Menzies Health Institute Queensland, Griffith University, Nathan, QLD, Australia.
Griffith Business School, Griffith University, Nathan, QLD, Australia.
Health Promot J Austr. 2022 Oct;33 Suppl 1(Suppl 1):271-277. doi: 10.1002/hpja.591. Epub 2022 Mar 15.
ISSUE: Chronic disease is a growing problem affecting approximately half of all Australian adults. In response to growing calls for action on chronic disease, the My health for life program was created, aimed at improving the health of individuals at high risk of developing preventable chronic disease. The preventive health program is multi-modal, cross-culturally tailored and contains complex social marketing, community engagement, risk assessment and health promotion components. Therefore, a multi-component evaluation framework is essential to understand the effectiveness of the My health for life program. This brief report details the evaluation. METHODS: The evaluation design uses non-randomised, longitudinal analysis using repeated measures, observational, program goal-based and pretest-posttest design features to assess the program, its specific modalities and its program adaptations. To ensure timely and credible evaluation, different evaluative implementation frameworks and methods are considered. Quantitative and qualitative methods collect an array of program data at differing levels to assess the processes, outcomes and impacts of My health for life. DISCUSSION: The implemented evaluation framework has allowed measurement of: (i) process impacts including uptake, retention and attrition, participant satisfaction, fidelity and program stakeholder engagement and (ii) outcomes relating to individual participant level changes in health behaviours. SO WHAT?: This evaluation is an example of an integrated evaluation approach in a large successful preventive health program. Findings from the evaluation will ultimately inform the applicability and transferability of the program and inform policy makers, stakeholders and other health professionals in preventive health practice.
问题:慢性病是一个日益严重的问题,影响着大约一半的澳大利亚成年人。为了应对人们对慢性病采取行动的呼声日益高涨,制定了“我的健康生活”计划,旨在改善有发展为可预防慢性病风险的个人的健康。该预防保健计划是多模式的、跨文化定制的,包含复杂的社会营销、社区参与、风险评估和健康促进组成部分。因此,一个多组件评估框架对于了解“我的健康生活”计划的有效性至关重要。本简要报告详细介绍了评估情况。
方法:评估设计使用非随机、纵向分析,采用重复测量、观察、基于计划目标和预测试后测试设计特点来评估该计划、其特定模式及其计划适应性。为确保及时和可信的评估,考虑了不同的评估实施框架和方法。定量和定性方法收集了一系列不同层次的计划数据,以评估“我的健康生活”的过程、结果和影响。
讨论:实施的评估框架允许测量:(i)过程影响,包括参与率、保留率和流失率、参与者满意度、保真度以及计划利益相关者的参与;(ii)与个人参与者健康行为变化相关的结果。那么,这意味着什么呢?该评估是一个大型成功预防保健计划中综合评估方法的示例。评估结果最终将为该计划的适用性和可转移性提供信息,并为政策制定者、利益相关者和其他预防保健实践中的卫生专业人员提供信息。
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