LOGIC MODEL

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HLT-494-RS-T2-Logic-Model-Template2.docx

Legend

Inputs: What resources do you need to make this happen? (e.g., staff, space, funding)

Activities: What are you going to do? (e.g., educate and establish partnerships)

Outputs: What will happen because of your activities? (e.g., 100 people trained)

Short-Term Outcomes: Immediate changes you expect to occur (e.g., changes in knowledge)

Mid-Term Outcomes: (e.g., changes in behavior)

Long-Term Outcomes: How will this program help in the future? (e.g., obesity prevention)

Logic Model

Inputs

Long-Term Outcomes

Mid-Term Outcomes

Short-Term Outcomes

Outputs

Activities

Health issue: Population affected by the health issue: Proposed intervention:

Theory or model used inform an intervention:

© 2020. Grand Canyon University. All Rights Reserved.

©

2020.

Grand Canyon University. All Rights Reserved.

Inputs

Long

-

Term

Outcomes

Mid

-

Term

Outcomes

Short

-

Term

Outcomes

Outputs

Activities

Legend

Inputs:

What resources do y

ou need to make this happen? (

e.g., s

taff, space, funding)

Activities:

What are you going to do? (

e.g., e

ducate and establish partnerships)

Outputs:

What will happen because of your activities? (

e.g.,

100 people trained)

Short

-

Term Outcomes

:

Immediate changes you expect

to occur (

e.g., c

hanges in

knowledge)

Mid

-

Term Outcomes

:

(

e.g., c

hanges in behavior)

Long

-

Term Outcomes

:

How will this program help i

n the future? (

e.g., o

besity prevention)

Logic Model

Health issue:

Population affected by the health issue:

Proposed intervention:

Theory or model used inform an intervention:

© 2020. Grand Canyon University. All Rights Reserved.

Inputs

Long-Term Outcomes Mid-Term Outcomes

Short-Term Outcomes Outputs Activities

Legend

Inputs: What resources do you need to make this happen? (e.g., staff, space, funding)

Activities: What are you going to do? (e.g., educate and establish partnerships)

Outputs: What will happen because of your activities? (e.g., 100 people trained)

Short-Term Outcomes: Immediate changes you expect to occur (e.g., changes in

knowledge)

Mid-Term Outcomes: (e.g., changes in behavior)

Long-Term Outcomes: How will this program help in the future? (e.g., obesity prevention) Logic Model

Health issue: Population affected by the health issue: Proposed intervention:

Theory or model used inform an intervention: