Nakkash Rima, Kobeissi Loulou, Ghantous Zeina, Saad Maya Abou, Khoury Brigitte, Yassin Nasser
American University of Beirut, Beirut, Lebanon.
Glob J Health Sci. 2011 Dec 29;4(1):22-32. doi: 10.5539/gjhs.v4n1p22.
This paper presents the process evaluation of a community-based randomized psycho-social trial aimed to enhance reproductive and mental health outcomes of disadvantaged women living in the southern suburb of Beirut-Lebanon. Process evaluation of public health interventions involves the monitoring and documentation of interventions' implementation to allow for better understanding of planned outcomes and of intervention effectiveness.
A community-based randomized trial was conducted. The intervention consisted of 12 sessions (of combined 30 minutes of relaxation exercises and 75 minutes of structured support groups) delivered twice per week over a period of six-weeks. A process evaluation was conducted during the implementation of the intervention. This process evaluation aimed to ensure that the intervention was delivered and implemented as planned, as well as to monitor women's satisfaction and attendance. The main components of the process evaluation included: dose delivered, dose received, and reach. Closed ended questionnaires were administered before/after/during each intervention session. Data was entered and analyzed using SPSS. Analysis revolved around simple frequency distribution for categorical variables and means (SD) for continuous variables. Limited bivariate analysis (using CHI Square and Anova) was done.
RESULTS indicated that the delivery, implementation, and reach of the intervention were favorable. Participation was acceptable and satisfaction rates were very high.
These favorable findings pertaining to intervention satisfaction, reach and participation highlight a number of lessons for future intervention studies in the context of disadvantaged settings. They also support the importance of involving the local community members in intervention planning, implementation and evaluation early on. We believe that the community involvement in this trial directly and significantly contributed to the results of this process evaluation.
本文介绍了一项基于社区的随机心理社会试验的过程评估，该试验旨在改善生活在黎巴嫩贝鲁特南郊的弱势妇女的生殖健康和心理健康状况。公共卫生干预措施的过程评估包括对干预措施实施情况的监测和记录，以便更好地理解预期结果和干预效果。
开展了一项基于社区的随机试验。干预措施包括12节课程（每次课程包括30分钟的放松练习和75分钟的结构化支持小组讨论），每周进行两次，为期六周。在干预措施实施期间进行了过程评估。该过程评估旨在确保干预措施按计划实施，并监测妇女的满意度和参与度。过程评估 的主要组成部分包括：提供的剂量、接受的剂量和覆盖范围。在每次干预课程之前/之后/期间发放封闭式问卷。使用SPSS录入和分析数据。分析围绕分类变量的简单频率分布和连续变量的均值（标准差）展开。进行了有限的双变量分析（使用卡方检验和方差分析）。
结果表明，干预措施的实施、执行和覆盖情况良好。参与度尚可，满意度很高。
这些关于干预满意度、覆盖范围和参与度的良好发现为弱势环境下未来的干预研究提供了一些经验教训。它们还支持了让当地社区成员尽早参与干预规划、实施和评估的重要性。我们认为，社区参与本试验直接且显著地促成了这一过程评估的结果。
