Instrument 1a PREIS_Impact Report Template

PREIS Impact Report Text Template

The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to document the results of your evaluation. Public reporting burden for this collection of information is estimated to average 25 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number and expiration date for this collection are OMB #: 0970-0531, Exp: XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Jean Knab; [email protected].

[Feel free to add graphic or logo]

Evaluation of
[Intervention Name] in
[Geographic area]

Final Impact Report for

[Grantee Organization]

[Date]

Prepared by

[Evaluator Organization Authors]

Recommended Citation: [Authors]. (Year). Evaluation of [Intervention Name(s)] in [Geographic Area]. Evaluator location: evaluator organization.

Acknowledgements:

[In this space, please list contributors to this evaluation report including reviewers and editors that you would like to acknowledge; feel free to acknowledge any persons critical in making the evaluation possible, the program implementation possible, etc.]

Disclosure:

[In this space, please disclose any conflict of interest, financial or otherwise]

This publication was prepared under Grant Number [Insert Grant Number] from the Family and Youth Services Bureau within the Administration for Children and Families (ACF), U. S. Department of Health & Human Services (HHS). The views expressed in this report are those of the authors and do not necessarily represent the policies of HHS, ACF, or the Family and Youth Services Bureau.

Evaluation Abstract:

[Copy from your pre-existing abstract as available. Note: The Methods and Findings sections are new and should be completed as part of this report. In the Findings section, please present both implementation and impact findings, and weave those findings together.]

“The Evaluation of [Intervention Name] in [Geographic Area]”

Grantee

Grantee Name:

Project Lead:

Email address:

Evaluator

Evaluator’s Organization:

Evaluator Lead:

Email address:

Intervention Name

[Start writing here.]

Intervention Description

[Start writing here.]

Comparison Condition

[Start writing here.]

Comparison Condition Description

[Start writing here.]

Behavioral Outcome(s)

[Start writing here.]

Non-behavioral Outcomes

[Start writing here.]

Sample and Setting

[Start writing here.]

Research Design

[Start writing here.]

Data Collection

[Start writing here.]

Methods

[Start writing here.]

Findings

[Start writing here.]

THE Evaluation of [intervention name] in [place]

I. Introduction

A. Introduction and study overview

[Copy and paste text/Start writing here.]

B. Primary research question(s)

[Copy and paste text/Start writing here.]

C. Secondary research question(s)

[Copy and paste text/Start writing here.]

II. Programming for treatment and comparison groups

[Provide an overview of the section here.]

A. Description of program as intended

[Copy and paste text/Start writing here.]

B. Description of comparison condition

[Copy and paste text/Start writing here.]

III. Impact evaluation design

[Provide an overview of the section here.]

A. Identification and recruitment of the study participants

[Copy and paste text/Start writing here.]

B. Research design

[Copy and paste text/Start writing here.]

C. Data collection

[Copy and paste text/Start writing here.]

D. Measures

[Copy and paste text/Start writing here.]

[Copy and paste Tables III.1 and III.2 here.]

E. Study sample

[Copy and paste text/Start writing here.]

[Copy and paste Table III.3 (a or b) here.]

F. Baseline equivalence and sample characteristics

[Copy and paste text/Start writing here.]

[Copy and paste Table III.4 here.]

G. Methods

[Copy and paste text/Start writing here.]

IV. Implementation evaluation

V. Study findings

A. Implementation study findings

[Copy and paste text/Start writing here.]

B. Impact study findings

[Copy and paste text/Start writing here.]

[Copy and paste Tables V.1 and V.2 here.]

C. Additional analyses (if applicable – if not, delete this section)

[Copy and paste text/Start writing here.]

[Copy and paste Tables V.1 and V.2 here.]

VI. Conclusion

A. Summary

[Copy and paste text/Start writing here.]

B. Limitations

[Copy and paste text/Start writing here.]

C. Discussion

[Copy and paste text/Start writing here.]

VII. References

[Copy and paste text/Start writing here.]

Appendix A: Logic model

[Paste logic model here]

Appendix B: Implementation Evaluation

[Copy and paste text/Start writing here.]

[Copy and paste Table B.1.]

Appendix C: Model specification

[Copy and paste text/Start writing here. ]

Appendix D: Data cleaning

[Copy and paste text/Start writing here.]

Appendix E: Implementation Evaluation Methods

[Copy and paste text/Start writing here.]

Appendix F: Intent-to-Treat analyses

[Copy and paste text/Start writing here.]

Appendix S: Sensitivity Analyses

[Copy and paste text/Start writing here.]

[Copy and paste Tables S.1 and S.2 here.]