Frable Pamela Jean, Dart Lyn, Bradley Patricia J
Harris School of Nursing, Texas Christian University, Box 298620, Fort Worth, TX 76129, USA.
Prev Chronic Dis. 2006 Jul;3(3):A98. Epub 2006 Jun 15.
Healthy Weigh (El camino saludable) is an obesity prevention program for low-income, predominantly Hispanic and African American families in an urban community in Tarrant County, Texas. Healthy Weigh Phase 1 was a successful community-campus partnership that took place in summer (June-August) and fall (September-November) 2003. The program met stated objectives and extensively engaged students from several health disciplines in service learning. This article describes what we learned about the evaluation of the program by examining the phase 1 evaluation process.
Family environments are important intervention settings for establishing life-long dietary practices. Available in English and Spanish, Healthy Weigh Phase 1 helped families that were at risk for overweight and obesity to adopt healthy eating, physical activity, and weight management patterns.
Analysis of a program logic model and formative evaluation data identified evaluation questions that could have improved the phase 1 evaluation process. Questions were categorized according to Donabedian's structure-process-outcome framework, and potential benefits of each question were identified. The Centers for Disease Control and Prevention's Framework for Program Evaluation in Public Health standards were used to judge the overall quality of the phase 1 evaluation process.
The phase 1 evaluation process successfully assessed the program's effects and generally met evaluation standards. Our critical examination also highlighted structure and process evaluation issues with potential for strengthening future interventions, community partnerships, and program outcomes.
Lessons learned influenced the phase 2 grant activities. Most importantly, we learned that involvement of program participants as full partners in program design, evaluation, and implementation is essential. Our understanding and practice of program evaluation evolved as Healthy Weigh became a true community-based participatory research endeavor.
“健康体重（健康之路）”是一项针对得克萨斯州塔兰特县一个城市社区中低收入、主要为西班牙裔和非裔美国家庭的肥胖预防项目。“健康体重”第一阶段是2003年夏季（6月至8月）和秋季（9月至11月）成功开展的社区与校园合作项目。该项目实现了既定目标，并让多个健康学科的学生广泛参与到服务学习中。本文通过审视第一阶段的评估过程，描述了我们从该项目评估中学到的内容。
家庭环境是建立终身饮食习惯的重要干预场所。“健康体重”第一阶段提供英文和西班牙文版本，帮助有超重和肥胖风险的家庭采用健康的饮食、体育活动和体重管理模式。
对项目逻辑模型和形成性评估数据的分析确定了可能改进第一阶段评估过程的评估问题。根据唐纳贝迪安的结构-过程-结果框架对问题进行分类，并确定每个问题的潜在益处。使用疾病控制与预防中心的《公共卫生项目评估框架》标准来评判第一阶段评估过程的整体质量。
第一阶段评估过程成功评估了项目效果，总体上符合评估标准。我们的批判性审查还突出了结构和过程评估问题，这些问题有可能加强未来的干预措施、社区伙伴关系和项目成果。
吸取的经验教训影响了第二阶段的资助活动。最重要的是，我们了解到让项目参与者作为完全合作伙伴参与项目设计、评估和实施至关重要。随着“健康体重”成为一项真正基于社区的参与性研究活动，我们对项目评估的理解和实践也得到了发展。
