Table 1.

CDC evaluation framework for study protocol [28,29].

Step 1: Engaging stakeholders	Through our ongoing work with faith leaders and community partners, we solicited advice on our study instruments to ensure that they were culturally appropriate, and that they elicited important contextual, communication, and network factors that may contribute to clinical trial outcomes. During the project, we also scheduled ongoing discussions with faith leaders at the churches to maintain strong engagement.
Step 2: Describing the program	We developed a “program description” during the first study quarter that included the need for the project, expected effects, activities, resources, stage of development, context, and logic model. This model described the hypothesized mechanism for change underscored by our theoretical orientation, and its potential overall impact on the realization of increased participation in clinical research.
Step 3: Focusing the evaluation design	This aspect focused on assessing “Dose of Hope’s” feasibility for wider dissemination, describing its implementation successes and challenges, and final assessment of the program’s effects.
Step 4: Gathering credible evidence	We collected data on program attributes throughout the intervention period to strengthen the credibility of program findings. Table 1 highlights some of the process indicators relating to participation rates and intervention effects that were collected during the intervention period to bolster the project’s credibility and utility.
Step 5: Justifying conclusions	The final evaluation products, including manuscripts, presentations, reports, and newsletters, reflected the values and efforts of all stakeholders involved in the process. The evidence was continuously synthesized and interpreted with partner agency input, and recommendations are being made on the program’s future via consensus. This process builds on our previous experience with the “Dose of Hope” program evaluation in which we considered its format, delivery, sustainability, and potential for scale-up expansion.
Step 6: Ensuring use and sharing lessons learned	The evaluations for the “Dose of Hope” pilot endeavors were very useful for identifying problems and implementation challenges, along with opportunities and advances. In addition to our planned internal use, we intended to broadly disseminate the findings from this program to others who could benefit from the lessons learned from our community-participatory research model.