Evaluation Questions and Data Source

Areas of Inquiry/Evaluation Questions

Sources and Sample Indicators

Methodologies

Respondents

Title VI Grant Abstractions
 Program plans
 Program inputs, resources, and activities
 Planned program outputs
 Anticipated outcomes
 Program management

Review of 30 Title
VI Program grant
applications and
evaluation
applications

N/A

Title VI Tribal Elders Focus Groups Storytelling
 Nutrition services activities
 Supportive services activities
 Experiences with and perceptions of services
 Strengths and resources of Title VI Programs
 Barriers to Title VI services and resources
 Met and unmet nutrition and support services
needs

Focus groups

Tribal Elders
(purposive
sample)

Title VI Tribal Caregivers Focus Groups Storytelling
 Caregiver support services activities
 Experiences with and perceptions of services
 Strengths and resources of Title VI Program
 Barriers to Title VI services and resources
 Met and unmet caregiver support needs

Focus groups

Tribal Elder
caregivers
(purposive
sample)

Title VI Tribal Program Staff Focus Groups
 Title VI Program structure, resources, and activities
 Title VI management structure
 Perceptions of met and unmet needs across Title VI
service areas
 Barriers to Title VI services provision
 Strengths and resources of Title VI Program

Focus groups

Title VI Program
staff

Implementation Study
Assess Title VI Program context and operations
 What are the program inputs, resources, and activities
implemented through Title VI?
 To what extent are Title VI Programs operated
dependently or interconnected with other tribal Elders
programs?
 What is the Title VI management structure?
Assess implementation of Title VI services including
program management
 How are nutrition, supportive, and caregiver support
services provided through the Title VI Programs?
 What is the array of Title VI practices available to tribal
Elders? What is the array of practices available to
caregivers?
 What are the program outputs of the Title VI service
areas?
 What are the challenges to implementing program
activities?
 How do Title VI Programs address challenges to
program implementation?
 What are the facilitators of program implementation?
What works well and under what conditions?
 What are the met and unmet needs of consumers and
program stakeholders?
 How do Title VI Programs use their funds to run their
programs?*
 How has Title VI Program funding allowed Title VI
Programs to maintain certain levels of nutrition,
supportive, and caregiver services?*

Areas of Inquiry/Evaluation Questions
 How do Title VI Programs leverage funds and resources
to implement their programs?*

Sources and Sample Indicators

Methodologies

Respondents

Title VI Program Inventory
 Nutrition services activities
 Caregiver support services activities
 Supportive services activities
 Title VI Program resources and inputs
 Title VI Program outputs

Web-based form

Title VI Program
staff

Title VI Program Performance Report (PPR) Extraction
 Nutrition services, caregiver support, and
supportive services program outputs
 Program management outputs (e.g., staff, trainings)
 Title VI activities

Data extraction
and secure file
transfer from ACL

N/A

Title VI Needs Assessment (Pre and Post Assessment)
 Demographics
 Overall health and wellness
 Health care access
 Weight and physical activity
 Social functioning
 Social connectedness
 Social supports and housing

Tribal data
transferred via
secure file
transfer portal

N/A

IHS Urgent Care Data (via National Data Warehouse,
Data Mart) (pre and post analysis)*
 Emergency department visits
 Acute care visits
 Aggregate encounter data by tribal catchment area
(e.g., average length of stay, demographics, service
location, health factors, injury, services)

Data extraction
and secure file
transfer from IHS
with data use
agreement with
Title VI grantee,
ICF, and ACL

N/A

Outcomes Study
Assess tribal Elders experiences and satisfaction with
service delivery and program experience
 What are the characteristics of tribal Elders reached
through Title VI service areas?
 To what extent are Elder and caregiver expectations
met through the Title VI service areas?
 To what extent do Elders and caregivers experience
vary by program inputs, resources, and management
models?
 To what extent do Elders experiences vary by tribal and
grantee demographic, geographical, and other tribal
contexts?
 How accessible are Title VI nutrition and supportive
services? How did this change through the Title VI
Program?

Areas of Inquiry/Evaluation Questions
 How accessible are caregiver support services? How
did this change through the Title VI Program?
Assess Title VI Program outcomes
 What are the physical, emotional, mental, and spiritual
outcomes of the Title VI Program?
 Are there differences in outcomes by Title VI grantee
characteristics and management models?
 Are funding structures associated with Title VI Program
outcomes?
 How has Title VI Program led to improved health
outcomes such as an increase in the number of lives
saved, or number of Elders returning from a nursing
home?^
 How are Title VI Program ‘costs’ associated with
outcomes?^

Sources and Sample Indicators

Methodologies

Respondents

Title VI Tribal Elders Focus Groups1

Focus groups

Tribal Elders
(purposive
samples of tribal
Elders)

Title VI Tribal Caregivers Survey
 Linkage to needed services
 Ability to provide care
 Caregiver well-being (physical, mental, emotional,
spiritual, quality of life, independence)
 Community integration and social connectedness

Caregiver survey
(selfadministered
survey of
caregivers)

Title VI
caregivers
(purposive
samples of
caregivers)

Title VI Tribal Caregivers Focus Groups Storytelling1
 Linkage to needed services
 Ability to provide care
 Caregiver well-being (physical, mental, emotional,
spiritual, quality of life, independence)
 Community integration and social connectedness

Focus groups

Title VI
caregivers
(purposive
samples of
caregivers)

 Elder spiritual met and unmet needs
 Experiences with social connectedness and
isolation
 Physical, mental, emotional, and spiritual health
and wellness
 Independence and quality of life