Palermo Claire, van Herwerden Louise, Maugeri Isabella, McKenzie-Lewis Fiona, Hughes Roger
Department of Nutrition and Dietetics, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia; and Corresponding author.
Department of Nutrition and Dietetics, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia.
Aust J Prim Health. 2019 Jun;25:250-255. doi: 10.1071/PY18182.
Building capacity to enhance health promotion intervention effectiveness is a desirable, difficult to achieve and rarely evaluated aspect of practice. This study aims to describe an approach for evaluating capacity building embedded in a state-wide health promotion intervention that had a primary objective of enhancing food literacy and secondary objective of building health promotion capacity. The multi-strategy rural food literacy intervention centred on a group-based, hands-on learning workshop series. Logic modelling, theory of change and clarification of the explicit assumption of the intervention relating to food literacy and capacity building objectives were documented. The evaluation approach acknowledged the complexity of the intervention that utilised a food literacy program as a vessel to build relationships, enabling capacity-building strategies over time, and used multiple forms of data to measure organisational, community and individual capacity. The development of a shared mixed method program evaluation plan was achieved through co-design. One-hundred and twenty-two peer facilitators were trained across 81 communities and reported increases in self-efficacy for health promotion action. There was broad awareness and support for the program within the organisation. The majority (75%) of communities involved in the intervention implemented at least one health promotion activity, demonstrating some health promotion capacity gain.
增强健康促进干预效果的能力建设是实践中一个值得追求、难以实现且很少得到评估的方面。本研究旨在描述一种评估能力建设的方法，该能力建设嵌入一项全州范围的健康促进干预措施中，其主要目标是提高食品素养，次要目标是建设健康促进能力。这项多策略农村食品素养干预措施以一系列基于小组的实践学习工作坊为核心。记录了逻辑建模、变革理论以及对与食品素养和能力建设目标相关的干预明确假设的阐释。该评估方法认识到干预措施的复杂性，它利用一个食品素养项目作为建立关系的载体，随着时间推移实现能力建设策略，并使用多种数据形式来衡量组织、社区和个人能力。通过共同设计制定了一个共享的混合方法项目评估计划。在81个社区培训了122名同伴促进者，他们报告称健康促进行动的自我效能有所提高。该组织内部对该项目有广泛的认识和支持。参与干预的大多数社区（75%）至少开展了一项健康促进活动，表明在健康促进能力方面有所提升。
