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The National Diabetes Education Program Evaluation Framework: A Case Study in Evaluation of a National Public Health Program
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| Presenter(s):
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| Joanne Gallivan,
National Institutes of Health,
joanne_gallivan@nih.gov
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| Clarice Brown,
Social & Scientific Systems Inc,
cbrown@s-3.com
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| Rachel Greenberg,
Marketing and Communications Consulting,
rachelgreenberg@starpower.net
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| Abstract:
The National Diabetes Education Program (NDEP) was launched to reduce the mortality and morbidity from diabetes and its complications by improving the treatment and outcomes for people with diabetes, promoting early diagnosis, and preventing the onset of diabetes. The NDEP is co-sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (NIH) and the Centers for Disease Control and Prevention (CDC). Evaluation is an integral component of program planning and implementation of NDEP. NDEP's evaluation and is based on CDC's "Framework for Program Evaluation in Health". This framework was developed to help ensure that public health programs “remain accountable and committed to achieving measurable outcomes”. This presentation describes how NDEP has applied the CDC evaluation framework, providing a case study of how multi-faceted health communications programs can design program evaluations to help answer key questions on program processes and effects.
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Use of Coordinated School Health Programs as a Strategy for Diabetes Prevention
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| Presenter(s):
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| Debra Pinkney,
University of Arizona,
dpinkney@email.arizona.edu
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| Lynne Borden,
University of Arizona,
bordenl@ag.arizona.edu
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| Stephen Russell,
University of Arizona,
strussell@arizona.edu
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| Ralph Renger,
University of Arizona,
renger@u.arizona.edu
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| Abstract:
This paper outlines the evaluation of a primary prevention effort involving the implementation of the School Health Index (SHI), a Coordinated School Health Program (CSHP) designed by the Centers for Disease Control and Prevention (CDC) to assist schools in the assessment of health policies and practices. This school-based prevention program was launched in response to the increasing prevalence rates of diabetes in the United States and specifically within Hispanic communities in Tucson. Multiple entities including school personnel, parents, and community key informants were invited to assist in the completion of the program components focusing on health promotion policies and practices, nutrition, physical activity, family and community involvement. This evaluation indicated that the components were completed however the success of the project was influenced by numerous barriers including scheduling conflicts, parent availability and lack of involvement, competing priorities, and school perceptions of parents.
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Program Fidelity: The Forgotten Variable in Program Evaluation
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| Presenter(s):
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| Janet Clinton,
University of Auckland,
j.clinton@auckland.ac.nz
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| Sarah Appleton,
University of Auckland,
sk.appleton@auckland.ac.nz
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| Abstract:
This paper describes the measurement of program fidelity in the Let's Beat Diabetes (LBD) program. Program fidelity is described as the fit between program plans, and program implementation. Is often measured using a range of variables.
LBD is a five year, life course community based program in New Zealand at long-term changes to prevent and/or delay the onset of Type II Diabetes.
A number of constructs are measured. First, the degree of implementation, which asks how much of the program participants received. Second, program adherence and or adaptation, which is defined as the extent to which implementation of a particular activity and method is consistent with program plans. Third, organizational management, this includes areas such as organizational structures, collaboration, sustainability, and evaluation readiness. These variables are correlated to illustrate their inter-connectedness and their relationship with overall program progress. The paper demonstrates the importance of assessing program fidelity.
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Evaluating an After-school Health Education Curriculum Using a Randomized Groups Experimental Design
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| Presenter(s):
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| Catherine A Oleksiw,
Academy for Educational Development,
coleksiw@aed.org
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| Paul L Johnson,
National Institutes of Health,
pjohnson@mail.nih.gov
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| Abstract:
The National Institute for Child Health and Human Development's (NICHD) Media-Smart Youth (MSY) program represents a continuing effort by the NICHD to strengthen its prevention efforts in fighting obesity and increasing physical activity. An after-school program composed of ten lessons, MSY focuses on increasing knowledge, skills and behavioral intent in nutrition, physical activity and media literacy. Although program evaluation in field settings does not always lend itself to rigorous design, this evaluation employs a randomized groups experimental design, specifically an untreated control group design with treatment and control matched groups being measured at pre-test and post-test. The evaluation provides the first opportunity to assess the curriculum being executed by the after-school program providers with trained facilitators. Using a Time x Treatment repeated measures ANOVA, a significant difference was found in the treatment and control groups from the pretest to the posttest on the knowledge and skills assessed.
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Real-time Evaluation of Burnley Food and Fitness Program Aimed at Tackling Childhood Obesity
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| Presenter(s):
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| Mansoor Kazi,
University at Buffalo,
mkazi@buffalo.edu
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| Jenny Slaughter,
East Lancashire Primary Care Trust,
jenny.slaughter@eastlancspct.nhs.uk
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| Nicole Tomasello,
University at Buffalo,
nicki.marie@gmail.com
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| Abstract:
In 2004, the United Kingdom government set a target to halt the rise in childhood obesity by 2010. Although obesity prevention involves healthy eating and active living, achieving a shift in patterns of behavior is very complex. The Burnley project was a school based project aiming to change behavior through both curriculum and after-school activity. This paper reports on the findings from the project's first year, targeting 149 children from four primary schools. Using real-time evaluation strategies, a series of pretest posttest designs were used and it was found that the majority had improved on the Body Mass Index, levels of fitness, reported food intake and reported physical activity between January 05 and January 06. A partnership was developed between internal and external evaluation to enable the project workers to learn from the evaluation findings on demand in order to inform future practice in real-time.
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