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Finding the Impact in a Messy Intervention

Using an Integrated Design to Evaluate a Comprehensive Citywide Health Initiative

Bibliographic Data

ID12470977
AuthorsBeth C Weitzman (0009-0001-0574-9470, New York University, corresponding author), Tod Mijanovich (0000-0001-8454-3018, New York University), Diana Silver (0000-0002-8135-0306, New York University), Charles Brecher (New York University)
Year2009
Volume30
Issue4
Pages495-514
Publication date2009-11-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Evaluation (JOURNAL)
Journal identifiersISSN: 1098-2140 • E-ISSN: 1557-0878
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/1098214009347555
OpenAlexW1994871352
LanguageEN
Citations received8
References cited11

This article uses the evaluation of the Robert Wood Johnson Foundation’s (RWJF) Urban Health Initiative (UHI), a 10-year effort to improve health and safety outcomes in distressed cities, to demonstrate the strength of an evaluation design that integrates theory of change and quasi-experimental approaches, including the use of comparison cities. This paper focuses on the later stages of implementation and, especially, our methods for estimating program impacts. While the theory of change was used to make preliminary identification of intended outcomes, we used the sites’ plans and early implementation to refine this list and revisit our strategy for estimating impacts. Using our integrated design, differences between program and comparison cities are considered impacts only if they were predicted by program theory, local plans for action, and early implementation. We find small, measurable changes in areas of greatest programmatic effort. We discuss the importance of the integrated design in identifying impacts

Economics · Environmental planning · Health impact assessment · Identification (biology · Impact evaluation · Intervention (counseling · Management · Political science · Program Design Language · Program evaluation · Public health · Statistics · Theory of change · Transport engineering · Community Health and Development · Computer Science · Engineering · Environmental Science · Evaluation and Performance Assessment · Homelessness and Social Issues · Mathematics · Medicine · Nursing · Public Administration

  • Theory of Change

    Open Access•Mary J De Silva, Erica Breuer et al.•Trials•2014

  • Using theory of change to design and evaluate public health interventions

    Open Access•Erica Breuer, Lucy Lee et al.•Implementation Science•2015

  • Mainstreaming the framework of ecosystem services to enhance China's policy implementation for sponge city development

    Open Access•Yongchi Ma, Yong Jiang•Sustainable Development•2023

  • An evaluation of the California community intervention

    Open Access•Mary V Modayil, David W Cowling et al.•Tobacco Control•2010

  • A Systematic Review of Theory-Driven Evaluation Practice From 1990 to 2009

    Open Access•Chris L S Coryn, Lindsay A Noakes et al.•American Journal of Evaluation•2011

  • The Good, the Bad, and the Evaluator

    Open Access•Michael H Morris, Michael Morris•American Journal of Evaluation•2010

  • Formal Theory Versus Stakeholder Theory

    Open Access•Huey T Chen, Nannette Turner et al.•American Journal of Evaluation•2012

  • From priority to endgame

    Open Access•K Steer, Kieran J D Steer et al.•Canadian Journal of Public Health•2019

  • Experimental Analysis of Neighborhood Effects

    Open Access•Jeffrey R Kling, Jeffrey B Liebman et al.•Econometrica•2007

  • Strong theory, flexible methods

    Open Access•Ken Judge, Linda Bauld•Critical Public Health•2001

  • How Would We Know What Works

    Open Access•Pauline Burton, Robina Goodlad et al.•Evaluation•2006

  • Integrating a Comparison Group Design into a Theory of Change Evaluation

    Open Access•Beth C Weitzman, B Weitzman•American Journal of Evaluation•2002

  • Integrating a Comparison Group Design into a Theory of Change Evaluation

    Open Access•Beth C Weitzman, Diana Silver et al.•American Journal of Evaluation•2002

  • Systems change as an outcome and a process in the work of community collaboratives for health

    Open Access•James G Emshoff, Adam J Darnell et al.•American Journal of Community…•2007

  • Efforts to Improve Public Policy and Programs through Data Practice

    Open Access•Beth C Weitzman, Diana Silver et al.•Public Administration Review•2006

  • Setting an Agenda for Local Action

    Open Access•Diana Silver, Beth C Weitzman et al.•Policy Studies Journal•2002

  • The Pros and Cons of Comprehensive Community Initiatives at the City Level

    Open Access•Diana Silver, Beth C Weitzman•The Foundation Review•2009

Unique citing works8
Citations per year0,5
Citation span2010 - 2023 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 8

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