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Troubleshooting Guide for Solving Problems:

Common Problems, Reflection Questions, and Links to Support Tools

11. There is not enough improvement in outcomes.

SOME REFLECTION QUESTIONS:

SOME CTB SUPPORTS:

1. Are we doing the right things in the right way with our community?	Best Processes Database CHAPTER 19: CHOOSING AND ADAPTING COMMUNITY INTERVENTIONS CHAPTER 20: PROVIDING INFORMATION AND ENHANCING SKILLS CHAPTER 21: ENHANCING SUPPORT, INCENTIVES, AND RESOURCES CHAPTER 23: MODIFYING ACCESS, BARRIERS, AND OPPORTUNITIES CHAPTER 24: IMPROVING SERVICES CHAPTER 25: CHANGING POLICIES CHAPTER 26: CHANGING THE PHYSICAL AND SOCIAL ENVIRONMENT
2. Are we documenting the activities (implementation of the intervention) used to address the problem or goal?	Toolkit: Evaluating the Initiative
3. Have we identified and collected measures of success for short-term, intermediate, and long-term goals?	Toolkit: Evaluating the Initiative
4. Are we certain that we have measured community level indicators properly and that we have measured the right ones?	Chapter 38, Section 4: Rating Member Satisfaction Chapter 38, Section 5: Constituent Surveys of Outcomes: Ratings of Importance Chapter 38, Section 8: Conducting Interviews with Key Participants to Analyze Critical Events Chapter 38, Section 9: Gathering and Using Community-Level Indicators
5. Have we obtained feedback on the importance of community changes we have been bringing about?	Chapter 38, Section 5: Constituent Survey of Outcomes: Ratings of Importance Chapter 38, Section 9: Gathering and Using Community-Level Indicators Chapter 39, Section 2: Providing Feedback to Improve the Initiative
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?	Chapter 3, Section 5: Analyzing Community Problems Chapter 8, Section 4: Developing Successful Strategies: Planning to Win Chapter 17, Section 3: Defining and Analyzing the Problem Chapter 19, Section 3: Identifying Strategies and Tactics for Reducing Risks Chapter 30, Section 7: Developing a Plan for Advocacy Chapter 38, Section 7: Behavioral Surveys Chapter 38, Section 8: Conducting Interviews with Key Participants to Analyze Critical Events Chapter 38, Section 9: Gathering and Using Community-Level Indicators
7. Are changes in place long enough to make a difference?	Chapter 38, Section 2: Gathering Information: Monitoring Your Progress Chapter 46, Section 1: Strategies for the Long-Term Institutionalization of an Initiative: An Overview
8. Are the changes reaching the right target audience or a big enough part of the target audience?	Toolkit: Implementing a Social Marketing Effort CHAPTER 45: SOCIAL MARKETING OF SUCCESSFUL COMPONENTS OF THE INITIATIVE Chapter 17, Section 4: Analyzing Root Causes of Problems: The “But Why?” Technique Chapter 18, Section 1: Designing Community Interventions Chapter 18, Section 3: Identifying Targets and Agents of Change: Who Can Benefit and Who Can Help Chapter 19, Section 2: Understanding Risk and Protective Factors: Their Use in Selecting Potential Targets and Promising Strategies for Interventions Chapter 19, Section 3: Identifying Strategies and Tactics for Reducing Risks Chapter 38, Section 2: Gathering Information: Monitoring Your Progress
9. Are the changes big enough to make a difference for those who are most at risk for the concern?	Chapter 7, Section 7: Involving People Most Affected by the Problem Chapter 38, Section 2: Gathering Information: Monitoring Your Progress Chapter 38, Section 9: Gathering and Using Community-Level Indicators
10. Does the change fit what the community needs?	Chapter 3, Section 1: Developing a Plan for Identifying Local Needs and Resources Chapter 3, Section 7: Conducting Needs Assessment Surveys Chapter 3, Section 8: Identifying Community Assets and Resources Chapter 3, Section 10: Conducting Concerns Surveys Chapter 8, Section 6: Obtaining Feedback from Constituents: What Changes are Important and Feasible? Chapter 19, Section 2: Understanding Risk and Protective Factors: Their Use in Selecting Potential Targets and Promising Strategies for Interventions Chapter 38, Section 2: Gathering Information: Monitoring Your Progress Chapter 38, Section 3: Rating Community Goals
11. Have we used a reward system to assure tangible benefits for producing the outputs and intended outcomes (e.g., incentives, disincentives)?	Toolkit: Developing a Framework or Model of Change CHAPTER 41: REWARDING ACCOMPLISHMENTS
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)?	CHAPTER 41: REWARDING ACCOMPLISHMENTS Chapter 40, Section 1: Achieving and Maintaining Quality Performance

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