IHS Special Diabetes Program Competitive Grants Part 1: Introduction to Idea Mapping

1. IHS Special Diabetes Program Competitive Grants Part 1: Introduction to Idea Mapping Cardiovascular Disease Prevention Planning Cynthia C. Phillips, Ph.D. Lisa Wyatt Knowlton, Ed.D. Evaluation Training ̶ January 2005

2. Part 1: Overview • Why • Idea Mapping Basics • Idea Map Examples • “Hands-on” Idea Mapping Exercise

3. Idea Mapping Basics

5. Is your team doing the right work? • Can your team make better decisions? • Is your team making a difference?

6. Is your team doing the right work?Idea Mapping • Can your team make better decisions? Refining Idea Maps • Is your team making a difference? Evaluation Design

7. Evaluation Strengths • Describes activities & accomplishments • Documents progress toward results • Improves practice (funder and grantee) • Informs public policy • Others?

8. Evaluation is Best When… • Program results/outcomes are well defined and described (specific) • Meaningful process and outcome information can be collected (measurable) • The intended users of the evaluation results have agreed on how they will use the information (action-oriented) • Program activities are ones that are known to work with the targeted-type participants (realistic) • How long it will likely take to “see” results is specified (timed)

9. Evaluation Challenges • Takes too long • Too much information • Not very flexible • Not very useful • Hard to connect knowing with doing • Others?

10. Idea Maps • Are one way to illustrate how and why your program “works” • Connects activities to results • Improves programs (SMART) • Makes evaluation more focused and meaningful • Guides learning from experience

11. Basic Idea Map If…then... If…then... BELIEVE DO GET The Beginnings The Planned Work The Intended Results Assumptions Resources Programs/Events Processes Products Short-term Outcomes Long-term Outcomes Impacts

12. Basic Idea Map-IHS If…then... If…then... BELIEVE DO GET The Beginnings The Planned Work The Intended Results Assumptions Resources Programs/Events Processes/Products Short-term Outcomes Long-term Outcomes & Impact Research Experience/Capacity Federal $$ Intensive Intervention Less Intensive Intervention Uniform Core Site Specific

13. One Way to Look at it… Definitions—LMDG page 2

14. Another Way…

15. Resources • Includes the human, financial, organizational and community resources a program has available to direct toward doing the work.

16. Activities • Includes the processes, tools, events, technology and actions that are an intentional part of the program.

17. Outputs • Includes the direct products of program activities—description and number of participants, services and outreach.

18. Outcomes • The specific changes in program participants/communities—attitudes, knowledge, skill and behavior.

19. Impact • Fundamental intended change in individuals, organizations and/or systems that are likely to result from program activities.

20. Family Vacation Example

21. Idea Mapping Process Supports Programming

22. Theory of Change “Big picture” Assumptions Less detail, more graphic Program Shows more detailed plan of action More text-based EvaluationDesign Shows areas of inquiry and methods Idea Map Types

23. Complete Idea Map Example

24. Theory of Change Idea Map Example: Family Harmony

25. Program Idea Map Example: Family Harmony

26. Evaluation Design IM--Questions Example: Family Vacation

27. Evaluation Design Example: Family Vacation

28. Idea Map Exercise

29. Sample Idea Maps • Theory of Change Idea Map for the IHS Special Diabetes Program Competitive Grants • Fictional Idea Map for CVD Project • Fictional Idea Map for Single CVD Strategy

30. Example IHS Theory of Change IM

31. Community Activities Communi-cation Resources Tip Sheets CVD XX% have tips Better Health Status - Improved Awareness re CVD -Increased Physical Activity -Reduced Blood Pressure -New Attitudes -New Skills CVD PSAs XXXX Contacts Established Social MarketingSkills Diabetes Burden CVD Seminar Prior Health Ed Experience Individual Activities XX Patients in Lifestyle Coaching for XX weeks Lifestyle Coaching Participant Prospects Case Mgmt XX Patients in Case Mgmt for XX weeks Clinical Services Exercise Plan XX Patients in Exercise for XX weeks Case Mgrs/ Counselors Nutrition Education XX Patients in Nutrition Ed for XX weeks CVD Risk Reduction Program Idea Map *optional, for demonstration only Outcomes Inputs/Resources Strategy/Activities* Outputs Short Term Long Term Impact Recruit & Select People w Diabetes Knowledge re Effective Health Programming Reduced CVD Incidence Fictional CVD Project IM

32. Better Health Status Positive Changes in Awareness, Knowledge, Skills, Behavior Diabetes Burden Session 1. Are you at risk? Session 2. Act in Time for Heart Attack Session 3. Be More Physically Active Individual Lifestyle Coaching Support and Monitoring session attended & understanding occurs Prior Health Ed Experience session attended & understanding Participant Prospects session attended & understanding occurs Case Mgrs/ Coaches CVD Coaching Idea Map *optional, for demonstration only Outcomes Inputs/Resources Activities* Outputs Short Term Long Term Impact Knowledge re Reduced CVD Incidence Recruit, Select, Engage People w Diabetes Reduced CVD Incidence Fictional CVD Project Single Strategy IM

33. Idea Mapping Template

34. Exercise Instructions • Use the template to develop an idea map for your project’s approach to the recruitment strategy • e.g., reflect on the list of “priorities” you generated yesterday