To read this content please select one of the options below:

Evaluation of a leadership development impact assessment toolkit: a comparative case study of experts’ perspectives in three Canadian provinces

Mehri Karimi-Dehkordi (Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada)
Graham Dickson (Professor Emeritus, Royal Roads University, Victoria, Canada, and Canadian Society of Physician Leaders, British Columbia, Canada)
Kelly Grimes (Canadian Health Leadership Network, Ottawa, Canada)
Suzanne Schell (ROI Institute Canada, Ottawa, Canada)
Ivy Bourgeault (Telfer School of Management, University of Ottawa, Ottawa, Canada)

Leadership in Health Services

ISSN: 1751-1879

Article publication date: 6 December 2022




This paper aims to explore users' perceptions of whether the Leadership Development Impact Assessment (LDI) Toolkit is valid, reliable, simple to use and cost-effective as a guide to its quality improvement.


The Canadian Health Leadership Network codesigned and codeveloped the LDI Toolkit as a theory-driven and evidence-informed resource that aims to assist health-care organizational development practitioners to evaluate various programs at five levels of impact: reaction, learning, application, impact and return on investment (ROI) and intangible benefits. A comparative evaluative case study was conducted using online questionnaires and semistructured telephone interviews with three health organizations where robust leadership development programs were in place. A total of seven leadership consultants and specialists participated from three Canadian provinces. Data were analyzed sequentially in two stages involving descriptive statistical analysis augmented with a qualitative content analysis of key themes.


Users perceived the toolkit as cost-effective in terms of direct costs, indirect costs and intangibles; they found it easy-to-use in terms of clarity, logic and structure, ease of navigation with a coherent layout; and they assessed the sources of the evidence-informed tools and guides as appropriate. Users rated the toolkit highly on their perceptions of its validity and reliability. The analysis also informed the refinement of the toolkit.


The refined LDI Toolkit is a comprehensive online collection of various tools to support health organizations to evaluate the leadership development investments effectively and efficiently at five impact levels including ROI.



The authors want to thank leadership consultants and specialists as study participants from British Columbia, Saskatchewan, and Nova Scotia for their continuous and long-term contributions to this research.

Funding: This study was supported by funding from a Mitacs Accelerate Award No. IT10345 in partnership with the Canadian Health Leadership Network (CHLNet), both awarded to Mehri Karimi-Dehkordi, a postdoctoral fellow with the University of Ottawa.


Karimi-Dehkordi, M., Dickson, G., Grimes, K., Schell, S. and Bourgeault, I. (2022), "Evaluation of a leadership development impact assessment toolkit: a comparative case study of experts’ perspectives in three Canadian provinces", Leadership in Health Services, Vol. ahead-of-print No. ahead-of-print.



Emerald Publishing Limited

Copyright © 2022, Emerald Publishing Limited

Related articles