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IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina [email protected]

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Page 1: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION?

TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION

SUPPORTAbraham Wandersman

U. Of South [email protected]

Page 2: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

QUESTIONS

• IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION?

• IF TRAINING EVALUATION IS THE ANSWER, WHAT’S THE QUESTION?

Page 3: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

OVERVIEW

• AMBITIOUS GOALS• THE INTERACTIVE SYSTEMS FRAMEWORK FOR

DISSEMINATION AND IMPLEMENTATION• DEMYSTIFYING ACCOUNTABILITY AND

GETTING TO OUTCOMES ® (TAKING A VACATION)

• TOWARD AN EVIDENCE BASED SYSTEM FOR INNOVATION SUPPORT

• SUMMARY (JEOPARDY)

Page 4: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

AMBITOUS GOALS

Page 5: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

• Dr. von Eschenbach: I believe we are at what I call a strategic inflection in biology, which means we're at a point of unprecedented growth in three key areas related to cancer research: knowledge, technology, and resources. The integration of growth in these three sectors provides an opportunity for exponential progress. To achieve this progress, we must set a clear direction and focus our efforts into a cohesive strategy.

Page 6: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

• The goal of eliminating suffering and death due to cancer provides this focus. It does not mean "curing" cancer but, rather, it means that we will eliminate many cancers and control the others, so that people can live with -- not die from -- cancer. We can do this by 2015, but we must reach for it. We owe it to cancer patients around the world -- and their families -- to meet this challenge.

May 16, 2003 BenchMarks

Page 7: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

ADDITIONAL AMBITIOUS GOALS

• SAFETY• PERMANENCY• CHILD WELL-BEING

Page 8: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

DATA - EVIDENCEDATA - EVIDENCE

Page 9: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu
Page 10: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu
Page 11: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

THE GAP BETWEEN RESEARCH AND PRACTICE

• IN THE DOCTOR’S OFFICE

Page 12: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

• OVERALL 54.9% RECEIVED RECOMMENDED CARE

ASCH ET AL STUDY, NEJM, 2006

Page 13: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

POSSIBLE SOLUTION

• VA MEDICAL SYSTEM HAS 67% RECOMMENDED CARE

SYSTEM HAS ELECTRONIC MEDICAL RECORDS, DECISION SUPPORT TOOLS, AUTOMATED ORDER ENTRY, ROUTINE MEASUREMENT AND REPORTING ON QUALITY, INCENTIVES FOR PERFORMANCE

Page 14: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

As Yogi Berra supposedly said,

"In theory there is no difference between theory and practice, but in practice there is."

Page 15: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Gates Foundation

Preventive Intervention

Vaccine/Drug

Mechanism

Syringes

Physician

Health System

Support System

Medical Schools

Government Funding

Page 16: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Traditional Evaluation Model

Agency

Funder

Evaluator

Funder

Page 17: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Partnership Model

RESULTS

Funder

Evaluator

Agency

Page 18: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

HOW DO WE GET FROM HERE TO THERE ?

Page 19: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

THE INTERACTIVE SYSTEMS FRAMEWORK FOR

DISSEMINATION AND IMPLEMENTATION

Page 20: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

io

Distilling the Information—Prevention Synthesis & Translation System

Supporting the Work—Prevention Support System

Putting It Into Practice—Prevention Delivery System

Synthesis

General Capacity Building

Innovation-Specific Capacity Building

General Capacity Use

Innovation-Specific Capacity Use

Macro Policy

Climate

Funding

Existing Research and Theory

Translation

Page 21: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Support System Model

=+To

AchieveDesired

Outcomes

Actual Outcomes Achieved

Current Level of Capacity

Innovation

Training

TA

QI/QA

Tool

Page 22: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

TOOLS

Page 23: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

TRAINING

Page 24: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

TECHNICAL ASSISTANCE

Page 25: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

QUALITY IMPROVEMENT/QUALITY ASSURANCE

Page 26: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

DEMYSTIFYING ACCOUNTABILITY

GTO®

Page 27: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Accountability Questions Relevant Literatures

1. What are the underlying needs and conditions that must be addressed? (NEEDS/RESOURCES)

1. Needs/Resource Assessment

2. What are the goals, target population, and objectives? (i.e., desired outcomes)? (GOALS)

2. Goal Setting

3. What science (evidence) based models and best practice programs can be used in reaching the goals (BEST PRACTICE)?

3. Consult Literature on Science Based and Best Practice Programs

4. What actions need to be taken so the selected program “fits” the community context? (FIT)

4. Feedback on Comprehensiveness and Fit of Program

5. What organizational capacities are needed to implement the program? (CAPACITIES)

5. Assessment of Organizational Capacities

6. What is the plan for this program (PLAN) 6. Planning

7. Is the program being implemented with quality (PROCESS)

7. Process evaluation

8. How well is the program working? (OUTCOME EVALUATION)

8. Outcome and Impact Evaluation

9. How will continuous quality improvement strategies be included? (IMPROVE)

9. Total Quality Management; Continuous Quality Improvement

10. If the program is successful, how will it be sustained? (SUSTAIN)

10. Sustainability and Institutionalization

Page 28: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

GTO as a Painter’s Palette

#1Needs/

Resources

#2Goals

#3Best

Practices

#9Improve/

CQI#8

OutcomeEvaluation

#7Implementation

Process Evaluation

#4Fit

#5Capacities

#6Plan

#10Sustain

RESULTS

Page 29: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

VACATION EXAMPLE

Page 30: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

What Is Getting To Outcomes-2004?

• By Matthew Chinman, Pamela Imm & Abraham Wandersman

• A system based on ten empowerment evaluation and accountability questions that contain elements of successful programming

• Published by the RAND Corporation (quality review)

• Available at no cost at: http://www.rand.org/publications/TR/TR101/

• “Best Practice Process” –WINNER OF 2008 OUTSTANDING PUBLICATION AWARD

• DOWNLOADED OVER 75,000 TIMES

• By Matthew Chinman, Pamela Imm & Abraham Wandersman

• A system based on ten empowerment evaluation and accountability questions that contain elements of successful programming

• Published by the RAND Corporation (quality review)

• Available at no cost at: http://www.rand.org/publications/TR/TR101/

• “Best Practice Process” –WINNER OF 2008 OUTSTANDING PUBLICATION AWARD

• DOWNLOADED OVER 75,000 TIMES

http://www.rand.org/publications/TR/TR101/
http://www.rand.org/publications/TR/TR101/
Page 31: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Levels & AccountabilityCountry State County Agency Provider

Accountability Question

1. NEEDS/ RESOURCES

2. GOALS

3. EVIDENCE-BASED PRACTICES

4. FIT

5. CAPACITY

6. PLAN

7. IMPLEMENTATION

8. OUTCOME EVALUATION

9. CQI

10. SUSTAINABILITY

Page 32: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

TOWARD AN EVIDENCE BASED SYSTEM

FOR INNOVATION SUPPORT (EBSIS)

WANDERSMAN, CHIEN, KATZ(ACCEPTED WITH REVISIONS)

Page 33: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

EVIDENCE BASED SYSTEM for INNOVATION SUPPORT

=+To

AchieveDesired

Outcomes

Actual Outcomes Achieved

Current Level of Capacity

Innovation

Training

TA

QI/QA

Tool

Page 34: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

AN ILLUSTRATION OF EBSIS

• THE MOMS PROJECT FOR SUBSTANCE ABUSING PREGNANT WOMEN

Page 35: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Core Components of MOMS program

• Client-Centered Care• Getting to Outcomes ®• Motivational Interviewing• Rewards system

Page 36: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

EBSIS Components

• Tools• Training• Technical Assistance• Quality Assurance/Quality Assistance

Page 37: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Tool: MOMS Manual• Developing Fall 2009-Spring 2011• Three versions: Clinician, supervisor, and client• Described:– GTO process for individual treatment planning and

deliver– Use of assessment tools for planning, monitoring, and

evaluating client progress– Use of motivational interviewing to move clients

through the GTO Steps• However, we know that many tools end up sitting

on shelves!

Page 38: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Training for Outcome (TFO)

• Developing in conjunction with LRADAC leadership and clinicians

• Utilized thorough assessment of training needs to assure training transfer

• Separated into modules tailored to specific job descriptions

• Delivered 10.21.10-10.22.10 to over 70 staff!

Page 39: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Technical Assistance

• Began immediately following training• Implementation planning January 2011– Using the Quality Implementation Tool (QIT)

• Regular meeting with clinical/supervisory staff around imp. Issues and program refinement

• Clinician booster session re: use of MI and other MOMS components 2.11

Page 40: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

QI/QA

• Monitoring process and Evaluating Outcomes• Assessment of Information System Capacity• Streamline collection and utilization of

information• Designed to:– Inform Continuous Quality Improvement (CQI)– Evaluate multi-dimensional outcomes

Page 41: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

ENHANCING THE SCIENCE AND PRACTICE OF INNOVATION SUPPORT

• ZOOM OUT--THE 40 CELLS OF EBSIS

Page 42: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Tools Training TA QI/QANeeds & Resources

Goals

Best Practices  

Fit  

Capacity  

Plan

Implement/Process Evaluation

Outcomes

CQI

Sustainability

Page 43: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

ZOOM IN--GTO AND WEBINARS

Page 44: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

GTO Step  1. Need and Resources Identification of group to be targeted by the webinar

What does this group need to know?o Conduct a task analysis to determine the focus of webinar

Conduct a value analysis to determine whether presenting issues are worth addressing o Use cost-benefit analysis to determine if perceived benefits of training outweigh

anticipated training costs in terms of financial and resource investment.

1. Goals and Objectives Determine training goals based on needs/resource assessment datao What knowledge or skills will participants gain? (Webinars are more useful for

imparting conceptual or basic procedural knowledge – as opposed to hands-on/skill building-oriented knowledge)

Ensure training goals are aligned with organization’s goals and culture

1. Best Practices Webinar Design and DeliveryEvent management capabilities (e.g., GoToMeeting, Elluminate, AdobeConnectNow) can increase efficiency by automating:

o invitations to the webinar, registration processes, meeting reminders, real-time assessments of satisfaction during webinar, follow-ups and post-webinar feedback surveys, annotations and highlighting procedures, and sharing of documents

Commencement of webinar one or two minutes subsequent to the scheduled starting time in order to maximize attendanceReduction of background noise is important; participants should be instructed to keep their phones on mute until they have a question or a commentPresentation of an outline of the webinar as an introductory PowerPoint slideCounterbalancing of graphics with words in Webinar slides; graphics are important as 55% of learners are visual learners Limit the participant group to 15 to 17 people, especially when training on a new skill. This allows for high levels of interaction and enables the instructor to identify people who may be struggling with the content.Webinar ContentContent of Webinar should align with best practice literature in content area

Page 45: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

1. Fit Customization of webinar advertisements to the population of focus Customization of webinar content to the population of focus

1. Capacities Technical capacitiesDoes the audience have access to computers, internet, space free from distractions, etc.?How many simultaneous users does Webinar software support?Human capacitiesIdentification of individuals for webinar roles: primary presenter, marketer, moderator, and technical coordinator

1. Plan Scheduling of date and time for webinar Distribution of personalized invitations to potential attendees Development of a schedule that outlines the sequence of a webinar’s components or phases Develop webinar content and other materials Rehearse webinar presentation Distribution of reminder emails to individuals who are registered for webinar Maintenance of a library with recorded webinars; individuals who registered for the webinar but no-

showed should be notified about the availability of a recording1. Process Evaluation Monitoring of implementation metrics, including number of registrants, and attendance rate

Monitoring of attendees’ engagement o Use of real-time polls to get feedback about participants’ opinions and attitudeso Use of a real-time “satisfaction meter” as an index of audience engagement

Administration of post-webinar surveyo Collection of Likert self-report data from attendees on: webinar content, webinar design, presenter

effectiveness (clarity and pace), planning and delivery Facilitator debriefings

1. Outcome Evaluation Were Goals and Objectives from Step 2 met?

1. CQI Develop a systematic process for learning from previous webinars to improve future webinars.

1. Sustainability Identify program champions Address funding and marketing issues

Page 46: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Distilling the Information—Prevention Synthesis & Translation System

Supporting the Work—Prevention Support System

Putting It Into Practice—Prevention Delivery System

Synthesis

General Capacity Building

Innovation-Specific Capacity Use

General Capacity Use

Innovation-Specific Capacity Use

Climate

Funding

Existing Research and Theory

Translation

Implem

entation

Implementation

QI/QA

Macro Policy

iGTO

GTO Contracting

Outcomes

Page 47: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

• WHAT CAN FUNDERS, PRACTITONERS, AND RESEARCHERS/EVALUATORS HAVE IN COMMON?

Page 48: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

Accountability Partnership Model

RESULTS

Funder

Evaluator

Agency

Page 49: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

As Yogi Berra supposedly said:

As Yogi Berra supposedly said:

“It’s déjà vu all over again.”

Page 50: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

SUMMARY

Page 51: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

JEOPARDY

AN ANSWER 1) A COST-EFFICIENT COMPONENT FOR

INCREASING CAPACITY FOR KNOWLDEGE, SKILLS, AND BEHAVIOR WITHIN A BROADER SUPPORT SYSTEM

2) ACCOUNTABILITY PROGRAM IMPROVEMENT

Page 52: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

WHAT IS THE PURPOSE OF TRAINING?

• A COST-EFFICIENT COMPONENT FOR INCREASING CAPACITY FOR KNOWLDEGE, SKILLS, AND BEHAVIOR WITHIN A BROADER SUPPORT SYSTEM

Page 53: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

WHAT IS THE PURPOSE OFTRAINING EVALUATION?

• ACCOUNTABILITY • PROGRAM IMPROVEMENT

Page 54: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

STIMULUS QUESTIONS

• What is the purpose of IV E training? (eg what do you hope will be accomplished by IV-E training)

• What is the purpose of training related to CFSR?

Page 55: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

As Yogi Berra supposedly said,

"If you see a fork in the road, take it."

Page 56: IF TRAINING IS THE ANSWER, WHAT’S THE QUESTION? TOWARD AN EVIDENCE-BASED SYSTEM FOR INNOVATION SUPPORT Abraham Wandersman U. Of South Carolina wandersman@sc.edu

REFERENCES• Chinman M, Imm P, Wandersman A (2004). Getting to Outcomes 2004:

Promoting Accountability Through Methods and Tools for Planning, Implementation, and Evaluation. Santa Monica, CA: RAND Corporation, TR-TR101. Available at http://www.rand.org/publications/TR/TR101/.

• Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., et al. (2008). Bridging the gap between prevention research and practice: The Interactive Systems Framework for Dissemination and Implementation. American Journal of Community Psychology, 41, 171-181.

• Wandersman, A., Chien, V., & Katz. J. (accepted with revisions) Toward an Evidence Based System for Innovation Support (Tools, Training, Technical Assistance and Quality Improvement/Quality Assurance. American Journal of Community Psychology.


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