Developing Strategies to Address Implementation Challenges Facing Healthy Marriage and Relationship Education Grantees

Publication Date: March 4, 2022
report cover for the SIMR interim report

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  • Published: 2022

Introduction

Research Questions

  1. What are the characteristics of the HMRE grantees participating in the SIMR project?
  2. What challenges related to program recruitment, retention, and content engagement are HMRE grantees in SIMR addressing using rapid-cycle learning?
  3. What methodology did HMRE grantees use to identify challenges, design strategies to address challenges, and plan to test and refine the strategies?

To be successful, Healthy Marriage and Relationship Education (HMRE) grantees need to design and implement services that keep their participants and potential participants engaged from initial contact through service completion. However, encouraging participants to continue making progress in these services can be challenging. Common challenges for HMRE grantees related to participants’ journeys through programming stem from a variety of causes and often fall into three broad areas: (1) recruiting adequate numbers of participants, (2) encouraging participants to attend workshop sessions regularly and complete services, and (3) providing content that is engaging and relevant for participants.

The Strengthening the Implementation of Marriage and Relationship Programs (SIMR) project is designed to strengthen the capacity of HMRE grantees to help the youth and adult populations they serve, specifically by supporting HMRE grantees to address common implementation challenges. The project aims to identify key implementation challenges facing HMRE grantees and, in close collaboration with HMRE grantees and their staff, develop and test strategies to address them using rapid-cycle learning techniques. Through this work, SIMR will also develop lessons for the broader HMRE field about promising practices for addressing common implementation challenges.

Purpose

This report describes the design of the SIMR study and how grantees are using Learn, Innovate, Improve (LI2) to design and test strategies to address implementation challenges. LI2 is an analytic and science-based approach to managing change that draws on implementation science, human-centered design, and iterative rapid-cycle learning to identify and address implementation challenges (Derr et al. 2017). This report has been generated to provide an update on the study’s activities, to promote transparency, and to disseminate promising approaches to other HMRE projects. A final report from the SIMR study will compile findings across the rapid-cycle learning that grantees will conduct between September 2021 and September 2022.

Key Findings and Highlights

  • The ten HMRE grantees participating in SIMR represent a mix of demonstrations serving adult couples and individuals and youth in school-based and community settings. They serve a diverse range of participants, including pregnant and parenting youth, Spanish-speaking couples with low-incomes, and people involved with the criminal justice system. They operate in a variety of settings across the country that include both urban and rural areas.
  • Five grantees (four adult-serving and one youth-serving grantee) are working with the SIMR team to address recruitment challenges, such as encouraging male partners to enroll in services designed for Spanish-speaking couples and recruiting people with romantic partners who are incarcerated.
  • Three youth-serving grantees are using rapid-cycle learning to address content engagement challenges, such as co-facilitating large workshops and reinforcing curriculum content with school-based case management.
  • Two grantees (one youth-serving and one adult-serving grantee) are addressing retention and content engagement challenges by developing high-quality virtual versions of their services, which they began providing during the COVID-19 pandemic.

Methods

This report describes the methods used to conduct the SIMR project. Grantees are using the LI2 framework to conduct rapid-cycle learning. Throughout the three phases of LI2, researchers collaborate with practitioners to identify the root causes of a challenge (Learn); create innovative program improvement strategies that are human-centered, informed by science, and sustainable (Innovate); and test and refine strategies using rapid-cycle learning methods (Improve). The SIMR team conducted a staged process during the Learn phase to select participating grantees, including a review of grant applications, telephone interviews, and design sessions to understand programs’ implementation challenges. In the Innovate phase, the SIMR team and grantees collaborated to design strategies informed by evidence and best practices from literature as well as staff members’ knowledge of and expertise in the populations they serve and the context in which the grantee operates. The Learn and Innovate phases were conducted between April 2021 and September 2021. In the Improve phase, the SIMR team and grantees are using rapid-cycle learning to test and refine the strategies co-developed by the SIMR team and grantees.

Citation

Baumgartner, Scott, Daniel Friend, Robert G. Wood, Annie Buonaspina, and Hannah McInerney (2022). “Developing Strategies to Address Implementation Challenges Facing Healthy Marriage and Relationship Education Grantees: The Strengthening the Implementation of Marriage and Relationship Programs (SIMR) Project.” OPRE Report # 2022-36. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services.

Glossary

HMRE:
Healthy Marriage and Relationship Education
LI2:
Learn, Innovate, Improve is a framework for program improvement and managing change developed by Mathematica and the Office of Planning, Research, and Evaluation in collaboration with the Harvard Center on the Developing Child. It draws on implementation science, human-centered design, and iterative rapid-cycle learning to identify and address implementation challenges.
SIMR:
The Strengthening the Implementation of Marriage and Relationship Programs study
nFORM:
Information, Family Outcomes, Reporting, and Management is a management information system, sponsored by the Administration for Children and Families, that grantees use to record participants’ characteristics and participation in services, monitor service use, and make data-informed decisions.