Performance Improvement 1999. Environmental Health


TITLE: Evaluability Assessment of CDC-funded Traumatic Brain Injury and Spinal Cord Injury Programs

ABSTRACT: In 1988, the Centers for Disease Control and Prevention (CDC) created the Disabilities Prevention Program (DPP) to reduce the incidence and severity of primary and secondary disabilities in the United States and to promote the independence and productivity of persons with disabilities. This report was commissioned to assess the feasibility of conducting an evaluation of the traumatic brain injury and spinal cord injury (TBI/SCI) programs funded through the DPP, the National Center for Environmental Health (NCEH), and the CDC. Interviews were conducted with Federal and State staff with a background or interest in DPP, external stakeholders, and program staff in eight States. Interview data were used to prepare a logic model of State-level TBI/SCI programs, along with a set of measurable program components that match the activities and the objectives set forth in the logic model. The report finds that: (1) there is a consensus among all stakeholders as to the TBI/SCI capacity building programs' intended goals and on indicators that can be used to measure attainment; and (2) identifying the logic model and framework of measurable components for these programs offers many benefits. In order to strengthen CDC-State partnerships, the report recommends: (1) an appropriate balance in the partnership that allows States to be flexible but also provides parameters to ensure consistency; (2) the provision of regular, consistent feedback on State plans, activities, quarterly reports and surveillance data; (3) grounding program design and decisions on valid data, whenever possible (in the absence of data, programs should proceed with a phased approach involving both the CDC and the States in the evolutionary learning process); and (4) the expansion of partnerships at the federal, State, and community levels. (Final report 33 pages plus appendices.)

AGENCY SPONSOR: National Center for Injury Prevention and Control


PHONE NUMBER: 404-488-7098

PIC ID: 6338

PERFORMER ORGANIZATION: Toal, Susan 917 Barton Woods, Atlanta, GA

TITLE: Evaluation of Training for Staff of Childhood Lead Poisoning Prevention (CLPP) Programs, in Light of CDC Revised Policy and Program Priorities

ABSTRACT: Since 1989, Congress has authorized the Centers for Disease Control and Prevention (CDC) to fund State and local health departments to increase childhood blood lead level screening, to improve the follow-up of children with elevated blood lead levels (EBLLs), and to provide protection information. Since 1990, many at-risk children who formerly used health department preventive services have now begun receiving their care from private providers and surveys of national BLLs show significant decreases in the number of children with elevated BLLs. The Childhood Lead Poisoning Prevention program priorities were revised according to these changes. This report evaluates the learning objectives of two workshops provided by the National Lead Training and Resource Center (NLTRC), which provides training for CLPP program staff and program managers. "Fundamentals of Childhood Lead Poisoning Prevention"--a 3.5 day training session targeting frontline staff providing direct service--and "Essentials of Program Management for Lead Poisoning Prevention Programs"--a 2.5 day training session targeting generic management issues. The report finds that: (1) the NLTRC and the CDC need to devise a way to systematically review the content of the courses, patterns in the responses of the participants, and trends within grantee programs to determine areas in which updating is necessary; (2) the NLTRC and the CDC should develop an advisory board with representatives from CLPPs and the CDC to decide on course content and training methods for both courses; (3) the NLTRC should combine the best aspects of both of these courses and match the professional training team with the lead content experts; (4) the registration form should be revised to reflect in more detail the level, work setting, and job setting of the participant; and (5) program participants need to be tracked to see if the course is reaching the appropriate target audience. (Executive summary and final report bound separately.)

AGENCY SPONSOR: National Center for Environmental Health


PHONE NUMBER: 770-488-7277

PIC ID: 6702

PERFORMER ORGANIZATION: Macro International, Inc. Atlanta, GA