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11. There is not enough improvement in outcomes.


1. Are we doing the right things in the right way with our community?

2. Are we documenting the activities (implementation of the intervention) used to address the problem or goal?

3. Have we identified and collected measures of success for short-term, intermediate, and long-term goals?

4. Are we certain that we have measured community level indicators properly and that we have measured the right ones?

5. Have we obtained feedback on the importance of community changes we have been bringing about?

6. Are the strategies and tactics being used (e.g., providing information, modifying access) strong enough to change behavior and community-level indicators of success?

7. Are changes in place long enough to make a difference?

8. Are the changes reaching the right target audience or a big enough part of the target audience?

9. Are the changes big enough to make a difference for those who are most at risk for the concern?

10. Does the change fit what the community needs?

11. Have we used a reward system to assure tangible benefits for producing the outputs and intended outcomes (e.g., incentives, disincentives)?

12. Were identified incentives and disincentives delivered contingent upon attainment of the objectives (e.g., bonus grants for full implementation of the intervention, outcome dividends for actual improvements in outcomes)?