SAMPLE Logic Model Worksheet.docx
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- Opportunity number
- MP-CPI-24-001
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This document contains a logic model worksheet template and description of a related federal grant opportunity through the Department of Health and Human Services. The logic model worksheet provides guidance on developing a logic model to connect project activities and inputs to short, intermediate, and long term outcomes. It includes an example logic model for a nutrition education program.
The federal grant opportunity is titled "Community Level Innovations for Improving Health Outcomes" and is offered through the Office of Minority Health. It aims to support innovative adaptations of evidence-based practices to increase utilization of preventative healthcare among racial/ethnic minority and disadvantaged communities. Projects should improve outcomes for one to two Healthy People 2030 Leading Health Indicators through collaborative partnerships including trusted messengers and public/healthcare entities. The funding is assigned to the Community Programs to Improve Minority Health Grant Program under CFDA #93.137 to conduct policy demonstrations and integrate services to improve minority health.
SAMPLE Logic Model Worksheet.docx
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Module 2 – Logic Model Development Worksheet Logic models help ensure each part of the project serves a clear purpose by connecting it to the end goal. This worksheet can serve as a template for developing a logic model for your project.
Example Logic Model
Causal/ Contributing Factors OMH grant Partnership with the school district Activities Inputs Outputs Short-term Outcomes Number of sessions held Number of students taught Number of classes held Number of families taught Intermediate Outcomes Long-term Outcomes Impact Increased consumption of fruits and vegetables Decreased disparities based on race in obesity and chronic disease among youth Decreased HbA1c among overweight youth participants Increased number of healthy meals cooked each week
Limited knowledge of nutrition Increased knowledge about nutrition Nutrition education sessions during afterschool program
Limited knowledge / skill to cook healthy meals on a budget
Increased confidence in cooking healthy meals Cooking classes for children and parents once per week
Program director, health educators, chef
Limited access to healthy food choices
Assumptions: students already enrolled in afterschool programming; community centers will be willing to provide space for cooking classes Contextual factors: limited access to fresh produce, history of environmental racism
Logic Model Template Fill in the boxes beneath each component of the logic model below, using the guiding questions listed for each. Note that this is just a template and every project’s logic model will look different. Please delete or add boxes and arrows as necessary.Activities Causal/ Contributing Factors Impact Long-term Outcomes Intermediate Outcomes
Short-term Outcomes Inputs Outputs
What are the long-term goals of the project?
What are the desired results at the end of the program?
What is needed to conduct the activities?
What factors contribute to the need for the program?
What outcomes will result from each immediate achievement?
What does project aim to achieve immediately?
How will you know activities were conducted?
What will you need to do to achieve the outcomes?
Assumptions:
Contextual factors:
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