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A systematic process to facilitate evidence-informed decisionmaking regarding program expansion

A systematic process to facilitate evidence-informed decisionmaking regarding program expansion

Martin, Laurie T., author; Farris, Coreen, author; Adamson, David M., author; Weinick, Robin M., author

While the Department of Defense supports more than 200 psychological health and traumatic brain injury programs, it lacks an approach and process to systematically develop, track, and assess the performance of this portfolio of programs. Further, there is not yet a uniform approach to decisionmaking around program support and expansion of particularly promising, evidence-based programs. This lack of centralized oversight may result in the proliferation of untested programs that are developed without an evidence base; an inefficient use of resources; and added cost and administrative inefficiencies. RAND researchers developed a potential model and tools to support a centralized, systematic, and ongoing process to help in making decisions around continued program support, and by which expansion can be facilitated. This report includes two tools. The first is a Program Abstraction Form, which collects relevant background information from programs and asks explicitly about program effectiveness and the design of the program evaluation used to assess program effectiveness, as a poor evaluation design may lead to incorrect conclusions about the effectiveness of the program. The second is the RAND Program Expansion Tool, which provides a standardized summary of the quality and outcome of a program evaluation. The focus of these tools is on decisionmaking around program expansion, and does not preclude or address initial funding decisions of particularly promising new programs that may not yet have a solid evidence base

eBook, Paperback, Electronic resource, Book. English. Electronic books.
Published Santa Monica, CA : Rand Corporation 2014

This resource is available electronically from the following locations


Statement of responsibility: Laurie T. Martin, Coreen Farris, David M. Adamson, Robin M. Weinick
ISBN: 0833084836, 9780833084170, 9780833084835
Note: "RAND Corporation research report series."--Web page (PDF).
Note: "Prepared for the Office of the Secretary of Defense and the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury."
Note: "National Defense Research Institute."
Note: "RR-487/3-OSD."--Page 4 of printed paper wrapper.
Note: "Approved for public release; distribution unlimited."
Note: "Glossary": pages xv-xvi.
Note: Includes bibliographical references (pages 69-70).
Note: Print version record.
Physical Description: 1 online resource (xvi, 70 pages) : illustrations.
Series: RAND toolkit ; v. 3; RAND Corporation research report series ; RR487z3
Subject: Mental Health Services.; Mental health services Evaluation.; Brain Injuries therapy.; Evidence-based medicine Handbooks, manuals, etc.; PSYCHOLOGY Psychopathology Depression.; Brain Wounds and injuries Treatment Evaluation.; Decision Making.; United States.; Medical care United States Evaluation.; Program Evaluation.; Quality Improvement.; Health services administration United States.; Evidence-Based Practice.
Alternative Title: RAND toolkit
Series Title: Research report (Rand Corporation) ; RR487z3.; RAND toolkit ; v. 3.
Local note: JSTOR Books at JSTOR Open Access


  1. Introduction
  2. Assessing Programs for Possible Expansion
  3. Quality of Evaluation
  4. Program Effectiveness
  5. Population and Policy Priorities
  6. Decisionmaking Regarding Program Expansion
  7. Appendix A: Program Abstraction Form
  8. Appendix B: The RAND Program Expansion Tool and Instruction Manual
  9. Appendix C: Instruction Manual for the RAND Program Assessment Tool.