Program: Does the program… Yes / No What steps (adaptations) can be taken to increase the fit? Green/Yellow /Red Light Fit with the youth’s… Literacy and/or education level? Age? Gender? Culture? LGBT? Contextual factors (i.e. urban, rural, SES, other neighborhood characteristics) Special circumstances (foster care, juvenile delinquents, etc.)? Fit with the organization’s… Mission? Board support? Staff support? Leadership support? Context/setting? Program dosage? Fit with stakeholder’s… Other programs?
Program: Program facilitator Facilitator capacities Requirements Yes/No Plan to increase capacity Do you have the number of adult and youth facilitators recommended for the program? Do your facilitators meet program qualifications, including education level, years of experience, and necessary communication skills? Are your facilitators comfortable enough with sexuality topics to effectively deliver the program with fidelity? Have your facilitators received all training necessary for working with youth (e.g., group facilitation, abuse & neglect reporting, CPR)? Have your facilitators received sufficient training specific to the program? Other program staff Staff capacities Requirements Yes/No Plan to increase capacity What type of additional staff do you need to do this program? Do staff members have adequate qualifications? Have staff members received necessary training for their role? Notes:
Leadership capacities Requirements Yes/No Plan to increase capacity How committed is your organization leadership to the program? Do they support the program staff? Are there clear channels of communication between all leaders involved? How comfortable are organization leaders (e.g., staff and board) with managing controversy and conflict? How competent or experienced are organization leaders with managing controversy and conflict? Do the leaders involve staff members in decision-making when appropriate? Is meeting facilitation effective? Technical capacity Technical capacities Requirements Yes/No Plan to increase capacity Are any special materials needed to deliver the program? Do you need access to a computer or special computer programs? Does the program require other technical components? Notes:
Sample Fidelity Rating Instrument Getting to Know You & Steps to Making Your Dreams Come True After the session, rate each activity as: 1 – did not cover this in the session, 2 – partially covered this in the session, or 3 – covered this fully in the session. A. Welcome and program overview 1 2 3 Foster excitement and enthusiasm about participating, but providing participants with a general overview. 1 2 3 Answer any questions participants have. B. Talking circle 1 2 3 Everyone introduced themselves and shared one thing they enjoy doing (to make students feel like important contributors to the group and give an opportunity to express their thoughts and feelings). C. Creating group rules 1 2 3 On newsprint, list student-suggested group rules. D. Be Proud! Be Responsible! 1 2 3 On newsprint, listed students’ ideas about what it means to be proud, be responsible, and make a difference. 1 2 3 Define what it means to be proud, be responsible, and make a difference. 1 2 3 Discuss benefits of making a proud choices and engaging in proud, responsible behavior. E. Brainstorming about teens and sex 1 2 3 On newsprint list, the reasons suggested by the teens for why some teens have sex. 1 2 3 On newsprint list, the possible consequences of sex as the teens brainstorm them 1 2 3 On newsprint list, the reasons the teens give as ways to prevent the negative consequences of sex. F. Goals and dreams timeline 1 2 3 Showed the goals and dreams timeline poster 1 2 3 Students complete the Goals and Dreams Timeline handout. 1 2 3 List students’ goals on left side of Goals newsprint.
8. Reached Missed Exceeded Change: Positive Negative  None Process Evaluation Dates and Participation Targets Program dates A. Total target population: Age/Grade: Other characteristics: Attendance B. Total program participants who attended every session Did you maintain fidelity (offer activities according to program requirements)? Yes No If No, what percent of the program was actually delivered? Process evaluation results Divide the total at C. by the total at A. Divide the total at C. by the total at B. C. Total participants in evaluation: % of target: (C÷A x 100) % of actual: (C÷B x 100) Evaluation participants (check all that apply): Facilitators or staff Participants (all) Participants (some) Others How well does the evaluation represent the population served? (check on): Not at all well Somewhat well Very well