Hawe H P, Hall J P, Degeling D E, Moore A G
Arch Dis Child. 1985 Dec;60(12):1173-6. doi: 10.1136/adc.60.12.1173.
Progress in health promotion and preventive programme planning is limited by a lack of data on the development of current activities. A cross sectional survey of hospitals, community health centres, and other health agencies in New South Wales was therefore undertaken to determine the nature and extent of health promotion programmes being conducted in the period July to December 1983. A subsample of 1198 preventive programmes in child and family health was identified, making up 26% of all programmes operating in this period. Results indicate that three major types of programme are being conducted in child health. These are in the areas of (1) parent education and support, (2) school health education, including drug and alcohol education and personal development, and (3) child safety and first aid. Although the nature of these programmes generally corresponds with current thinking on what priorities in health promotion should be, results also indicate that evaluation of these programmes is limited. Most programmes assess only what participants think of the programme rather than assessing changes in knowledge, attitude, behaviour, or health status. Improvements in evaluation practice are required if preventive intervention programmes are to undertake seriously the task of altering the pattern of diseases and problems in childhood and adolescence.
健康促进和预防项目规划的进展因缺乏当前活动开展情况的数据而受到限制。因此，对新南威尔士州的医院、社区卫生中心及其他卫生机构进行了一项横断面调查，以确定1983年7月至12月期间所开展的健康促进项目的性质和范围。确定了儿童和家庭健康方面1198个预防项目的子样本，占该时期所有运营项目的26%。结果表明，儿童健康领域正在开展三种主要类型的项目。这些项目分别在以下领域：（1）家长教育与支持；（2）学校健康教育，包括毒品和酒精教育以及个人发展；（3）儿童安全与急救。虽然这些项目的性质总体上与当前关于健康促进应优先考虑哪些方面的思路相符，但结果也表明对这些项目的评估有限。大多数项目仅评估参与者对项目的看法，而不是评估知识、态度、行为或健康状况的变化。如果预防性干预项目要认真承担起改变儿童和青少年疾病及问题模式的任务，就需要改进评估实践。
