Measuring Youth Outcomes Over Six Years at a Medical Speciality Camp


  • Ann Gillard The Hole In The Wall Gang Camp
  • Hilary Axtmayer The Hole in the Wall Gang Camp



Medical specialty camp, illness, youth outcomes battery, friendship skills, interest in exploration, independence


Summer camp can be a setting for positive youth development, yet more understanding is needed about how camps measure youth development outcomes. The purpose of this study was to examine the experiences of The Hole in the Wall Gang Camp—a medical specialty camp— using the American Camp Association’s Youth Outcomes Battery (YOB) over six years. In this case study, we examined challenges and successes in the use of the YOB to measure friendship skills, interest in exploration, and independence, and how findings from evaluation studies were used to improve camp practice. Data were analyzed from evaluation reports, participant observations of internal staff gatherings and communications, and document review. Results revealed lessons learned about scheduling data collection and contemplation of intentional outcomes, ease in YOB usage, and utility for stakeholder communications and program improvement.

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Author Biographies

Ann Gillard, The Hole In The Wall Gang Camp


Director of Research and Evaluation

The Hole In The Wall Gang Camp

Hilary Axtmayer, The Hole in the Wall Gang Camp

Chief Program Officer

The Hole in the Wall Gang Camp



Allen, A., Smith, E., & Hill, E. (2019). Medical specialty camps: Camper/staff perceptions from the ACA Youth Outcomes Battery. Journal of Outdoor Recreation, Education, and Leadership, 11(3), 268-270. doi:10.18666/JOREL-2019-V11-I3-9919

American Camp Association. (2011). Youth Outcomes Battery. Martinsville, IN.

Bialeschki, M. D., Henderson, K. A., & James, P. A. (2007). Camp experiences and developmental outcomes for youth. Child and Adolescent Psychiatric Clinics of North America, 16, 769-788. doi:10.1016/j.chc.2007.05.011

Browne, L. P., Garst, B. A., & Bialeschki, M. D. (2011). Engaging youth in environmental sustainability: Impact of the Camp 2 Grow program. Journal of Park & Recreation Administration, 29(3), 70-85.

Browne, L. P., Jameson, M., & Bialeschki, M. D. (2015). Engaging camp staff in continuous program improvement. Journal of Park and Recreation Administration, 33(1), 40-56.

D'Eloia, M. H., & Sibthorp, J. (2012). The Youth Relatedness Scale: Development of a new evaluation tool for youth programs. Journal of Youth Development, 7(2), 61-75. doi:10.5195/jyd.2012.142

Eastep, B., Cachelin, A., & Sibthorp, J. (2011). Affinity for nature in outdoor programming: Theoretical foundations, scale development, and importance. Journal of Outdoor Recreation, Education, and Leadership, 3(3), 126. doi:10.7768/1948-5123.1089

Ellis, G. & Sibthorp, J. (2006). Development and Validation of a Battery of Age Appropriate Measures for Camper Outcomes. Technical report for the American Camp Association.

Ellis, G., Sibthorp, J., & Bialeschki, M. D. (2007). Development and validation of a camper outcomes battery (abstract). NRPA Leisure Research Symposium. (pp. 106-109). Indianapolis, IN.

Gagnon, R. J., & Garst, B. A. (2019). Research and practice: An applied examination of the Parental Perceptions of Developmental Outcomes Scale. Journal of Outdoor Recreation, Education and Leadership, 11(1), 3. doi:10.18666/JOREL-2019-V11-11-9070

Gagnon, R. J., & Sandoval, A. (2020). Pre-college STEM camps as developmental context: Mediational relations between gender, career decidedness, socioemotional development, and engagement. Children and Youth Services Review, 108, 104584. doi:10.1016/j.childyouth.2019.104584

Gillard, A., & Roark, M. F. (2017). Does staff training on camper friendship skills make a difference to campers with serious illness? Journal of Park & Recreation Administration, 35(4), 1-12. doi:

Gillard, A., Witt, P. A., & Watts, C. E. (2011). Outcomes and processes at a camp for youth with HIV/AIDS. Qual Health Res, 21(11), 1508-1526. doi:10.1177/1049732311413907

Hall, A., Peden, J., Kropp, J., & Mathews, D. (2018). Program outcomes at a resident camp for youth with serious illnesses, disabilities, and life challenges. 91(4), 18-21.

Hickerson, B. D., & Henderson, K. A. (2014). Opportunities for promoting youth physical activity: An examination of youth summer camps. J Phys Act Health, 11(1), 199.

Hill, E., Gagnon, R., Ramsing, R., Goff, J., Kennedy, B., & Hooker, T. (2015). Measuring the impact of a medical specialty camp. Therapeutic Recreation Journal, 49(4), 310-325.

Hill, E., Holt, J., Ramsing, R., & Goff, J. (2016). Evaluating day camps using the ACA Youth Outcomes Battery. Parks & Recreation, 51(1), 14-17.

Kane, B., McIntosh, T., Bitterman, A., Viglietta, C, Williams, R, Hill, E., & Ramsing, R. (2020, February 11-14). Family diabetes camps: Evaluating the experience of campers and parents. In A. Gillard (Chair), ACA Camp Research Forum Book of Abstracts [Symposium]. American Camp Association’s 2020 Camp Research Forum, San Diego, CA, United States.

Lower, L. M., Newman, T. J., & Anderson-Butcher, D. (2017). Validity and reliability of the Teamwork Scale for Youth. Research on Social Work Practice, 27(6), 716-725. doi:10.1177/1049731515589614

Ryan, R. M. & Deci, E. L. (2017). Self-Determination Theory: Basic Psychological Needs in Motivation, Development, and Wellness. The Guilford Press.

Sibthorp, J., Bialeschki, M. D., Morgan, C., & Browne, L. (2013). Validating, norming, and utility of a Youth Outcomes Battery for recreation programs and camps. Journal of Leisure Research, 45(4), 514-536.

Sibthorp, J., Browne, L., & Bialeschki, M. D. (2010). Measuring positive youth development at summer camp: Problem solving and camp connectedness. Research in Outdoor Education, 10, 1-12.

Thurber, C. A., Scanlin, M. M., Scheuler, L., & Henderson, K. A. (2007). Youth development outcomes of the camp experience: Evidence for multidimensional growth. J Youth Adolesc, 36(3), 241-254. doi:10.1007/s10964-006-9142-6

Wilson-Ahlstrom, A., Yohalem, N., DuBois, D., Ji, P., Hillaker, B., Weikart, D. P., & Forum for Youth Investment. (2014). From soft skills to hard data: Measuring youth program outcomes. Second Edition.

Wilson, C., & Sibthorp, J. (2018). Examining the role of summer camps in developing academic and workplace readiness. Journal of Youth Development, 13(1-2), 83-104. doi:10.5195/JYD.2018.563

Yin, R. K. (2003a). Applications of case study research (2nd ed. Vol. 34). Thousand Oaks, CA: Sage.

Yin, R. K. (2003b). Case study research : Design and methods (3rd ed. Vol. 5). Thousand Oaks, CA: Sage.

Yin, R. K. (2013). Validity and generalization in future case study evaluations. Evaluation, 19(3), 321-332. doi:10.1177/1356389013497081






Special Issue: Critical Exploration of Evidence-Based Practice in Organized Camping