The FIMR evaluation: objectives, concepts, frameworks, and methods.

FIMR is now a widespread strategy that has been adopted by more than 200 communities nationwide. Examining the impact of FIMR programs in a rigorous fashion presented a formidable challenge. A complex multiphase study design and innovative outcome measures were developed for the nationwide evaluation of FIMR. Data were collected from multiple respondents in nearly 200 communities across the United States. The results of this evaluation are an important contribution to the literature on the value of FIMR. However, while our study represents a substantial improvement over past research, limitations persist. Future work in this area will need to creatively address these limitations in order to better understand the effect of FIMR programs in communities.