Usability testing,initial implementation,and formative evaluation of an evidence-based intervention: Lessons from a demonstration project to reduce long-term foster care |
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| Affiliation: | 1. University of Kansas School of Social Welfare, Twente Hall, 1545 Lilac Lane, Lawrence, KS 66044, USA;2. Permanent address: University of British Columbia School of Social Work, 2080 West Mall, Room 239, Vancouver, BC, Canada V6T 1Z2;3. University of North Carolina School of Social Work, Tate-Turner-Kuralt Building, 325 Pittsboro St, CB #3550, Chapel Hill, NC 27599-3550, USA;4. University of North Carolina at Chapel Hill, Frank Porter Graham Child Development Institute, National Implementation Research Network, CB#8185 UNC-Chapel Hill, Chapel Hill, NC 27599-8185, USA;5. James Bell Associates, Inc. , 3033 Wilson Blvd, Suite 650, Arlington, VA 22201, USA;1. Johns Hopkins School of Nurisng, United States;2. Johns Hopkins School of Medicine, United States;1. Ann & Robert H. Lurie Children’s Hospital of Chicago, Center for Childhood Resilience & Northwestern University Feinberg School of Medicine, United States;2. Youth Guidance, United States;3. University of Illinois at Chicago, Department of Psychiatry, United States |
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| Abstract: | The field of child welfare faces an undersupply of evidence-based interventions to address long-term foster care. The Permanency Innovations Initiative is a five-year federal demonstration project intended to generate evidence to reduce long stays in foster care for those youth who encounter the most substantial barriers to permanency. This article describes a systematic and staged approach to implementation and evaluation of a PII project that included usability testing as one of its key activities. Usability testing is an industry-derived practice which analyzes early implementation processes and evaluation procedures before they are finalized. This article describes the iterative selection, testing, and analysis of nine usability metrics that were designed to assess three important constructs of the project's initial implementation and evaluation: intervening early, obtaining consent, and engaging parents. Results showed that seven of nine metrics met a predetermined target. This study demonstrates how findings from usability testing influenced the initial implementation and formative evaluation of an evidence-supported intervention. Implications are discussed for usability testing as a quality improvement cycle that may contribute to better operationalized interventions and more reliable, valid, and replicable evidence. |
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| Keywords: | Formative evaluation Implementation science Evidence-based interventions Usability testing Foster care |
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