Paine-Andrews A, Harris K J, Fawcett S B, Richter K P, Lewis R K, Francisco V T, Johnston J, Coen S
Work Group on Health Promotion and Community Development, University of Kansas, Lawrence 66045, USA.
J Community Health. 1997 Oct;22(5):343-59. doi: 10.1023/a:1025175504044.
We describe a case study evaluation of Kansas LEAN, a statewide partnership with the mission of reducing risks for chronic diseases through dietary and exercise modification. We used a case study design to examine five primary questions related to process and outcome: (a) were the goals of the partnership important to constituents? (process), (b) were constituents satisfied with the partnership (process), (c) were community or systems changes (new or modified programs, policies, or practices) facilitated by partnership efforts (outcome)?, (d) were these changes important to the partnership's mission (outcome)?, and (e) what critical events helped facilitate community changes (outcome)? several measurement instruments--a monitoring and feedback system, constituent surveys, and semistructured interviews--were used to address key evaluation questions. Kansas LEAN is a strong statewide partnership with involvement from key representatives throughout Kansas. It is an ongoing, comprehensive health promotion program that plans and implements multiple components, in a variety of settings, to create awareness, behavior change, and a supportive environment. Kansas LEAN has facilitated several important community or systems changes related to its mission. We conclude with a discussion of the challenges of evaluating partnerships that seek to reduce risks for chronic diseases.
我们描述了一项针对堪萨斯州LEAN项目的案例研究评估，该项目是一项全州范围的合作项目，其使命是通过饮食和运动调整来降低慢性病风险。我们采用案例研究设计来考察与过程和结果相关的五个主要问题：（a）该合作项目的目标对参与者而言是否重要？（过程），（b）参与者对该合作项目是否满意？（过程），（c）合作项目的努力是否促进了社区或系统的改变（新的或改进的项目、政策或实践）？（结果），（d）这些改变对合作项目的使命是否重要？（结果），以及（e）哪些关键事件有助于促进社区改变？（结果）我们使用了几种测量工具——一个监测与反馈系统、参与者调查和半结构化访谈——来回答关键的评估问题。堪萨斯州LEAN项目是一项强大的全州范围合作项目，有来自堪萨斯州各地的关键代表参与其中。它是一个持续的、全面的健康促进项目，在各种环境中规划和实施多个组成部分，以提高意识、改变行为并营造一个支持性环境。堪萨斯州LEAN项目已经促成了与其使命相关的几项重要的社区或系统改变。我们最后讨论了评估旨在降低慢性病风险的合作项目所面临的挑战。
