FUTURE SUCCESS: WHAT IS REQUIRED?
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FUTURE SUCCESS: WHAT IS
REQUIRED?A Case for
Collaborative Multisite Evaluation
National Institute forOccupational Safety and Health
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Presenters:
Vicky Buchan, Ph.D.
Sue Tungate, MSW
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NIOSH Agricultural Centers By Regional Boundaries
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MULTISITE EVALUATION TEAM Past and Present
Vicky Buchan - HI-CAHSBarbara Brooner - Pacific Northwest CenterHenry Cole - Southeast CenterCarol Donnelly - Southeast CenterGiulia Earle-Richardson - Northeast CenterTara Erb - Northeast CenterVirginia Fischer – National Farm Medicine CenterKaren Gilmore - Southwest CenterSusan Hewitt - HI-CAHSAdrienne Hidy - Pacific Northwest CenterBarbara Kennedy - Deep-South CenterRose Krebill-Prather - UC Davis CenterMarian McDonald - Southeast Center
Marian McDonald - Southeast Center Sharon Morris - Pacific Northwest CenterDeb Multerer - National Farm Medicine CenterPat O’Connor-Marer - UC Davis CenterBarbara Pies - Great Plains CenterRisto Rautiainen - Great Plains CenterPete Rentos - Deep-South CenterMary Lynne Thames - Southwest CenterDavid Tipton - Southeast CenterChristine Townsend - Northeast CenterSue Tungate - HI-CAHSKatheryn Wilson – Southeast CenterNancy Young - National Farm Medicine Center
A special thanks to HI-CAHS support staff and interns
Angi BuchananHelen-Holmquist JohnsonTammy Brannen-Smith
Chris BartholomewMarilyn DavisMary Gardner
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Where we came from
NIOSH focus on agriculture1989, Agriculture at Risk: A Report to the Nation
Based on 1988 Iowa conference to develop agricultural occupational and environmental health policy strategies for the future
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NIOSH Agricultural Initiative
Original Extramural programsAgricultural Safety & Health CentersFarm Family Health and Hazard SurveillanceO. H. Nurses in Agricultural CommunitiesAgricultural Health Promotion SystemsCancer Control Demonstration Projects
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Kennedy ReportThe first recommendation
addressed the need for evaluation.
NIOSH and the Centers need to work together to develop an evaluation scheme for:
The various component programs and projects [within site] andThe Centers overall [multi- or cross-site]
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Issues Important to ACE
Congressional intent that Initiative have “a significant and measurable impact”BSC recommendation for overall strategic planning processBSC recommendation for better internal and external communication
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The Beginnings of ACE
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NIOSH Agricultural Center Initiative
Objectives1. Conduct research2. Implement model education outreach3. Evaluate control technologies4. Implement model programs5. Evaluate6. Provide consultation and training7. Develop linkages and
communications8. Dissemination
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DISEASE & INJURY
WORK ENVIRONMENT & WORKFORCE
RESEARCH TOOLS & APPROACHES
Allergic and Irritant DermatitisAsthma and Chronic Obstructive Pulmonary
DiseaseFertility and Pregnancy AbnormalitiesHearing LossInfectious DiseasesLow Back DisordersMusculoskeletal Disorders of the Upper
ExtremitiesTraumatic Injuries
Emerging TechnologiesIndoor EnvironmentMixed ExposuresOrganization of WorkSpecial Populations at Risk
Cancer Research MethodsControl Technology and Personal Protective
EquipmentExposure Assessment MethodsHealth Services ResearchIntervention Effectiveness ResearchRisk Assessment MethodsSocial & Economic Consequences of Workplace
Illness & InjurySurveillance Research Methods
NORA CATEGORY PRIORITY RESEARCH AREAS
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GOAL OF COLLABORATIVE
MULTISITE EVALUATION
To coordinate center evaluation efforts seeking standardization of methodology to enable continual
monitoring of progress and impact of the whole INITIATIVE without losing
individual uniqueness of each center
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OBJECTIVESDocument Initiative progressFacilitate Inter-Center/NIOSH collaborationIncrease Initiative effectivenessAssist Initiative program planning
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Short Term
Measures
Mid Term Measures
Long Term Measures
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NIOSH Objectives
--
NORA
Indicators and Key Variables
Initiative PR
Report
Annual Multisite Initiative Report
Information for Center Reporting
MULTISITE EVALUATIONNIOSH Agricultural Initiative
MissionHEALTH SAFETY PREVENTION
Initiative Multisite Database
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Database Variables
Identifying InformationCenter & PHRTitle & DescriptionCenter or Project ObjectivesPI or Contact PersonStatus
Key VariablesStrategy (Research, Intervention, Education, Evaluation)Topic or Key WordActivitiesProfessional Education or TrainingProductsTarget Group Demographics & Number of Contacts
IndicatorsCollaborationDisseminationLeveragingRegionalizationReplicationResearch NeedSpecial Sector
NIOSHNIOSH Objectives (number)NORA – Priority Research
Area (for Research)
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MULTISITE CHALLENGES
After-the-fact evaluation projects(or retrospective evaluations)Variation in program implementation (even if similar objectives across sites)Contextual differences between sites lead to further adaptationMultiple theoretical perspectivesDifferential “buy-in” to need for and purpose of evaluation
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The ProcessCommunication
Conference CallsE-mails
MeetingsPlanningTravelAgendaTimelinesDocumentation
Database Design and Documentation
Orientation Data AggregationCollate Team OutputOrganizationArchiving
Annual Reports
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RESEARCH QUESTIONS1. Target population contacts - By NIOSH Objective? By strategy?2. Research projects - By NORA3. Special Sector activities4. Products achieved5. Target groups of Initiative6. Collaborative efforts – NIOSH & Centers or others7. Education & Training under Center Auspices8. Value of leveraged funds & services9. Regionalization – States where Center activity occurred
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0
5000
0
1000
00
1500
00
2000
00
2500
00
Nu
mb
er o
f A
g I
nit
iati
ve
Co
nta
cts
1. R
esea
rch
2. O
utre
ach
3. C
ontro
l Tec
h
4. P
reve
ntion
5. E
valu
atio
n
6. T
rain
ing
7. L
inka
ges
8. D
issem
inatio
n
NIOSH Objectives
Target Population Contacts by NIOSH Objective
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Number of Initiative Contacts by Region: Research Strategy, FY 2000
These represent the total number of contacts reported by each Agricultural Center for fiscal year2000 that occurred within research projects or activities. The extent of data collection across Centers varies, therefore reported contacts are most likely undercounted. Contact intensity varies,also. For example, some contacts represent direct face-to-face intervention or training, while others could indicate a mass mailing or publication circulation.
Research Contacts<300<2500<5000<10000<35000<170000
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Intervention Contacts<300<1500<3000<5000<10000<25000
Number of Initiative Contacts by Region:Intervention Strategy, FY 2000
These represent the total number of contacts reported by each Agricultural Center for fiscal year2000 that occurred within intervention projects or activities. The extent of data collection across Centers varies, therefore reported contacts are most likely undercounted. Contact intensity varies,also. For example, some contacts represent direct face-to-face intervention or training, while others could indicate a mass mailing or publication circulation.
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Education Contacts<2000<5000<10000<15000<55000<150000
These represent the total number of contacts reported by each Agricultural Center for fiscal year2000 that occurred within education projects or activities. The extent of data collection across Centers varies, therefore reported contacts are most likely undercounted. Contact intensity varies,also. For example, some contacts represent direct face-to-face intervention or training, while others could indicate a mass mailing or publication circulation.
Number of Initiative Contacts by Region: Education Strategy, FY 2000
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Number of Database Records that Address NORA Category I: Disease and Injury
0 5 10 15 20 25
Dermatitis
Asthma & COPD
Reproductive Abnormalities
Hearing Loss
Infectious Diseases
Low Back Disorders
Upper Musculoskeletal Disorders
Traumatic Injuries
Pri
ori
ty R
es
ea
rch
Are
as
Number of Records in the Database
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Number of Database Records that Address NORA Category II: Work Environment and Workforce
0 10 20 30 40 50
EmergingTechnologies
IndoorEnvironment
Mixed Exposures
Organization ofWork
SpecialPopulations
Pri
ori
ty R
es
ea
rch
Are
as
Number of Records in the Database
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Number of Database Records that Address NORA Category III: Research Tools and Approaches
0 5 10 15 20 25
Cancer Research
Control Tech & PPP
Exposure Assessment
Health Services
Intervention Effectiveness
Risk Assessment
Social & Economic
Surveillance Research
Pri
ori
ty R
es
ea
rch
Are
as
Number of Records in the Database
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Database Records with Special Sector Groups in the Primary Target Population
Children38%
Ethnic/Minority Workers29%
Migrant/Seasonal Workers
15%
Women11%
Combination Groups (adult)
5%
Low Income2%
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Count of Center Initiative Products FY 2000
138
108
67
49
48
35
25
24
23
20
20
19
17
0 20 40 60 80 100 120 140 160
Presentations, PowerPoint, slides, overheads
Article published, professional (juried publication)
Reports to NIOSH
Poster
Article published, feature (not juried)
Report, unpublished (research, evaluation)
Data collection instrument
Database
Fact Sheet
Thesis or dissertation
Presentation / speech, written
Exhibit material
Website or webpage established
Pro
du
ct T
ypes
Frequency
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THE FUTURE
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