This article describes the design and evaluation approaches to address the complexity posed by systems change initiatives. The role of evaluations in addressing the following issues is briefly reviewed: moving from strategic planning to implementation, impacts on system-level coordination, anticipated timeline of impact, and individual level…

This special series focused on treatment integrity in the child mental health and education field is timely. The articles do a laudable job of reviewing (a) the current status of treatment integrity research and measurement, (b) existing conceptual models of treatment integrity, and (c) the limitations of prior research. Overall, this thoughtful…

Challenges faced in the evaluation of programs for the disabled are discussed, focusing on values orientation, key stakeholders, program structure, and measurement issues. Workers in the field are presently witnessing a fundamental change in the philosophy that underlies programs for persons with disabilities. Evaluators must be sensitive to the…

The concept of treatment integrity cuts across a diversity of fields involved with providing treatments or interventions to individuals. In medical treatments, the concept of "treatment compliance" or "treatment adherence" is an important and problematic issue. In the field of nutrition, the concept of "dietary adherence" is important for…

Questions assumptions implicit in the fifth objective of National Education Goal 5, calling for critical thinking, communication and problem-solving abilities. Outlines strategies for a national assessment/improvement program, including setting goals, preparing faculty to foster student learning, gathering evidence on outcomes, and using…