Multi-site randomized controlled trial that identifies a substantively large and statistically significant cross-level cascade of QIS effects from network to organization to point-of-service instruction.
Citation: Akiva, T., Sugar, S.A., Smith, C., Pearson, L.M., Peck, S.C., Denault, A., & Blazevski, J. (2012). Continuous Quality Improvement in Afterschool Settings: Impact findings from the Youth Program Quality Intervention Study.