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Evaluating systems change efforts to support evidence-based home visiting: Concepts and methods

Description:
In 2008, the Children's Bureau (CB) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services funded 17 cooperative agreements to support the infrastructure needed for the high-quality implementation of existing evidence-based home visiting (EBHV) programs to prevent child maltreatment. Grantees are to leverage their grants with other funding sources to support the implementation of EBHV programs with fidelity, the scaling up of these high-fidelity home visiting models, and the sustainability of the models. Grantees must also conduct local implementation, outcome, and economic evaluations. CB/ACF has funded Mathematica Policy Research, Inc. (MPR) and Chapin Hall at the University of Chicago to conduct a participatory and utilization-focused cross-site evaluation of the grantees? initiatives over the next six years. The primary purpose of the cross-site evaluation is to identify successful strategies for adopting, implementing, and sustaining high-quality home visiting programs to prevent child maltreatment. The MPR-Chapin Hall (MPR-CH) cross-site evaluation will focus on four domains: fidelity, costs, systems, and family and child outcomes. The systems domain evaluation relies on system-based evaluation concepts and methods, articulating a theory of infrastructure change that incorporates key system attributes. This memo provides a literature review for the systems domain evaluation. This literature review is not an exhaustive review of complex systems theory or of the EBHV implementation, scale-up, and sustainability literature. Instead, it focuses on three aspects of the systems domain evaluation: (1) the system-based evaluation approach and theory of change, (2) core EBHV infrastructure concepts, and (3) system-based evaluation methods. (author abstract)
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