Sridharan Sanjeev, Nakaima April
The Evaluation Centre for Complex Health Interventions, St. Michael's Hospital, Canada; Institute for Health Policy, Management and Evaluation, University of Toronto, Canada.
The Evaluation Centre for Complex Health Interventions, St. Michael's Hospital, Canada.
Eval Program Plann. 2020 Jun;80:101440. doi: 10.1016/j.evalprogplan.2017.05.001. Epub 2017 May 10.
This paper describes some of the main challenges of evaluating complex interventions, as well as the implications of such challenges for evaluation capacity building. It discusses lessons learned from a case study of an evaluation of Dancing with Parkinson's, an organization that provides dance classes to people with Parkinson's disease in Toronto, Canada. These implications are developed from a realist evaluation lens. Key lessons include the need to develop skills to understand program mechanisms and contexts, recognize multiple models of causality, apply mixed method designs, and ensure the successful scaling up and spread of an intervention.
本文描述了评估复杂干预措施的一些主要挑战,以及这些挑战对评估能力建设的影响。它讨论了从对“与帕金森共舞”组织评估的案例研究中吸取的经验教训,该组织在加拿大多伦多为帕金森病患者提供舞蹈课程。这些影响是从现实主义评估视角得出的。主要经验教训包括需要培养理解项目机制和背景的技能、认识多种因果关系模型、应用混合方法设计,以及确保干预措施的成功扩大规模和推广。