ABSTRACT
Chapter 3, “Developing and Using a Theory of the Program” presents a case for program evaluators to include a program theory at some level in all evaluations, noting the important reasons that justify the additional work. First, the process of developing an appropriate theory is described—starting with learning what stakeholders, especially program staff, understand the theory to be, and then contributing insights from the relevant literature and general approaches to interventions. Next, the various implications of a theory are noted—how the theory guides selection of measures of implementation, outcomes, and potential mechanisms of change. The chapter concludes with a case study of a current program to build wellness in medical residents and the evaluation in progress of that program.
