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Teen Pregnancy Prevention Evaluation Technical Assistance: A Case Study

Author

Listed:
  • Jean Knab
  • Russell Cole

Abstract

Purpose: This case study discusses Mathematica’s experience providing large-scale evaluation technical assistance (ETA) to 65 grantees across two cohorts of Teen Pregnancy Prevention (TPP) Program grants. The grantees were required to conduct rigorous evaluations with specific evaluation benchmarks. This case study provides an overview of the TPP grant program, the evaluation requirements, the ETA provider, and other key stakeholders and the ETA provided to the grantees. Finally, it discusses the successes, challenges, and lessons learned from the effort. Conclusion: One important lesson learned is that there are two related evaluation features, strong counterfactuals and insufficient target sample sizes, that funders should attend to prior to selecting awardees because they are not easy to change through ETA. In addition, if focused on particular outcomes (for TPP, the goal was to improve sexual behavior outcomes), the funder should prioritize studies with an opportunity to observe differences in these outcomes across conditions; several TPP grantees served young populations, and sexual behavior outcomes were not observed or were rare, limiting the opportunity to observe impacts. Unless funders are attentive to weaning out evaluations with critical limitations during the funding process, requiring grantees to conduct impact evaluations supported by ETA might unintentionally foster internally valid, yet underpowered studies that show nonsignificant program impacts. The TPP funder was able to overcome some of the limitations of the grantee evaluations by funding additional evidence-building activities, including federally led evaluations and a large meta-analysis of the effort, as part of a broader learning agenda.

Suggested Citation

  • Jean Knab & Russell Cole, 2022. "Teen Pregnancy Prevention Evaluation Technical Assistance: A Case Study," Evaluation Review, , vol. 46(1), pages 32-57, February.
  • Handle: RePEc:sae:evarev:v:46:y:2022:i:1:p:32-57
    DOI: 10.1177/0193841X20975279
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    References listed on IDEAS

    as
    1. Russell P. Cole & Susan Goerlich Zief & Jean Knab, "undated". "Establishing an Evaluation Technical Assistance Contract to Support Studies in Meeting the US Department of Health and Human Services Evidence Standards (Journal Article)," Mathematica Policy Research Reports 897a729d636e4ec783fc27e86, Mathematica Policy Research.
    2. Farb, A.F. & Margolis, A.L., 2016. "The teen pregnancy prevention program (2010-2015): Synthesis of impact findings," American Journal of Public Health, American Public Health Association, vol. 106, pages 9-15.
    3. Zief, S.G. & Cole, R.P. & Knab, J., 2016. "A framework for evaluation technical assistance," American Journal of Public Health, American Public Health Association, vol. 106, pages 24-26.
    4. Kimberly Smith & Silvie Colman, "undated". "Evaluation of Adolescent Pregnancy Prevention Approaches: Design of the Impact Study," Mathematica Policy Research Reports 159b7fa95d6c4f58b4b1eefbc, Mathematica Policy Research.
    5. Cole, R.P. & Zief, S.G. & Knab, J., 2016. "Establishing an evaluation technical assistance contract to support studies in meeting the US department of health and human services evidence standards," American Journal of Public Health, American Public Health Association, vol. 106, pages 22-24.
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    7. Cole, R.P., 2016. "Comprehensive reporting of adolescent pregnancy prevention programs," American Journal of Public Health, American Public Health Association, vol. 106, pages 15-16.
    8. Coyle, K.K. & Glassman, J., 2016. "Exploring alternative outcome measures to improve pregnancy prevention programming in younger adolescents," American Journal of Public Health, American Public Health Association, vol. 106, pages 20-22.
    9. Goesling, B., 2016. "Informing the evidence base on adolescent pregnancy and sexually transmitted infections: Important lessons," American Journal of Public Health, American Public Health Association, vol. 106, pages 7-8.
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    11. Brian Goesling & Silvie Colman & Christopher Trenholm & Mary Terzian & Kristin Moore, "undated". "Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review," Mathematica Policy Research Reports 79abd8a5ae924d15a82e0ee44, Mathematica Policy Research.
    12. Silvie Colman, "undated". "Estimating Program Impacts for a Subgroup Defined by Post-Intervention Behavior: Why is it a Problem? What is the Solution?," Mathematica Policy Research Reports 9afc2a5c7e17485d87a579c1c, Mathematica Policy Research.
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    14. Knab, J. & Cole, R.P. & Zief, S.G., 2016. "Challenges and lessons learned from providing large-scale evaluation technical assistance to build the adolescent pregnancy evidence base," American Journal of Public Health, American Public Health Association, vol. 106, pages 26-28.
    15. John Deke, "undated". "Using the Linear Probability Model to Estimate Impacts on Binary Outcomes in Randomized Controlled Trials," Mathematica Policy Research Reports 62a1477e274d429faf7e0c71b, Mathematica Policy Research.
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