Building Adaptive Leaders: A Formative Evaluation of the Region V Public Health Leadership Institute Using Ripple Effect Mapping and Focus Groups.

Objectives: The Region V Public Health Training Center implemented an inaugural Leadership Institute (RVPHLI) from January to June 2023. This paper outlines a formative evaluation of the program to qualitatively assess its potential outcomes and influence on participants' leadership capacity.

Design, setting, and participants: Thirty-eight public health and primary care professionals participated in 40 hours of online learning activities focused on adaptive leadership themes.

Main outcome measure: We conducted ripple effect mapping (REM) exercises and focus group discussions with 32 participants.

Results: REM analysis using the Community Capitals Framework suggested benefits to participants' cultural, social, and human capital. The following themes emerged as takeaways from the focus groups: leaders as collaborators, new approaches to work and leadership, better understanding of individual leadership qualities and skills, current challenges, and validated existing definitions of leadership.

Conclusions: REM analysis showed participants gaining confidence and skills. They identified beneficiaries beyond themselves and shared challenges and resources. Findings will shape future RVPHLI iterations and potentially enhance development of other leadership programs in both the public health and primary care sectors.