitions that will be described as they present themselves, not prescriptive recommendations for assessing coalition performance. This model is intended to guide an evaluation process through which we can learn from the grounded experience of the DFC coalitions who know their communities best. The model uses past research and coalition experience to provide focus on those coalition characteristics that we believe are important to well functioning and successful coalitions. The data we gather will tell us how actual community coalitions implement these characteristics, what works for them, and under what conditions. In this sense the model is an evolving tool -- building on the past to improve learning from the present and to create evidence-based lessons for coalitions in the future.
Figure 1. DFC National Evaluation Logic Model
Theory of Change: Well functioning community coalitions can stage and sustain a comprehensive set of interventions that mitigate the local conditions that make substance abuse more likely.
For more detail, please see Appendix A which contains the National Evaluation’s internal logic model, a complete listing of all variables and items in COMET, CCT, and Core measures data and how they map to the internal model, and a brief literature review that provides empirical support and the National Evaluation rationale for inclusion of new variables.
COMET, Core Measures, and CCT Reviews and Recommendations
To fully address how the new DFC National Evaluation plan requires changes in current data collection efforts (Research Question #4), in addition to the extensive work conducted by our TAG, an intensive review was conducted by ICF for each data collection system and source. This included an initial review to bring recommendations for discussion at the initial TAG, as well as an intensive re-review after obtaining feedback on the current system from ONDCP, SAMHSA project officers and managers, and grantees. Due to length and specificity of material, this information is laid out in a number of appendices. However, below we present a top line summary of potential major enhancements that could be made to data systems and sources that would increase usability and decrease burden. This is followed by an overview of our intensive review of COMET, core measures data, and the CCT. For detailed results, please see respective appendices:
Appendix B includes an item-by-item review of COMET, along with recommendations on which items to keep, modify, or delete. We also provide potential items to include that are pertinent to understanding coalition effectiveness as represented in both our external and internal logic models.
Appendix C includes a brief description of our content analysis of COMET data, which was conducted to identify where dropdowns could be modified or included to reduce response burden.
Appendix D presents our review of core measures data, which includes a survey template for collecting core measures data that are NOMS compliant.
Appendix E presents an item-by-item review of the CCT, along with recommendations of which items to keep, modify, delete, or add.
Overall, there are a number of major recommendations that could be implemented to improve both process and outcome evaluation data, while also reducing burden. First, based on all research activities conducted since the first TAG meeting, ICF recommends continuing to utilize the SPF as an organizing framework for COMET data collection, with some clarifications such as defining each SPF element (e.g., assessment) and listing what constitutes assessment activities, challenges, and accomplishments. This recommendation for clarifications is based on the fact that our qualitative review discovered many grantees were inputting incorrect information for each SPF element. For example, implementation activities were being listed in planning and vice versa; there was also little understanding of the difference between assessment and evaluation. Second, the explicit linking of objectives to strategies, activities, core outcomes, targeted substance, grade, and gender creates considerable burden, with relatively little benefit, particularly for the National Evaluation. We suggest de-linking this extensive chain to substantially reduce burden and increase quantity and quality of usable data. Third, rather than focusing on how all activities are linked to objectives, we recommend focusing on dosage and information related to type(s) of strategies, and activities. This is the information needed to assess how coalition processes (strategies, activities, dosage, penetration) impact the targeted community and can be linked to changes in outcomes. Fourth, ICF believes there needs to be a greater understanding of quality of collaboration and how it is associated with higher functioning coalitions that produce more positive community and systems changes. To attain this goal, we have recommended the inclusion of new variables (e.g., interorganizational coordination, leadership, organizational impact) and innovative methodologies, such as a social network analysis within our case study sites. While these are the main recommendations regarding potential enhancements, please see appendices for specific details by data source (i.e., COMET, Core Measures, CCT). For instance, we recommend changing the layout of the CCT where Likert-type items are listed together, instead of by section, which will allow for a much faster completion of the survey even with addition of new variables.
COMET collects information about the five steps in SAMHSA’s Strategic Prevention Framework (SPF): assessment, capacity, planning, implementation, and evaluation. COMET also covers general information about coalitions, such as membership, leadership, and catchment areas. In the matrix presented in Appendix B, we propose several changes to enhance the utility of the system for evaluation purposes. This matrix represents our thinking about how COMET can be enhanced to reduce burden and also obtain better process, output, and outcome data.
COMET imposes a large amount of data entry burden on respondents primarily for three reasons. First, as previously highlighted, the explicit linking and specificity for every activity is time-consuming. Based on feedback from grantees, this requires extensive burden and repetition while providing little programmatic information that is not captured in strategic and action plans. We also want to focus more on dosage and present an enhancement that could obtain these data in the planning and implementation sections (see Appendix B for details). Second, there are many “enter all” format questions. DFC coalition staff, for example, are asked to enter information about all events they hosted during each of the reporting periods. The “enter all” questions include questions on risk and protective factors, as well as on achievements and challenge/barriers. To minimize respondents’ burden, we propose to replace this format of inquiry with a standard survey check list format with four or five response categories. For example, we recommend having respondents rate the degree to which a dropdown was a (1) challenge to (5) success. This will provide the evaluation team with much more meaningful data to analyze as “check all” questions are notoriously unhelpful in evaluations (beyond simple descriptives, such as X% of coalitions checked that financial resources was a challenge). Third, many COMET questions are open-ended, which provides rich detail, but it also involves substantial response burden and extensive post-data collection coding of responses which does not facilitate timely analyses. We propose that, based on COMET’s historical data and policy relevance, we should derive a broad classification system of response choices. For example, when asking DFC coalition staff what assessment activities they conducted, they should be given a list of broad activity types (see appendix C), so respondents can choose what category best fits their activity in place of providing text and an open-ended description. This will provide more standardized data that can be aggregated and used in analyses to understand different activities, accomplishments, and challenges and how these are related to coalition and community outputs and impacts. However, based on focus group and social media website data, we also understand that rich detail is important to capture data that cannot be categorized easily and to provide SAMHSA project officers information they need to effectively monitor coalitions’ progress. We will therefore provide an open-ended text field for respondents to provide further description for project officers (for each section of the SPF). We will also provide “other” fields in case coalition activities are not accurately captured by any of the dropdowns that are based on historical data from grantees. In this manner, we can obtain more quantitative and useful data for evaluation purposes but also allow for the rich narrative that these text fields provide.
In Appendix B, we present tables that follow the COMET’s SPF structure, including sections on assessment, capacity, planning, implementation, and evaluation. For each item, the matrix includes its field name/category, explicit description of data, and our rationale for proposed changes. Ultimately, we believe that these suggested changes will significantly reduce reporting burden, which will in turn improve the quality of the data being submitted by grantees. Specifically, the columns are organized as follows:
Column A – Field name/category
Column B – Data type (text, yes/no, Likert scale, etc.)
Column C – Description of every data element presently collected by COMET
Column D – Indicates whether question should be dropped, kept, modified, or whether a new question is suggested
Column E – Rationale for keeping/adding/dropping data elements.
Appendix D presents a standard survey created by ICF that can be used to effectively gather data on the current four core measures, as well as additional proposed core substances – including as prescription drugs.2
At last count, DFC grantees are using more than 135 different surveys to report their core measures. While these surveys are subject to detailed review and approval by the National Evaluation team, there are nonetheless differences in how data are being collected and reported across sites. While the universal use of a standardized survey is likely not feasible at the present time, we would nonetheless like to standardize data collection among as many DFC grantees as possible. Given the challenges that DFC grantees have faced in standardizing their survey data, this simple one-page (double sided) survey can simplify data collection efforts and can ensure that standard data collection metrics are being used by as many grantees as possible.
In his FY 2010 Budget Request, President Obama recommended eliminating the State Grants portion of the Safe and Drug Free Schools and Communities (SDFSC) program. A number of DFC grantees used funds from this grants program to collect and report their core measures data. With the elimination of Safe and Drug Free Schools funding, many grantees will need to retool their core measures data collection, and this survey will ease that transition.
The movement to the NOMS represents several major changes in the core measures:
30-Day Use: Although the NOMS capture the number of days each substance was used in the past 30 days, we have received assurance from SAMHSA that a simple yes/no framework to estimate community prevalence rates is NOMS compliant.
Perception of Disapproval: The NOMS focuses on friends’ disapproval of substance use instead of parental disapproval. Because parental disapproval rates are a strong predictor of outcomes, we will also keep this metric. By including both parental and friends’ disapproval, we can simultaneously study what are arguably the two biggest influences on a youth’s decision to use ATOD.
Perception of Harm: The NOMS question on perception of harm from alcohol focuses on binge drinking (drinking five or more drinks once or twice a week). The current core measure for alcohol asks about regular use of alcohol (one or two drinks per day for five or more days per week), which has been publicized recently as being good for one’s health.3 STOP Act grantees will continue to report on regular use; all other DFC grantees will transition to the measure of binge drinking.
Age of first use will be dropped because it does not produce reliable estimates. Although these changes in core measures will reduce burden for SPF/SIG grantees and other grantees using state surveys that are already NOMS compliant, there may be substantial burden in the transition process to these new core measures. The GPRA measures for STOP Act will continue to be based on the current core measures as they apply to alcohol (30-day prevalence, parental disapproval, and perception of risk from regular drinking).
The first two objectives of our National Evaluation plan focus on (1) strengthening the measurement of process data and (2) developing new metrics for coalition operations. In order to meet these objectives, in addition to analyzing COMET, a thorough review of CCT data is required. Appendix E provides a detailed listing of variables and items that comprise the CCT, as well as a listing of the variables and items that could potentially be added to the instrument. This appendix lists our recommendations for how possible adjustments and enhancements could be made to the CCT, which would provide the National Evaluation team and program staff with higher quality process data on day-to-day coalition activities.
As part of our work to validate the CCT, the National Evaluation team examined the reliability of existing CCT scales and individual item correlations. In general, we found that CCT scales had acceptable reliability levels and most items were sufficiently correlated with their respective scales. Moreover, an initial review of the CCT found that there are currently one hundred and forty-three items for the coalition leader to answer regarding their coalition’s functioning and dynamics.4 Twenty-four of these items comprise the typology assessment (e.g., establishing, functioning, maturing, sustaining), and we consider these items to be central to our efforts to track coalition development across time and to preserve meaningful historical data. We have included these 24 items as core questions in the instrument. However, adjustments could be made to other variables and items within the existing CCT, and these adjustments would provide us with an opportunity to study coalition processes in greater depth and with the ability to link quality processes with improved outcomes. Typically, only one member per coalition fills out the CCT (a couple of members may fill out parts of the same survey depending on their roles). However, generally peer reviewed journals frown upon a single respondent for a group or organization as this can lead to substantial bias, particularly if the leader fills out the survey. Data can be further questioned since it is not anonymous and will be reviewed by Federal Project Officers. While there is no exact criterion, usually coalition research uses data when at least fifty percent of its members participate in the survey. Since there are over seven hundred DFC coalitions, requiring participation by a majority of coalition participants is not feasible and would substantially increase burden. Nevertheless, we recommend collecting data from more than one individual to understand coalition functioning beyond the leader’s perspective. We plan to work with ONDCP to arrive at a reasonable estimate that is defendable in the peer reviewed literature. There are a number of options, including (1) requiring at least three coalition members to fill out surveys, two of whom must not be the leader of the coalition, or (2) targeting a subset of coalitions (stratified by region, size, and urbanicity) and attempting to collect data from all members. For our case study sites, we plan to collect CCT data from 100% of participants and include a separate section for social network analysis questions.
While additions to the CCT may lengthen the current instrument, there are a number of improvements in formatting and programming that could be made to reduce the burden on grantees. Currently, the CCT is laid out according to the four overarching functional areas that inform the typology rating, with a fifth section on synergy and collective self-efficacy. This layout provides a good conceptual framework but considerably slows down respondents by going back and forth between typology assessment ratings, which are the most complex and time-consuming, to Likert-type questions and related items. Survey response time could be substantially improved by placing all the typology questions together and then arranging all Likert-type items together as much as possible, given response scales and occasional yes/no or checklist items. In this manner, adding additional Likert-type items does not heavily impact response burden, since these items can be grouped together and quickly completed by respondents. Items from different scales can also be interspersed, reducing some of the potential bias of respondents, as opposed to the current format, in which all items for specific variables are listed together.
Additional Variables and Items and Summary of Deleted Items
A thorough review of the literature was conducted to identify potential variables that could be added to capture data on indicators of the quality of collaboration and associated outputs and outcomes. To provide some context, some of the additional variables target the quality of coalition processes (e.g., leadership), outputs and outcomes (e.g., interorganizational coordination, perceived effectiveness), and local community context (e.g., community readiness for change, community social organization). While we recommended that a number of items should be deleted, some items are retained so that historical comparisons can be made with past data sets. However, it should be noted that little analysis has been conducted on CCT variables outside of the 24 items that comprise the typology assessment. While we retained the 24 core items from the CCT used in the classification system, there were more than one hundred other items that were not used for such purposes. Some of the general items/scales recommended for deletion include items around conflict management, sustainability, and collective self-efficacy. Based on recommendations from ONDCP, this pool of potential items and scales can be expanded or reduced.
Coalition Classification Tool Data Dictionary Description
All variables and items in the CCT are listed in Appendix E. From left to right, columns indicate the variable name (e.g., leadership), data type (e.g., Likert scale, checklist), a brief description of introductory text and item stem (along with the exact item content), a recommendation for keeping, deleting, or adding in a new variable, reliability information (i.e., the standardized correlation of the item with all other items in the scale; this is presented for scales with greater than three response categories), and a rationale for the decision to keep, delete, or add variables and items so deletion will not have a large impact on future analyses. Specifically, the columns are organized as follows:
Column A – Variable name
Column B – Data type (text, yes/no, Likert scale, etc.)
Column C – Description of every data element presently collected by CCT
Column D – Indicates whether question should be dropped, kept, modified, or whether a new question is suggested
Column E – Reliability information (if relevant)
Column F – Rationale for keeping/adding/dropping data elements.
There are a number of options available for dealing with the distinct data needs of the DFC National Evaluation and grants management and oversight. At a minimum, colored fields could be used to distinguish what information pertains to the National Evaluation and what pertains to grant management and oversight. Delivery of improved and intensive evaluation technical assistance from the DFC national evaluation team’s Technical Assistance group will also help grantees and project staff better understand which components of COMET pertain to the National Evaluation and which pertain to SAMHSA. Moreover, evaluation technical assistance can provide information and assistance to grant communities in correctly understanding and distinguishing which data to enter into which SPF category or element. These efforts are already underway through the “Ask an Evaluator” webinar series. Such outreach and technical assistance will be critical as changes are made to the National Evaluation. There are other options, such as completely separating these data; however, we feel the easiest manner to address this issue is to keep data collection across all elements of the SPF, but perhaps highlight or distinguish which data pertain to the National Evaluation and which to SAMHSA’s grant management and oversight.
One option that ONDCP and SAMHSA may want to consider is completely separating core measures data collection to stand on its own rather than be part of the COMET SPF framework. Since core measures data is collected every other year, this may decrease confusion among grantees about when submissions are required. Moreover, system enhancements could walk grantees through the system, step-by-step, with scroll over on-screen help, FAQs, and other assistance to help grantees submit higher quality and more standardized data.
Question 5a: "If a new data system were designed and developed, what are the opportunities for increasing its usability and decreasing the reporting burdens of grantees?"
ICF will conduct an in-depth analysis of COMET, using trained specialists in Web usability and designers experienced in the design of grantee data systems. Additionally, ICF will enlist a small group of two to three new grantee coalition staff members who have not previously used COMET and bring them to ICF’s computer laboratory for an observed initial use of COMET. Each grantee will be assigned a trained usability specialist who would oversee a simulated data entry session by the new grantee. The specialist would only answer questions and provide assistance if the grantee were truly "stumped" and unable to proceed. A preliminary report of findings will be shared with the DFC Technical Advisory Group. A findings report will detail the opportunities identified along with an explanation of each. This current report lists a number of enhancements that could be implemented prior to a major re-design to increase usability and decrease burden; the vetting process for a new or an enhanced system are essentially the same.
Question 5b: "If a new data system were designed and developed, what are the opportunities for increasing its usability for ONDCP and for SAMHSA Project Officers?"
ICF probed for responses to this question as part of the process adopted for Question Two (in the case of ONDCP), and for Question Three (in the case of SAMHSA Project Officers). This information was listed in these previous sections, although the main focus was on enhancements that could be implemented relatively quickly in order to increase the quality of data collected for both ONDCP and SAMHSA project officers.
Question 5c: "If a new data system were to be designed and developed, what are the opportunities for increasing its usability and efficiency for ONDCP's evaluation contractor?"
The present arrangement of having separate contractors responsible for the DFC data system and the DFC National Evaluation is not optimal. As past experience has shown, such a division of responsibility can lead to errors. ICF is familiar with the present data collection arrangement, and will study and document the potential benefits of creating a unified system. A "unified system" is a central location and staffing for all data operations including survey response submissions, data validations, data cleaning, and data reporting. The central database would be the data of record, and all analytic work would be performed against these data.
ICF would like to move ahead rapidly to submit an OMB package based on feedback from ONDCP. Based on feedback from ONDCP, ICF will revise this report and collaborate with ONDCP on any final changes to COMET, CCT, and core data; and include such information in our OMB package. Moreover, we intend to obtain the input of SAMHSA project officers to determine how these modifications will affect Stop Act data collection requirements. We expect the OMB package to be developed early in Year 2 of the evaluation, with final OMB approval in Year 2. Our current target is to roll out a modified system for the November 2011 COMET data collection cycle.
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Overview of Internal Logic Model, Measurement Maps, & Literature Review
This appendix presents and describes the various constructs and variables targeted by the DFC National Evaluation. First, we present the internal National Evaluation logic model, which was developed by the technical advisory group (TAG) and members of ICF’s National Evaluation team. Next, we present a series of tables that lists the exact items used to measure each variable and construct listed in the internal model (i.e., measurement maps). Finally, this appendix ends with a brief literature review. This review provides the empirical base for all selected constructs and variables, and provides a high-level description on how current and proposed variables are being measured in the evaluation and will be used in analyses. For more detailed literature reviews, please see some recent comprehensive reviews that have focused on coalition dynamics and effectiveness across a number of research areas (Ansari & Wells, 2006; Foster-Fishman et al., 2001; Granner & Sharpe, 2004; Israel, Schulz, Parker, & Becker, 1998; Roussos & Fawcett, 2000; Thomson, Perry, & Miller, 2009; Zakocs & Edwards, 2006).
Background
While the logic model working group was initially tasked with revising the National DFC logic model, it quickly became apparent that a much more specified logic model was needed to guide our work and ensure the collection of appropriate data. This internal model was designed to highlight the details that were not included in the external DFC National Evaluation logic model (see p. 15). For instance, the external model identifies the importance of coalition structure and processes as a major component of DFC and links this to the implementation of strategies and activities, which is then hypothesized to produce positive community and population-level outcomes. However, little to no detail regarding how we will measure these major components is provided. This was purposeful as the intent of the external model is to produce an overarching vision and road map on how DFC coalitions produce positive change in their communities. While such a top level perspective is needed for communicating with more than seven-hundred and fifty coalitions and their partners, the guiding internal National Evaluation logic model mandates much more specificity (see Figure 2 below).
Figure 2. Internal DFC National Evaluation Logic Model
CONTEXT |
Coalition Structure and Processes |
Strategies and Activities |
COALITION CAPACITY |
COALITION EFFECTIVENESS |
Community
Coalition
|
Member Competency
Structure
Processes
|
Coalition Role
Programmatic Capacity
Strategy / Activity Mix
Coalition & Community Outputs
|
Coherence
Coalition Climate
Positive External Relations
Capacity Building Effort
|
Community/ System Outcomes |
Norms & Awareness
Systems & Policy Change
Sustainable Accomplishments
|
||||
Community Behavioral Outcomes |
||||
Substance Use Prevalence
Contributors & Consequences
|
The internal model is designed to fill this gap by breaking down each of the major DFC components or domains in the external model (i.e., context, coalition structures and processes, strategies and activities, coalition capacity, and coalition effectiveness) and lists the exact constructs and variables that will be used to assess these components. To provide an example, within the domain of context, the first column indicates that there are two overarching constructs: (1) community context, and (2) coalition context. We have selected eight variables to assess community context and six variables to assess coalition context. These variables were identified in the research and practice literature as critical to the success of community change initiatives targeting a multitude of community and population-level outcomes. For example, the variables for community context include:
Sense of community / Community social organization
Community readiness for change
ATOD needs
ATOD prevention resources
Related Initiatives
Socio-economic context
Critical events
Stability
Measurement Maps and Data Sources
While the internal model presents some more specificity, what is still needed is the exact item content and data source for each domain, construct, and variable in the internal model. This ensures that the National Evaluation is collecting item-level data that is needed to test the hypothesized relations in both the internal and external models. Thus, what follows is a series of measurement maps providing this linkage (see Tables 1-5).
For DFC, there are three primary sources for the DFC National Evaluation – the Coalition Online Management and Evaluation Tool (COMET), the Coalition Classification Tool (CCT), and core outcome data (core). COMET data is collected every six months online and is typically entered by the coalition chair and/or other leaders who are able to answer questions regarding planning and implementation activities, including budget-related and other administration information. The CCT is collected one time a year and represents a more typical coalition survey that asks members about their perceptions regarding coalition dynamics, functioning, outputs, and impacts. Core outcome data is submitted every other year via the COMET data system. Other data sources include process and outcome data that will be collected during annual case study site visits and publicly available data (e.g., Census data, UCR data, FARS data). Please see the following tables below, which provide linkage down to the item level. This is followed by a brief literature review which provides the empirical rationale for both the external and internal models and briefly describes both current and proposed variables, data source, and how they will be used in analyses.
Table 1. Variables and Items of Context
VARIABLE |
ITEM |
DATA SOURCE |
||
Community Context |
||||
Sense of Community / Community Social Organization |
Community Social Organization. New proposed variable that aligns with risk and protective framework. |
CCT |
||
Assessment Section. Community Needs Assessment. Target community name. |
COMET |
|||
Assessment Section. Community Needs Assessment. Target geographic area (urban, suburban, rural). |
COMET |
|||
Assessment Section. Community Needs Assessment. Target specific geographic area. |
COMET |
|||
Assessment Section. Community Needs Assessment. Target zip codes. |
COMET |
|||
Assessment Section. Community Needs Assessment. Text (Please further describe the geographic area(s) selected above). |
COMET |
|||
Community readiness for change
|
Community Readiness. New proposed scale to address an important and integral variable for community change efforts – readiness at the community level. |
CCT |
||
Assessment Section. Assessment Progress. Accomplishment or barrier (new drop downs). |
COMET |
|||
Assessment Section. Assessment Progress. Descriptive Text. |
COMET |
|||
Assessment Section. Community Needs Assessment. Text (Assessment summary and key findings). |
COMET |
|||
ATOD Needs |
Assessment Section. Community Needs Assessment. Substance of issue in the community. |
COMET |
||
Assessment Section. Risk and protective factor framework. ID of assets and risks. |
COMET |
|||
Assessment Section. Community Needs Assessment. Text (Assessment summary and key findings). |
COMET |
|||
ATOD prevention resources |
Readiness scales above address some of these resources (e.g., leadership, financial resources). |
CCT |
||
Assessment Section. Community Needs Assessment. Text (Assessment summary and key findings). |
COMET |
|||
Assessment Section. Risk and protective factor framework. ID of assets and risks. |
COMET |
|||
Assessment Section. Risk and protective factor framework. New proposed item.
|
COMET |
|||
Capacity Section. Funding Streams. Dollar amount. |
COMET |
|||
Capacity Section. Funding Streams. Dollar amount by source. |
COMET |
|||
Related initiatives |
Assessment Section. Community Needs Assessment. Modified variable.
|
COMET |
||
Assessment Section. Community Needs Assessment. Modified variable.
|
COMET |
|||
SES Context |
Assessment Section. Community Needs assessment. Text (Please further describe the geographic area(s) selected above). |
COMET |
||
Assessment Section. Text (Assessment summary and key findings). |
COMET |
|||
Census. Poverty Rate. |
Census |
|||
Critical Events |
Assessment Section. Assessment Progress. Accomplishment or barrier (new drop downs). Descriptive Text. |
COMET |
||
Capacity Section. Capacity Progress. Accomplishment or barrier (new drop downs). Descriptive Text. |
COMET |
|||
Planning Section. Planning Progress. Accomplishment or barrier (new drop downs). Descriptive Text. |
COMET |
|||
Implementation Section. Implementation Progress. Accomplishment or barrier (new drop downs). Descriptive Text. |
COMET |
|||
5Evaluation Section. Evaluation Progress. Accomplishment or barrier (new drop downs). Descriptive Text |
COMET |
|||
Protocol/Item to be developed for case study sites. |
Case Study |
|||
Stability
|
Census. Rates of residential stability. |
Census |
||
Other
|
There will be text fields for each section in order to provide ample opportunity for coalitions that want to further provide more context and detail regarding their needs assessment process, activities, accomplishments, challenges, etc. |
COMET CCT |
||
Coalition Context |
||||
Organizational History |
Assessment Section. Assessment Activity. Activity Name (new drop downs) – Descriptive text. |
COMET |
||
All SPF Sections. Accomplishments/Barriers. |
COMET |
|||
Past Collaborative Involvement |
Case Study Sites. Social network analysis. |
Case Study |
||
Case Study Sites. Qualitative Data. Collaborative representatives, neighborhood leaders, etc. |
Case Study |
|||
Funding History & Current Additional Sources |
Capacity Section. Funding Streams. [What is your coalition’s total annual operating budget (with a number of categories to list money amounts under, including DFC grant, in-kind contributions, etc.)].
|
COMET |
||
Coalition Readiness for Change |
Coalition Readiness. New proposed scale to address an important and integral variable for community change efforts – readiness at the coalition level. |
COMET |
||
Past Accomplishments |
Assessment Section. Assessment Progress. Accomplishment or barrier (new drop downs). Descriptive text. |
COMET |
||
All SPF Sections. Accomplishments. |
COMET |
|||
Protocol/Item to be developed for case study sites. |
Case Study |
|||
Institutional / Grassroots Focus |
Capacity Section. Coalition Membership. |
COMET |
||
Protocol/Item to be developed for case study sites. |
Case Study |
|||
Critical Events |
Administration Section. Changes in Leadership. |
COMET |
||
All SPF Sections. Accomplishments/Barriers. |
COMET |
|||
Other |
There will be text fields for each section in order to provide ample opportunity for coalitions that want to further provide more context and detail regarding their activities, accomplishments, challenges, etc. |
COMET |
Table 2. Variables and Items for Coalition Structure and Process
VARIABLE |
ITEM |
DATA SOURCE |
Member Competency |
||
Member Coalition Involvement |
Capacity Section - New Proposed Item.
|
COMET |
Capacity Section. New Proposed Item.
|
COMET |
|
Member Relationships |
Communication and Conflict Management. New proposed scale to address an important coalition dynamic. |
CCT |
Social Network Analysis. Case Study Sites. |
COMET |
|
Protocol/Item to be developed for case study sites (interviews, focus groups) |
COMET |
|
Skills & Knowledge |
Assessment Section. Community Needs Assessment |
COMET |
VARIABLE |
ITEM |
DATA SOURCE |
Coalition Structure |
||
Formalized Structures |
(2) Coalition Type - Which of the following best describes your coalition?
|
CCT |
(3) Organizational Structure - How would you describe your coalition’s organizational status?
|
CCT |
|
Degree of Centralization |
(5a) We have a board or governing body that sets the direction of the Coalition? (A board or governing body is defined as a formal group that makes decisions for the coalition). |
CCT |
Membership Breadth & Diversity |
Capacity Section - New proposed item “How many active members are there in your coalition from each of the 12 sectors. (Active members means an individual has attended at least one meeting in the last 6 months). |
COMET |
Cultural Diversity Scale. Individual items can be use from this scale (e.g., 12a, 12e, 12f, 12g). |
CCT |
|
Leadership Structure |
(2) Coalition Type - Which of the following best describes your coalition? (e.g., Loosely organized to a Highly Formal Arrangement). |
COMET |
(4) Confidence in Task Completion Scale. Individual items, such as 4k. |
CCT |
|
Institution / Grassroots Mix |
(6) Identification of Community Leaders Scale. |
CCT |
(7) Community Leadership in Coalition Efforts Scale. |
CCT |
|
Workgroup / Committee Organization |
(5b) – Formalized Procedures; Established subcommittees |
CCT |
VARIABLE |
ITEM |
DATA SOURCE |
Coalition Processes |
||
Formalized Procedures |
(5b) Written Procedures – E.G., policy for leadership rotation, written expectations for member participation, leadership selection, written description for decision making) & Formalized Procedures – E.G., hold regularly scheduled meetings, written agenda, prepare and distribute minutes, organizational chart, established subcommittees, paid or in-kind staff. |
CCT |
Planning Section. Logic Model. |
COMET |
|
Planning Section. Strategic Plan. |
COMET |
|
Planning Section. Action Plan(s). |
COMET |
|
Task & Role Clarity |
Planning Section. Action Plan(s). |
COMET |
Supports for Member Involvement (Member Satisfaction) |
Member Satisfaction Scale. Proposed new scale with three items. |
CCT |
Leadership Style
|
(6) Identification of Community Leaders Scale. |
CCT |
(7) Community Leadership in Coalition Efforts Scale. |
CCT |
|
Coalition Leadership Scale. New Proposed Scale. |
CCT |
|
Committee Leadership Scale. |
CCT |
|
Coalition Coordinator Leadership Scale. |
CCT |
|
Communication
|
(8) Collaborative Decision Making Scale. |
COMET |
Conflict Resolution
|
(9) Frequency of Conflicts. Propose deleting. |
COMET |
(10) Cause of Conflicts. Propose deleting. |
COMET |
|
(11) Overall Impact of Conflicts. Propose deleting. |
COMET |
|
Shared Decision Making |
(8) Collaborative Decision Making Scale. |
CCT |
Information / Expertise Input & Use |
Capacity Section. Assistance Needed by Coalition.
|
COMET |
Capacity Section. Proposed Assistance Provided by Coalition. |
COMET |
|
Capacity Building Capacity Scale. |
CCT |
|
Strategic Planning Process (SPF Framework) |
Planning Section. Strategic Plan.
|
COMET |
Planning Section. Action Plan.
|
COMET |
|
Planning Section. New Proposed Item.
|
COMET |
|
Planning Section. New Proposed Item
|
COMET |
|
Data Use (e.g., needs, feedback, evaluation) |
(13) Performance Evaluation – Yes/No items that tap into program monitoring (system for monitoring and tracking coalition activities) and performance and general evaluation activities (collect and analyze data coalition activities and community indicators). |
CCT |
External Relations / Resource Access |
(13) One specific item of yes/no. “Use relations with local Universities or others to get assistance on evaluating coalition efforts.” |
CCT |
Protocol/Item to b developed for case study sites |
Case Study |
Table 3. Variables and Items for Strategies and Activities
VARIABLE |
ITEM |
DATA SOURCE |
|
Coalition Role |
|||
Membership and Focus |
Capacity Section. Coalition Membership. |
COMET |
|
(17) Coalition Focus 1.
|
CCT |
||
(22) Coalition Focus 2.
|
CCT |
||
Direct Implementation |
Planning Section. Strategies to achieve objective. |
COMET |
|
Implementation Section. Implementation Activity. |
COMET |
||
Implementation Section. Implementation Progress. Accomplishment/Barrier and text field. |
COMET |
||
(22) Coalition Focus 2.
|
CCT |
||
Advocacy
|
Planning Section. Strategies to achieve objective. |
COMET |
|
Implementation Section. Implementation Activity. |
COMET |
||
Implementation Section. Implementation Progress. |
COMET |
||
Initiation / Support
|
Planning Section. Strategies to achieve objective. |
COMET |
|
Implementation Section. Implementation Activity. |
COMET |
||
Implementation Section. Implementation Progress. |
COMET |
||
Member Contributions |
Capacity Section. Basic Collaborative Activity.
|
COMET |
|
Capacity Section. Basic Collaborative Activity. Rating of degree of involvement by sector. |
COMET |
||
External Partnering |
Case Study. Social Network Analysis. |
Case Study |
|
Programmatic Capacity |
|||
Clear & Realistic Objectives |
Planning Section. Logic Model. |
COMET |
|
Planning Section. Strategic Plan. |
COMET |
||
Planning Section. Action Plan(s). |
COMET |
||
Planning Section. Objective(s).
|
COMET |
||
Unique & Innovative Services |
Planning Section. Action Plan(s). |
COMET |
|
Protocol/Item to be developed for case study sites. |
Case Study |
||
Case Study. Document Review. |
Case Study |
||
Implementation Section. Implementation Progress. Accomplishment/Challenges and text field. |
COMET |
||
Need Driven
|
Assessment Section. Community needs assessment (all subsections). |
COMET |
|
Cultural Competence
|
(12) Cultural Diversity – Representative staff members, culturally appropriate materials, accessible meeting times, staff trained to be culturally sensitive in interactions with target population, etc.. |
CCT |
|
Case Study – Review of all Documents, including social marketing materials. |
Case Study |
||
Use of Evidence-Based Practices |
Planning Section. Strategic Plan. |
COMET |
|
Planning Section. Action Plan(s). |
COMET |
||
Implementation Section. Activities. |
COMET |
||
Protocol/Item to be developed for case study sites. |
COMET |
||
VARIABLE |
ITEM |
DATA SOURCE |
|
Strategy/Activity Mix |
|||
Information / Education
|
(17) Coalition Focus 1 – exclusively helps coordinate programs and services, split between coordinating and environmental/ policy change, to exclusively environmental or policy change. |
CCT |
|
Implementation Section. Strategy. |
COMET |
||
Implementation Section. Implementation Activities. |
COMET |
||
Implementation Section. Implementation Progress. Accomplishments/Barriers with text field. |
COMET |
||
Coordination
|
(17) Coalition Focus 1 - Exclusively helps coordinate programs and services, split between coordinating and environmental/ policy change, to exclusively environmental or policy change. |
CCT |
|
Implementation Section. Strategy. |
COMET |
||
Implementation Section. Activity. |
COMET |
||
Implementation Section. Implementation Progress. Accomplishments/Barriers with text field. |
|
||
Environmental Policy / Enforcement |
(17) Coalition Focus 1 – Exclusively helps coordinate programs and services, split between coordinating and environmental/ policy change, to exclusively environmental or policy change. |
CCT |
|
(21) Environmental Strategies – nine items assessing the degree to which the coalition believe in and have the ability to address environmental change strategies. |
CCT |
||
Planning Section. Goals and Objectives. Strategies to achieve objective. (e.g., modifying/changing policies, physical design) |
COMET |
||
Implementation Section. Strategy. |
COMET |
||
Implementation Section. Activity. |
COMET |
||
Implementation Section. Implementation Progress. Accomplishments/Barriers with text field. |
|
||
Environmental Assets & Opportunities |
Implementation Section. Strategy. |
COMET |
|
Implementation Section. Activity. |
COMET |
||
Implementation Section. Implementation Progress. Accomplishments/Barriers with text field. |
|
||
Direct Service Programs |
(22) Coalition Focus 2 – One item that asks the degree to which the coalition is engaged in directly in the community (coordinating programs and pursuing policy changes), indirectly in the community (building the capacity of other organizations), or a mix of both of these approaches. |
CCT |
|
Implementation Section. Implementation Activity. |
COMET |
||
Implementation Section. Implementation Progress. Accomplishments/Barriers with text field. |
COMET |
||
VARIABLE |
ITEM |
DATA SOURCE |
|
Coalition and Community Outputs |
|||
Coalition Outputs |
Planning Section. Objective (new list of dropdowns). To what extent has the objective been achieved (from Not at all to exceed our objective)? |
|
|
Implementation Section. Implementation Progress. Accomplishments. |
COMET |
||
Case Study sites. Document Review. |
Case Study |
||
Population Targets / Penetration |
Implementation Activity. New categories/columns which includes penetration. |
COMET |
|
Case Study sites. Document Review. |
Case Study |
||
Protocol/Item to be developed for case study sites. |
Case Study |
||
Volume /Dosage
|
Planning Section. Objective (new list of dropdowns). To what extent has the objective been achieved (from Not at all to exceed our objective)? |
COMET |
|
Implementation Section. Implementation Activities. New categories/columns which includes dosage. |
COMET |
||
Implementation Section. Implementation Accomplishments/Challenges. |
COMET |
||
Comprehensiveness
|
Planning Section. Goals and Objectives. Strategies to achieve objective.
|
COMET |
|
Implementation Section. Implementation Activities. |
COMET |
||
Implementation Section. Implementation Accomplishments/Challenges. |
COMET |
||
New Proposed Variable. Implementation Section. Implementation Strategy.
|
COMET |
Table 4. Variables and Items for Coalition Capacity
VARIABLE |
ITEM |
DATA SOURCE |
Coherence |
||
Shared Vision |
Confidence in Task Completion Scale.
|
CCT |
Planning Section. Strategic Plan |
COMET |
|
Planning Section. Logic Model |
COMET |
|
Planning Section. Action Plan(s) – Years 2-5 |
COMET |
|
Shared Solutions |
(25) Synergy Scale |
CCT |
Inclusiveness
|
Shared decision making items can be used for this variable. |
CCT |
Planning Section. Strategic Plan |
COMET |
|
Planning Section. Action Plan(s) – Years 2-5 |
COMET |
|
Broad Involvement |
(8) Shared decision making |
CCT |
Capacity Section. Coalition Membership. |
COMET |
|
Commitment / Satisfaction
|
(25) Synergy – One item specifically asks about commitment of partners. |
CCT |
Capacity Section. Coalition Membership.
|
COMET |
|
Coalition Climate |
||
VARIABLE |
ITEM |
DATA SOURCE |
Open
|
Protocol/Item to be developed for case study sites. |
Case Study |
Trusting
|
Social Network Analysis. |
Case Study |
Capacity Section. Challenges and Accomplishments. |
COMET |
|
Value Diversity |
(12) Cultural Diversity Scale. |
CCT |
Shared Input |
Shared Decision Making Scale.
|
CCT |
Positive External Relations
|
||
VARIABLE |
ITEM |
DATA SOURCE |
Non-Member Agencies |
Capacity Section. Coalition Membership. |
COMET |
Capacity Section. Challenges |
COMET |
|
Activity Focus |
Capacity Section. Basic Collaborative Activity. This section now includes # people who attended event, along with a rating of degree of success of event (None to A Great Deal) |
CCT |
|
Capacity Section. Assistance Provided by Coalitions.
|
COMET |
Access Community Resources |
Capacity Section. Funding Stream.
|
COMET |
Capacity Section. Funding Stream. Fundraising/private donations. Dollar Amount. |
COMET |
|
Capacity Section. Funding Stream. Foundations/non-profit foundations. Dollar Amount. |
COMET |
|
Capacity Section. Funding Stream. City/county government. Dollar Amount. |
COMET |
|
Protocol/Item to be developed for case study sites. |
Case Study |
|
Community Role & Recognition |
(26) Collective Efficacy Scale – One item specifically asks about this variable.
|
CCT |
Capacity Building Effort |
||
VARIABLE |
ITEM |
DATA SOURCE |
Outreach/ Recruitment |
Capacity Section. Coalition Membership. |
COMET |
Protocol/item to be developed for case study site. |
Case Study |
|
Access to Training & Technical Assistance (T?TA) |
(24) Capacity Building Capacity – Ability to produce education al materials, resources to send members to workshops and conferences, information on research based prevention programs and strategies, etc. |
CCT |
Capacity Section. Assistance needed by coalition.
|
COMET |
|
Capacity Section. Assistance needed by coalition.
|
COMET |
|
Capacity Section. Assistance needed by coalition.
|
COMET |
|
Capacity Section. Assistance needed by coalition.
|
COMET |
|
Build Member , Coalition, and Programmatic Capacity
|
Capacity Section. Assistance needed by coalition.
|
COMET |
|
Protocol/Item to be developed for case study site. |
Case Study |
VARIABLE |
ITEM |
DATA SOURCE |
Continuous Improvement |
||
Data-Based
|
(24) Capacity Building Capacity. Two of the items specifically reference research or evidence-based programs. |
CCT |
|
(13) Performance Evaluation Scale. |
CCT |
|
(19) Action Plan Activities Scale. |
CCT |
Systematic
|
|
|
Explicit Decision Points |
Planning Section. Strategic Plan. |
COMET |
Planning Section. Action Plan. |
COMET |
|
(19) Action Plan Activities Scale. Specific items can be used from this scale (e.g., Created a realistic timeline for completing activities). |
CCT |
|
Responsive & Adaptive |
(27) Coalition Self-Assessment Scale. |
CCT |
Table 5. Variables and Items for Coalition Effectiveness
VARIABLE |
ITEM |
DATA SOURCE |
Norms & Awareness |
||
ATOD Risk Perception / Awareness |
Evaluation Section. Core Outcome Measure. Peer Disapproval. |
CORE |
Evaluation Section. Core Outcome Measure. Perception of Risk/Harm. |
CORE |
|
Assessment Section. Risk/Protective Factor. Trend is (Increasing, Decreasing, Staying the Same). |
COMET |
|
Media Other |
Implementation Section. Accomplishments. |
COMET |
Implementation Section. Challenges. |
COMET |
|
Evaluation Section. Accomplishments. |
COMET |
|
Evaluation Section. Challenges. |
COMET |
|
Protocol/item to be developed for case study sites. |
Case Study |
|
VARIABLE |
ITEM |
DATA SOURCE |
Systems & Policy Change |
||
Collaboration
|
Organizational Impact Scale. This proposed scale has been included to better document and assess how the quality of collaboration matters in coalition efforts. |
CCT |
Interorganizational Coordination Scale. Proposed new scale with four items |
CCT |
|
Capacity Section. Basic Collaborative Activity.
|
COMET |
|
Service Integration |
Organizational Impact. Proposed new eleven item scale. |
CCT |
Protocol/Item to be developed for case study sites. |
Case Study |
|
Policy Change – Public / Business / Education |
Implementation Section. Strategy. |
COMET |
VARIABLE |
ITEM |
DATA SOURCE |
Sustainable Accomplishments |
||
Systems
|
(14) Coalition Sustainability Scale. This scale has been modified by including more items. |
CCT |
(26) Perceived Effectiveness Scale. This is the collective efficacy scale re-named with additional proposed items to assess the degree and extent of successful coalition activities and outcomes. |
CCT |
|
Planning Section. Planning Objectives.
|
COMET |
|
Implementation Section. Implementation Accomplishments/Challenges. |
COMET |
|
Protocol/Item to be developed for case study sites. |
Case Study |
|
Services
|
Planning Section. Planning Objectives. To what extent has the Objective been achieved? (From not at all to exceeded our objective). |
COMET |
Implementation Section. Implementation Accomplishments/Challenges. |
COMET |
|
Protocol/item to be developed for case study sites. |
Case Study |
|
VARIABLE |
ITEM |
DATA SOURCE |
Substance Use Prevalence |
||
Core Measures - Revised |
Evaluation Section. Core Outcome Section. Average Age of Onset.
|
CORE |
Evaluation Section. Core Outcome Section. Past 30-Day Use.
|
CORE |
|
Contributors & Consequences |
||
Educational Performance |
Local Data if Available. |
Local |
Archival Data if Available. |
Educational District |
|
Health & Wellness |
Local Data if Available. |
Local |
Community Readiness and Capacity. New proposed scale that assesses a community’s readiness and capacity to implement a community-based substance use prevention program (DFC). |
CCT |
|
Community Social Organization. Proposed new variable that assesses the degree of interaction with neighbors, attachment to the neighborhood, and includes a perceived safety in the neighborhood scale. |
CCT |
|
Crime
|
Local Data if Available. |
Local |
Archival Data if Available. |
UCR; FARS |
|
Community Social Organization. Proposed new variable that assesses the degree of interaction with neighbors, attachment to the neighborhood, and includes a perceived safety in the neighborhood scale. |
CCT |
|
Family
|
Local Data if Available. |
Local |
Social
|
Local Data if Available. |
Local |
Archival Data if Available. |
Census; Other |
|
Economic
|
Local Data if Available. |
Local |
Archival Data if Available. |
Census; Other |
LITERATURE REVIEW
As highlighted throughout this appendix, this literature review is intended to provide empirical support and rationale for the re-design of the National DFC Evaluation Logic Model and the development of our internal model, which guided decisions for which variables to keep in COMET and other data sources, which to delete, what to add, and what additional analyses are needed to enhance our understanding of how coalitions can create community and population-level changes. The literature review is organized around the major components of the National DFC Evaluation logic model and includes: (1) context, (2) coalition structures and processes, (3) strategies and activities, (4) coalition capacity, and (5) coalition effectiveness. It provides a high level review of the State of current research for each major component and associated constructs and variables. We then briefly explain on how we conceptualize using it in our evaluation of DFC, including possible additional variables and analyses.
Context
Community
The local community context and history are important contextual factors that must be captured to adequately understand why each coalition choose to select specific objectives and strategies, address specific subpopulations of youth, and how they involved youth and community members and leaders in their efforts. In fact, we believe the community context impacts all facets of coalition operations as reflected in our external logic model. For our internal model, we broadened the importance of contextual variables to also include the context of the coalition, which includes organizational and collaborative history, coalition readiness for change, and type of change approach (institutional or grassroots focus).
In terms of community context, constructs included in the internal model include community social organization, community readiness for change, strengths/weaknesses of the community ATOD prevention resource system, number of related initiatives, socioeconomic context, critical events, and community stability. Since the prior evaluation did not include many of these contextual variables, we have selected a number of new measures to include in the evaluation. For instance, one aspect of the community context that has received extensive attention and empirical support in differentiating successful community-based efforts from unsuccessful ones is the concept of community readiness for change (Arthur & Blitz, 2000; Bowen, Kinne, & Urban, 1997). Community readiness has been defined as “the relative level of acceptance of a program, action, or other form of decision-making activity that is locality-based” (Edwards, Oeting, & Littlethunder, 1997). There are many different conceptualizations of community readiness for change and there is also substantial conceptual and measurement overlap with related constructs, such as community capacity for change. Given the state of the research, it is important for researchers to task themselves “capacity and readiness for what and where?” (Foster-Fishman, Cantillon, Van Egeren, & Pierce, 2006, p. 3,). Thus, given DFC’s main goal is to reduce substance use among youth, we created a community readiness and capacity for change scale specifically for this initiative6. This scale queries coalition members about their community’s knowledge of and support for DFC goals, leadership, resources, and history of collaboration to address community concerns and issues.
Measures that assess community identify and community social organization have also been found to be important contextual variables that can help facilitate or impede the implementation of community-based programs and services designed to promote community health. Over the last couple of decades, research has re-established that community matters in terms of a number of outcomes, from educational success to violence and drug use (Bursik & Grasmick, 1993; Leventhal & Brooks-Gunn, 2000; Sampson, Morenoff, Gannon-Rowley, 2002. Given the overarching importance of community and its influence on every major component in our external model, one of the main goals of the evaluation is to increase the measurement and understanding of how community contextual conditions can impact the degree of implementation of community policies and practices targeting substance use reduction. For instance, in line with the protective and risk factor approach (Hawkins & Catalano, & Miller, 1992), we propose using a measure of community social organization that assesses the general safety of the neighborhood and the degree to which community members feel they are connected to their neighbors and are able to act and create change in the community (Cantillon, 2006).
Research on neighborhood effects has established that the degree of poverty within a community, particularly concentrated poverty, and the amount of residential turnover or stability has important and long-standing impacts on community rates of violence and drug use (Colder, Mott, Levy, & Flay, 2000; Sampson & Groves, 1989; Sampson, Raudenbush, & Earls, 1997). For our evaluation, we plan on using census data, along with some quantitative scales to create a neighborhood typology and assess whether DFC activities are more successful in some types of neighborhoods compared to others, or if different neighborhood types utilize different community change strategies. These types of analyses will provide a much deeper understanding of the influence of the neighborhood environment and context compared to the current urban, suburban, and rural typology. We also plan to use qualitative data collected from neighborhood leaders at our case study sites to augment this quantitative analysis to obtain a richer perspective on how concentrated poverty and neighborhood instability impact the implementation of DFC.
Community readiness and social organization or sense of community are broad indicators of a community’s infrastructure and capacity for creating positive change. More specifically, communities need to have the resources (ATOD prevention resources) to successfully implement a comprehensive and community-wide initiative designed to reduce substance use and promote community well-being (Wandersman, 2009). This includes the financial resources to implement evidence-based practices, reimburse key participants, and access to high-quality coordinated training and technical assistance resources to support effective implementation practice. In fact, research has demonstrated that many community-based programs fail to be adequately implemented because they are lacking this infrastructure, which has been also been labeled the prevention support system (PSS) (Saul et al., 2008). In a related manner, the existence of prior or ongoing initiatives facilitates the development and implementation of community-based interventions. Such initiatives often force communities to address the typical challenges encountered when designing and implementing social change programs and initiatives, such as the amount of time it takes to produce noticeable change and degree of collaboration required to improve the delivery of appropriate services and improve youth outcomes.
Coalition
Since coalitions are comprised of a subset of community members, many of whom are community leaders or leaders of community-based agencies, we also created a coalition readiness for change scale, which includes the same items in community readiness but also asks about prior positive collaboration among partner agencies, available financial resources, and availability of formal and informal supports and services. Our prior experience has supported differentiating broader community readiness and capacity from the coalition itself, as they often differ, and such measures provide an understanding of the various levels involved in comprehensive community change initiatives (Kreger, Brindis, Manuel, & Sassoubre, 2007; Levy et al., 2005).
As mentioned under community context, another important variable in differentiating coalitions’ ability to create positive community change is simply their past experience in collaborative efforts, including key organizations or agencies’ history or being involved in these activities and efforts. We intend to gauge how prior collaborative work impact DFC through qualitative data obtained during site visits aas well as a social network analysis, which will include an item specific to prior collaborative work and relations. Also, while each DFC community receives the same amount of grant funding, some DFC communities are able to broker additional funding from foundations, local governments, or obtain in-kind funding from key participating agencies and organizations. Finally, coalitions can differ depending upon the degree to which their constituents are from State and typical neighborhood agencies compared to those that are formed by neighborhood residents and described as grassroots in nature. It is important to understand these differences as they often lead to different goals, objectives, and strategies for change (Chavis, 2001).
Coalition Structures and Processes
Member Competency
Coalitions work to produce community change by connecting neighborhood residents, organizations, and institutions together in a manner that their collective efforts are much greater than individuals or organizations working in isolation. In other words, a coalition’s effectiveness is heavily dependent upon individuals’ and organizations’ skills, knowledge, assets, and resources and coalition members are regarded as its primary asset (Butterfoss et al., 1993). While this capacity can be enhanced through education, experience, coaching, and training and technical assistance (Florin, Mitchell, Stevenson, & Klein, 2000; Foster-Fishman et al., 2001), it nonetheless represents a coalition’s baseline or starting point in terms of its ability to foster and create community and systems change. Initial assessment of members’ skills and knowledge is often part of the needs assessment process, along with a broader assessment of the larger community. In fact, a comprehensive needs assessment process often increases members’ skills and knowledge as they learn firsthand about prevalence of youth drug use and ATOD needs and prevention resources. It is also the first step in the strategic planning framework (SPF) process, which is the community planning process used by all DFC coalitions to plan, implement, and evaluate their activities and efforts toward substance use reduction.
As the research and practice literature emphasize, participating on a coalition often means dealing with conflict among members and organizations due to differing priorities and perspectives. A healthy coalition requires that individual members make compromises for the benefit of the coalition’s overarching vision, mission and goals. In fact, one of the major review articles used to inform our selection of constructs and variables identified active member involvement as one of six factors that were associated with coalition effectiveness (Zakocs & Edwards, 2006). Past experience with working on coalitions, degree of member involvement, and positive member relationships provide individuals with experience in negotiating these difficult decisions and processes for the greater good. Currently, COMET queries coalition leaders to report on the number of active members in the coalition by the required twelve sectors. We propose adding another column and simply asking the coalition leader to report on the degree of active involvement by sector. This simple addition to COMET provides a much more accurate assessment of involvement, not just member attendance at meetings. The addition of this item also allows for the possibility of assessing a typology of active member involvement. In other words, is there a right mix of players or do certain sectors need to be actively involved for healthy coalition functioning, and is this associated with impacts on systems and community change? Given the focus on at least twelve sectors, this addition would allow us to investigate if sectoral representation of all sectors is needed, how much, and at what levels; or, if other dynamics like leadership are the key to effective coalition functioning.
While nobody denies the importance of member relationships in coalition functioning, this variable is difficult to operationalize and measure, outside of more in-depth qualitative and case study methodologies. We plan on identifying the importance of member relationships by conducting social network analyses in each of our 36 case study sites over the course of the initiative. The utilization of this innovative methodology in coalition research has led to the identification of the relations required to bring about community change (Nowell, 2009). This analysis also provides us a means to delve greater into quality of collaboration, a measure often assessed by counts of MOUs and other methodologies that do not truly assess this important variable. For instance, we plan on asking members to rate each other on (1) communication frequency, (2) shared philosophy, (3) responsiveness to concerns, (4) legitimacy, (5) trust in follow-through, and analyze whether higher degrees of true collaboration are associated with higher coalition functioning and positive community changes. Also, as mentioned in the prior section, given the importance of past relationships and participation in related initiatives, we plan on including this as a question in the network analysis to better understand how community and coalition context affect member relationships.
Coalition Structure
An important component of any coalition to act effectively in the community is having an array of diverse stakeholders that represent all constituencies and members of the community. In fact, to ensure this adequate representation, DFC requires participation from twelve community sectors, including education, law enforcement, youth, and community leaders among others. This requirement is strongly supported by the literature as membership breadth and diversity provides members with access to a wide array of resources to build collaborative capacity and enhances credibility with the local community (Butterfoss et al., 1993; Florin et al., 1993). Recruitment of a diverse membership base is one of the first significant tasks coalitions encounter, and, often requires considerable attention and resources to maintain and sustain throughout the lifecourse of coalition. This is particularly the case with youth, the target population of coalition efforts, and their engagement and sustainability in efforts is truly needed to bring about community change. Tracking the diversity of membership can also assist in identification of possible technical assistance and training needs to ensure coalition membership is representative of, and credible with, the targeted community.
As coalitions grow and mature, they often institute a number of formalized structures and processes to increase their functioning and capacity for community change (Zakocs & Edwards, 2006). This column or component of our internal model reflects this increasing capacity and formalization. In terms of coalition structure, this includes the implementation of a leadership structure and often a number of workgroups/committees and other formalized structures to be responsible for completing work outside of coalition meetings. This formalization is often guided by the completion of strategic and action plans that specify goals, objectives, activities and coalition members responsible for ensuring the successful completion of coalition work. Implementation of such governance and procedural structures has also been cited in collaborative literature reviews as one of the main factors in coalition effectiveness (Roussos & Fawcett, 2000; Zakocs & Edwards, 2006). The degree of formalization also often depends on the local community context and history of collaborative efforts in the community. For instance, while coalitions with formalized structures have been associated with improved functioning and outcomes, some communities and coalition types (grassroots versus institutional or agency-based) may feel this degree of formalization is unwarranted and possibly even an unhealthy approach to community change efforts. It is these types of community and contextual elements that must be understood when implementing, and evaluating, community change efforts.
Coalition Processes
As highlighted in reviews of the field, collaborative structure and process variables are the most heavily researched and understood components of coalition effectiveness. Reviews have indicated the importance of establishing effective coalition processes, such as: (1) having a clear vision and mission, (2) leadership, (3) role clarity, (4) group cohesion, and (5) formal governance procedures among others (Israel, Schulz, Parker, & Becker, 1998; Roussos & Fawcett, 2000). However, at the same time, one of the most valid criticisms of coalition research is the degree to which collaborative processes and dynamics (shared vision, leadership, conflict management, shared decision making) are tied to coalition functioning rather than the actual linking these mechanisms to community changes (Zakocs & Edwards, 2006).
Our current measurement and analysis plan focuses heavily on better understanding these variables by creating overarching metrics that move beyond analysis of individual processes and tying these larger constructs to community and systems changes. For instance, Allen (2005) created an overarching climate construct that included (1) effective conflict resolution, (2) presence of a shared mission, (3) shared decision making, and (4) task oriented and inclusive leadership. Additionally, given the large number of variables, aggregation to higher-level constructs is the only meaningful way to analyze data in a parsimonious manner that can actually lead to implications for policy and practice for DFC. Finally, it should be noted that where we identified important missing structure and process variables (e.g., leadership), we have included them in our instruments, in particular the CCT.
An integral component under coalition processes includes the utilization of the strategic planning framework (SPF), which focuses coalition activities into five distinct components (i.e., assessment, capacity, planning, implementation, and evaluation), while also acknowledging the importance of sustainability planning and cultural competence in each phase or framework component. As part of our evaluation, we plan on attempting to better understanding how the SPF is linked to coalition functioning and community change. This is one of the reasons we recommend to continue to include data entry into COMET based on the components of the SPF, despite some evidence from our qualitative analysis of dropdown boxes that coalition members did not completely understand the differences between all components of the framework. This finding from our qualitative analysis is also the reason we propose highlighting definitions to a greater extent and providing examples of what constitutes SPF activities prior to data entry. This will increase the quality of data collected and also serve as a continuous education process for the SFP framework and essential coalition processes. We feel an evidence-informed community change framework is needed to educate coalition members regarding the iterative processes of community and systems change. Meanwhile, the role of evaluation is to attempt to unpack how SPF processes lead to change. For instance, we can utilize an interrupted time-series design to examine the effects of each SPF component (e.g., assessment) on the type and scope of community changes (e.g., increased awareness of ATOD use). This type of innovative analysis has been recently used to better understand the strategic planning process and how differential outcomes are achieved depending upon community and coalition context, and degree and intensity of community planning (Watson-Thompson, Fawcett, & Schulz, 2008).
Strategies and Activities
The strategies and activities column is perhaps the most straightforward of the internal model as it focuses on the explicit strategies and activities implemented in the community to increase collaboration and to decrease youth substance use. While there has been an exponential increase in evidence-based “clearinghouses” across a number of fields in recent years (e.g., SAMHSA’s National Registry of Evidence-Based Programs and Practices, DOE’s What Works Clearinghouse, OJJDP’s model programs), broader dissemination and implementation of these certified programs and practices often do not meet with the same success as initial results, which were often established in a small number of settings and with much higher levels of funding. In fact, effective implementation of evidence-based programs and practices has been limited across all fields, in particular community-based programs and services (Arthur et al., 2010; Durlak & Dupre, 2008; Julian, Ross, & Partridge, 2008).
One of the main goals of ICF’s evaluation is to strengthen attribution between process (i.e., what coalitions do and how they do it) and outcomes (i.e., results of their efforts). This is the reason such effort went into revisiting and revising the National Evaluation logic model, and perhaps more importantly, development of a specified internal model that required an item-by-item intensive review of every data source and variable. Another major related goal of the National Evaluation is to deconstruct DFC programs and activities to identify best practices – what works, why it works, and in what situations it works. In essence, while there has been tremendous growth in identifying effective prevention programs, there needs to be an equal amount of effort in identifying how to effectively implement such programs across a diverse array of community settings. We intend to fill this void by focusing on documenting the different types of strategies and dosage of activities required to result in community-level changes in youth substance use rates. By building the evidence base between process and outcomes, we intend to provide communities with the information needed to bridge science to effective community-based practice.
Coalition Role
As previously discussed under coalition context, coalitions often have more of an institutional or agency-based focus or are more grassroots in nature and led by local community leaders or those most affected by the issue the coalition is addressing. The different types of coalition members and make-up are important because each brings a different perspective toward the best way to focus coalition efforts toward reducing substance use (Chavis, 2001). DFC purposely combines an agency and grassroots approach by requiring the membership of twelve sectors, including a mix of agencies and institutions (schools, law enforcement) and local parents, youth, and youth-serving organizations. While DFC coalitions often engage in a number of roles in their planning, implementation, and evaluation of substance use reduction efforts, they generally focus more intensely on some roles than others. For instance, some coalitions focus more on coordinating community-based efforts of prevention programs or services while others focus more on environmental or policy change. Other roles identified in the internal model include direct implementation, advocacy, initiation/support, member contributions, and external partnering. Currently, the CCT collects information pertaining to coalition focus and roles and this data can be used to assess if certain types of coalition roles work more effectively than others, or employ a different mix and strategies and activities. We also plan to utilize the case study component to delve deeper into the relationship between membership and coalition focus, role, selection of strategies and activities, and what relationship, if any, this has to community changes and outcomes.
Programmatic Capacity and Strategy/Activity Mix
Programmatic capacity generally refers to the processes and outcomes of the assessment, capacity building, and planning stages; that is, the development high-quality strategic and action plans that outline the key goals, objectives, and activities to achieve identified objectives in a realistic timeframe. If coalitions adequately plan and prepare for the development and implementation of evidence-based programs and practices, they will be much more effective in this stage. For instance, the major reviews of coalition research have demonstrated the importance of action planning, establishing clear and realistic objectives, as well as infusing cultural competence in all prevention and intervention activities (Roussos & Fawcett, 2000; Zakocs & Edwards, 2006).
DFC coalitions are guided in their efforts by seven overarching strategies to achieve community change, which include: (1) providing information, (2) enhancing skills, (3) providing support, (4) modifying/changing policies, (5) changing consequences, (6) enhancing access/reducing barriers, and (7) physical design7. Another broad category, strengthening coalitions, captures how the coalition develops its own capacity and capability to accomplish the seven community change strategies. These change strategies operate along a continuum and target varying levels of intervention from more general information sharing and education to targeting changes at higher levels, such as changing consequences (e.g., increasing compliance and enforcement of tobacco sales), changes in physical designs of communities (e.g., outlet density, lighting), and changes to policies and practices at multiple levels (city, county, State). Given the multi-causal nature of ATOD use and related problem behaviors, community coalitions need to utilize a mix of multilevel strategies in order to effectively combat the various influences and pressures that can negatively affect our youth (Butterfoss & Francisco, 2004; Foster-Fishman & Behrens, 2007; Kreger, Brindis, Manuel, & Sassoubre, 2007). Thus, the type(s) and intensity or dosage of prevention and intervention activities are important mediators between effective planning and positive community outcomes (Beebe, Harrison, Sharma, & Hedger, 2001).
These strategies are currently assessed in the COMET database system and we intend on keeping all categories but modifying data entry to decrease burden and increase the collection of information related to strategy mix and activity type, scope and dosage. As discussed throughout the main text, the current COMET system is extremely burdensome because of the extensive linking involved, all of which should be already captured in strategic and action plans. For instance, when adding a new objective, COMET requires linking this objective to: (1) strategies to achieve objectives, (2) percent coalition efforts and resources into achieving objective, (3) date objective established, (4) link objective to targeted risk factor, (5) link objective to targeted protective factor, (6) link objective to DFC core outcome measure, (7) link objective to targeted substance, (8) link objective to targeted grade, (9) link objective to targeted gender, (10) targeted date for achieving objective, (11) rating to what extent objective was achieved. Additional details are requested at the activity level, such as status, date started, and date complete for each activity further increasing burden. We propose de-linking this extensive chain and focusing more on what is important: number of activities (by strategy), who is involved, at what level, total number of coalition hours involved, scope of activity (# served), dosage of activity, and impact of activity. Please see Appendix C for more details.
Coalition and Community Outputs
We have included coalition and community outputs in this column to emphasize the importance of celebrating the small wins that occur while coalitions are working to change larger community and macrolevel variables. Our experience has taught us the importance of taking seriously the documentation of all activities and other community outputs, and even graphically displaying the number of activities and other accomplishments the coalition has engaged in over time. This is because one of the biggest challenges people cite when working on coalitions to address larger social issues is simply time – the amount of time it takes to produce visible change at the community and individual levels8. In our prior work, while logic modeling helps visualize the bigger picture, it is also helpful to break down longer-term changes by creating activity models, which visually display, at a more concrete and discrete level, how each activity builds upon another and may ultimately produce community and population-level change. For DFC, examples could be producing activity models around each of the core outcomes, or for each of the identified risk and protective factors. Of course, this variable also includes more traditionally conceived outputs such as the quality of the strategic and action plan, social marketing materials, development of curricula, etc. Particularly for coalitions with local evaluators, documenting these activities and showing members all the work they are doing will keep them motivated and participating over the long-term change process involved in coalition work.
Coalition Capacity
Coherence and Coalition Climate
The coalition capacity column of our internal logic model reflects the need to build on the most important assets of coalitions – the voluntary membership of individuals, organizations, institutions, agencies, and community members. The five constructs of coalition capacity include: (1) coherence, (2) coalition climate, (3) positive external relations, (4) capacity building effort, and (5) continuous improvement. First, while logic models are almost always displayed in a linear fashion, it should be recognized the often considerable overlap of stages, which are represented by columns in our model (Florin, Mitchell, Stevenson, & Klein, 2000). For instance, there is considerable overlap between coalition structures and processes and coalition capacity. This is due to the fact that this column identifies how individual member capacity and coalition capacity, which includes most of the structures and processes already discussed, need to be developed to increase the effectiveness of coalition activities and efforts in the community. In essence, the coalition structures and processes column describes where communities are at the beginning or baseline of their efforts, while the coalition capacity column attempts to capture what has been accomplished in building on the coalition’s initial functioning.
The importance of establishing a shared vision and mission for coalitions has been identified by the majority of collaborative research, particularly by research syntheses and reviews (e.g., Foster-Fishman et al., 2001). Indeed, in terms of strategic planning, one of the major first steps is to use needs assessment data to inform the development of a shared vision and mission of the coalition. Our own prior research on community-based coalitions has indicated that a shared vision keeps members committed during challenging or difficult times and also facilitates the integration of new members. This is vital given the inevitably of member turnover during the course of a community change initiative. As discussed, in order to be an effective change agent, coalitions need broad and diverse membership from all community sectors. This not only establishes credibility but access to a larger number of resources and perspectives. Unifying these different perspectives is required and the first step toward a coordinated group effort is buy-in to the overarching goals and vision of the coalition.
Commitment by coalition members is also vital for successful community change efforts. Research suggests that targeted community level changes often take 3-10 years to become detectable; broader population-level change can take even longer (Roussos & Fawcett, 2000). Thus, commitment and satisfaction are vital to engage and sustain members in such long-term change efforts. Perhaps even more vital is assessing commitment and satisfaction during coalition efforts so that adjustments can be made and technical assistance sought if there is a drop in this important variable – before members “vote with their feet” by leaving the coalition. Thus, we have proposed including a short measure of member satisfaction in the CCT. Inclusiveness is an indicator of coherence and represents how inclusive and diverse coalition membership is throughout the course of coalition change efforts, which has been identified as a major factor explaining coalition effectiveness (Zakocs & Edwards, 2006). For DFC, this includes substantial community representation, in particular youth, and the rationale for us including an extra item regarding youth on the pre-existing cultural diversity scale. We also plan on combining a number of coalition climate variables (e.g., trusting, shared input) and assessing how such a metalevel construct is associated with coalition functioning and effectiveness.
Positive External Relations
For a coalition-driven community change effort, environmental changes will not occur unless members and organizations establish credibility and enjoy consistently positive relations with the larger community, including the target population (e.g., youth) (Berg, Coman, & Schensul, 2009). This is particularly important at the beginning of community change initiatives, and research has suggested the importance in establishing “small or quick wins” (i.e., small scale projects that produce quick and visible results) to help promote community-buy in and jump-start larger activities that will involve greater access to community resources (Deacon, Foster-Fishman, Mahaffey, & Archer, 2009).
Despite the fact that researchers, and, especially practitioners recognize the importance of external partnerships, little attention has been paid to this variable in evaluation efforts, except possibly for case studies. While we plan on developing protocols to capture this in the case study component (e.g., community leader interviews, community focus groups), we also have included an interorganizational coordination measure in the CCT. This variable asked members to rate how coalition efforts have increased coordination of their efforts and how organizations now view themselves as a larger system addressing the issue of drug use in the community instead of separate silos addressing specific domains (e.g., enforcement, treatment). Currently, there are a number of areas within COMET that obtain data on the number of activities in the community, and we have proposed including more ratings of whom in the community was targeted by each activity (scope), the number of people who participated (penetration), and the degree of success and impact of the activity. This type of data can accurately gauge coalition activity focus and participation of non-coalition member agencies, and assess if this is associated with differential outputs and outcomes.
Capacity Building Effort & Continuous Improvement
In a major effort and review the collaborative literature, Foster-Fishman et al. (2001) synthesized the core competencies and processes of coalitions into an overarching capacity building framework. According to the framework, there are four distinct levels of capacity to build for sustainable community change efforts – member capacity, relational capacity, organizational capacity, and programmatic capacity. Member capacity includes the core skills, knowledge, and attitudes that individual members bring with them to the table. For DFC, this would be an individual’s awareness and knowledge of substance use in the targeted community, availability of ATOD in the community, and consequences of ATOD use. This level also includes an individual’s or organization’s ability to work collaboratively with members of the community and different organizations, ability to create and guide and implement evidence-based programs for substance youth prevention, and the ability to build an effective coalition infrastructure for change.
Relational capacity involves the development of a positive internal working climate and positive external climate. As previously discussed, a positive coalition climate includes the development of an open and honest environment where people feel free to share information and input and conflict is handled in a transparent and fair manner. Such a positive climate facilitates the development of common understanding of community assets and problems, promotes the development of a shared vision, mission, and solutions. The importance of comprehensive planning and establishment of a shared vision to describe a coalition’s overarching goals is vital to keeping members focused on the ultimate goals of their collaborative activities and efforts (Bartunek et al., 19996; Roussos & Fawcett, 2000). While coalitions need active involvement by its key members during meetings and other coalition work, participation by non-member agencies is critical if community-based activities and interventions are going to successful (Roussos & Fawcett, 2000). In fact, the involvement of all community sectors and members is so critical to coalition success that we created a separate construct entitled Positive External Relations in our internal model as discussed above.
Organizational capacity includes coalition processes that are more formalized in nature, such as detailed action plans, establishment of clear roles and responsibility, strong leadership, and effective internal and external communication. Many of these variables and constructs were highlighted earlier under coalition processes, procedures, and structures and this column recognizes the need to build on these constructs. The importance of leadership in producing an internal and external climate cannot be overstated as research has indicated its importance to coalition effectiveness (Allen, 2005; Zakocs & Edwards, 2006). While community leadership was well measured by the CCT, we noticed that coalition leadership measures were lacking. Given the central importance of leadership, we have included three short measures that assess the multiple levels of leadership common in coalition efforts (i.e., coalition leadership, committee leadership, and coordinator leadership). The leadership scales were originally adapted from Butterfoss’s (1998) coalition effectiveness self-inventory tool and have been used to study coalitions that work to reduce and prevent domestic violence (Allen, 2005). It should also be noted that there are individual leadership items spread out in other CCT scales, such as confidence in task completion that can be used to augment these proposed scales or create a larger leadership metric. Finally, also discussed earlier under strategies and activities, programmatic capacity involves clear and realistic programmatic objectives, ecologically valid prevention and intervention strategies, and the utilization of data to inform programming and any necessary adaptations to achieve desired results.
In sum, research has demonstrated the importance of building capacity at all these levels, and how such capacity building efforts can lead to more effective coalitions and community change (Florin, Mitchell, Stevenson, 1993; Florin, Mitchell, Stevenson, & Klein, 2000; McMillan et al., 1995). In fact, in a thorough review of the literature, many of the indicators of capacity (e.g., shared vision, leadership, resources, technical assistance and support) were found to be linked to enhanced partnerships and improved population-level health outcomes (Roussos & Fawcett, 2000). Thus, capacity building efforts must be continuous and must target multiple levels (member, coalition, organizational, and programmatic) if coalition efforts and activities are going to successfully address and community conditions and outcomes.
Coalition Effectiveness
Community & System Outcomes
The coalition effectiveness column represents the major outputs, impacts, and outcomes of coalition efforts to increase collaboration and decrease youth substance use. These outcomes are listed separately at both the system level and at the behavioral level to visually display the multiple levels at which DFC coalitions operates and intends to achieve outcomes. The fact that DFC targets multiple levels (e.g., community, school, individual) to reduce youth substance use is in accordance with current prevention science research that suggests multilevel interventions are not only more successful, but also more sustainable (Trickett & Schensul, 2009; Weeks et al., 2009).
DFC utilizes a risk and protective factor targeted approach in their effort to reduce substance use. This approach helps stakeholders understand that it is integral to target and build assets of youth, as well as, target the more traditional risk factors. As the research literature highlights, negative behaviors such as drug and alcohol use are usually not found in isolation, but are bundled with other negative behaviors such as poor educational outcomes and delinquency (Catalano et al., 2002; Coulton, Korbin, SU, & Chow, 1995). This approach also encourages communities to collect data (i.e., assessment) to find out current drug use problems and then tailor prevention activities to the local community context of risk and protection (Hawkins et al., 2008). This is extremely important as every community is unique and even evidence-based programs need to be adaptable and tailored to community conditions if they are going to be successful outside of well-funded demonstration grants and trials. It is also in line with research on asset-based community development and environmental strategies for change, which indicate one of the best ways to mobilize the community is to focus on assets and not solely on problems (McKnight, J.L. (1996). Given the research findings that have indicated positive impacts on precursors to and delay of negative youth behaviors, particularly when provided with training and technical assistance (Feinberg et al., 2002; Hawkins et al., 2008; Manger, Hawkins, Haggerty, & Catalano, 1992), we suggest continuing to use these measures (and framework). However, we have suggested an enhancement to the on-line system (COMET) that goes beyond a check-all approach. For instance, with needs assessment data, even if communities are targeting a host of risk and protective factors, they are certainly targeting some more than others. This is why we suggest, at a minimum, ranking in order the top five protective and top five risk factors. In this manner, analyses can group communities by these targeted factors and correlate what strategies, activities, and dosage are effective in reducing risk or promoting protection, and ultimately, reducing rates of youth substance use. Currently, there is little discoverable information with a check-all approach to data entry.
Increasing collaboration is one of the main goals of DFC, yet past research has not included enough measures that truly evaluated this overarching goal of the program. In response, we have included a number of measures to better address this goal, and, moreover, to understand the link between collaborative efforts and community changes and outcomes (e.g., decreased youth substance use rates). As previously discussed, one of ways we address this gap is to utilize social network analysis at our case study sites. This innovative methodology has been increasingly used to understand coalition functioning and how it is associated with various degrees of collaboration (Friedman et al., 2007; Nowell, 2009). Social network analysis will also allow us to study whether, for instance, the density of networks among collaborative members leads to increased coordination of programs and implementation of environmental strategies that target the various levels of risk and protective factors (individual, family, school, and community). Another measure we propose including is interorganizational coordination. This measure assesses the degree to which coalition members are increasingly working together to address youth substance use and has been found to be an outcome of high functioning coalitions (Allen, 2005). Another proposed measure, organizational impact, assesses how coalition efforts are creating changes within the various child-serving organizations and agencies. That is, this measure asks members to report on how participating in coalition activities has assisted them in changing policy, procedure, and practice within their own organizations. Taken together, these measures go well beyond typical assessments of collaboration, and will provide DFC with information on how the overall quality of collaboration matters.
In terms of community behavioral outcomes, we have not made any changes to the Core outcomes to ensure comparability with historical data. We do realize that some of these indicators may change or additional indicators included, depending on what public use data can be gathered that assesses population-level outcomes beyond substance abuse. As proposed in our logic models, there are likely to be impacts on these behaviors as broad-based community change initiatives are theorized to have an impact on correlated behaviors and outcomes. An emphasis on this type of data also helps DFC communities realize that the goals of program are much broader than reducing drug use and also includes the prevention of other problem behaviors, as well as the promotion of community health and well-being. It is with this latter category that we believe DFC may have, as of yet, unrealized impacts outside of anecdotal information. For example, in addition to being a measure of context, we also look at community social organization and community readiness and capacity for change as potential indicators of community health. That is, do DFC activities, over time, help increase the social organization, cohesion, and health of communities? This is serious area to assess since social organization and related variables (sense of community, social capital, informal social control, and collective efficacy) have been found to be associated with lower rates of violence, delinquency, and drug use (Beyers, Bates, Pettit, & Dodge, 2003; Brooks-Gunn, Duncan, Klebanov, & Sealand, 1993; Elliott et al., 1996; Sampson, Raudenbush, & Earls, 1997). Or, as discussed under context, does the initial level of community readiness and capacity influence the degree of implementation of DFC and lead to better outcomes. That is, do those communities who start out higher in terms of readiness and capacity end up with better outcomes than their less “ready” peers? To close, with the proposed enhancements to the data system, proposed new variables, metrics, and analyses, we believe we can help move prevention science forward to better understanding what are the key strategies and activities to implementing effective community-based drug prevention initiatives.
ASSESSMENT SECTION |
||||
Field Name |
Data Type |
Description |
Keep (Keep, Delete, Modify, or New) |
Rationale |
|
|
|
New |
A thorough review of COMET established that many respondents are entering information in the wrong sections. For instance, listing evaluation activities in assessment or highlighting planning accomplishments in assessment. |
|
|
Date Updated |
Keep |
|
Community Needs Assessment9 |
Text |
Target Community Name |
Keep |
Basic coalition information |
Check one or more |
Target Geographic Area (Urban, Suburban, Rural) |
Keep |
Catchment areas are very important for aligning data from other public use data files. |
|
Check one or more |
Target Specific Geographic Area
|
Keep |
Provides contextual information about catchment areas.
|
|
Enter numeric values (Add as many as apply) |
Target Zip Codes |
Keep |
|
|
Check one or more |
Target Gender |
Keep |
|
|
Check one or more |
Target Grade |
Keep |
Multiple grades should be more easily selected. Consider the use of check boxes. |
|
Check all that apply |
Substance of Issue in the Community
CORE OUTCOMES
OTHER DRUGS
|
Modify |
We classified drug types into a smaller number of groups to reduce respondents’ burden. We referenced other drug surveys, such as PRIDE Surveys and ADAS.
Instruction: Users will click on the broad substance categories and the list of specific names will expand for users to click/check. Within broad substance categories, drugs will be listed alphabetically. |
|
Text (500 Character Limit) |
Please further describe the Geographic Area(s) selected above (e.g., names of cities, counties, etc.) |
Keep |
Although entering target community name and zip codes should be sufficient, we need as specific catchment information as possible. This will be important for developing a sampling plan for each grantee and for providing guidance to grantees on sampling. |
|
Choose one |
Have there been other substance abuse prevention coalitions or groups targeting some of the same communities and risk and protective factors that your coalition is targeting?
|
Delete. Combine with the next question. |
Combine the two questions to reduce respondents’ burden.
|
|
Choose one |
How many other non-DFC coalitions are working to prevent substance abuse or addressing the same risk and protective factors in the targeted community?
|
|||
Enter a numeric value |
Approximately, how many groups, excluding your own organization, are working on the prevention of substance abuse or addressing the same risk and protective factors in your community? |
New |
These questions help us evaluate whether the effect of DFC on outcomes is different in the areas served by DFC alone and the areas served by a mix of other prevention groups. These would also provide us with social network analysis variables. For example, the items here help measure the density of supportive collaboration and shared activities among groups that share the same areas of service.
By DFC regulation, coalitions are not generally expected to include overlapping service areas and thus asking if there are other groups “in your community” may appear to contradict the regulation. However, this question is important for analysis and evaluation purposes as it helps differentiate the areas served only by a coalition and the areas served also by other entities. We propose the word “in your community” be kept, but focus on non-DFC coalitions. |
|
Enter a numeric value |
In the past 6 months, how many of these groups (excluding your own DFC partners/members) have you worked with to reduce substance abuse in your community through shared activities and events, such as co-sponsoring substance abuse prevention activities? |
New |
||
Text (no limit) |
Assessment Summary and Key Findings |
Keep
|
Although this will be difficult to analyze, (i.e., data are not categorized) we need to determine whether, realistically, these data are updated beyond what is in the grant application.
|
|
|
Text |
Overall, is there anything else you would like to include regarding your community needs assessment process? |
New |
|
Risk and Protective Factors (Users can add as many factors they choose to)
|
Check Yes or No |
Is this the main model that you use? |
Modify: To what extent does your DFC coalition use a risk/ protective factor approach in your prevention efforts? (5-point Likert scale (Never, Little, Somewhat, Much, A Great Deal) |
This new question captures: (a) whether the DFC coalition uses a risk- and protective-factor-based model, and (b) how important the model is for the coalitions. It will also help us assess the association between the use of risk/protective factors approach and successful reduction in substance use.
|
Check one |
Type of risk and protective factors
|
Delete |
Respondent burden is heavy. The historical DFC data shows that most coalitions have provided information; however, their data may not be complete. There is no way of knowing what really existed if the coalitions did not enter full information. Also judgment required here is highly subjective. See new proposed items below.
|
|
Check one |
Factor to Target (For RISK factors):
|
Delete |
||
|
Factor to Target (For Protective Factors):
|
Delete |
||
Text (no limit) |
Description |
Delete |
||
Check one |
Trend is (Improving, Staying the Same, Worsening, No Trend Data) |
Modify and combine with the new item below.
|
Integrate this with the new item below.
Make “No trend data” as first response (to avoid users to make a guess that is not based on trend data). Then, above improving, stay the same, worsening; we could have a header "Trend Data Indicates". |
|
Check all that apply |
What are the major risk factors that your coalition is targeting for improvement for youth in your community? Check all that apply and indicate which are your coalition’s priorities (‘Top 5’ Items). For the ones you chose, indicate whether information to indicate the trend for the factors is available and, if so, whether the trend is (Improving, Staying the Same, Worsening).
|
New |
This style of question will reduce respondents’ burden. It also allows users to identify priority items. We added family and individual factors to be more comprehensive than the original set of factors.
|
|
Text (1000 Character limit) |
Is there any additional detail that you would like to provide so we can better understand your targeted risk factor approach? |
New |
||
Check all that apply |
What are the major protective factors that your coalition is targeting for improvement for youth in your community? Check all that apply and indicate which are your coalition’s top priorities (‘top 5 Items’).
|
New |
||
|
Text (1000 Character limit) |
Is there any additional detail that you would like to provide so we can better understand your targeted protective factor approach? |
New |
|
Assessment Activity
|
Text |
Activity Name |
Delete |
Too much burden on respondents. |
Date |
Date started |
Delete |
Too much burden on respondents. |
|
Date |
Date completed |
Delete |
Too much burden on respondents. We want to ask grantees about the degree or intensity level of DFC efforts on specific assessment activities.
Dropdowns with "groupings" and have them rate how often they engaged in these activities using a Likert scale.
|
|
Check one |
Activity Status
|
Delete |
||
Text (1,000 character limit) |
|
Delete |
||
Check one |
How often does your coalition engage in the following assessment-related activities?
|
New |
||
Assessment Progress
|
Text (200 Character Limit) |
Progress Name |
Delete |
Too much burden on respondents. No substantive purpose for the evaluation.
|
Choose reporting period |
Reporting Period Identified (2005S1, etc). |
Delete |
Too much burden on respondents. No substantive purpose for the evaluation.
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
|
|
Choose one |
Type
|
Delete |
||
Text (3,000 Character Limit) |
|
Delete |
||
|
|
New |
||
Check all that apply |
What accomplishments has your coalition achieved during the past 6 months while performing activities related to assessment?
|
New |
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
|
|
Specific Examples of Challenges |
Text (3,000 Character Limit) |
Please report specific examples of challenges that your coalition has experienced during the past 6 months. |
New |
Choose-from option style questions may miss specific incidences of achievement or challenges that a coalition may want to report. |
Specific Examples of Accomplishment |
Text (3,000 Character Limit) |
Please report specific examples of accomplishments that your coalition has experienced during the past 6 months. |
New |
Choose-from option style questions may miss specific incidences of achievement or challenges that a coalition may want to report. Question may be particularly valuable for grant monitoring. |
CAPACITY SECTION |
||||||||||||||||||||||||||||||||||||||||||
Field Name |
Data Type |
Description |
Keep (Keep, Delete, or New) |
Rationale |
||||||||||||||||||||||||||||||||||||||
Coalition Membership
|
Choose One |
Member Type
|
Delete |
Entering each coalition member poses too much burden on respondents (see new proposed items below).
participation. |
||||||||||||||||||||||||||||||||||||||
Text (2,000 Character Limit) |
Member Name, Either Organizational or Individual |
Delete |
||||||||||||||||||||||||||||||||||||||||
Choose One |
12 Required Sector Representatives:
|
Delete |
||||||||||||||||||||||||||||||||||||||||
Choose One |
Membership Status (defined as attending one meeting in the past year)
|
Delete |
||||||||||||||||||||||||||||||||||||||||
Numeric |
Total Number of Current Representatives |
Delete |
||||||||||||||||||||||||||||||||||||||||
Numeric |
Number of Representatives Active in Coalition Meetings, Activities, and Tasks |
Delete |
||||||||||||||||||||||||||||||||||||||||
Numeric & Rating scale |
How many active members are there in your coalition from each of the 12 sectors? (Active members attended at least one meeting in the past six months; Please use other for representatives outside the 12 key DFC sectors).
Also, please rate the average level of involvement for each represented sector. Yes/No for representation and a Likert scale from (1) Low to (5) High. See example below.
|
New |
Simply asking the number of active members by sector reduces data entry burden.
|
|||||||||||||||||||||||||||||||||||||||
Choose One |
Is Collaboration Among Members of Your Coalition
|
Keep |
|
|||||||||||||||||||||||||||||||||||||||
Basic Collaborative Activity
|
Choose One |
Activity Type
|
Modify |
Keeping because part of GPRA (see below). |
||||||||||||||||||||||||||||||||||||||
Text (1,000 Character Limit) |
Description |
Keep |
|
|||||||||||||||||||||||||||||||||||||||
Date |
Date Started |
Delete |
||||||||||||||||||||||||||||||||||||||||
Date |
Date Completed |
Delete |
||||||||||||||||||||||||||||||||||||||||
Choose One |
Activity Status (Active, Inactive, Planned, Completed, Discontinued) |
Delete |
||||||||||||||||||||||||||||||||||||||||
Choose One |
In the past 6 months, how often did your coalition engage in the following collaborative activities? Also include columns with number of people who attended the event, along with a rating of degree of success (None, Little, Somewhat, Much, A great deal) and magnitude of impact (None, Little, Somewhat, Much, A great deal).
Activity Type
|
Modified |
||||||||||||||||||||||||||||||||||||||||
Date |
Date Needed |
Keep |
Essential item for grant monitoring. |
|||||||||||||||||||||||||||||||||||||||
Assistance needed by coalitions
|
Check all that apply |
In what area do you need assistance to improve the capacity of your coalition?
Modification:
|
Modify |
Note: These are the 15 Core Competencies identified by Dr. Renee Boothroyd through a literature review. They are also used in the National Coalition Institute evaluation.
|
||||||||||||||||||||||||||||||||||||||
Text (1,000 Character Limit) |
Description of Technical Assistance or Training Needed |
Keep
|
This will probably suffice for most requests. |
|||||||||||||||||||||||||||||||||||||||
Check all that apply |
Delivery Mode
|
Keep
|
|
|||||||||||||||||||||||||||||||||||||||
Check One |
Desired Source
|
Delete |
|
|||||||||||||||||||||||||||||||||||||||
Check One |
Status
|
Delete |
||||||||||||||||||||||||||||||||||||||||
Assistance provided by coalitions
|
|
Please provide a brief description of any training and technical assistance your coalition provided to other community groups or organizations. |
New |
To capture community outputs/impacts. |
||||||||||||||||||||||||||||||||||||||
Funding Streams |
Choose One |
In the next 12 months do you expect your coalition's funding level to
|
Keep |
|
||||||||||||||||||||||||||||||||||||||
Numeric |
What is your Coalition's total annual operating Budget? |
Keep |
|
|||||||||||||||||||||||||||||||||||||||
Dollar amount |
Please indicate the dollar amount of your total budget for sources that support your coalition and its strategies |
Keep |
Include, for each item, when funding started, and when funding runs out. This will allow us to track sustainability and funding streams much more carefully. |
|||||||||||||||||||||||||||||||||||||||
Dollar amount |
DFC Grant |
Keep |
|
|||||||||||||||||||||||||||||||||||||||
Dollar amount |
STOP Act Grant |
Keep |
While this section is burdensome, most of the items need to be kept for ONDCP related purposes. Some analyses may require the identification of coalitions funded by DFC, STOP, SPF-SIG, etc.
|
|||||||||||||||||||||||||||||||||||||||
Dollar amount |
SPF-SIG Funding |
Keep |
|
|||||||||||||||||||||||||||||||||||||||
Dollar amount (all combined) |
Other drug abuse prevention grants |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
Fundraising/private donations |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
In-kind contributions |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
Foundations/non-profit organizations |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
City/county government |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
State government |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
Federal government |
Keep |
||||||||||||||||||||||||||||||||||||||||
Dollar amount |
Other (please list) |
Keep |
||||||||||||||||||||||||||||||||||||||||
Text |
Add Accomplishment or Challenge/Barrier. Progress Name. |
Delete |
Too much burden on respondents. Regarding choose reporting period:
|
|||||||||||||||||||||||||||||||||||||||
Progress in the capacity build-up of coalitions
|
Choose one |
Reporting Period Identified (Reporting periods) |
Delete |
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
|
||||||||||||||||||||||||||||||||||||||
Choose one |
Type
|
Delete |
||||||||||||||||||||||||||||||||||||||||
Text (3,000 Character Limit) |
|
Delete |
||||||||||||||||||||||||||||||||||||||||
Check all that apply |
What challenges has your coalition faced during the past 6 months while performing activities related to coalition capacity?
|
New |
||||||||||||||||||||||||||||||||||||||||
Check all that apply |
What accomplishments has your coalition achieved during the past 6 months while performing activities related to coalition capacity?
|
New |
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
|
|||||||||||||||||||||||||||||||||||||||
Specific Examples of Challenge |
Text (3,000 Character Limit) |
Please report specific examples of challenges that your coalition has experienced during the past 6 months. |
New |
Choose-from option style questions may miss specific incidences of achievement or challenges that a coalition may want to report. |
||||||||||||||||||||||||||||||||||||||
Specific Examples of Accomplishment |
|
Please report specific examples of accomplishments that your coalition has experienced during the past 6 months. |
|
PLANNING SECTION |
||||
Field Name |
Data Type |
Description |
Keep (Keep, Delete, or New) |
Rationale |
Strategic Plan |
Choose one |
Plan Status
|
Keep |
|
Choose one |
Does your coalition re-visit its strategic plan on an annual basis to make modifications?
|
New |
This item informs how important the plan is for the coalitions. This item could be included in CCT instead. |
|
Text (no limit) |
Year Plan Was First Developed |
Modify: Allow users to enter month and year. |
For ease of data entry. The data type will be changed to DATE.
The use of the SAMHSA’s strategic prevention framework is mandated by DFC RFA; however, there may be other planning frameworks (e.g., CCT) used in addition to the SPF. We will work with ONDCP and SAMHSA to identify response categories for this new question.
|
|
Text (no limit) |
Year Plan Was Last Updated |
Modify: Allow users to enter month and year. |
||
Choose one |
Plan Used SAMHSA's
Strategic
|
Keep |
||
Radio buttons/multiple response |
To what extent does your coalition use the SFP framework (Likert scale)? |
New |
||
Text (1,000 Character Limit) |
Description |
Keep |
|
|
|
To what extent does your coalition incorporate other planning frameworks (e.g., CCT)? |
New |
|
|
Text (1,000 Character Limit) |
Description |
New |
|
|
Browse (find a file to upload) |
Upload the following two documents:
Long-term strategic plan 12-month action plan
|
Modify |
DFC coalitions are taught to do 2 products related to strategic planning: a long-term Strategic Plan and a 12-month Action Plan. The Strategic Plan is longer, includes outlook for 3-5 years and outcomes related to the timeframe. The Action Plan is more specific and forces a coalition to name who is responsible for certain actions, short-term outcomes, etc. An example of an Action Plan is in the NCI Primer on Planning. |
|
Text (1,000 Character Limit) |
Note |
Keep |
|
|
Logic Model |
Browse (find a file to upload) |
File |
Keep |
|
Text (1,000 Character Limit) |
Briefly describe any changes that the coalition made to the Logic Model. |
Keep (directions slightly modified to ask to note changes to model) |
When Logic Models are updated, have them note changes. This information describes the changes of coalitions. |
|
Goals and Objectives
|
Choose one |
Goal
|
Delete |
Too much burden on respondents.
There are two goals “Reduce substance abuse among youths and adults” and “Establish and strengthen collaboration” are specific to DFC requirements.
The current data include objectives as free text information. Based on the historical data, we created dropdowns of objectives that are both frequently reported and important in light of the goals of the DFC coalitions.
“De-link” this association given feedback on COMET – focus group and social media website indicated this not only caused substantial confusion but repetition and duplication of data entry (e.g., one strategy could be linked to multiple objectives).
|
Text (200 Character Limit) |
Objective Name |
Delete |
||
Check all that apply |
Strategies to Achieve Objective
|
Delete |
||
Text (1,000 Character Limit) |
Strategy Description |
Keep |
||
Choose one |
Percent of Overall Coalition Effort and Resources that went into Achieving the following objectives? (0 to 100% by 10% increment)
|
Keep |
||
Date |
Date Objective Established |
Delete |
|
|
Check all that apply |
Link Objective to Targeted Risk Factor (Risk factors are selected earlier by respondent in the assessment section) For example:
etc. |
Delete |
||
Check all that apply |
Link Objective to Targeted Protective Factor (Risk factors are selected earlier by respondent in the assessment section) For example:
|
Delete |
||
Check all that apply |
Link Objective to DFC Core Outcome Measure
|
Delete |
||
Check all that apply |
Targeted Substance
|
Delete |
||
Check all that apply |
Targeted Grade
|
Delete |
Dropdowns with "groupings" and have them rate the ‘top 3 . Respondents will also answer:
(Not At All – Exceeded Our Objective)
|
|
Choose one |
Targeted Gender
|
Delete |
||
Date |
|
Delete |
||
Choose one |
Choose objectives of your coalition for each of the goals: Goal 1: Reduce substance abuse among youths and adults
DROPDOWN MENU
Goal 2: Establish and strengthen collaboration
DROPDOWN MENU
The following is asked for each of the objectives specified above. The new page is generated with a list of the selected objectives and the following questions are asked for each of the objectives.>
What were the strategies to achieve objectives of your coalition during the current reporting period?
To what extent has the Objective been achieved?
|
Keep/Modify. Add the dropdown list of objectives.
Objectives are linked with strategies. |
||
Text (200 Character Limit) |
Progress Name |
Keep |
|
|
|
Choose one |
Reporting Period Identified |
Delete |
Too much burden on respondents; no practical use for the evaluation. We have to assume that information entered is relevant for the current reporting period. |
Planning Progress |
Choose one |
Type
|
Delete |
|
Text (3,000 Character Limit) |
|
Delete |
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
|
|
Check all that apply |
What challenges has your coalition faced during the past 6 months while performing activities related to planning?
|
New |
||
Check all that apply |
What accomplishments has the coalition achieved during the past 6 months while performing activities related to planning?
|
New |
||
Specific Examples of Challenge |
Text (3,000 Character Limit) |
Please report specific examples of challenges that your coalition has experienced during the past 6 months. |
New |
Choose-from option style questions may miss specific incidences of achievement or challenges that a coalition may want to report. |
Specific Examples
|
Text (3,000 Character Limit) |
Please report specific examples of accomplishments that your coalition has experienced during the past 6 months. |
New |
IMPLEMENTATION SECTION |
||||
Field Name |
Data Type |
Description |
Keep (Keep, Delete, or New) |
Rationale |
Implementation Activity
|
Already filled |
Goal |
Delete |
Too much burden for respondents.
|
Already filled |
Objective |
Delete |
||
Choose one |
Strategy (Identified earlier by respondent) |
Delete |
||
Choose one |
Activity Type. The choice depends on specific strategies taken. For example:
|
Delete |
||
Text (no limit) |
Brief Description of Activity |
Delete |
||
Date |
Date Started |
Delete |
||
Date |
Date Completed |
Delete |
||
Choose one |
Activity Status (Active, etc.) |
Delete |
||
Choose one |
Activity Leader (Names of Coalition Staff) |
Delete |
||
Choose one |
Scope/Reach of Activity (25% increment of target community) |
Delete |
||
Check all that apply |
Please see Appendix C for more explicit directions and an example graphic.
Instruction for interface design: Users will enter data in seven separate screens, each representing one of the seven coalition strategies. On each screen/strategy, you will see a list of relevant activities. For each of the activities, responses are a given a set of questions, such as number of activities and number of staff involved. See the rationale section for details.
Instruction for respondents: Please provide necessary information requested for each of the activities associated with the < specific to a screen > strategy.
Instruction for interface design: Seven Coalition Strategies (one strategy on a screen at a time) and lists of activities.
PROVIDING INFORMATION: 1) Media Campaigns, 2) Information dissemination, 3) Direct, face-to-face information sessions, 4) Special events to highten awareness, 5) Clearinngouse for ATOD information, 6) Other 1 ~ 3ENHANCING SKILLS: 1) Drug refusal skills program component, 2) Communication/decision-making program component, 3) Role-modeling program component (e.g., mentoring),4) Parenting Skills Program, 5) Conflict management skills trainings, 6) Training program for teachers or trainers, 7) Other 1~3 PROVIDING SUPPORT: 1) Sponsoring drug-free events (e.g., drug-free dances), 2) Teen drop-in centers or clubs, 3) Support youth athletic leagues, 4) Youth support groups, 5) Sponsoring healthy “risky” activities (e.g., rock climbing, ropes courses, etc.), 5) Other 1~3 MODIFYING/CHANGING POLICIES: 1) Alcohol and cigarette advertising restrictions in public areas, 2) Restrictions on alcohol and cigarette use at community events, 3) Limitation and restrictions of location and density of alcohol outlets, 4) Responsible beverage service training (voluntary or mandatory, 5) Efforts to increase tax on alcohol or tobacco, 6) Restrictions on Methamphetamine pre-cursor access, 7) Efforts to require treatment for nonviolent drug offenders, 8) Instituting drug testing, 9) Other 1~3 CHANGING CONSEQUENCES: 1) Increase enforcement of underage drinking laws, 2) Increase enforcement of illicit drug laws, 3) Increase surveillance of areas known for illegal drug sales, 4) "Shoulder-tap" enforcement program, 5) Increased enforcement of impaired-driving laws, 6) Compliance checks for alcohol or tobacco sales to minors, 7) Recognition program for merchants who pass compliance checks, 8) Prescription drug abuse tracking, 9) Other 1~2 ENHANCING ACCESS/REDUCING BARRIERS: 1) Improve access to healthcare services, 2) Improve quality and availability of childcare,3) Improve access to transportation, 4) Improve access to housing, 5) Improve safety and justice in the community, 6) Improve quality and availability of education 7) Improve access for people with special needs 8) Improve cultural language sensitivity 9) Improve access to employee assistance programs 10) Other 1~3 PHYSICAL DESIGN: 1) Improve parks and other physical landscapes (e.g., neighborhood clean-ups), 2) Improve signage, 3) Improve lighting, 4) Reduce the density of alcohol outlets, 5) Invoke nuisance laws to rehabilitate dangerous rental housing, 6) Other 1~3 |
New |
The new format may still appear labor-intensive, but requires a lot less effort than the old system. Data entry will occur in a matrix format. Information requested for each activity:
To reduce data entry burden, we are not asking respondents to specify target group or target substance. We assume that the target group/substance information entered in the assessment section remain the same for information collected in this section and should be intuitive enough to derive from type of activity and strategy.
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Implementation Progress
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Add Accomplishment or Challenge/Barrier |
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Already filled |
Goal |
Delete |
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Already filled |
Objective |
Delete |
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Text (200 Character Limit) |
Progress Name |
Delete |
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Choose one |
Reporting Period Identified |
Delete |
If users need to enter historical information, they should enter the survey interface that is specific to reporting periods. |
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Type
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Delete |
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Text (3,000 Character Limit) |
Description |
Delete |
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Check all that apply |
What challenges has your coalition faced during the past 6 months related to implementation?
DROPDOWN MENU
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New |
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
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Check all that apply |
What accomplishments has your coalition achieved during the past 6 months related to implementation?
DROPDOWN MENU |
New |
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Specific Examples of Challenges |
Text (3,000 Character Limit) |
Please report specific examples of challenges that your coalitions have experienced. |
New |
Choose-from option style questions may miss specific incidences of achievement or challenges that a coalition may want to report. |
Specific Examples of Accomplishment |
Text (3,000 Character Limit) |
Please report specific examples of accomplishments that your coalitions have experienced. |
New |
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EVALUATION SECTION |
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Field Name |
Data Type |
Description |
Keep (Keep, Delete, or New) |
Rationale |
DFC Core Outcome Measures |
Choose one |
Outcome Category this Data Applies to:
|
Keep and modify |
Clearer guidance is necessary. For example, provide a policy on rounding and define terms, such as “%.” “% of people who used,” “Sample size,” “Overall sample size.”
Consider adding a section on intermediate outcomes that categorizes some of the more common accomplishments. This will be excellent fodder for DFC reports, and it provides concrete examples of progress:
Alternatively, these outputs could be standard responses to questions about the logic model or strategic plans. Or, could be captured in implementation section of COMET.
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Choose one |
Source for this Data |
Keep |
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Choose one (Month and Year) |
Month and Year data was collected |
Keep |
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Choose one (Month and Year) |
Compared to the Target Area (Locust Point), the Geographical Area covered by this data is
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Keep |
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Numeric |
Enter Data by Grade |
Keep and modify |
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Numeric |
Enter Data by Gender |
Keep |
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Long-Term Health Outcomes |
Text |
Outcome Category (School Drop Out, etc.) |
Delete |
Since this is part of the Logic Model, we should keep or find a better/easier way for them to report anything they may have. |
Date |
Date Collected |
Delete |
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Choose one |
Did you coalition use this data for program planning purposes?
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Delete |
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Text (1,000 Character Limit) |
Description |
Delete |
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Evaluation Activity
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Text |
Activity Name |
Delete |
Too much burden to enter multiple entries. See proposed new item below. |
Choose one |
Type
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Delete |
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Date |
Date Started |
Delete |
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Date |
Date Completed |
Delete |
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Choose one |
Activity Status (Active, Inactive, etc.) |
Delete |
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Choose one |
Activity Leader (A list of names) |
Delete |
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Choose one |
How often has the coalition conducted the following evaluation activities during the past < > months?
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New |
This would reduce data entry burden. |
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Evaluation Progress |
Add Accomplishment or Challenge/Barrier |
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Text (200 Character Limit) |
Progress Name |
Delete |
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Choose one |
Reporting Period Identified |
Delete |
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Choose one |
Type
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Delete |
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Text (3000 Characters Limit) |
Description |
Delete |
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Check all that apply |
What challenges has your coalition faced during the past 6 months related to evaluation?
DROPDOWN MENU |
New |
Dropdowns with "groupings" and have them rate the ‘degree to which each item was a (1) Significant Challenge to (5) Significant Accomplishment.
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Check all that apply |
What accomplishment has your coalition faced during the past 6 months related to evaluation?
DROPDOWN MENU |
New |
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Specific Examples of Challenges |
Text (3,000 Character Limit) |
Please report specific examples of challenges that your coalition has experienced during the past 6 months. Your description may include both core outcomes, as well as other outcomes, such as education, health and wellness, crime, family, and social and economic issues. |
New |
Choose-from option style questions may miss specific incidences of achievement or challenges that a coalition may want to report. Question may be particularly valuable for grant monitoring. |
Specific Examples of Accomplishment |
Text (3,000 Character Limit) |
Please report specific examples of accomplishments that your coalition has experienced during the past 6 months. Your description may include both core outcomes, as well as other outcomes, such as education, health and wellness, crime, family, and social and economic issues. |
New |
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Cultural Competence and Sustainability |
Text |
Questions and text field. |
New |
Add a new section on cultural competence and sustainability. Although these concepts are supposed to permeate all steps in the SPF, it would be conceptually easier to measure them across all efforts.
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Cultural Competence |
Text |
To what extent has your coalition reached out to organizations representing the diversity of your community? |
New |
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Cultural Competence |
Text |
To what extent has your coalition successfully engaged organizations representing the diversity of your community? |
New |
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Cultural Competence |
Text |
To what extent does your coalition have formal, written policies and practices in place that address cultural competence? |
New |
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Cultural Competence |
Text |
To what extent is compliance with cultural competence policies and practices monitored within your coalition? |
New |
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Cultural Competence |
Text |
To what extent do you believe the environmental change strategies your coalition implemented were culturally competent? |
New |
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Cultural Competence |
Text |
To what extent do you believe the drug abuse prevention practices (e.g., curricula) you implemented were culturally competent? |
New |
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ADMINISTRATION SECTION |
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Field Name |
Data Type |
Description |
Keep (Keep, Delete, or New) |
Rationale |
Grantee Information
|
Text |
Grantee Name |
Keep |
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Text |
Alternative Grantee Name |
Keep |
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Numeric |
Award Number |
Keep |
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Numeric |
Year of First Award |
Keep |
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Numeric |
Award Number (Mentoring) |
Keep and modify |
Provide a definition of “mentoring.” Also state that this is only for grantees with a DFC mentoring grant. |
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Prefilled |
Status (Active) |
Delete |
All coalitions entering information are active. |
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Date |
Date Coalition Was First Established |
Keep |
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Text |
Contact Name |
Keep |
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Text |
Contact Email |
Keep |
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Text |
Address |
Keep |
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Text |
City |
Keep |
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Text |
State |
Keep |
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Numeric |
Zip Code |
Keep |
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Numeric |
Phone |
Keep |
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Numeric |
Fax |
Keep |
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Numeric |
Phone |
Keep |
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Numeric |
Extension |
Keep |
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Text |
Keep |
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Staff Registration (Add Individual Members) |
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Users need to contact KIT solutions to modify staff list. |
Keep |
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Key Leadership |
Text |
Leader 1 |
Improve |
Add a function to specify the names of coalition leaders to up three most high ranking personnel and their titles (e.g., director, coalition coordinator), and to record the changes of Coalition leadership. This informs the level of organizational stability of the coalitions. We will need to provide concrete definitions of each position, and may want to ask about the background of the coalition leader – this may be a key determinant of coalition success.
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Text |
Leader 2 |
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Based on our review of the COMET data system, and the results from focus groups and the social media website, we felt there could be a number of modifications and enhancements that could improve the collection of high-quality programmatic and evaluation data. This appendix provides a brief description of how COMET data was analyzed to develop relevant sets of dropdowns for each section (e.g., assessment) and lists all potential dropdown categories by each section.
Qualitative Coding and Development of Dropdown Categories
To obtain relevant categories based on historical DFC data, we randomly selected two hundred cases from all of the DFC reporting periods. This procedure increased our confidence that we were obtaining data on both new and older grant communities, as well as, coalitions along the entire range of functioning (high/low). Responses were then coded and major categories were retained. Another coder then used these dropdowns to categorize an additional one hundred randomly selected responses. This quality assurance check was conducted to ensure that all major categories were included within each SPF section. Then, reviewers edited the categories to remove redundancy among categories, to make sure those core competencies that facilitate implementation of SAMHSA’s Strategic Prevention Framework (SPF) were included10, to make sure identification of best processes was included11, and to eliminate categories that did not fit the SPF section.
Finally, based on feedback from both grant communities and Federal personnel, we included three additional other (specify) categories to provide flexibility for communities who may be conducting unique activities. While we initially thought of using this list of dropdowns with rankings (e.g., Please rank your top three challenges/accomplishments), we can also have respondents rate each of these items on a scale, for instance from (1) Significant Challenge to (5) Significant Accomplishment. Since there are typically approximately 10 items for each section, we feel this would not add much burden. For each item, we could also leave in a text field for the respondent to list more detail. This change to the data system would improve the evaluation by providing extremely useful data on DFC coalition activities, challenges, and accomplishments. Currently, with the check all that apply format and no corresponding Likert value, there is little quantitative resonance of the data.
Assessment Activities
How often does your coalition engage in the following assessment-related activities? Propose using a six-point scale (1) Never, Very Rarely, Rarely, Occasionally, Frequently, (6) Very Frequently.
(Assessment is the systematic gathering and analysis of data about the population your coalition serves in order to identify the current problem(s) and related conditions that require intervention).
1. Planning and preparation for assessment activities
2. Data collection (e.g., surveys, interviews, focus group Interviews, community forums, listening sessions) to identify needs and resources in the community, ATOD norms, substance use prevalence, etc.
3. Research/study of pre-existing data (e.g., archival data collection, census, police, county statistics, educational data) to identify needs and resources in the community, ATOD norms, substance use prevalence, etc.
4. Complete “S.W.O.T.” (strengths, weaknesses opportunities, and threats) analysis of current issues, specifically drug-related issues
5. Resource/risk identification (e.g., community mapping)
6. Analysis of assessment data
7. Create and maintain coalitions and partnerships (include key collaborators for the initiative; establish meeting and decision making processes that connect individuals and build trust; facilitate brainstorming and encourage consensus)
8. Analyze problems and goals (facilitate group problem analysis, incorporate experience and expertise of coalition members; apply a risk and protective factor framework; facilitate prioritization of problems and related actions; identify and make use of targets and agents of change)
9. Develop a framework or model of change (facilitate group logic modeling processes; facilitate group critique and ongoing improvement of the logic model based on new information; ensure consensus for the logic model)
10. Other (specify)
11. Other (specify)
12. Other (specify)
Assessment Accomplishments and Challenges
What accomplishments and challenges has your coalition faced during the past 6 months while performing activities related to assessment? Please rate each item below from (1) Significant Challenge to (5) Significant Accomplishment.
A mock-up of how this section would be presented in COMET is also presented below the items.
Response rates to assessment activities
Attaining buy-in from key stakeholders (e.g., school districts, police departments)
Issues with the survey instrument(s) (e.g., resulting from changes in survey formats, comprehensiveness of questions, assessment tool concerns)
Issues administering the survey (e.g., inconsistent implementation, technical issues, challenges identifying comparison groups)
Understanding how to use the data
Consent and related issues (e.g., Institutional Review Board, parent consent, youth consent)
Changes in leadership and/or staff
Delay in program operations
Time required for assessment results/reports
Time requirements in general (e.g., to gain buy-in, develop instruments, administer survey)
Competing priorities
Financial resources to support assessment activities
Understanding of local issues and conditions
Used assessment results to inform strategic planning, including the development of common vision, goals, and objects
Findings were used to inform Drug Free Community activities (e.g., development of new program, creation of materials, implementation of new trainings)
Data was used to educate/inform community members/key stakeholders
Obtained new data sources (e.g., hard to reach populations, students in additional grades)
Obtained baseline information on which progress can be measured (e.g., acceptance of substance use, prevalence of substance use)
Other (Specify)
Other (specify)
Other (Specify)
Figure C1. Assessment Accomplishments and Challenges COMET Mock-Up
Assessment Accomplishments & Challenges
~ Assessment is the systematic gathering and analysis of data about the geographic area your coalition serves in order to identify current assets, problems, and related conditions that require intervention.
What accomplishments and challenges has your coalition faced during the past 6 months while performing activities related to assessment? Please rate each item below from (1) Significant Challenge to (5) Significant Accomplishment. |
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Significant Challenge 1 |
2 |
Neither
3 |
4 |
Significant Accomplishment 5 |
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1 |
2 |
3 |
4 |
5 |
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1 |
2 |
3 |
4 |
5 |
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1 |
2 |
3 |
4 |
5 |
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1 |
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5 |
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1 |
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5 |
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1 |
2 |
3 |
4 |
5 |
Capacity Activity
Please report on each of the following activities (GPRA measures). In the past 6 months, how many activities did your coalition conduct over the listed categories of capacity-related activity? How many people attended the events planned, what was the degree of success of the events (None, Little, Somewhat, Much, A Great Deal), and what was the magnitude of impact for all activities conducted in each of the categories (None, Little, Somewhat, Much, A Great Deal)?
(Capacity refers to the types (such as skills or technology) and levels (such as individual or organizational) of resources that a coalition has at its disposal to meet its aims).
Mock-Up of Dosage Information
Capacity Activity |
# Activities |
# People Attended |
Degree of Success |
Magnitude of Impact |
1-14 |
… |
…. |
… |
… |
1. A media plan to draw attention to new drug threats
2. Ad Hoc task forces successfully expanding the community effort for substance abuse prevention
3. Combined public and private funding for substance abuse prevention initiatives
4. Hearing on drug problems
5. Coalition meetings involving multiple coalition members
6. Planning or conducting a community event involving multiple coalition members/partners
7. Research or evaluation
8. Increase participation and membership (conduct outreach and build relationships; assess current involvement levels; communicate memorable messages; recognize talents and use membership base to maximize the coalition’s success)
9. Build leadership (know the varied attributes and forms of leadership, including collaborative and servant leadership; understand the context to enable individuals to tailor their leadership style appropriately; create group leadership development plans and nurture future leaders for the organization).
10. Enhance cultural competence (assess the level of cultural competence in the coalition’s processes; communicate the importance of diversity and cultural competence in community work; identify the steps required to promote cultural sensitivity; ally with multiple cultural groups).
11. Improve organizational management and development (develop governance and management structures; manage and enhance human resources; create sound financial operations; and ensure effective internal and external communication).
12. Other (Specify)
13. Other (specify)
14. Other (specify)
Capacity Accomplishments and Challenges
What accomplishments and challenges has your coalition faced during the past 6 months while performing activities related to coalition capacity building? Please rate each item below from (1) Significant Challenge to (5) Significant Accomplishment.
Recruitment/engagement of target population(s) (e.g., youth, parents)
Recruitment/engagement of key stakeholders (e.g., faith-based community, schools)
Interagency collaboration (e.g., disagreements, lack of clear roles/responsibilities)
Local political climate
Attendance at meetings/events
Logistical issues (e.g., time and location of meetings, technical issues)
Financial resources
Changes in leadership/key positions (e.g., in the administering agencies, on the coalition)
Provided training (to law enforcement, service providers, coalition members)
Received training and technical assistance to improve coalition functioning and effectiveness
Developed new sub-committees, coalitions, etc.
Other (Specify)
Other (Specify)
Other (Specify)
Planning section: Objectives
Choose objectives that your coalition aims to achieve for each of the two overarching DFC goals. Objectives are based on historical data like other dropdowns in this appendix and will allow for the evaluation to provide more information regarding standardized objectives across a diverse array of coalition bodies and community contexts. Users will be also asked to select what strategies they use for the selected objectives (including identifying the top 3) and to indicate the extent to which “objective has been achieved.”
Below, we first present a graphic to highlight the key steps in this process. This is followed by the more typical presentation of text. Also, see Appendix B for more detail.
(Planning is a process of developing a logical sequence of steps that lead from individual actions to community-level drug outcomes and achievement of the coalition’s vision for a healthier community).
Establish and Strengthen Collaboration
Establish a coalition
Increase the number of target community participants (e.g., youth, parents)
Increase the number of key-stakeholders participating in the collaborative (e.g., partner agencies, schools)
Engage in strategic planning (development of an initial strategic plan and update action plans annually; logic/activity modeling; identify needed action steps and outline the actors, timelines, and required support for successful completion).
Enhance collaboration between different sectors of the community (e.g., government, non-profit, faith-based)
Enhance community/citizen participation in the collaborative
Enhance the infrastructure/capacity of the collaborative (e.g., provide training to collaborative members, develop policies, subcommittees or workgroups)
Ensure the sustainability of the collaborative and/or its activities
Engaged in activities to educate/inform community members/key-stakeholder of local issues and/or DFC activities
Other (Specify)
Other (Specify)
Other (Specify)
Reduce Substance Abuse among Youth and Adults
Engaged in activities to educate/inform community members/key-stakeholder of local issues and/or DFC activities
Increase perception that drug/alcohol/tobacco use is harmful and not used/accepted by peers
Enhance communication strategies to increase public awareness
Reduce reported drug use
Increase the average age of onset of substance use
Establish/enhance community norms that promote prevention activities
Increase parental awareness
Increase the number of available prevention activities/programs
Increase the number and/strength of protective factors (individual/family/school/community e.g., offer life skills)
Decrease the number and/strength of risk factors (individual/family/school/community e.g., anti-poverty programs)
Enhance enforcement of current anti-drug laws and policies
Reduce access to drugs/alcohol/tobacco (e.g., reduce access to over-the-counter prescriptions)
Other (Specify)
Other (Specify)
Other (Specify)
Planning Accomplishments and Challenges
What accomplishments and challenges has your coalition faced during the past 6 months while performing activities related to planning? Please rate each item below from (1) Significant Challenge to (5) Significant Accomplishment.
Logistical issues (e.g., time and location of meetings, technical issues)
Interagency collaboration (e.g., breakdown in communication, different visions/agendas)
Strategic planning
Attendance at coalition meetings
Consideration for new programs/activities/policies among key stakeholders
Time commitment required
Competing priorities
Other (Specify)
Other (Specify)
Other (Specify)
Implementation Activity
In this section, users are asked to list activities by the 7 major strategies for community change (and strengthening coalitions) and report on a) number of activities, b) number of collaborative staff hours involved, c) number of people served, d) percent of coalition effort, e) number of partner agencies, e) primary partners (top 3), and f) degree of success, g) magnitude of impact. This will allow us to better understand the types and mix of strategies employed, along with estimates of dosage received by communities. The list of activities and strategies come from the current COMET system .
Below, we first present a graphic to highlight the key steps in this process. This is followed by the more typical presentation of text. Also, see Appendix B for more detail.
(Implementation puts into motion the activities identified in the planning process).
Implementation Accomplishments and Challenges
What accomplishments and challenges has your coalition faced during the past 6 months while performing activities related to implementation? Please rate each item below from (1) Significant Challenge to (5) Significant Accomplishment.
Recruitment/engagement of target population (e.g., youth, parents)
Recruitment/engagement of key stakeholders (e.g., local businesses, schools, law enforcement)
Competing priorities
Community norms regarding drug and alcohol use
Time commitment required
Identifying/developing interventions (identify, adapt, and implement evidence-based programs and practices; develop unique and local responses that employ multiple strategies; prioritize needed community and systems changes; develop an intervention map based on the coalition’s logic model).
Advocating for change (conduct advocacy research; identify potential allies; design an advocacy campaign; build community capacity and willingness to effect change).
Influence policy development and enforcement (conduct policy research; identify needed resources and assets; ensure community voice; support effective policy implementation).
Write grant applications for funding (create relationships with potential funders; align grant opportunities with intervention plans; maintain positive working relationships and communication with funders).
Local laws/ordinances and/or lack thereof
Other (Specify)
Other (Specify)
Other (Specify)
Evaluation Activities
In the past 6 months, how often did your coalition engage in the following evaluation and evaluation-related activities? Propose using a six-point scale (1) Never, Very Rarely, Rarely, Occasionally, Frequently, (6) Very Frequently.
(Evaluation measures the quality and outcomes or coalition work. Evaluation enables the improvement of interventions and coalition practices).
Evaluation planning (e.g., evaluation survey design, identifying evaluators)
Data collection
Analysis of evaluation data (e.g., core outcomes, risk/protective factors)
Recommendations for evaluation improvements
Presentation of findings
Using evaluation data to inform/adapt/improve coalition activities and programs
Sustain projects and initiatives (evaluate how to continue the work; use a business planning process to sustain work; match identified needs with the appropriate resource development strategy; use full membership participation in implementation of the sustainability plan).
Other (Specify)
Other (Specify)
Other (Specify)
Evaluation Accomplishments and Challenges
What accomplishment and challenges has your coalition faced during the past 6 months related to evaluation? Please rate each item below from (1) Significant Challenge to (5) Significant Accomplishment.
Engaging the buy-in and participation of all relevant schools
Current survey instrument does not include important measures (e.g., information on DFC core measures, breakdown by substance used, demographic information – age, sex, grade level)
Conducted a program evaluation (primarily through pre/post tests)
Response rate
Time it takes to receive data
Time it takes to analyze and report data
Obtaining data from key-stakeholders (e.g., crime data, hospital statistics)
Identified/engaged an external, experienced evaluator
Developed the evaluation survey
Developed an evaluation plan
Conducted a community behavior survey to identify changes since the initial assessment
Conducted an evaluation of the collaborative’s effectiveness
Conducted a process evaluation
Established an evaluation sub-committee
Turnover in leadership (including turnover of evaluators)
Stakeholders’ understanding the data
Getting stakeholders to understand and appreciate the importance of evaluation
Provided evaluation training for key stakeholders
Sustain projects and initiatives (evaluate how to continue the work; use a business planning process to sustain work; match identified needs with the appropriate resource development strategy; use full membership participation in implementation of the sustainability plan).
Other (Specify)
Other (Specify)
Other (Specify)
Drug Free Communities (DFC) Support Program Evaluation of Core Measures Survey
I. General Information |
II. 30-Day Use |
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1. Sex: Male Female
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2. Grade: 6 7 8 9 10 11 12 |
3. Age 10 years old or less 11 years old 12 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 years old 19 years old or more
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Yes |
No |
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Have you had alcoholic beverages (beer, wine, cocktails, hard liquor, etc.) to drink – more than just a few sips – during the past 30 days? |
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Have you smoked cigarettes during the past 30 days? |
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Have you used marijuana during the past 30 days? |
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Have you used prescription drugs not prescribed to you during the past 30 days? |
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III. Perception of Risk |
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No Risk |
Slight Risk |
Moderate Risk |
Great Risk |
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How much do you think people risk harming themselves (physically or in other ways) if they take five or more drinks of an alcoholic beverage (beer, wine, liquor) once or twice a week? |
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Required for STOP Act Grantees: How much do you think people risk harming themselves (physically or in other ways) if they take one or two drinks of an alcoholic beverage (beer, wine, liquor) nearly every day? |
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How much do you think people risk harming themselves (physically or in other ways) if they smoke one or more packs of cigarettes per day? |
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How much do you think people risk harming themselves (physically or in other ways) if they smoke marijuana once or twice a week? |
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How much do you think people risk harming themselves (physically or in other ways) if they use prescription drugs that are not prescribed to them?
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IV. Perception of Parental Disapproval |
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Not at all wrong |
A little bit wrong |
Wrong |
Very wrong |
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How wrong do your parents feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day? |
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How wrong do your parents feel it would be for you to smoke one or more packs of cigarettes a day? |
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How wrong do your parents feel it would be for you to try marijuana once or twice a week? |
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|
How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you? |
|
|
|
|
|
V. Perception of Peer Disapproval |
|||||
|
Neither Approve Nor Disapprove |
Somewhat Disapprove |
Strongly Disapprove |
Don’t Know/ Can’t Say |
|
How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day? |
|
|
|
|
|
How do you feel about someone your age smoking one or more packs of cigarettes a day? |
|
|
|
|
|
How do you feel about someone your age using marijuana once a month or more? |
|
|
|
|
|
How do you feel about someone your age using prescription drugs not prescribed to them? |
|
|
|
|
|
CCT Table of Measures12
Field Name |
Data Type |
Description |
Keep (Keep, Delete, or New) |
Std. Corr. |
Rationale |
CCT – Coalition Development & Management Global Rating |
Likert |
Section I: Coalition development and management involves designing and implementing your coalition’s organizational structure and operating procedures. These elements are fundamental and create the delivery mechanism for the array of prevention strategies that will be undertaken. |
Keep |
|
|
|
Keep |
.72 |
|||
|
Keep |
.73 |
|||
|
Keep |
.74 |
|||
|
Keep |
.70 |
|||
|
Keep |
.65 |
|||
|
Keep |
.63 |
|||
Coalition Type
|
Check one
|
Item stem - Which of the following best describes your coalition? |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Organizational Structure |
Check One
|
How would you describe your coalition’s organizational status? |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Text |
|
Keep |
|
||
Confidence in Task Completion |
Likert |
Item stem - How confident are you that your coalition can…? |
Keep |
|
|
|
Keep |
.48 |
|||
|
Keep |
.67 |
|||
|
Keep |
.69 |
|||
|
Keep |
.66 |
|||
|
Keep |
.68 |
|||
|
Keep |
.77 |
|||
|
Keep |
.78 |
|||
|
Keep |
.73 |
|||
|
Keep |
.75 |
|||
|
Keep |
.75 |
|||
|
Keep |
.64 |
|||
|
Keep |
.61 |
|||
|
Keep |
.70 |
|||
|
Keep |
.68 |
|||
|
Keep |
.73 |
|||
Coalition Governing Body |
Yes/No |
Item stem - We have a board or governing body that sets the direction of the coalition (A board or governing body is defined as a formal group or body that makes decisions for the coalition)? |
Keep |
|
|
Written Procedures |
Yes/No
Likert
** 3-point |
Item stem - Please Indicate your agreement by selecting “Yes” or disagreement by selecting “No” with each of the following statements as they apply to your coalition. |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Identification of Community Leaders |
Likert |
Item stem - Please indicate how much you agree or disagree with each of the following statements. |
Keep |
|
|
|
Keep |
.45 |
|||
|
Keep |
.56 |
|||
|
Keep |
.53 |
|||
Community Leadership in Coalition Efforts |
Likert
** 3-point |
Please indicate the degree to which each statement below describes the role of the community leadership (not coalition staff) of the coalition. The coalition community leadership… |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Coalition Leadership |
Likert |
Item stem - Coalition leadership refers to the official chair or co-chairs of your coalition. Below are several statements about leadership within coalitions. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Committee Leadership |
Likert |
Item stem - Committee leadership refers to the chair or co-chairs of subcommittees. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Coalition Coordinator Leadership |
Likert |
Item stem - Coalition coordinator refers to the paid staff on your coalition.
|
New |
|
|
Does funding from DFC support a part-time or full-time coalition coordinator? |
Yes/No |
|
|||
Does funding from local or another source support a part-time or full-time coalition coordinator? |
|
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Collaborative Decision Making |
Likert
** 3-item |
Item stem - We would like to understand the effectiveness of your coalition in making decision. Please indicate the degree to which you either agree or disagree with each of the following statements describing how your coalition makes decisions. If you have trouble deciding, please select the answer that describes your feelings most of the time. |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Shared Vision & Cohesion |
Likert |
Item Stem - Please indicate the extent to which you agree with each statement from (1) Strongly Disagree to (5) Strongly Agree. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Frequency of Conflicts |
Likert |
How frequently do conflicts such as major disagreements and tensions among individual and groups occur in your coalition? |
Delete |
|
|
Cause of Conflicts |
Check all that apply |
What are the causes of these conflicts? (Please check all that apply?) |
Delete |
|
|
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
Text |
|
Delete |
|
||
Impact of Conflicts |
Check one |
Overall, what has been the impact of these conflicts on the coalition? (Please check only one). |
Delete |
|
|
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
Communication and Conflict Management |
Likert |
Item Stem - Please indicate the extent to which you agree with each statement from (1) Strongly Disagree to (5) Strongly Agree. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Cultural Diversity |
Likert |
The following statements cover issues regarding how your coalition addresses cultural diversity and cultural competence. Please read each statement carefully and check the one response that comes closest to your belief. With regard to cultural diversity, your Coalition has....? |
Keep |
|
|
|
Keep |
.54 |
|||
|
Keep |
.62 |
|||
|
Keep |
.56 |
|||
|
Keep |
.61 |
|||
|
Keep |
.61 |
|||
|
Keep |
.57 |
|||
|
Keep |
.69 |
|||
|
|
|
New |
|
|
Performance Evaluation |
Yes/No |
Item stem - Please respond Yes or No for the following statements. Does your coalition …? |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Coalition Sustainability |
Likert |
There are many factors that may contribute to the developmental of a sustainable coalition. A sustainable coalition is one that can continue to work in the community without DFC funding and share ownership and capacity to collaboratively prevent substance abuse. We would like your assessment of the extent to which your coalition has accomplished each of the following. Your coalition has …. |
Keep |
|
|
|
Keep |
.57 |
|||
|
Keep |
.54 |
|||
|
Keep |
.47 |
|||
|
Keep |
.45 |
|||
|
Keep |
.57 |
|||
|
Keep |
.52 |
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
These items correspond to CADCA’s 6 steps of sustainability planning |
|
|
New |
|
|
|
|
New |
|
||
|
|
New |
|
||
|
|
New |
|
||
|
|
New |
|
||
|
|
New |
|
||
Sustainability |
Choose one (Yes/No/Maybe or Don’t Know) |
Item stem - Do you think your coalition will be able to sustain itself in your community for the next ten years? |
Delete |
|
|
Check all that apply |
Why don’t you think your coalition will be able to sustain itself in your community for the next ten years? |
Delete |
|
||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
Text |
|
Delete |
|
||
Coalition Focus 1 |
Check one |
Some coalitions focus on coordinating programs or services delivered by their partners (e.g., curriculum for youth or parents, provision of after school programs); others focus on changing aspects of their community environment (e.g., availability, policy, enforcement). Which of the following do you think best describes the current status of your coalition? |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
CCT – Coordination of Prevention Programs/Services |
Likert |
Section II: Coordination of Prevention Program/Services. A community uses community data and lists of evidence-based programs and services to identify and coordination an array of “best fit” prevention programs and services to be delivered by its partners. A coalition then aligns and coordinates the integration of these programs and services across the community and evaluates their impact. |
Keep |
|
|
|
Keep |
.73 |
|||
|
Keep |
.80 |
|||
|
Keep |
.78 |
|||
|
Keep |
.74 |
|||
|
Keep |
.72 |
|||
|
Keep |
.69 |
|||
Action Plan Activities |
Likert |
Please choose one response for each of the following statements to characterize your coalition. Your coalition has …… |
Keep |
|
|
|
Keep |
.61 |
|||
|
Keep |
.71 |
|||
|
Keep |
.71 |
|||
|
Keep |
.61 |
|||
|
Keep |
.65 |
|||
|
Keep |
.69 |
|||
|
Keep |
.48 |
|||
|
Keep |
.56 |
|||
|
New |
|
|
||
CCT - Environmental Strategies |
Likert |
Section III: Environmental strategies (e.g., reducing access, policy change, increasing enforcement) involve the coalition assessing the community environment to select and implement an array of “best fit” environmental initiatives. The coalition then aligns and integrates them across the community and evaluates their impact. |
Keep |
|
|
|
Keep |
.79 |
|||
|
Keep |
.83 |
|||
|
Keep |
.85 |
|||
|
Keep |
.83 |
|||
|
Keep |
.77 |
|||
|
Keep |
.64 |
|||
Environmental Strategies |
Likert |
Please indicate how much you agree or disagree with each of the following statements about your coalition. |
Keep |
|
|
|
Keep |
.46 |
|||
|
Keep |
.67 |
|||
|
Keep |
.59 |
|||
|
Keep |
.61 |
|||
|
Keep |
.54 |
|||
|
Keep |
.45 |
|||
|
Keep |
.59 |
|||
|
Keep |
.58 |
|||
|
Keep |
.43 |
|||
|
|
|
New |
|
|
Coalition Focus 2 |
Check one |
Whatever your coalition’s focus, some coalitions act directly in the community (e.g., coordinating prevention programs and services or advocating for an environmental/policy change). Other coalitions act indirectly by building capacity of other organizations (through convening, incubating, training, or technical assistance). Which of the following do you think best describes the current status of your coalition? |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
CCT – Intermediary or Community support Org |
Likert |
Section IV: Some coalitions evolve into “intermediary or community support organizations.” The coalitions act mainly indirectly in the community by building the capacity of other organizations. They assess training and technical assistance needs and resources, build capacity where needed, develop a capacity building plan, provide an array of support services and evaluate impact on recipient organizations and the community. |
Keep |
|
|
|
Keep |
.77 |
|||
|
Keep |
.80 |
|||
|
Keep |
.80 |
|||
|
Keep |
.78 |
|||
|
Keep |
.75 |
|||
|
Keep |
.71 |
|||
Capacity Building Capacity |
Check All That Apply |
Please check all of the following resources your coalition has available for capacity building? |
Modify |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
Synergy |
Likert |
What makes coalitions unique is their potential to combine the different perspectives, knowledge, and skills of a group of people and organizations. This unique combining power has been called synergy. We would like to know the extent to which you feel synergy is being created in your coalition. How much do you agree or disagree with each of the following statements. |
Keep |
|
|
|
Keep |
.62 |
|||
|
Keep |
.63 |
|||
|
Keep |
.63 |
|||
|
Keep |
.65 |
|||
|
Keep |
.68 |
|||
Perceived Effectiveness |
Likert |
Collective self-efficacy refers to a group’s shared belief in its joint capabilities to attain goals and accomplish desired tasks. We are interested in your assessment of the collective self-efficacy of the coalition. How much do you agree or disagree with each of the following statements. |
Keep |
|
|
|
Keep |
|
|||
|
Keep |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
Delete |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Coalition Self-Assessment |
Check one |
Coalitions develop as they increase their mastery of key functions needed to prevent substance abuse… For the work you need to do in order to be a successful coalition, how would you rate your coalition’s capacity to perform the key functions presented above? |
Keep |
|
Overall assessment of coalition functioning – keep. |
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Keep |
|
|||
|
Text |
Additional Comments |
Keep |
|
|
Member Satisfaction |
Likert |
Please indicate how much you agree or disagree with each of the following statements about your coalition. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Interorganizational Coordination |
Likert |
Please indicate how much you agree or disagree with each of the following questions about your coalition. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Organizational Impact |
Likert |
For my organization/agency, participation in the coalition has led to: |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Community Social Organization |
Likert |
Please indicate how much you agree or disagree with each of the following statements about your coalition. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Collective Efficacy |
Likert |
Please indicate how much you agree or disagree with each of the following statements about your coalition. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Coalition Readiness |
Likert |
Please indicate how much you agree or disagree with each of the following statements about your coalition. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
Community Readiness |
Likert |
Please indicate how much you agree or disagree with each of the following statements about your coalition. |
New |
|
|
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
|||
|
New |
|
1 For a more detailed description of focus group protocols, findings, and the utilization of a social media website to obtain information from DFC grantees, please refer to ICF’s Coalition Online Management and Evaluation Tool (COMET) Data Systems Assessment: Findings from Focus Groups and Social Media Website.
2 The GPRA measures for STOP Act will continue to be based on the current core measures as they apply to alcohol (30-day prevalence, parental disapproval, and perception of risk from regular drinking). For other DFC grantees, the NOMS calls for the addition of a peer disapproval measure. We will also drop age of first use due to the lack of reliability this metric produces.
3 For a discussion of recent research related to the health benefits of moderate alcohol use, please see: http://www2.potsdam.edu/hansondj/AlcoholAndHealth.html. Much of this research does not take into consideration potential confounds, such as social characteristics of moderate drinkers. For example, moderate drinking may be indicative of an active social life, which is more likely among younger (i.e., more healthy) people, people who do not have acute mental or physical disabilities, and people who have a good sense of self-control (which may be correlated with other healthy behaviors).
4 This total is based on the Coalition Classification Tool survey document received from the previous DFC National Evaluation vendor, Battelle Memorial Institute. Each response for ‘check all that apply’ items was included in this total.
5 It should be noted that accomplishment or barrier section can be used across many topics; however, currently it is text only. In the future, we have proposed adding dropdowns based on historical DFC data (and still keep a text field) and this will allow for more quantitative and nuanced analyses.
6 ICF created and used a community readiness scale for a child welfare-led community initiative designed to improve safety, permanency, and well-being. This scale was created after a thorough review of the research on readiness and capacity for change. This scale proved to be successful in differentiating communities ready for comprehensive change compared to their peers, and also allowed us to track readiness over the course of the initiative.
7 These strategies were developed by CADCA’s National Coalition Institute and have been slightly adapted over time during DFC program operations.
8 Please see ICF’s “Systems and Organizational Change Resulting from the Implementation of Systems of Care” report for the Children’s Bureau.
9 In this and all subsequent sections, we recommend that the end-user be given an option of “no data to report.” Because not all COMET items are required during each reporting period, grantees should be given the option to justify the reason why no data were entered. Based on feedback from individual grantees and project officers from SAMHSA, we have also included an “Other” option where appropriate.
10 The list of core competencies was developed by the World Health Organization Collaborating Centre for Community Health and Development at the University of Kansas copyright 2005.
11 Identification of best collaborative processes was identified by a Kansas University workgroup who conducted a thorough review of the literature.
12 Items marked with a “*” were used in the development of the typology of coalition maturity (i.e., Establishing, Functioning, Maturing, Sustaining). These items are being preserved in order to facilitate historical comparisons.
File Type | application/msword |
Author | ICF |
Last Modified By | 15150 |
File Modified | 2011-08-05 |
File Created | 2011-04-04 |