Att 3_Case Study Framework_12

Case Study Framework

Research Subquestions	Indicators	Data Sources	Methodology	Analysis
Primary Research Question 1: What are the core components of the DP11-1111 cooperative agreement?
1A: What does grantees’ implementation of DP11-1111 programmatic activities look like?	Core components of the cooperative agreement Program readiness Needs assessment Priorities based on needs assessment Partnerships Development of program plan Implementation of program plan Evaluation and monitor progress Sustainability plan Resources Expenditures Staffing/personnel Amount of time Data management tools/information technology (IT) Partnerships Reporting Performance measures Community/YBCS input	Interim progress reports Performance monitoring data Annual reports Grantee staff involved with cooperative agreement Budget narrative	Document review Secondary data analysis In-depth interviews conducted via case study	Thematic analysis Descriptive statistics
1B: What does CDC’s implementation of DP11-1111 programmatic activities look like?	Staffing/personnel Amount of time Protocols for offering TA/training Organization of support offered Engagement of staff in providing TA to grantees Data management tools/IT created for grantees Use of existing partnerships	Grantee staff involved with cooperative agreement implementation	In-depth interviews	Thematic analysis
1C: To what extent are grantees implementing DP11-1111 programmatic activities as intended?	Core components of the cooperative agreement Program readiness Needs assessment Priorities based on needs assessment Partnerships Development of program plan Implementation of program plan Evaluation and monitor progress Sustainability plan	Performance monitoring data Grantee staff involved with cooperative agreement implementation	Secondary data analysis In-depth interviews conducted via case study	Thematic analysis Descriptive statistics
Primary Research Question 2: What are the factors that affect the implementation of DP11-1111 programmatic activities?
2A: What are the facilitators to grantees’ implementation of programmatic activities related to the cooperative agreement?	Contextual factors Costs/funding Staffing/personnel Amount of time Program maturity/infrastructure Staff capacity Access to those with subject matter expertise Partnerships Organizational factors History Mission Leadership Qualities inherent to the cooperative agreement TA received Tools/resources made available Access to new partners Community/YBCS input Phase in intervention design and implementation New intervention Expansion of pre-existing intervention	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study Document review	Thematic analysis
2B: What are the barriers to grantees’ implementation of programmatic activities related to the cooperative agreement?	Contextual factors Costs/funding Overall fiscal management Ability to allocate resources and liquidate resources appropriately Time Staffing/personnel Partnerships Organizational factors Program maturity/infrastructure Staff capacity Leadership Qualities inherent to the cooperative agreement TA received Tools/resources made available Access to new partners Community/YBCS input	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study Document review	Thematic analysis
2C: How have grantees used strategies to mitigate barriers associated with implementation of programmatic activities related to the cooperative agreement?	Strategic partnerships Hire new staff/build capacity of existing staff Offer internal training and TA Engage leadership Seek additional funding Development of new partnerships Expansion of existing partnerships Seek CDC TA assistance	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study Document review	Thematic analysis
Primary Research Question 3: What support services and educational resources have organizations developed and/or implemented as a part of their intervention targeting YBCS?
3A: How have grantees developed or implemented the use of educational resources within their interventions?	Comprehensive description of interventions delivered related to educational resources: Background of intervention Goals/intended program outcomes Description of activities (i.e., types) Theoretical framework (if applicable) Description of target audience Methods of delivery/staff roles Promotion strategies Intensity of activities conducted (dose delivered and received) Duration of activities conducted Program delivered as intended Evaluation capacity/measurement of program Use of performance monitoring to inform program delivery Partner involvement	Interim progress reports Performance monitoring data Annual reports Grantee staff involved with cooperative agreement implementation Program documents provided by site Program activities conducted	Systematic document review In-depth interviews conducted via case study Site visits to observe program activities via case study	Thematic analysis
3B: How have grantees developed or implemented the use of support services within their interventions?	Comprehensive description of interventions delivered related to support services: Background of intervention Goals/intended program outcomes Description of activities (i.e., types) Theoretical framework (if applicable) Description of target audience Methods of delivery/staff roles Promotion strategies Intensity of activities conducted (dose delivered and received) Duration of activities conducted Program delivered as intended Evaluation capacity/measurement of program Use of performance monitoring to inform program delivery Partner involvement	Interim progress reports Performance monitoring data Annual reports Grantee staff involved with cooperative agreement implementation Program documents provided by site Program activities conducted	Systematic document review In-depth interviews conducted via case study Site visits to observe program activities via case study	Thematic analysis
3C: What support services and educational resources do grantees perceive to be most effective in supporting YBCS?	Grantees’ definition of effectiveness Perceived effectiveness of intervention: Reach YBCS satisfaction with program Increase in availability, awareness, and use of services	Grantee staff involved with cooperative agreement implementation	In-depth interviews conducted via case study	Thematic analysis
3D: How have nonfunded organizations developed or implemented the use educational resources within their intervention?	Comprehensive description of interventions delivered related to educational resources: Background of intervention Goals/intended program outcomes Description of activities (i.e., types) Theoretical framework (if applicable) Description of target audience Methods of delivery/staff roles Promotion strategies Intensity of activities conducted (dose delivered and received) Duration of activities conducted Program delivered as intended Evaluation capacity/measurement of program Use of performance monitoring to inform program delivery Partner involvement	Staff involved with program implementation Program documents provided by site Program activities conducted	Systematic document review In-depth interviews conducted via case study Site visits to observe program activities via case study	Thematic analysis
3E: How have nonfunded organizations developed or implemented the use support services within their interventions?	Comprehensive description of interventions delivered related to support services: Background of intervention Goals/intended program outcomes Description of activities (i.e., types) Theoretical framework (if applicable) Description of target audience Methods of delivery/staff roles Promotion strategies Intensity of activities conducted (dose delivered and received) Duration of activities conducted Program delivered as intended Evaluation capacity/measurement of program Use of performance monitoring to inform program delivery Partner involvement	Staff involved with program implementation Program documents provided by site Program activities conducted	Systematic document review In-depth interviews conducted via case study Site visits to observe program activities via case study	Thematic analysis
3F: What support services and educational resources do nonfunded organizations perceive to be most effective in supporting YBCS?	Non definition of effectiveness Perceived effectiveness of intervention: Reach YBCS satisfaction with program Increase in availability, awareness, and utilization of services	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
Primary Research Question 4: What are the factors that affect the implementation of support services and educational resources?
4A: What organizational elements among grantees affect implementation of support services and educational resource interventions?	Organizational factors Organizational culture Organizational structure Leadership Systems/work processes Staff and personnel Resources Communication Partnerships/strategic relationships Access to subject matter expertise Capacity Implementation Evaluation	Grantee staff involved with cooperative agreement implementation	In-depth interviews conducted via case study	Thematic analysis
4B: What are the facilitators to grantees’ implementation of support services and educational resource interventions?	Costs/funding Staffing/personnel Amount of time Program maturity/infrastructure Staff capacity Training/TA Leadership Organizational factors Community context Sustainability Expertise in implementation/evaluation Relationships and support from strategic partnerships Relationships with advocates and/or population served	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study	Thematic analysis
4C: What are the barriers to grantees’ implementation of support services and educational resource interventions?	Costs/funding Staffing/personnel Amount of time Program maturity/infrastructure Limited staff capacity Lack of training/TA Leadership Lack of evaluation capacity Inability to conduct program monitoring Organizational factors Identification of target population/recruitment Lack of expertise	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study	Thematic analysis
4D: How have grantees used strategies to mitigate barriers related to the implementation of support services and educational resource interventions?	Development of strategic partnerships Additional funding opportunities Training/staff capacity building Hiring new staff Creation of standardized protocols/guidelines	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study	Thematic analysis
4E: What organizational elements among nonfunded organizations affect implementation of support services and educational resource interventions?	Organizational factors Organizational culture Organizational structure Leadership Systems/work processes Staff and personnel Resources Communication Partnerships/strategic relationships Access to subject matter expertise Capacity Implementation Evaluation	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
4F: What are the facilitators to nonfunded organizations’ implementation of support services and educational resource interventions?	Costs/funding Staffing/personnel Amount of time Program maturity/infrastructure Staff capacity Training/TA Leadership Organizational factors Community context Sustainability Expertise in implementation/evaluation Relationships and support from strategic partnerships Relationships with advocates and/or population served	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
4G: What are the barriers to nonfunded organizations’ implementation of support services and educational resource interventions?	Costs/funding Staffing/personnel Amount of time Program maturity/infrastructure Limited staff capacity Lack of training/TA Leadership Lack of evaluation capacity Inability to conduct program monitoring Organizational factors Identification of target population/ recruitment Lack of expertise	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
4H: How have nonfunded organizations used strategies to mitigate barriers related to the implementation of support services and educational resource interventions?	Development of strategic partnerships Additional funding opportunities Training/staff capacity building Hiring of new staff Creation of standardized protocols/guidelines	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
Primary Research Question 5: How have CDC’s TA and support activities contributed to grantees’ capacity and sustainability efforts?
5A: How have CDC’s TA and support activities increased grantee capacity?	Staff perceptions about how the CA has contributed to organizational capacity: Financial resources Human resources Management Program delivery Leadership Partnerships/strategic relationships Cooperative agreement management and administration Evaluation and program monitoring Measuring outcomes	Grantee staff involved with cooperative agreement implementation	In-depth interviews conducted via case study	Thematic analysis
5B: How has CDC’s TA and support activities increased sustainability of grantees’ support services and educational resource interventions targeting YBCS?	Staff perceptions about how the Cooperative agreement has contributed to sustainability of services delivered: Level of integration into existing programs/services Level of integration into networks/partnerships Ability to continue implementing interventions using support services and educational resources in the absence of funding Ability to achieve goals/outcomes over time in the absence of continued funding	Grantee staff involved with cooperative agreement implementation	In-depth interviews conducted via case study	Thematic analysis
Primary Resesach Question 6: How have organizations’ interventions affected awareness for and access to support services and educational resources among YBCS, health care providers, and caregivers?
6A: How have DP11-1111 grantees worked toward increasing awareness for the availability of support services and educational resources?	Staff perceptions about their YBCS interventions’ impact on increasing awareness for the availability of support services and/or educational resources. Other potential indicators: Communication channels used: Mass media Social media Print media Interpersonal Communication-related activities implemented: Facebook and Twitter accounts Program Web page/partner Web page Training conducted Brochures produced/disseminated	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study Document review	Thematic analysis
6B: How have DP11-1111 grantees worked toward increasing access to support services and educational resources?	Staff perceptions about their YBCS interventions’ impact on increasing access to support services and/or educational resources. Other potential indicators: Educational resources created and/or promoted: Workshops/trainings Conferences Educational materials Online resources E-mails/electronic mailing lists Support services used and/or promoted: Patient navigation Patient coaching Support groups	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study Document review	Thematic analysis
6C: How have DP11-1111 grantees worked toward increasing the utilization of support services and educational resources?	Staff perceptions about their YBCS interventions’ impact on increasing utilization of support services and/or educational resources. Other potential indicators: Attendance at events Use of services (e.g., patient navigation) Web traffic/hits on Web sites Web behavior (e.g., items downloaded from site)	Grantee staff involved with cooperative agreement implementation Interim progress reports Annual reports	In-depth interviews conducted via case study Document review	Thematic analysis
6D: How have nonfunded organizations worked toward increasing awareness for the availability of support services and educational resources?	Staff perceptions about their YBCS interventions’ impact on increasing awareness for the availability of support services and/or educational resources. Other potential indicators: Communication channels used: Mass media Social media Print media Interpersonal Communication-related activities implemented: Facebook and Twitter accounts Program Web page/partner Web page Training conducted Brochures produced/disseminated	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
6E: How have nonfunded organizations worked toward increasing access to support services and educational resources?	Staff perceptions about their YBCS interventions’ impact on increasing access to support services and/or educational resources. Other potential indicators: Educational resources created and/or promoted: Workshops/trainings Conferences Educational materials Online resources E-mails/electronic mailing lists Support services used and/or promoted: Patient navigation Patient coaching Support groups	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
6F: How have nonfunded organizations worked toward increasing the utilization of support services and educational resources?	Staff perceptions about their YBCS interventions’ impact on increasing utilization of support services and/or educational resources. Other potential indicators: Attendance at events Use of services (e.g., patient navigation) Web traffic/hits on Web sites Web behavior (e.g., items downloaded from site)	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
Primary Research Question 7: How have organizations’ interventions affected knowledge, attitudes and behaviors among YBCS, health care providers, and caregivers related to the risks of breast cancer in young women?
7A: How have DP11-1111 grantees’ interventions worked toward increasing knowledge among YBCS, health care providers, and caregivers?	Staff perceptions about their YBCS interventions’ impact on knowledge among YBCS, health care providers, and caregivers	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
7B: How have DP11-1111 grantees’ interventions worked toward improving attitudes among YBCS, health care providers, and caregivers?	Staff perceptions about their YBCS interventions’ impact on attitudes among YBCS, health care providers, and caregivers	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
7C: How have DP11-1111 grantees’ interventions worked toward improving behaviors among YBCS, health care providers, and caregivers?	Staff perceptions about their YBCS interventions’ impact on behaviors among YBCS, health care providers, and caregivers	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
7D: How have nonfunded organizations’ interventions worked toward improving knowledge among YBCS, health care providers, and caregivers?	Staff perceptions about their YBCS interventions’ impact on knowledge among YBCS, health care providers, and caregivers	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
7E: How have nonfunded organizations’ interventions worked toward improving attitudes among YBCS, providers, and caregivers?	Staff perceptions about their YBCS interventions’ impact on attitudes among YBCS, health care providers, and caregivers	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis
7F: How have nonfunded organizations’ interventions worked toward improving behaviors among YBCS, providers, and caregivers?	Staff perceptions about their YBCS interventions’ impact on behaviors among YBCS, health care providers, and caregivers	Staff involved with program implementation	In-depth interviews conducted via case study	Thematic analysis

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