Health Resources in Action, 2 Boylston Street, Boston, MA, 02116, United States.
Tufts University School of Medicine, Boston, MA.
Eval Program Plann. 2020 Dec;83:101858. doi: 10.1016/j.evalprogplan.2020.101858. Epub 2020 Aug 4.
Funders are increasingly making strategic investments across multiple grantees, aiming for their portfolio to improve targeted outcomes in a specific issue area. To this end, funders might use multi-site evaluation (MSE) approaches to examine the impact of their collective investments. However, it is important to recognize that each program-and its own program evaluation-must be tailored to its setting, population, and local context to best meet the needs of its target population. Therefore, multi-site evaluations need to account for this complexity. This paper describes the Sí Texas project, a large initiative of eight grantees implementing different integrated behavioral health models to improve physical and mental health outcomes along the Texas-Mexico border. With over 4,200 MSE study participants, the evaluation for Sí Texas used a partnership-centered approach to both enhance the evidence base and build local organizational capacity. This paper describes this approach, the process of tailoring evaluation practices to the grantees' context, and the challenge of balancing consistency at the grantee-level for the portfolio multi-site evaluation. Successes, challenges, and lessons learned related to study design, data collection, grantee partnership, and capacity building are discussed.
资助者越来越多地在多个受赠者之间进行战略性投资，旨在通过他们的投资组合改善特定问题领域的目标成果。为此，资助者可能会使用多地点评估（MSE）方法来研究其集体投资的影响。然而，重要的是要认识到，每个项目及其自身的项目评估都必须根据其背景、人群和当地情况进行定制，以最符合其目标人群的需求。因此，多地点评估需要考虑到这种复杂性。本文介绍了 Sí Texas 项目，这是一个由八个受赠者实施不同综合行为健康模式的大型倡议，旨在改善德克萨斯州-墨西哥边境的身心健康成果。Sí Texas 的评估有超过 4200 名 MSE 研究参与者，采用以伙伴关系为中心的方法来增强证据基础并建立当地组织能力。本文描述了这种方法，以及根据受赠者的情况调整评估实践的过程，以及平衡组合多地点评估中受赠者层面一致性的挑战。本文还讨论了与研究设计、数据收集、受赠者伙伴关系和能力建设相关的成功案例、挑战和经验教训。
