Evaluation Of Program Implementation Research Articles

Evaluation of remote and in‐person instruction of a social‐emotional learning curriculum in a rural midwestern middle school: A case study

AbstractRural adolescents are at a greater risk for substance abuse and other mental health challenges. There is a need for enhanced evidence‐based prevention efforts. This case study evaluated both remote and in‐person instruction of Second Step®, a social‐emotional learning (SEL) curriculum aimed to improve school‐based prevention efforts. Second Step® was implemented in a rural Midwestern middle school from Fall 2020 to Spring 2022. Pre‐ and post‐surveys were given to 7th grade (n = 233) and 8th grade (n = 146) students. To evaluate program implementation, t‐tests were conducted. Post‐survey scores were compared to evaluate remote versus in‐person learning. Seventh grade students showed significant improvement of self‐efficacy in overcoming obstacles, and this was expanded via in‐person instruction. Eighth grade students increased knowledge of identifying and disrupting bullying, and the goal‐setting unit showed more success taught via remote instruction. Second Step® shows promise in increasing self‐efficacy and knowledge of SEL topics. Exploratory results suggest both in‐person and remote implementation should be considered.

Analisis Model Pengambilan Keputusan Dalam Program Pemberian Suplemen Makanan Pada Anak-Anak Stunting Kota Surabaya

Stunting in children and toddlers is an urgent health issue in the city of Surabaya, Indonesia. This research aims to develop effective decision-making strategies in tackling stunting in the city. Through a risk factor analysis approach, evaluation of local needs, and cross-sector collaboration, a holistic and sustainable intervention strategy can be formulated. This study highlights the importance of active community involvement, including the role of mothers and families, as well as support from local governments and health institutions. Regular evaluation of program implementation and monitoring of its impact are also the main focus. Surabaya has allocated a special budget, formed a Stunting Reduction Acceleration Team, and designed an integrated recording system. Even though the food supplement program is supported by the pregnant women class, there are still obstacles such as managing a large population and low food availability. The Fishbone model is used to analyze children's nutritional needs and the factors that cause stunting. It is hoped that the results will provide practical guidance for decision makers and stakeholders in designing and implementing effective stunting prevention programs, with the ultimate aim of improving the health and welfare of children in the city of Surabaya.

EDUKASI PANGAN DAN JAJANAN YANG AMAN SEHAT SERTA BERMUTU DI SMA NEGERI 20 BATAM

This community service initiative is designed to provide an alternative educational platform targeting both educators and students. Furthermore, it seeks to engage the participation of students' parents and committees in supporting school food safety programs. Concurrently, educators are equipped with the skills to enhance the management of school canteens, ensuring the provision of snacks that meet stringent safety, quality, and nutritional standards. The primary objective is to cultivate awareness among all members of the school community regarding the paramount importance of selecting snacks that are not only safe but also of high quality and nutritional value. It is anticipated that this heightened awareness will empower the community to make judicious choices in their food consumption. The methodology employed in this community service initiative includes the dissemination of learning materials and references through structured presentations and interactive sessions, incorporating a question-and-answer format. Participants undergo a comprehensive learning process, acquiring knowledge and practical skills through demonstrative sessions that are subsequently applied. Through the evaluation of program implementation and outcomes, factors supporting or hindering the success of this community service initiative can be discerned. The socialization process places a particular emphasis on elucidating the potential hazards associated with the misuse of substances in food, such as rhodamine B, methanyl yellow, formalin, and borax. Participants are not only informed about these dangers but are also provided with guidance on effectively educating and guiding students towards the consumption of healthful snacks. The initiative additionally aspires to motivate educators to prioritize the psychological well-being of their students, with the ultimate goal of fostering independence within the school community concerning food safety.

Evaluation of Implementation Strengthening Character Education's Program at Junior High School in Sorong Regency

Strengthening Character Education (PPK) is one of the Nawacita points that was proclaimed so that the national character education process must be carried out actively by education providers in developing the learning process by carrying out the process of internalization and appreciation of the character values ​​reflected in the curriculum. This research aims to determine teachers' understanding regarding the Strengthening Character Education program, implementation, and results of the PPK program in mathematics subjects at Sorong Regency Middle Schools, Southwest Papua, Indonesia. This was evaluation research using Stake’s Countenance Evaluation Model. The research subjects were all junior high school teachers and students in Sorong Regency. The research sample was determined using the purposive sampling technique. Three schools were selected from all junior high schools in Sorong Regency, one each with A, B, and C accreditation, with a total sample of 695 consisting of 648 students and 47 teachers. The evaluation of program implementation was reviewed based on teachers' understanding, implementation, and results of implementing the PPK program. Data collection was carried out through documentation, interviews, and questionnaires. The study showed that 1) teachers' understanding and planning regarding the PPK in mathematics subjects is in the good category; and 2) the implementation of the PPK in mathematics subjects is still not running optimally. These results can be used to recommend improvements to the character education program.

Program Evaluation of the Student Sports Education Center (PPLP) for West Sumatra Province Football

The problem in this study is the weak support and attention to coaching the West Sumatra PPLP football branch, still less than expected is still not optimal. So that the expected achievements and coaching of PPLP football have not been achieved. The purpose of this study was to evaluate the coaching and training program of PPLP for West Sumatra football. The method in this study uses a qualitative descriptive approach using the CIPP (Context, Input, Process, Product) method. This research data was obtained through observation, interviews and documentation. The results of the study were found in terms of context that the coaching process and also the training program process that had been implemented were in accordance with what was expected to have run with the vision and mission. In terms of input, it is still not maximal, it can be seen that the athlete rerukmen still does not involve psychologists and sports doctors, facilities and infrastructure are still not optimal, and the funds / budget allocated have run according to the rules but are still not optimal. Process Aspect in program implementation Evaluation and minotoring activities are running and carried out well, the implementation of the training program has gone well as expected, Communication / socialization of the program with athletes is quite maximal. In terms of Product achievement target West Sumatra Football The achievement of West Sumatra pplp athletes in the sport of football has reached the target and is optimal in coaching efforts and also the breeding of athletes can be seen the achievements that have been achieved by west Sumatra pplp football athletes.

Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: a comparative effectiveness trial study protocol

BackgroundRural residents generally lack adequate physical activity to benefit health and reduce disparities in chronic diseases, such as cardiovascular disease and certain cancers. The Socioecological Model describes physical activity as involving a dynamic and reciprocal interaction between individual, social, and community factors. Community group-based walking programs and civic engagement interventions aimed at enhancing physical activity have been successful in rural communities but have not targeted all three socioecological levels. Public libraries can act as innovative public health partners in rural communities. However, challenges remain because rural libraries often lack the capacity to implement evidence-based health promotion programming. The goals of this study are (1) build the capacity for rural libraries to implement evidence-based health promotion programs, (2) compare changes in physical activity between a group-based walking program and a combined group-based walking and civic engagement program with rural residents, and (3) conduct an implementation evaluation.MethodsWe will conduct a comparative effectiveness study of a group-based walking (standard approach) versus a group-based walking plus civic engagement program (combined approach) aimed at enhancing walkability to increase physical activity among rural adults. Key mediators between the program effects and change in outcomes will also be identified. Finally, we will evaluate program implementation, conduct a cost effectiveness evaluation, and use a positive deviance analysis to understand experiences of high and low changers on key outcomes. Twenty towns will be matched and randomized to one of the two conditions and our aim is to enroll a total of 350–400 rural residents (15–20 per town). Study outcomes will be assessed at baseline, and 6, 12, and 24 months.DiscussionThis study will build the capacity of rural libraries to implement evidence-based walking programs as well as other health promotion programs in their communities. The study results will answer questions regarding the relative effectiveness and cost effectiveness of two multilevel physical activity interventions targeting rural communities. We will learn what works and how these multilevel interventions can be implemented in rural populations.Trial RegistrationClinicalTrials.gov Identifier: NCT05677906.

Lokakarya Pendekatan Berpusat pada Siswa: Kunci Perubahan Positif dalam Pendidikan Sekolah Penggerak Angkatan 3 di Kabupaten Bireuen

This program has a strong aim to improve the quality of education in Bireuen Regency by focusing on implementing a student-centered approach and the Merdeka Belajar curriculum. Through a series of workshops and intensive collaboration, the program has achieved significant results. The participants, consisting of teachers, supervisors, and principals, have experienced a deeper understanding of the student-centered approach, relevant learning strategies, and the Merdeka Belajar curriculum. The impact can be seen in the development of learning materials that are more suited to students' interests and needs, the creation of an inclusive learning environment, and strict monitoring and evaluation of program implementation. Apart from that, this program also makes a significant contribution in forming more competent educational leaders through the 3rd Generation Driving School Program. The target community for this program involves various stakeholders, including teachers, teaching staff, school principals, supervisors, and other parties. related. With a sharp focus on improving the quality of education, this program aims to have a broad and sustainable positive impact on the world of education in Bireuen Regency. This service activity creates a strong basis for continuous education improvement and strengthens commitment to implementing a student-centered approach and the Merdeka Belajar curriculum as an important foundation in improving the quality of education in Bireuen Regency.

Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis.

The rate of cesarean section is on the rise in both developed and developing countries, and Iran is no exception. According to the WHO, physiologic labor is one of the main strategies for reducing cesarean section and improving the health of mothers and newborns. The aim of this qualitative study was to explain the experiences of health providers regarding implementation of the physiologic birth program in Iran. This study is a part of a mixed-methods study, in which 22 health providers were interviewed from January 2022 to June 2022. Data analysis was performed using Graneheim and Lundman's conventional content analysis approach and using MAXQDA10 software. Two main categories and nine subcategories emerged from the results of this study. The main categories included "the obstacles to the implementation of the physiologic birth program" and "strategies for improving implementation of the program". The subcategories of the first category included: lack of continuous midwifery care in the healthcare system, lack of free accompanying midwives, lack of integrated healthcare and hospitals in service provision, low quality of childbirth preparation and implementation of physiologic birth classes, and lack of requirements for the implementation of physiologic birth in the maternity ward. The second category included the following subcategories: Supervising the implementation of childbirth preparation classes and physiologic childbirth, support of midwives by insurance companies, holding training courses on physiologic birth, and evaluation of program implementation. The experiences of the health providers with the physiologic birth program revealed that policymakers should provide the ground for the implementation of this type of labor by removing the obstacles and providing the particular operational strategies needed in Iran. Important measures that can contribute to the implementation of the physiologic labor program in Iran include the following: Setting the stage for physiologic birth in the healthcare system, creating low- and high-risk wards in maternity hospitals, providing professional autonomy for midwifery, training childbirth providers on physiologic birth, monitoring the quality of program implementation, and providing insurance support for midwifery services.

THE EFFECTIVENESS OF INTERACTIVE MULTIMEDIA-BASED LEARNING METHODS TO INCREASE THE MOTIVATION OF ELEMENTARY SCHOOL TEACHERS IN THE JSIT KULONPROGO ENVIRONMENT

Teachers' motivation in developing multimedia in primary-secondary school teachers who are members of the Kulonprogo integrated Islamic school network is still low. The purpose of this study is to see if there is a significant effect on teacher motivation after providing interactive multimedia training to teachers. Multimedia training includes providing material about interactive multimedia, making multimedia by teachers, mentoring, demonstrations and producing interactive multimedia products from elementary junior high schools. The research method used is a pre-experiment design involving 25 primary-secondary school teachers who are members of the Kulonprogo integrated Islamic school network. The sampling technique used is purposive sampling and uses the Wilcoxon test in data analysis. Activities will be carried out using offline and online methods using a theoretical and practical approach. Theoretical material and practical assistance are carried out in the Kapanewon Kulonprogo area. The implementation of activities will be reflected through an evaluation of the participants' understanding of the material, seen from the performance, work results, program implementation evaluation questionnaire. Training is carried out offline and online. Offline training was held at the Yogyakarta State University Hall, Wates Campus offline and online through the zoomeeting application. The results of the implementation of this training based on the pre-post questionnaire obtained an increase in pre-post results from an average of 58.2 to an average of 69.52. While the results of data processing using SPSS obtained Sig Value. <0.05, this shows that there is a significant effect on teacher motivation before and after the provision of training in making interactive multimedia for teachers. The conclusion of the research is that there is a positive influence on teacher motivation before and after the provision of interactive multimedia training to elementary and junior high school teachers who are members of an integrated Islamic school network in Kulonprogo Regency, Yogyakarta Special Region.

Evaluation of the Implementation of the Family Hope Program (PKH) in the Education Sector in Nagari Guguak Tabek Sarajo, IV Koto District, Agam Regency

Lack of collaboration is what inspired this study between groups of recipients of PHK assistance, lack of supervision from government agencies towards the community, lack of realization of layoff funds for educational purposes. So that the general purpose of this study focuses on the implementation of the family of hope program in the field of education in the country of Guguak Tabek Sarojo . the specific objective is to see the evaluation of the family of hope program in the countryof Guguak Tabek Sarojo. This research is a qualitative descriptive type with the research location in Nagari Guguak Tabek Sarajo IV Koto district, Agam Regency. Collection techniques used observation interviews and recording. Analysis techniques used reduction, presentation and inference extraction or confirmation. The findings obtained are that (1) this layoff assistance can increase human resources so as to improve the quality of education for the lower middle class community, (2) program planning in the evaluation of implementation, (3) formative evaluation of program implementation in the education sector has been carried out although there are still few the obstacles experienced (4) the achievement of the summative program in education can be seen from the positive response of the people who receive layoff assistance. It is recommended that the persons in charge work together and coordinate with each other and charge to make a clear structure explaining their respective responsibilities. Keywords: Evaluation, Program, Education, PKH

Implementing a Post-Discharge Telemedicine Service Pilot to Enhance the Hospital to Home Transition.

The objectives of this study are to (1) describe our postdischarge telemedicine program and (2) evaluate program implementation. At our single-center tertiary care children's hospital, we launched our postdischarge telemedicine program in April 2020. We used the Template for Intervention Description and Replication framework to describe our pilot program and Proctor's conceptual framework to evaluate implementation over a 9-month period. Retrospective chart review was conducted. Descriptive analyses were used to compare demographics and health care reutilization rates across patients. Implementation outcomes included adoption (rate of scheduled visits) and feasibility (rate of completed visits). Effectiveness outcomes included the rate of postdischarge issues and unscheduled healthcare utilization. We established a postdischarge telemedicine program for a general pediatric population that ensured follow-up at a time when in-person evaluation was limited because of the coronavirus disease 2019 pandemic. For implementation evaluation, we included all 107 patients in the pilot program. Adoption was 100% and feasibility was 58%. Eighty-two percent of patients completing a visit reported one or more postdischarge issues. There was no difference in health system reutilization between those who completed a visit and those who did not. Implementation of a postdischarge telemedicine service is achievable and promotes early detection of failures in the hospital to home transition. Directions for future study will include rigorous program evaluation via telemedicine program assessment tools and sustainability efforts that build upon known implementation and health service outcomes.

Electronic Logbook sebagai Strategi Quality Improvement Model Preceptorship dan Mentorship Perawat

This study aims to identify problems and develop a quality improvement strategy design in the perinatology installation of X Hospital. The method used is a case report using an action research approach. The results showed that the majority level of the preceptor's role was still low (68.2%), but the psychological empowerment and self-efficacy level of preceptor nurses was high (54.5%; 59.1%). The story of commitment to the preceptor's role and the preceptor's perception of benefits and rewards was also low (66.7%; 66.7%), but the preceptor's perception of support was high (66.7%). Evaluation of the implementation of the electronic logbook obtained data that the majority of nurses felt that the role and function of the head of the room in program implementation were good and the technical evaluation of program implementation was also appropriate, but the need for socialization in implementing the program needed to be increased again. In conclusion, nurse managers must strive to educate and improve the motivation and commitment of nurses in supporting the change program, followed by program monitoring and evaluation activities.
 Keywords: Electronic Logbook, Mentorship, Nurse, Preceptorship

Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra.

Stunting prevalence varies significantly across Indonesian provinces and districts/municipalities, including West Sumatra. This research aims to identify the driving and inhibiting factors for implementing the stunting reduction acceleration program at the district level in West Sumatra. The research was conducted in 2022 with a qualitative study design and a case study approach. Data were collected through (i) group interviews with key informants involving policymakers and program managers at the provincial, district, sub-district, and village levels and (ii) in-depth interviews with mothers of stunted children. Two districts were selected as research sites. One district represents an area that has yet to be developed (District A or failed district). The other district has seen a significant reduction in the prevalence of stunting (District B or successful district). We found several driving and inhibiting factors that affect the reduced prevalence of stunting, such as the need for the relevant agency to play a strong role as the leading and responsible sector for stunting convergence actions. Another important factor is paying close attention to improving the quality of stunting data and providing adequate funding support. High commitment from Public Health Centers to maternal health through classes for pregnant women, infants, and children under the age of five can also have an impact. Furthermore, properly performing duties by assigned actors in specific and sensitive programs and integrated monitoring and evaluation of program implementation and outcomes can influence stunting prevalence. Recommendations for accelerating stunting reduction include improving communication and coordination, establishing stunting prevalence reduction as a performance indicator among the related district government and its various agencies, and assisting the village administration with planning and budgeting to support stunting prevention.

Designing and Implementing a Family Literacy Program Through Smartphones: How Does Recruitment Method Influence Uptake and Attrition?

Texting-based programs are increasingly used to support parents as their child's first teacher and create links between home and school. However, there is scant evidence about the influence of program implementation on parent uptake and attrition-a key component of such programs. This article describes the design and delivery of Kindytxt, a literacy-based text-messaging program for parents with a child at Kindergarten in Western Australia, and examines the influence of recruitment method, area socioeconomic status, and teacher participation on parent uptake and attrition. Results indicate that embedding Kindytxt into a well-established family literacy program provided the infrastructure and mechanism for extensive program reach, and the recruitment method, specifically the involvement of the kindergarten teacher, significantly influenced parent registration. However, attrition rates were not significantly affected by the area socioeconomic status of participating schools, recruitment method, nor teacher participation in Kindytxt. The results suggest that teacher involvement may be the crucial factor in enabling parents to access texting programs, regardless of the socioeconomic status of the school community. The design elements may be used to inform future program development, and the research results highlight the importance of documenting and including the method of delivery as variables in the evaluation of program implementation.

EVALUATING IMPLEMENTATION OF AN ONLINE INTERGENERATIONAL TECHNOLOGY PROGRAM

Abstract Social isolation and loneliness contributed to poor health outcomes among rural older adults prior to COVID-19. Physical distancing protocols during COVID-19 exacerbated social disconnect of rural older adults and paused in-person intergenerational programs. Pilot data from a Cyber-Seniors program that was adapted for virtual delivery and participation during the pandemic (2020-2021) indicates positive health outcomes for older adults (improved social isolation and loneliness). This presentation will address a gap between outcomes and the implementation process of the intergenerational technology program. Multi-method data on student experiences as technology mentors working at a distance suggest a need for an evaluation of program implementation. The type 1 effectiveness-implementation hybrid design includes quantitative measures of student outcomes (ageism, social isolation, and loneliness) and qualitative analysis of students’ program implementation experiences. Students identified challenges accessing and working with the online platforms, scheduling meetings with older adults, and providing support with online systems by phone.

Learning from the Implementation of the Child Nutrition Program: A Mixed Methods Evaluation of Process.

Nutrition and feeding interventions are important for children's growth and development. Holt International's Child Nutrition Program (CNP) is a child nutrition and feeding intervention. This study aims to describe and explore the implementation of CNP in Mongolia and the Philippines using mixed methods including qualitative and quantitative data analysis. The analysis framework was guided by the WHO's Monitoring the Building Blocks of Health Systems. Key informant interviews (KIIs) were conducted, transcribed, translated and coded. Knowledge, Attitude and Practice Surveys (KAPS) and pre-/post-tests from routine program audit data were analyzed. Analysis of nutrition (Mongolia: 95% CI: 7.5-16.6 (p = < 0.0001), Philippines: 95% CI: 7.6-15.7 (p= < 0.0001)) and feeding (Mongolia: 95% CI: 11.7-23.9 (p = < 0.0001), Philippines: 95% CI: 6.6-16.9 (p = < 0.0001)) tests indicate improvement post-training in both countries. KAPS indicate changes in desired practices from pre-training to post-training. Thematic analysis of KIIs highlight essential components for program implementation and effectiveness, including strong leadership, buy-in, secure funding, reliable supply chains, training and adequate staffing. This evaluation of program implementation highlights successful strategies and challenges in implementing CNP to improve the health of children in Mongolia and the Philippines. Lessons learned from the implementation of CNP can inform growth of the program, scaling strategies and provide insights for similar interventions.

Pelatihan Cara Pengepakan dan Cara Pemasaran Produk Handy Craft Accessories di PPTQ Ar Rohmah Desa Codo Kecamatan Wajak Kabupaten Malang

Codo Village, Wajak District, Malang Regency is a village with a predominantly Muslim population, so that in this village there are many Islamic boarding schools that have been established. There are many opportunities to carry out community development programs through young men and women at the Islamic boarding school in Codo Village. One of the trainings that has the potential to be carried out is Training on Making Handy Craft Accessories and how to pack and market them. Through this training the students/students in the pesantren can explore their potential and develop their creativity in the field of Handy Craft. The steps taken are as follows: (1) direct observation to the Islamic boarding school; (2) Analyze the results of the observations; (3) The 2nd observation is carried out to describe the work program to be carried out at the pesantren; (4) carry out training; and (5) Evaluation of program implementation. The training was held in one place, namely at the PPTQ AR ROHMAH in Codo Village. The participants were very enthusiastic in participating in the training. They train pretty well and earnestly. Many of the participants were skilled at the end of the training.

Implementation of Hourse Law In Ngestirejo Tanjungsari Gunungkidul Tourist Village

This study aims to get an overview of how the Horse Care Training process in the Tourism Village of Ngestirejo, Tanjungsari District, Gunungkidul Regency, using a qualitative approach through the case study method. Data collection techniques were carried out in this study using observation, interviews and documentation related to training activities. The data analysis stage in this study uses three steps, including: 1) data condensation, 2) data display, and 3) conclusion drawing and verification. While the validity of the data in this study using triangulation techniques and persistence in field observations. This study shows that implementation is carried out in five stages; 1) Determination of needs, 2) determination of targets, 3) Determination of Training Materials, 4) implementation of the program and 5) Evaluation of Program Implementation. Outcomes of the Training: 1) The trainees understand and know how to properly care for horses. 2) The trainees know the stages of guiding and riding a horse as a tour. 3) The trainees are motivated and have high enthusiasm in participating in the training.Keywords: implementation, training, horse care, tourist village

Membudayakan Moderasi Melalui Program Penguatan Moderasi Beragama

The rise of religious and cultural intolerance, conflict between and among religious adherents, and even the nation's disintegration have given rise to a national program to strengthen religious moderation. Aims to examine and describe the culture of moderation in planning to strengthen religious moderation, describe the approach to the culture of moderation in program implementation, and analyze the monitoring and evaluation of program implementation carried out by the Hindu Community Guidance Sector work unit of West Nusa Tenggara Province. To answer these three objectives, 3 (three) theories are used: contingency approach, systems theory, and Anthony Giddens' structuration theory. This study uses a qualitative phenomenological paradigm. Technique for determining informants purposively with criteria, as participants, committee, planner, and person in charge. It can be concluded: 1) cultivating moderation in the planning of the program to strengthen religious moderation in the work unit of the Hindu Guidance Division of West Nusa Tenggara Province, targeting the strengthening of the Pancasila ideology in the nation and state and strengthening Hindu values that are inspired by religious moderation; 2) the implementation approach cultivates moderation, not yet innovative. The participants involved were still homogeneous. The program's target is still limited to understanding tolerance and not yet formulating a model of tolerance for a multicultural society; 3) monitoring and evaluating the cultivation of moderation in the Hindu Guidance Sector of the Regional Office of the Ministry of Religion of NTB Province using the Formative Summative Evaluation Model. It can be recommended: 1) the proposed program is expected to be more innovative, 2) religious moderation agencies (subjects) should involve a lot of leadership elements at the spearhead (close to the community), and be heterogeneous.

Implementation and outcome evaluations of a multi-site improvement program in cancer genetics.

Program evaluation can identify the successes and challenges of implementing clinical programs, which can inform future dissemination efforts. A cancer genetics improvement program, disseminated from the Lead Team's institution to five health systems (Participating Sites), was genetic counselor led, using virtual implementation facilitation to support Participating Sites' performance of quality improvement (QI) activities over several years. Program implementation and outcome evaluations were performed and included evaluation of program delivery and initial effects of the program on Participating Sites. A logic model guided evaluation of program implementation (inputs, activities, outputs, delivery/fidelity, and coverage/reach) and initial outcomes (short-term and intermediate outcomes). Data were collected from program documents and an Evaluation Survey of Participating Site team members (21 respondents), compared against the Lead Team's expectations of participation, and analyzed using descriptive statistics. All program inputs, outputs, and activities were available and delivered as expected across the five Participating Sites. The most frequently used activities and inputs were facilitation-associated meetings and meeting resources, which were rated as useful/helpful by the majority of respondents. Nearly all respondents noted improvement in short-term outcomes following participation: 82.4% reported increased awareness of clinical processes, 94.1% increased knowledge of QI methods, 100% reported increased perceived importance of QI, 94.1% increased perceived feasibility of QI, and 76.5% reported increased problem-solving skills and self-efficacy to use QI at their site. Intermediate outcomes (identifying barriers, developing interventions, improved teamwork, and capacity) were achieved following program participation as indicated by the results of the program document review and Evaluation Survey responses. Implementation challenges at Participating Sites included staffing constraints, difficulties obtaining buy-in and participation, and developing interventions over time. The multi-site improvement program was delivered and implemented with high levels of fidelity and resulted in improved short and intermediate outcomes. Future research will evaluate long-term, patient-level outcomes associated with site-specific QI interventions.