Logic Model Template

Program: Health Information Outreach Program

Goal: Improve community members’ abilities to find, evaluate, and use health information
INPUTS ACTIVITIES OUTCOMES
Why this project: Why this project: Why this project:
What we invest What we do Who we reach
short-term results intermediate results long-term results

 Staff  Conduct  Participants Learning Action Conditions

 Volunteers workshops and  Clients
 Time meetings  Agencies and  Awareness  Behavior  Health
 Money  Train community-based  Knowledge  Practice  Social
 Research findings  Deliver services organizations  Attitudes  Decision-making  Economic
 Materials  Develop products, (CBOs)  Skills  Policies  Civic
 Equipment curricula, resources  Decision-makers  Opinions  Social Action  Environmental
 Technology  Facilitate access  Customers  Aspirations
 Partners to information  Clinical  Motivations
 Work with media professionals
 Members of
CBOs

Assumptions External Factors

 Beliefs about the environment and community  Positive and negative influences
 Should be confirmed before beginning the program  Culture, economics, politics, demographics
 Should be confirmed before beginning the program