title: The reciprocal effects of program evaluation on service delivery for the SPNS adolescent HIV outreach and treatment programs.
abstract: OBJECTIVE
  To describe the contexts within which the Special Projects of National Significance (SPNS) Adolescent HIV Outreach and Treatment programs were evaluated, the effects their evaluations had on their respective programs and, in turn, the effects the program delivery had on the evaluations.
  
  
  METHODS
  The full range of process evaluation heuristics were used to analyze the bi-directional effects of conducting field-based, service delivery data collection. Although data collection efforts sometimes interfered with service delivery, and vice versa, several notable positive effects were disclosed.
  
  
  CONCLUSIONS
  Specific guidance and recommendations were provided to program designers, behavioral researchers and institutional funding decision makers. Primary amongst them was a call for research evaluation designs that allow for maximum flexibility.
authors.affiliation: Division of Adolescent Medicine, Stroger Hospital of Cook County, Chicago, Illinois, USA.
authors.forename: Douglas N
authors.initials: DN
authors.lastname: Bell
authors.forename: Geri
authors.initials: G
authors.lastname: Botwinick
authors.forename: Jaime
authors.initials: J
authors.lastname: Martinez
authors.forename: Randall L
authors.initials: RL
authors.lastname: Sell
authors.forename: Kimberly
authors.initials: K
authors.lastname: Shaw
authors.forename: Lynn E
authors.initials: LE
authors.lastname: Walker
authors.forename: Jo L
authors.initials: JL
authors.lastname: Sotheran
authors.forename: Robert L
authors.initials: RL
authors.lastname: Johnson
authors.forename: Lawrence B
authors.initials: LB
authors.lastname: Friedman
authors.forename: Sally
authors.initials: S
authors.lastname: Dodds
authors.forename: Carl
authors.initials: C
authors.lastname: Siciliano
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D003159:Community-Institutional Relations; D003625:Data Collection; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D016730:Program Development; D015397:Program Evaluation; D014481:United States