Health & Medical Question

From your readings, it is suggested that we as health providers, and, for the purposes of this class health promoters, must ask ourselves why we do what we do. Philosophically, this question can be answered in terms of why we have a desire to help people live better lives. Pragmatically, as per Dr. Martin, it has to do with why we choose the type of promotion programming that we do. Consider in this assignment being able to articulate WHY you would want to take on certain health promotion or disease prevention projects. Ideally, the key is to take on a project that is justifiable within your community versus taking on a project that you personally think is important regardless of what the community or targeted population perceives or really needs. As outlined in the readings, it is easy to place energy into an activity that is somewhat successful but that ultimately misses a larger, more important goal.

For example, a community program that teaches bicycle safety would seem like a worthy undertaking. However, using information learned in the course, a needs assessment (evidence-based literature review) could show that bicycle injuries were very low in the target community while drowning rates were very high. Thus, efforts aimed at reducing bicycle injuries would be noble but would not be the best allocation of talent and resources.

Get your paper done on time by an expert in your field.
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Therefore, the first assignment of this semester is for you to perform a PRELIMINARY NEEDS ASSESSMENT by performing an evidence-based literature review. Once you identify a need, then you can start creating a solution. This will specifically, later on, assist you in explaining and justifying what the needs are in your target population. Use the following process to PREPARE to do your needs assessment.

*Review Healthy People 2030 documents and the objectives from 2030 Topics and Objectives (Objectives A–Z) Link:

https://health.gov/healthypeople/objectives-and-data/browse-objectives.

(Links to an external site

.)

(Links to an external siteAlso Table 1-4 (pg. 27) (Course required textbook).*

  • Choose a numerical Healthy People 2030 objective with a HEALTH BEHAVIOR CHANGE FOCUS for your anticipated health promotion/education program (examples include obesity, tobacco use, substance abuse, responsible sex behavior, mental health, injury, violence, immunization).
  • Make sure that the Healthy People 2030 OBJECTIVE and associated HEALTH BEHAVIOR CHANGE FOCUS is one that you can envision being able to develop into a ready to implement community health promotion intervention with a strong health education component as well as a strong health promotion and empowerment focus.
  • Approvals are not required. However, if you are considering a health behavior focus for your assignment that is not included in Healthy People’s Objectives, you will need to contact the professor and obtain approval prior (72 hrs) to the assignment due date.
  • REQUIRED COMPONENTS for Assignment #1: THE PRELIMINARY NEEDS ASSESSMENT (PLEASE READ CAREFULLY)

    The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 3,000-words. This assignment must be completed and submitted on a Microsoft word document.

    APA format is required. 12 font size should be used, font names that should be used are Times New Roman or Cambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include a title page that consists of your name (First and Last), Panther ID number, and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources.

    Requirements:

    1. Document your targeted Objective and your Health Behavior Change Focus. State your chosen health behavior focus and targeted objective from HP 2030 and the Leading Health Indicator it relates to that you intend to address in your health education and program.

    2. Document the need for a program related to your targeted objective. Discuss the rationale or need for your choice to design a program to meet the targeted HP 2030 objective by reporting on the following: a) Report on the documented health risk(s) associated with not meeting this objective. b) State ALL of the HEALTH RISKS AND HEALTH CONDITIONS and DISEASES that are associated with the objective’s corresponding maladaptive health behavior. This is to be done by doing an evidence-based literature review using appropriate sources of secondary data.

    Examples of appropriate sources include official statistical databases like National Center for Health Statistics, technical reports, scholarly journal articles, and literature review articles. A practical example of this would be to perform a literature review that provides documentation of all pertinent health risks and conditions and diseases that are associated with one of the Healthy People Objective’s that deal with tobacco use, and that describes each of these health risks and diseases (lung cancer, chronic obstructive pulmonary disease).

    3. Report on the incidence and prevalence rates of the health risks and the health conditions and diseases that are associated with your chosen Healthy People 2030 Health Behavior. Report on any pertinent morbidity rates or mortality rates that are directly linked to your chosen Healthy People 2030 health behavior. Report any temporal trends of incidence and prevalence rates of the health risks and health conditions and health diseases that are directly linked to your chosen Healthy People 2030 health behavior. Locate research data and statistics from scholarly literature, trustworthy websites, and statistical evidence. You must provide incidence and prevalence rates on a national level. Examples of appropriate sources of data include official statistical databases like the census database at

    www.census.gov (Links to an external site.)

    , technical reports, scholarly journals, and literature review articles). An example of this would be to expound upon the prevalence AND incidence rates AND TRENDS of INCIDENCE AND PREVALENCE RATES of lung cancer and chronic obstructive pulmonary disease for one of the Healthy People 2030/2020 Tobacco Use Objectives at the national level morbidity and mortality rates associated with lung cancer and chronic obstructive pulmonary disease.

    4. Report what the research and literature suggest to minimize the risk that is associated with not performing your chosen health behavior change and thus, meet the Healthy People 2030 objective. This is also to be done by doing an evidence-based literature review using appropriate sources. Examples of appropriate data sources include evidence base search engines, journals, and resources such as Cochrane, Medline, Trip Database, and any other evidence-driven journals or resources. An example would be to search the literature for “evidence-based” methods and programs that have been most effective to accomplish the desired behavior change (like increased physical activity).

    FOURTH EDITION
    Health Program
    Planning and
    Evaluation
    A Practical, Systematic Approach
    for Community Health
    L. Michele Issel, PhD, RN
    Professor of PhD Program
    University of North Carolina at Charlotte
    College of Health and Human Services
    Charlotte, North Carolina
    Rebecca Wells, PhD, MHSA
    Professor
    The University of Texas
    School of Public Health
    Houston, Texas
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    15842-7
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    Cover Image: © Lynne Nicholson/Shutterstock
    Printing and Binding: Edwards Brothers Malloy
    Cover Printing: Edwards Brothers Malloy
    Library of Congress Cataloging-in-Publication Data
    Names: Issel, L. Michele, author. | Wells, Rebecca, 1966- author.
    Title: Health program planning and evaluation: a practical, systematic
    approach for community health/L. Michele Issel and Rebecca Wells.
    Description: Fourth edition. | Burlington, MA: Jones & Bartlett Learning,
    [2018] | Includes bibliographical references and index.
    Identifiers: LCCN 2017010386 | ISBN 9781284112115 (pbk.)
    Subjects: | MESH: Community Health Services—organization & administration |
    Program Development—methods | Health Planning—methods | Program
    Evaluation—methods | United States
    Classification: LCC RA394.9 | NLM WA 546 AA1 | DDC 362.12068—dc23 LC record available at https://lccn.loc.gov/2017010386
    6048
    Printed in the United States of America
    21 20 19 18 17 10 9 8 7 6 5 4 3 2 1
    © Lynne Nicholson/Shutterstock
    Contents
    List of Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
    Introduction to the Types of Evaluation. . . . . . . . . . 19
    List of Tables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
    Mandated and Voluntary Evaluations. . . . . . . 20
    List of Exhibits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii
    When Not to Evaluate. . . . . . . . . . . . . . . . . . . . . . 21
    Preface to the Fourth Edition. . . . . . . . . . . . . . . . . . . xix
    Acknowledgments. . . . . . . . . . . . . . . . . . . . . . . . . . . xxv
    List of Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxvii
    SECTION I 
    The Context of Health
    Program Development
    The Public Health Pyramid. . . . . . . . . . . . . . . . . . . . . . . 21
    Use of the Public Health Pyramid in
    Program Planning and Evaluation. . . . . . . . 23
    The Public Health Pyramid as
    an Ecological Model . . . . . . . . . . . . . . . . . . . . . 23
    The Town of Layetteville in Bowe County. . . . . . . . .25
    1
    Chapter 1 Context of Health
    Program Development
    and Evaluation. . . . . . . . . . . . . . . 3
    History and Context. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
    Concept of Health. . . . . . . . . . . . . . . . . . . . . . . . . . . 4
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
    Discussion Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
    Chapter 2 Relevance of Diversity
    and Disparities to Health
    Programs . . . . . . . . . . . . . . . . . . 29
    Health Programs, Projects, and Services. . . . . . 4
    Health Disparities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
    History of Health Program Planning
    and Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
    Diversity and Health Disparities. . . . . . . . . . . . . 32
    Evaluation as a Profession. . . . . . . . . . . . . . . . . . . . . . . . . 8
    Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
    Who Does Planning and Evaluations?. . . . . . . 10
    Interventions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
    Roles of Evaluators. . . . . . . . . . . . . . . . . . . . . . . . . . 10
    Planning and Evaluation Cycle. . . . . . . . . . . . . . . . . . . 11
    Influences of Sociocultural Diversity
    on Interventions. . . . . . . . . . . . . . . . . . . . . . . . . 38
    Interdependent and Cyclic Nature
    of Planning and Evaluation. . . . . . . . . . . . . . . 11
    Influences of Biological Diversity
    on Interventions. . . . . . . . . . . . . . . . . . . . . . . . . 39
    Using Evaluation Results as the
    Cyclical Link. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
    Approaches to Developing Programs. . . . . . . 39
    Program Life Cycle. . . . . . . . . . . . . . . . . . . . . . . . . . 13
    The Three Health Provider Sectors . . . . . . . . . . 43
    The Fuzzy Aspects of Planning. . . . . . . . . . . . . . . . . . . 14
    Paradoxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
    Diversity Within Healthcare Organizations
    and Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
    Assumptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
    Organizational Culture. . . . . . . . . . . . . . . . . . . . . . 44
    Uncertainty, Ambiguity, Risk,
    and Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
    Cultural Competency Continuum. . . . . . . . . . . 44
    Diversity and Health Programs. . . . . . . . . . . . . . 33
    Profession and Provider Diversity. . . . . . . . . . . .40
    Enhancing Cultural Competency . . . . . . . . . . . 48
    iii
    iv
    Contents 
    Stakeholders and Coalitions . . . . . . . . . . . . . . . . . . . . . 50
    Types of Assessments. . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
    Organizational Assessment. . . . . . . . . . . . . . . . . 75
    Discussion Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
    Marketing Assessment. . . . . . . . . . . . . . . . . . . . . . 76
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
    Needs Assessment . . . . . . . . . . . . . . . . . . . . . . . . . 76
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
    Community Health Assessment. . . . . . . . . . . . . 77
    Workforce Assessment. . . . . . . . . . . . . . . . . . . . . . 77
    SECTION II Defining the Health
    Problem
    57
    Steps in Planning and Conducting
    the Assessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
    Form and Develop the Team. . . . . . . . . . . . . . . . 78
    Create a Vision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
    Chapter 3 Community Health Assessment
    for Program Planning. . . . . . . . 59
    Involve Community Members. . . . . . . . . . . . . . 79
    Defining Community. . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
    Define the Problem to Be Assessed. . . . . . . . . 81
    Community as Context and Intended
    Recipient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
    Investigate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
    Defining Terms: Based, Focused,
    and Driven. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
    Make a Decision. . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
    Types of Needs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
    Types of Strengths. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
    Anticipate Data-Related and Methodological
    Issues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
    Approaches to Planning. . . . . . . . . . . . . . . . . . . . . . . . . 64
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
    Incremental Approach. . . . . . . . . . . . . . . . . . . . . . 64
    Discussion Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
    Apolitical Approach . . . . . . . . . . . . . . . . . . . . . . . . 66
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
    Advocacy Approach. . . . . . . . . . . . . . . . . . . . . . . . 66
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
    Communication Action Approach. . . . . . . . . . 67
    Define the Population. . . . . . . . . . . . . . . . . . . . . . 80
    Prioritize. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
    Implement and Continue. . . . . . . . . . . . . . . . . . . 83
    Summary of Approaches. . . . . . . . . . . . . . . . . . . 69
    Chapter 4 Characterizing and
    Defining the Health
    Problem . . . . . . . . . . . . . . . . . . . 91
    Models for Planning Public Health Programs. . . . . 69
    Collecting Data From Multiple Sources. . . . . . . . . . . 91
    Mobilizing for Action through Planning
    and Partnership (MAPP). . . . . . . . . . . . . . . . . . 70
    Public Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
    Community Health Improvement
    Process (CHIP). . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
    Observational Data. . . . . . . . . . . . . . . . . . . . . . . . . 92
    Comprehensive Rational Approach. . . . . . . . . 67
    Strategic Planning Approach . . . . . . . . . . . . . . . 68
    Protocol for Assessing Community
    Excellence in Environmental Health
    (PACE-EH). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
    Primary Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
    Archival Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
    Proprietary Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
    Published Literature. . . . . . . . . . . . . . . . . . . . . . . . 93
    In Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
    Data Beyond Street Lamp. . . . . . . . . . . . . . . . . . . 93
    Perspectives on Assessment. . . . . . . . . . . . . . . . . . . . . 71
    Collecting Descriptive Data. . . . . . . . . . . . . . . . . . . . . . 94
    Epidemiological Perspective. . . . . . . . . . . . . . . . 72
    Magnitude of the Problem. . . . . . . . . . . . . . . . . . 94
    Public Health Perspective. . . . . . . . . . . . . . . . . . . 74
    Dynamics Leading to the Problem. . . . . . . . . . 94
    Social Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . 74
    Population Characteristics. . . . . . . . . . . . . . . . . . 96
    Asset Perspective. . . . . . . . . . . . . . . . . . . . . . . . . . . 74
    Attitudes and Behaviors . . . . . . . . . . . . . . . . . . . . 96
    Rapid Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . 75
    Years of Life and Quality of Life. . . . . . . . . . . . . . 96
    Contents
    v
    Statistics for Describing Health
    Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
    Path to Program Outcomes
    and Impacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
    Descriptive Statistics. . . . . . . . . . . . . . . . . . . . . . . 100
    Components of the Effect Theory. . . . . . . . . . 135
    Geographic Information Systems:
    Mapping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
    Matching Levels: Audience, Cause,
    Intervention, and Effects. . . . . . . . . . . . . . . . 137
    Small Numbers and Small Areas . . . . . . . . . . . 101
    Generating the Effect Theory . . . . . . . . . . . . . . . . . . . 138
    Epidemiology Rates . . . . . . . . . . . . . . . . . . . . . . . 102
    Involve Key Stakeholders. . . . . . . . . . . . . . . . . . 138
    Stating the Health Problem. . . . . . . . . . . . . . . . . . . . . 102
    Draw Upon the Scientific Literature. . . . . . . . 138
    Diagramming the Health Problem. . . . . . . . . 102
    Diagram the Causal Chain
    of Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
    Writing a Causal Theory of the Health
    Problem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
    Check Against Assumptions. . . . . . . . . . . . . . . 141
    Prioritizing Health Problems . . . . . . . . . . . . . . . . . . . . 110
    Functions of Program Theory. . . . . . . . . . . . . . . . . . . 141
    Nominal Group Technique. . . . . . . . . . . . . . . . . 111
    Provide Guidance. . . . . . . . . . . . . . . . . . . . . . . . . . 141
    Basic Priority Rating System. . . . . . . . . . . . . . . . 111
    Enable Explanations. . . . . . . . . . . . . . . . . . . . . . . 142
    Propriety, Economics, Acceptability,
    Resources, and Legality (PEARL)
    Component. . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
    Form a Basis for Communication. . . . . . . . . . . 142
    Prioritizing Based on Importance
    and Changeability . . . . . . . . . . . . . . . . . . . . . . 114
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
    Discussion Questions and Activities. . . . . . . . . . . . . 117
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
    SECTION III 
    Health Program
    Development
    and Planning
    Make a Scientific Contribution. . . . . . . . . . . . . 143
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
    Discussion Questions and Activities. . . . . . . . . . . . . 144
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
    Chapter 6 Program Objectives
    and Setting Targets . . . . . . . . 147
    Program Goals and Objectives. . . . . . . . . . . . . . . . . . 147
    Goals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
    Foci of Objectives. . . . . . . . . . . . . . . . . . . . . . . . . 148
    121
    Objectives and Indicators. . . . . . . . . . . . . . . . . . 151
    Good Goals and Objectives. . . . . . . . . . . . . . . . 154
    Chapter 5 Program Theory
    and Interventions
    Revealed. . . . . . . . . . . . . . . . . . 123
    Program Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
    Process Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
    Effect Theory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
    Interventions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
    Using Data to Set Target Values. . . . . . . . . . . . . . . . . 156
    Decisional Framework for Setting
    Target Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
    Stratification and Object Target
    Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
    Use of Logic Statements to Develop
    Targets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
    Finding and Identifying Interventions. . . . . . 126
    Options for Calculating Target
    Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
    Types of Interventions. . . . . . . . . . . . . . . . . . . . . 127
    Caveats to the Goal-Oriented Approach . . . . . . . . 170
    Specifying Intervention Administration
    and Dosage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
    Interventions and Program Components. . . . 130
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
    Characteristics of Good Interventions. . . . . . 131
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
    Discussion Questions and Activities. . . . . . . . . . . . . 171
    vi
    Contents 
    SECTION IV Implementing and
    Monitoring the Health
    Program
    173
    Chapter 7 Process Theory for Program
    Implementation . . . . . . . . . . . 175
    Budgeting as Part of Planning. . . . . . . . . . . . . . . . . . . 204
    Monetize and Compute Program Costs. . . . . 204
    Budget for Start-Up and Evaluation Costs. . . 205
    Break-Even Analysis. . . . . . . . . . . . . . . . . . . . . . . . 205
    Budget Justification . . . . . . . . . . . . . . . . . . . . . . . 207
    Budget as a Monitoring Tool. . . . . . . . . . . . . . . . . . . . 209
    Budget Variance. . . . . . . . . . . . . . . . . . . . . . . . . . . 209
    Organizational Plan Inputs. . . . . . . . . . . . . . . . . . . . . . 175
    Types of Cost Analyses. . . . . . . . . . . . . . . . . . . . . 209
    Human Resources. . . . . . . . . . . . . . . . . . . . . . . . . 177
    Information Systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
    Physical Resources. . . . . . . . . . . . . . . . . . . . . . . . . 179
    Health Informatics Terminology. . . . . . . . . . . . 214
    Transportation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
    Information Systems Considerations. . . . . . . 214
    Informational Resources. . . . . . . . . . . . . . . . . . . 180
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216
    Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180
    Discussion Questions and Activities. . . . . . . . . . . . . 217
    Managerial Resources . . . . . . . . . . . . . . . . . . . . . 180
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
    Fiscal Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . 182
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
    Organizational Plan Outputs. . . . . . . . . . . . . . . . . . . . 182
    Organizational Chart. . . . . . . . . . . . . . . . . . . . . . 184
    Chapter 9 Implementation Evaluation:
    Measuring Inputs
    and Outputs. . . . . . . . . . . . . . . 219
    Information System. . . . . . . . . . . . . . . . . . . . . . . . 185
    Assessing the Implementation. . . . . . . . . . . . . . . . . . 219
    Inputs to Service Utilization Plan. . . . . . . . . . . . . . . . 185
    Implementation Documentation. . . . . . . . . . 220
    Social Marketing. . . . . . . . . . . . . . . . . . . . . . . . . . . 185
    Implementation Assessment . . . . . . . . . . . . . . 221
    Time Line. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
    Operations Manual. . . . . . . . . . . . . . . . . . . . . . . . 182
    Eligibility Screening. . . . . . . . . . . . . . . . . . . . . . . . 185
    Implementation Evaluation. . . . . . . . . . . . . . . . 221
    Queuing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
    Efficacy, Effectiveness, and Efficiency. . . . . . . . . . . . 222
    Intervention Delivery. . . . . . . . . . . . . . . . . . . . . . 189
    Data Collection Methods. . . . . . . . . . . . . . . . . . . . . . . 223
    Services Utilization Plan Outputs. . . . . . . . . . . . . . . . 191
    Quantifying Inputs
    to the Organizational Plan. . . . . . . . . . . . . . . . . . . . 223
    Summary: Elements of Organizational
    and Services Utilization Plans. . . . . . . . . . . . 192
    Human Resources. . . . . . . . . . . . . . . . . . . . . . . . . 228
    Alternative Plan Formats. . . . . . . . . . . . . . . . . . . . . . . . 192
    Physical Resources. . . . . . . . . . . . . . . . . . . . . . . . . 229
    Logic Models. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
    Quantifying Outputs
    of the Organizational Plan. . . . . . . . . . . . . . . . . . . . 230
    Business Plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
    Discussion Questions and Activities. . . . . . . . . . . . . 197
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198
    Information Systems. . . . . . . . . . . . . . . . . . . . . . . 230
    Monetary Resources. . . . . . . . . . . . . . . . . . . . . . . 230
    Quantifying Inputs to the Services
    Utilization Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 230
    Participants and Recipients. . . . . . . . . . . . . . . . 230
    Intervention Delivery and Fidelity. . . . . . . . . . 231
    Chapter 8 Monitoring Implementation
    Through Budgets and
    Information Systems . . . . . . . 201
    Quantifying Outputs of the Services
    Utilization Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234
    Budgets and Budgeting . . . . . . . . . . . . . . . . . . . . . . . . 201
    Participant-Related Issues. . . . . . . . . . . . . . . . . . 238
    Budgeting Terminology. . . . . . . . . . . . . . . . . . . . 202
    Program Logistics. . . . . . . . . . . . . . . . . . . . . . . . . . 240
    Coverage as Program Reach. . . . . . . . . . . . . . . 234
    Contents
    vii
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
    Evaluation and Research. . . . . . . . . . . . . . . . . . . 268
    Discussion Questions and Activities. . . . . . . . . . . . . 242
    Rigor in Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . 270
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
    Variables from the Program Effect Theory. . . . . . . 271
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
    Outcome and Impact Dependent
    Variables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
    Chapter 10 Program Quality and Fidelity:
    Managerial and Contextual
    Considerations. . . . . . . . . . . . 245
    The Accountability Context. . . . . . . . . . . . . . . . . . . . . 246
    Program Accountability. . . . . . . . . . . . . . . . . . . . 246
    Professional Accountability. . . . . . . . . . . . . . . . 246
    Performance and Quality: Navigating the
    Interface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
    Quality Improvement Approaches. . . . . . . . . 248
    Quality Improvement Tools. . . . . . . . . . . . . . . . 248
    Relevance to Health Programs. . . . . . . . . . . . . 251
    Performance Measurement. . . . . . . . . . . . . . . . 252
    Informatics and Information Technology. . . . 253
    Creating Change for Quality and Fidelity. . . . . . . . 255
    Interpreting Implementation Data. . . . . . . . . 255
    Maintaining Program Process Quality
    and Fidelity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
    Managing Group Processes for Quality
    and Fidelity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258
    Causal Factors as Independent
    Variables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
    Antecedent, Moderating, and
    Mediating Factors as Variables. . . . . . . . . . . 273
    Measurement Considerations. . . . . . . . . . . . . . . . . . . 275
    Units of Observation. . . . . . . . . . . . . . . . . . . . . . . 275
    Types of Variables (Levels
    of Measurement). . . . . . . . . . . . . . . . . . . . . . . 275
    Timing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278
    Sensitivity of Measures. . . . . . . . . . . . . . . . . . . . 278
    Threats to Data Quality . . . . . . . . . . . . . . . . . . . . . . . . . 279
    Missing Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279
    Reliability Concerns. . . . . . . . . . . . . . . . . . . . . . . . 280
    Validity of Measures . . . . . . . . . . . . . . . . . . . . . . . 281
    Contextual Considerations in Planning
    the Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
    Evaluation Standards. . . . . . . . . . . . . . . . . . . . . . 281
    Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282
    Stakeholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282
    When and What Not to Change. . . . . . . . . . . . 259
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 284
    Formative Evaluations. . . . . . . . . . . . . . . . . . . . . . . . . . 259
    Discussion Questions and Activities. . . . . . . . . . . . . 284
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
    Discussion Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . 260
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261
    Chapter 12 Choosing Designs for
    Effect Evaluations. . . . . . . . . 287
    SECTION V 
    Outcome and Impact
    Evaluation of Health
    Programs
    263
    Evaluation Design Caveats. . . . . . . . . . . . . . . . . . . . . . 288
    Considerations in Choosing
    a Design. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289
    Using Designs Derived from Multiple
    Paradigms: An Example. . . . . . . . . . . . . . . . . 294
    Chapter 11 Planning the Intervention
    Effect Evaluations. . . . . . . . . 265
    Choosing the Evaluation Design. . . . . . . . . . . . . . . . 294
    Developing the Evaluation Questions. . . . . . . . . . . 266
    Overview of the Decision Tree. . . . . . . . . . . . . 295
    Characteristics of the Right Question . . . . . . 267
    Designs for Outcome Documentation. . . . . 298
    Outcome Documentation, Outcome
    Assessment, and Outcome Evaluation. . . 268
    Designs for Outcome Assessment:
    Establishing Association. . . . . . . . . . . . . . . . . 301
    Identifying Design Options. . . . . . . . . . . . . . . . 294
    viii
    Contents 
    Designs for Outcome Evaluation:
    Establishing Causation. . . . . . . . . . . . . . . . . . 307
    Issues with Quantifying Change
    from the Program. . . . . . . . . . . . . . . . . . . . . . . 339
    Practical Issues with Experimental
    Designs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307
    Relationship of Change to Intervention
    Effort . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342
    Designs and Failures. . . . . . . . . . . . . . . . . . . . . . . . . . . . 309
    Clinical and Statistical
    Significance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
    Discussion Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . 312
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312
    Across Levels of Analysis. . . . . . . . . . . . . . . . . . . . . . . . 343
    Statistical Answers to the Questions . . . . . . . . . . . . 345
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312
    Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346
    Chapter 13 Sampling Designs
    and Data Sources for
    Effect Evaluations. . . . . . . . . 315
    Association. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
    Sampling Realities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315
    Sample Construction. . . . . . . . . . . . . . . . . . . . . . . . . . . 317
    Hard-to-Reach Populations. . . . . . . . . . . . . . . . 318
    Sample Size. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318
    Calculating Response Rates. . . . . . . . . . . . . . . . 319
    Sampling for Effect Evaluations. . . . . . . . . . . . . . . . . 322
    Sampling for Outcome Assessment. . . . . . . . 322
    Sampling for Outcome Evaluation. . . . . . . . . 324
    Data Collection Methods. . . . . . . . . . . . . . . . . . . . . . . 324
    Surveys and Questionnaires . . . . . . . . . . . . . . . 325
    Comparison. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 348
    Prediction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350
    Interpretation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353
    Four Fallacies of Interpretation. . . . . . . . . . . . . 353
    Ecological Fallacy. . . . . . . . . . . . . . . . . . . . . . . . . . 354
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356
    Discussion Questions and Activities. . . . . . . . . . . . . 356
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
    Chapter 15 Qualitative Methods
    for Planning and
    Evaluation . . . . . . . . . . . . . . . 359
    Secondary Data. . . . . . . . . . . . . . . . . . . . . . . . . . . 328
    Qualitative Methods Throughout the
    Planning and Evaluation Cycle . . . . . . . . . . . . . . . 359
    Big Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329
    Qualitative Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . 360
    Physical Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330
    Individual In-Depth Interview. . . . . . . . . . . . . 361
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330
    Written Open-Ended Questions. . . . . . . . . . . . 362
    Discussion Questions and Activities. . . . . . . . . . . . . 330
    Focus Group. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331
    Observation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 331
    Data Collection. . . . . . . . . . . . . . . . . . . . . . . . . . . . 364
    Case Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365
    Chapter 14 Quantitative Data
    Analysis and
    Interpretation. . . . . . . . . . . . 335
    Scientific Rigor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 368
    Data Entry and Management. . . . . . . . . . . . . . . . . . . 335
    Analysis of Qualitative Data. . . . . . . . . . . . . . . . . . . . . 372
    Outliers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
    Overview of Analytic Process . . . . . . . . . . . . . . 372
    Linked Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
    Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374
    Sample Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338
    Issues to Consider. . . . . . . . . . . . . . . . . . . . . . . . . 374
    Thinking About Change. . . . . . . . . . . . . . . . . . . . . . . . 339
    Presentation of Findings. . . . . . . . . . . . . . . . . . . . . . . . 375
    Change as a Difference Score. . . . . . . . . . . . . . 339
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 376
    Innovative Methods. . . . . . . . . . . . . . . . . . . . . . . 366
    Sampling for Qualitative Methods . . . . . . . . . . . . . . 369
    Contents
    ix
    Discussion Questions and Activities. . . . . . . . . . . . . 377
    Reporting Responsibly. . . . . . . . . . . . . . . . . . . . . . . . . . 392
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377
    Report Writing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 392
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377
    Making Recommendations. . . . . . . . . . . . . . . . 394
    Misuse of Evaluations. . . . . . . . . . . . . . . . . . . . . . 397
    SECTION VI Additional Considerations
    for Evaluators
    381
    Responsible Contracts. . . . . . . . . . . . . . . . . . . . . . . . . . 398
    Chapter 16 Program Evaluators’
    Responsibilities. . . . . . . . . . . 383
    Responsible for Evaluation Quality. . . . . . . . . . . . . . 400
    Ethical Responsibilities. . . . . . . . . . . . . . . . . . . . . . . . . . 383
    Ethics and Planning. . . . . . . . . . . . . . . . . . . . . . . 383
    Institutional Review Board Approval
    and Informed Consent. . . . . . . . . . . . . . . . . . 385
    Ethics and Evaluation. . . . . . . . . . . . . . . . . . . . . . 387
    Organization–Evaluator Relationship. . . . . . . 398
    Health Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399
    Responsible for Dissemination. . . . . . . . . . . . . . . . . . 401
    Responsible for Current Practice. . . . . . . . . . . . . . . . 402
    Across the Pyramid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404
    Discussion Questions and Activities. . . . . . . . . . . . . 405
    Internet Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405
    References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405
    HIPAA and Evaluations. . . . . . . . . . . . . . . . . . . . . 388
    Responsible Spin of Data and Information . . . . . . 389
    Persuasion and Information. . . . . . . . . . . . . . . . 389
    Information and Sensemaking. . . . . . . . . . . . . 391
    Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
    © Lynne Nicholson/Shutterstock
    List of Figures
    Figure 1-1
    The Planning and Evaluation Cycle
    Figure 5-3
    Effect Theory Example: Effect
    Theory for Reducing the Rate of
    Congenital Anomalies
    Figure 1-2
    The Public Health Pyramid
    Figure 1-3
    The Pyramid as an Ecological Model
    Figure 2-1
    Effects of Diversity Throughout the
    Planning and Evaluation Cycle Stage
    in the Planning and Evaluation Cycle
    Figure 5-4
    Two Roots of Program Failure
    Figure 6-1
    Connections Among Program,
    Agency, and Community
    Using Elements of Program Theory
    as the Basis for Writing Program
    Objectives
    Figure 3-1
    Figure 6-2
    Venn Diagram of CommunityBased, Community-Focused,
    and Community-Driven
    Diagram Showing Relationship of
    Effect Theory Elements to Process
    and Outcome Objectives
    Figure 3-2
    Figure 6-3
    Calculations of Options 1 Through
    4 Using a Spreadsheet
    Figure 6-4
    Calculations of Options 5 Through
    8 Using a Spreadsheet
    Figure 6-5
    Calculations of Options 9 and
    10 Using a Spreadsheet
    Figure 7-1
    Amount of Effort Across the
    Life of a Health Program
    Figure 7-2
    Diagram of the Process Theory
    Elements Showing the Components
    of the Organizational Plan and
    Services Utilization Plan
    Figure 7-3
    Diagram of Theory of Causes/
    Determinants for Neural Tube
    Defects, as Contributing to Rates of
    Congenital Anomalies, Using the
    Bowe County Example
    Process Theory for Neural Tube
    Defects and Congenital Anomalies
    Health Problem
    Figure 7-4
    Effect and Process Theory for Neural
    Tube Defect Prevention Program
    Figure 8-1
    Theory of Causes/Determinants with
    Elements of the BPRS Score: Size,
    Seriousness, and Interventions
    Relevance of Process Theory to
    Economic Evaluations
    Figure 8-2
    Information System Processes
    Throughout the Program Planning
    Cycle
    Figure 9-1
    Elements of the Process Theory
    Included in a Process Evaluation
    Figure 9-2
    Roots of Program Failure
    Figure 3-3
    The Planning and Evaluation Cycle
    Figure 4-1
    Generic Model of a Theory of Causes
    Figure 4-2
    Diagram of Theory of Causes/
    Determinants of Receiving
    Immunizations, as Contributing to
    Adult Immunization Rates, Using
    the Layetteville Example
    Figure 4-3
    Figure 4-4
    Figure 4-5
    Diagram of Theory of Causes/
    Determinants for Deaths from
    Gunshot Wounds, as Contributing
    to Adolescent Death Rates, Using
    the Layetteville Example
    Figure 5-1
    Model of Program Theory
    Figure 5-2
    The Effect Theory Showing the
    Causal Theory Using Community
    Diagnosis Elements
    xi
    xii
    List of Figures
    Figure 9-3
    Examples of Organizational Plan
    Inputs and Outputs That Can Be
    Measured
    Figure 12-2 Decision Tree for Choosing an
    Evaluation Design, Based on the
    Design’s Typical Use
    Figure 9-4
    Examples of Services Utilization
    Inputs and Outputs That Can Be
    Measured
    Figure 12-3 Three Sources of Program Failure
    Figure 10-1 List of Quality Improvement Tools
    with Graphic Examples
    Figure 14-1 Contributing Factors to the Total
    Amount of Change
    Figure 11-1 Planning and Evaluation Cycle, with
    Effect Evaluation Highlights
    Figure 14-2 Summary of the Three Decisions
    for Choosing an Analytic Approach
    Figure 11-2 Diagram of Net Effects to Which
    Measures Need to Be Sensitive
    Figure 14-3 Five Ways That the Rate of
    Change Can Be Altered
    Figure 11-3 Using the Effect Theory to Identify
    Effect Evaluation Variables
    Figure 16-1 Making Recommendations Related
    to the Organizational and Services
    Utilization Plans
    Figure 11-4 Effect Theory of Reducing
    Congenital Anomalies Showing
    Variables
    Figure 12-1 Relationship Between the Ability to
    Show Causality and the Costs and
    Complexity of the Design
    Figure 13-1 Probability and Nonprobability
    Samples and Their Usage
    Figure 16-2 Making Recommendations Related
    to the Program Theory
    Figure 16-3 The Planning and Evaluation
    Cycle with Potential Points for
    Recommendations
    © Lynne Nicholson/Shutterstock
    List of Tables
    Table 1-1
    Comparison of Outcome-Focused,
    Utilization-Focused, and Participatory
    Focused Evaluations
    Table 4-3
    Global Leading Causes of DisabilityAdjusted Life-Years (DALYs) and
    Years of Life Lost (YLL)
    Table 1-2
    Evaluation Standards Established by
    the Joint Commission on Standards
    for Educational Evaluation
    Table 4-4
    Table 1-3
    Fuzzy Aspects Throughout
    the Planning and Evaluation Cycle
    Numerators and Denominators for
    Selected Epidemiological Rates
    Commonly Used in Community
    Health Assessments
    Table 4-5
    Existing Factors, Moderating Factors,
    Key Causal Factors, Mediating Factors,
    and Health Outcome and Impact for
    Five Health Problems in Layetteville
    and Bowe County
    Table 1-4
    A Summary of the Healthy People
    2020 Priority Areas
    Table 2-1
    Examples of Cultural Tailoring
    Throughout the Program Planning
    and Evaluation Cycle
    Table 4-6
    Table 2-2
    Indicators Used to Measure
    Race in Different Surveys
    Relationship of Problem Definition to
    Program Design and Evaluation
    Table 4-7
    Table 2-3
    Professional Diversity Among
    Health Professions
    Criteria for Rating Problems
    According to the BPRS
    Table 4-8
    Table 2-4
    Cultural Continuum with
    Examples of the Distinguishing
    Features of Each Stage
    Program Prioritization Based on
    the Importance and Changeability
    of the Health Problem
    Table 4-9
    Table 3-1
    Three Elements of Community,
    with Their Characteristics
    Table 3-2
    Examples of Sources of Data for
    Prioritizing Health Problems at
    Each Level of the Public Health
    Pyramid
    Summary of the Six Approaches
    to Planning, with Public Health
    Examples
    Table 3-3
    Table 4-10 Examples of Required Existing,
    Causal, and Moderating Factors
    Across the Pyramid
    Comparison of Models Developed
    for Public Health Planning
    Table 5-1
    Table 3-4
    A Comparison of the Five
    Perspectives on Community Health
    and Needs Assessment
    Examples of Interventions by Type
    and Level of the Public Health
    Pyramid
    Table 5-2
    Haddon’s Typology for Analyzing
    an Event, Modified for Use in
    Developing Health Promotion and
    Prevention Programs
    Comparison of Effect Theory,
    Espoused Theory, and
    Theory-in-Use
    Table 5-3
    Examples of Types of Theories
    Relevant to Developing Theory of
    Causative/Determinant Factors or
    Theory of Intervention Mechanisms
    by Four Health Domains
    Table 4-1
    Table 4-2
    Quality-of-Life Acronyms
    and Definitions
    xiii
    xiv
    List of Tables
    Table 5-4
    Table 6-1
    Table 6-2
    Table 6-3
    Table 6-4
    Table 6-5
    Table 6-6
    Table 6-7
    Table 6-8
    Table 6-9
    Table 7-1
    Table 7-2
    Examples of Types of Theories
    Relevant to Developing the
    Organizational Plan and Services
    Utilization Plan Components of
    the Process Theory
    Aspects of Process Objectives as
    Related to Components of the
    Process Theory, Showing the
    TAAPS Elements
    Domains of Individual or Family
    Health Outcomes with Examples
    of Corresponding Indicators and
    Standardized Measures
    Bowe County Health Problems with
    Indicators, Health Outcomes, and
    Health Goals
    Effect Objectives Related to the
    Theory of Causal/Determinant
    Factors, Theory of the Intervention
    Mechanisms, and Theory of Outcome
    to Impact, Using Congenital
    Anomalies as an Example, Showing
    the TREW Elements
    Effect Objectives Related to the
    Theory of Causal/Determinant
    Factors, Theory of the Intervention
    Mechanisms, and Theory of Outcome
    to Impact, Using Adolescent
    Pregnancy as an Example, Showing
    the TREW Elements
    Matrix of Decision Options Based on
    Current Indicator Value, Population
    Trend of the Health Indicator, and
    Value of Long-Term Objective or
    Standard
    Framework for Target Setting:
    Interaction of Data Source Availability
    and Consistency of Information
    Summary of When to Use Each
    Option
    Range of Target Values Derived from
    Options 1 Through 10, Based on the
    Data from Figures 6-3 Through 6-5
    List of Health Professionals with
    a Summary of Typical Legal and
    Regulatory Considerations
    Relationship of Test Sensitivity and
    Specificity to Overinclusion and
    Underinclusion
    Table 7-3
    Examples of Partial- and
    Full-Coverage Programs by
    Level of the Public Health
    Pyramid
    Table 7-4
    Template for Tracking Services
    Utilization Outputs Using Example
    Interventions and Hypothetical
    Activities
    Table 7-5
    Hypothetical Logic Model of a
    Program for Reducing Congenital
    Anomalies
    Table 7-6
    Generic Elements of a Business
    Plan, with Their Purpose and
    Corresponding Element of
    the Process Theory and Logic
    Model
    Table 8-1
    Formulas Applied for Options A
    and B
    Table 9-1
    Methods of Collecting Process
    Evaluation Data
    Table 9-2
    Example of Measures of Inputs
    and Outputs of the Organizational
    Plan
    Table 9-3
    Examples of Measures of Inputs
    and Outputs of the Services
    Utilization Plan
    Table 9-4
    Matrix of Undercoverage, Ideal
    Coverage, and Overcoverage
    Table 9-5
    Examples of Process Evaluation
    Measures Across the Public Health
    Pyramid
    Table 10-1 Types of Program Accountability,
    with Definitions and Examples of
    Process Evaluation Indicators
    Table 10-2 Comparison of Improvement
    Methodologies and Program Process
    Evaluation
    Table 10-3 Definitions of Terms Used in
    Performance Measurement
    Table 10-4 Partial List of Existing Performance
    Measurement Systems Used by
    Healthcare Organizations, with
    Their Websites
    Table 11-1 Three Levels of Intervention
    Effect Evaluations
    Table 11-2 Differences Between Evaluation
    and Research
    List of Tables
    Table 11-3 Advantages and Disadvantages
    of Using Each Type of Variable
    Table 11-4 Examples of Nominal, Ordinal,
    and Continuous Variables for
    Different Health Domains
    Table 11-5 Example Time Line Showing the
    Sequence of Intervention and
    Evaluation Activities
    Table 11-6 Summary of Evaluation Elements
    Table 12-1 Contribution of Various Disciplines to
    Health Program Evaluation
    Table 12-2 Summary of Main Designs and
    Their Use for Individual or
    Population-Level Evaluations
    Table 12-3 Approaches to Minimizing Each of
    the Three Types of Program Failure
    Table 13-1 Probability and Nonprobability
    Samples and Their Usage
    Table 13-2 Comparison of Main Types
    of Samples with Regard to
    Implementation Ease, Degree of
    Representativeness, and Complexity
    of Sampling Frame
    Table 13-3 Example of Data Sources for Each
    Health and Well-Being Domain
    Table 13-4 Interaction of Response Bias and
    Variable Error
    Table 14-1 Calculation of Effectiveness
    and Adequacy Indices:
    An Example
    Table 14-2 Intervention Efficiency as a Relation
    of Effect Size and Causal Size
    Table 14-3 Factors That Affect the Choice of a
    Statistical Test: Questions to
    Be Answered
    Table 14-4 Analysis Procedures by Level
    of Intervention and Level of
    Analysis
    Table 14-5 Commonly Used Parametric and
    Nonparametric Statistical Tests
    for Comparison, Association, and
    Prediction
    Table 14-6 Main Types of Comparison Analyses
    Used by Level of Analysis and
    Assuming That the Variables
    Are at the Same Level of
    Measurement
    xv
    Table 14-7 Main Types of Association Analyses
    Used by Level of Analysis, Assuming
    That Variables Are the Same Level
    of Measurement
    Table 14-8 Example of Statistical Tests for
    Strength of Association by Level of
    Measurement, Using Layetteville
    Adolescent Antiviolence Program
    Table 14-9 Examples of Statistical Tests by
    Evaluation Design and Level of
    Measurement, with Examples of
    Variables
    Table 14-10 Main Types of Prediction Analyses
    Used by Level of Analysis, Assuming
    That Variables Are at the Same Level
    of Measurement
    Table 15-1 Comparison of Qualitative Perspectives
    with Regard to the Basic Question
    Addressed and the Relevance to Health
    Program Planning and Evaluation
    Table 15-2 Comparison of Major Qualitative
    Perspectives with Regard to the
    Method Used
    Table 15-3 Summary of Key Benefits and
    Challenges to Using Qualitative
    Methods in Planning and Evaluation
    Table 15-4 Sampling Considerations for Each of
    the Qualitative Methods Discussed
    Table 15-5 Summary of Types of Sampling
    Strategies Used with Qualitative
    Designs
    Table 15-6 Example of Interview Text with Final
    Coding
    Table 15-7 Suggested Qualitative Methods
    by Pyramid Level and Planning
    Cycle
    Table 16-1 Ethical Frameworks and Principles for
    Planning Health Programs
    Table 16-2 Comparison of Types of IRB Reviews
    Table 16-3 Eight Elements of Informed Consent,
    as Required in 45 CFR 46
    Table 16-4 Effect of Rigor and Importance of
    Claims on Decision Making
    Table 16-5 List of Ways to Make Graphs More
    Interpretable
    Table 16-6 Examples of Dissemination
    Modes, Audiences, and Purposes
    © Lynne Nicholson/Shutterstock
    List of Exhibits
    Exhibit 2-1 Checklist to Facilitate Development
    of Cultural and Linguistic
    Competence Within Healthcare
    Organizations
    Exhibit 2-2 Checklist to Facilitate Cultural
    Competence in Community
    Engagement
    Exhibit 7-1 Example of an Abbreviated Time Line
    for a Short-Term Health Program
    Exhibit 7-2 Chapter Text Paragraph Rewritten at
    an Eighth-Grade Reading Level
    Exhibit 8-1 Example of a Scenario Needing a
    Break-Even Analysis
    Exhibit 8-2 Example of a Budget Used for a
    Break-Even Analysis for Bright Light
    on an Excel Spreadsheet
    Exhibit 8-3 Break-Even Table Shows Number
    of Paying Students Needed to
    Break Even
    Exhibit 8-4 Example of a Budget Showing
    Year-to-Date Variance
    Exhibit 8-5 Types of Cost Analyses
    Exhibit 9-1 Formulas for Measures of
    Coverage
    Exhibit 9-2 Example of Narrative Background
    about Coverage and Dosage
    Measures
    Exhibit 9-3 Examples of Coverage Measures
    Using an Excel Spreadsheet
    Exhibit 9-4 Examples of Calculating Dosage
    for the Congenital Anomalies
    Prevention Program Using Excel
    xvii
    © Lynne Nicholson/Shutterstock
    Preface to the Fourth Edition
    The fourth edition of Health Program Planning
    and Evaluation has stayed true to the purpose and
    intent of the previous editions. This ­advancedlevel text is written to address the needs of
    professionals from diverse health disciplines
    who find themselves responsible for developing,
    implementing, or evaluating health programs.
    The aim of the text is to assist health professionals to become not only competent health
    program planners and evaluators but also savvy
    consumers of evaluation reports and prudent
    users of evaluation consultants. To that end,
    the text includes a variety of practical tools
    and concepts necessary to develop and evaluate
    health programs, presenting them in language
    understandable to both the practicing and novice
    health program planner and evaluator.
    Health programs are conceptualized as
    encompassing a broad range of programmatic
    interventions that span the social-ecological
    range, from individual-level to population-level
    programs. Examples of programs cited throughout the text are specific yet broadly related to
    improving health and reflect the breadth of
    public health programs. The examples have
    been updated once again to reflect current best
    practices. Maintaining a public health focus
    provides an opportunity to demonstrate how
    health programs can target different levels of a
    population, different determinants of a health
    problem, and different strategies and interventions to address a health problem. In addition,
    examples of health programs and references
    are selected to pique the interests of the diverse
    students and practicing professionals who constitute multidisciplinary program teams. Thus,
    the content and examples presented throughout
    the text are relevant to health administrators,
    medical social workers, nurses, nutritionists,
    pharmacists, public health professionals, physical
    and occupational therapists, and physicians.
    This textbook grew from teaching experiences with both nurses and public health students
    and their need for direct application of the program planning and evaluation course content to
    their work and to their clients and communities.
    Today programs need to be provided through
    community-based healthcare settings to address
    broad public health issues and expand the individual to population focus. The distinction between
    individual patient health and population health is
    a prerequisite for the thinking and planning—in
    terms of aggregates and full populations—by
    students from clinical backgrounds.
    In most graduate health professions programs,
    students take a research methods course and a
    statistics course. Therefore, this evaluation text
    avoids duplicating content related to research
    methods and statistics while addressing and
    extending that content into health program development, implementation, and evaluation. In
    addition, because total quality management and
    related methodologies are widely used in healthcare
    organizations, areas of overlap between quality
    improvement methodologies and traditional
    program evaluation approaches are discussed.
    This includes ways that quality improvement
    methodologies complement program evaluations.
    Sometimes evaluations are appropriate; sometimes
    they are not. Enthusiasm for providing health
    programs and performing evaluation is tempered
    with thoughtful notes of caution in the hope that
    students will avoid potentially serious and costly
    program and evaluation mistakes.
    xix
    xx
    Preface to the Fourth Edition
    ▸▸ Unique Features
    The Fourth Edition has retained the three unique
    features that distinguish this text from other
    program planning and evaluation textbooks: use
    of the public health pyramid, consistent use of a
    model of the program theory throughout the text,
    and role modeling of evidence-based practice.
    The public health pyramid explains how
    health programs can be developed for individuals, aggregates, populations, and service delivery
    systems. Use of the pyramid is also intended as a
    practical application of the social-ecological perspective that acknowledges a multilevel approach
    to addressing health problems. The public health
    pyramid contains four levels: direct services to
    individuals; enabling services to aggregates; services
    provided to entire populations; and, at the base,
    infrastructure. In this textbook, the pyramid is
    used as an organizing structure to summarize
    the content of each chapter in the “Across the
    Pyramid” sections. In these sections, specific
    attention is paid to how key concepts in a given
    chapter might vary across each pyramid level.
    Summarizing the chapter content in this manner
    reinforces the perspective that enhancing health
    and well-being requires integrated efforts across
    the levels of the public health pyramid. Health
    program development and evaluation is relevant
    for programs intended for individuals, aggregates,
    populations, and service delivery systems, and this
    fact reinforces the need to tailor program plans
    and evaluation designs to the level at which the
    program is conceptualized. Using the pyramid
    also helps health professionals begin to value
    their own and others’ contributions within and
    across the levels and to transcend disciplinary
    boundaries.
    The second unique feature of this text is
    that one conceptual model of program planning
    and evaluation is used throughout the text: the
    program theory. The program theory is like a
    curricular strand, connecting content across the
    chapters, and activities throughout the planning
    and evaluation cycle. The program theory, as
    a conceptual model, is composed of elements.
    Articulating each of the component elements
    of the program theory sharpens the student’s
    awareness of what must be addressed to create
    an effective health program. One element of the
    program theory is the effect theory, which focuses
    on how the intervention results in the program
    effects. The effect theory had its genesis in the
    concepts of action and intervention hypotheses
    described by Rossi and Freeman; those concepts
    were dropped from later editions of their text.
    We believe these authors were onto something
    with their effort to elucidate the various pathways leading from a problem to an effect of
    the program. Rossi and colleagues’ ideas have
    been updated with the language of moderating
    and mediating factors and an emphasis on the
    intervention mechanisms.
    Throughout the current edition of this
    textbook, emphasis is given to the effect theory
    portion of the program theory. The effect theory
    describes relationships among health antecedents,
    causes of health problems, program interventions,
    and health effects. The hypotheses that comprise
    the effect theory need to be understood and explicated to plan a successful health program and
    to evaluate the “right” elements of the program.
    The usefulness of the effect theory throughout
    the planning and evaluation cycle is highlighted
    throughout this text; for example, the model
    is used as a means of linking program theory
    to evaluation designs and data collection. The
    model becomes an educational tool by serving
    as an example of how the program theory is
    manifested throughout the stages of planning
    and evaluation, and by reinforcing the value
    of carefully articulating the causes of health
    problems and consequences of programmatic
    interventions. Students and novice program
    planners may have an intuitive sense of the
    connection between their actions and outcomes,
    but they may not know how to articulate those
    connections in ways that program stakeholders
    can readily grasp. The effect theory and the
    process theory—the other main element of the
    program theory—provide a basis from which to
    identify and describe these connections.
    Preface to the Fourth Edition
    The third unique feature of this text is the
    intentional role modeling of evidence-based
    practice. Use of published, empirical evidence
    as the basis for practice—whether clinical
    practice or program planning practice—is the
    professional standard. Each chapter of this book
    contains substantive examples drawn from the
    published scientific health and health-related
    literature. Relying on the literature for examples
    of programs, evaluations, and issues is consistent
    with the espoused preference of using scientific
    evidence as the basis for making programmatic
    decisions. Each chapter offers multiple examples
    from the health sciences literature that substantiate the information presented in the chapter.
    ▸▸ Organization
    of the Book
    The book is organized into six sections, each
    covering a major phase in the planning and evaluation cycle. Chapter 1 introduces the fictitious
    city of Layetteville and the equally fictitious Bowe
    County. In subsequent chapters, chapter content
    is applied to the health problems of Layetteville
    and Bowe County so that students can learn
    how to use the material on an ongoing basis.
    In several chapters, the case study is used in the
    “Discussion Questions and Activities” section to
    provide students with an opportunity to practice
    applying the chapter content. In recognition
    of the availability of parts of the text in digital
    format, each use of the Layetteville case stands
    on its own in reference to the chapter’s content.
    Section I explores the context in which
    health programs and evaluations occur. Chapter 1 begins with an overview of definitions of
    health, followed by a historical context. The
    public health pyramid is introduced and presented as an ecological framework for thinking
    of health programs. An overview of community
    is provided and discussed as both the target
    and the context of health programs. The role of
    community members in health programs and
    xxi
    evaluations is introduced, and emphasis is given
    to community as a context and to strategies for
    community participation throughout the program
    development and evaluation process. Chapter 2
    focuses on the role of diversity in the planning
    and evaluation cycle and its effects on the delivery
    and evaluation of health programs. Although a
    discussion of diversity-related issues could have
    been added to each chapter, the sensitive nature
    of this topic and its importance in ensuring a
    successful health program warranted it being
    covered early in the text and as a separate chapter.
    Cultural competence is discussed, particularly
    with regard to the organization providing the
    health program and with regard to the program
    staff members.
    Section II contains two chapters that focus
    on the task of defining the health problem.
    Chapter 3 covers planning perspectives and the
    history of health program planning. Effective
    health program developers understand that
    approaches to planning are based on assumptions. These assumptions are exemplified in six
    perspectives that provide points of reference for
    understanding diverse preferences for prioritizing
    health needs and expenditures and therefore for
    tailoring planning actions to fit the situation
    best. Chapter 3 also reviews perspectives on
    conducting a community needs assessment
    as foundational to decision making about the
    future health program. Essential steps involved
    in conducting a community health and needs
    assessment are outlined as well.
    Chapter 4 expands on key elements of a
    community needs assessment, beginning with
    a review of the data collection methods appropriate for a community needs assessment. This
    discussion is followed by a brief overview of key
    epidemiological statistics. Using those statistics
    and the data, the reader is guided through the
    process of developing a causal statement of the
    health problem. This causal statement, which
    includes the notion of moderating and mediating
    factors in the pathway from causes to problem,
    serves as the basis for the effect theory of the
    program. Once the causal statement has been
    xxii
    Preface to the Fourth Edition
    developed, prioritization of the problem is needed;
    four systems for prioritizing in a rational manner
    are reviewed in Chapter 4.
    Following prioritization comes planning,
    beginning with the decision of how to address the
    health problem. In many ways, the two chapters in
    Section III form the heart of planning a successful
    health program. Unfortunately, students generally
    undervalue the importance of theory for selecting
    an effective intervention and of establishing target
    values for objectives. Chapter 5 explains what theory
    is and how it provides a cornerstone for programs
    and evaluations. More important, the concept of
    intervention is discussed in detail, with attention
    given to characteristics that make an intervention
    ideal, including attention to intervention dosage.
    Program theory is introduced in Chapter 5 as the
    basis for organizing ideas related to the selection
    and delivery of the interventions in conjunction.
    The effect theory element of the program theory
    is introduced and the components of the effect
    theory are explained. Because the effect theory is
    so central to having an effective program intervention and the subsequent program evaluation, it is
    discussed in conjunction with several examples
    from the Layetteville and Bowe County case.
    Chapter 6 goes into detail about developing
    goals and objectives for the program, with particular
    attention devoted to articulating the interventions provided by the program. A step-by-step
    procedure is presented for deriving numerical
    targets for the objectives from existing data, which
    makes the numerical targets more defendable
    and programmatically realistic. We focus on
    distinguishing between process objectives and
    outcome objectives through the introduction of
    two mnemonics: TAAPS (Time frame, Amount
    of what Activities done by which Participants/
    program Staff) and TREW (Timeframe, what
    portion of Recipients experience what Extent
    of Which type of change).
    Section IV deals with the task of implementing a health program. Chapter 7 provides
    an in-depth review of key elements that constitute the process theory element of the program
    theory—specifically, the organizational plan and
    services utilization plan. The distinction between
    inputs and outputs of the process theory is highlighted through examples and a comprehensive
    review of possible inputs and outputs. Budgeting
    for program operations is covered in this chapter
    as well. Chapter 8 is devoted entirely to fiscal data
    systems, including key aspects of budgeting, and
    informatics. Chapter 9 details how to evaluate the
    outputs of the organizational plan and the services
    utilization plan. The practical application of measures of coverage is described, along with the need
    to connect the results of the process evaluation to
    programmatic changes. Program management for
    assuring a high-quality program that delivers the
    planned intervention is the focus of Chapter 10.
    Section V contains chapters that are specific
    to conducting the effect evaluations. These chapters present both basic and advanced research
    methods from the perspective of a program effect
    evaluation. Here, students’ prior knowledge about
    research methods and statistics is brought together
    in the context of health program and services
    evaluation. Chapter 11 highlights the importance
    of refining the evaluation question and provides
    information on how to clarify the question with
    stakeholders. Earlier discussions about program
    theory are brought to bear on the development
    of the evaluation question. Key issues, such
    as data integrity and survey construction, are
    addressed with regard to the practicality of
    program evaluation. Chapter 12 takes a fresh
    approach to evaluation design by organizing the
    traditional experimental and quasi-experimental
    designs and epidemiological designs into three
    levels of program evaluation design based on the
    design complexity and purpose of the evaluation.
    The discussion of sampling in Chapter 13 retains
    the emphasis on practicality for program evaluation rather than taking a pure research approach.
    However, sample size and power are discussed
    because these factors have profound relevance
    to program evaluation. Chapter 14 reviews statistical analysis of data, with special attention to
    variables from the effect theory and their level
    of measurement. The data analysis is linked to
    interpretation, and students are warned about
    potential flaws in how numbers are understood.
    Chapter 15 provides a review of qualitative designs
    Preface to the Fourth Edition
    and methods, especially their use in health program development and evaluation.
    The final section, Section VI, includes just one
    chapter. Chapter 16 discusses the use of evaluation
    results when making decisions about existing and
    future health programs. Practical and conceptual
    issues related to the ethics issues that program
    evaluators face are addressed. This chapter also
    reviews ways to assess the quality of evaluations
    and the professional responsibilities of evaluators.
    Each chapter in the book concludes with a
    “Discussion Questions and Activities” section.
    The questions posed are intended to be provocative and to generate critical thinking. At the
    graduate level, students need to be encouraged
    to engage in independent thinking and to foster
    their ability to provide rationales for decisions.
    The discussion questions are developed from this
    point of view. In the “Internet Resources” section,
    links are provided to websites that support the
    content of the chapter. These websites have been
    carefully chosen as stable and reliable sources.
    ▸▸ Additions to and
    Revisions in the
    Fourth Edition
    The fourth edition of Health Program Planning
    and Evaluation represents continuous improvement, with corrections and updated references.
    Classical references and references that remain
    state of the art have been retained.
    The Fourth Edition has retained the original
    intent—namely, to provide students with the
    ability to describe a working theory of how the
    intervention acts upon the causes of the health
    problem and leads to the desired health results.
    Some content has been condensed in order to
    allow enough room to describe current evaluation
    approaches adequately for both new and experienced practitioners. For instance, Chapter 1 now
    includes participatory evaluations in addition to
    outcome- and utilization-focused evaluations. In
    addition to disciplines traditionally recognized
    xxiii
    in western medical care, Chapter 2 now includes
    acupuncture and massage therapy as examples
    of health professional diversity. Discussion of
    the nuances of cultural competency has been
    refined, in light of the continuing importance
    and challenges of this area. Community strengths
    have been given more attention in Chapter 3 in
    recognition of the powerful potential of shifting
    from a “deficit-based” to an “asset-based” perspective on health planning. Chapter 4 now devotes
    greater attention to the health evaluation potential of data from social media such as Facebook
    and Twitter, as well as geospatial data, including
    attendant concerns about privacy, and also notes
    implications of the increasingly prevalent public
    rankings of community health status. Examples
    of infrastructure-level interventions within
    the public health pyramid have been added in
    Chapter 5. Discussion of financial modeling
    options in Chapter 8 now includes simulation
    modeling, an exciting if also resource-intensive
    option to conducting real-world experiments, which
    are, of course, inevitably expensive themselves.
    Chapters 9 and 15 include emerging data collection
    techniques such as participant self-reports, video,
    photos, and audio recordings that may make
    public health evaluation more inclusive of the
    people such interventions seek to serve. Chapter 13 includes updates on surveying, reflecting
    the decreased numbers of people with land-line
    phones, long a mainstay of health evaluations.
    Options for online surveying have been updated
    in Chapter 14; given the rapid evolution of big
    data such as those available from social media,
    billing, and medical records, discussion of this
    topic has been updated in Chapter 13 as well.
    Finally, Chapter 16 now includes bioethics—
    the application of ethical and philosophical
    principles to medical decision making—as an
    increasingly salient component of responsible
    health evaluation.
    In sum, we have worked hard to sustain
    this book’s conceptual and empirical rigor and
    currency in the Fourth Edition while maintaining
    accessibility for a range of health evaluators. Above
    all, we hope this book is useful to our readers’
    vitally important efforts to improve health.
    © Lynne Nicholson/Shutterstock
    Acknowledgments
    We are indebted to the many people who supported
    and aided us in preparing this fourth edition
    of Health Program Planning and Evaluation: A
    Practical, Systematic Approach for Community
    Health. We remain grateful to the numerous
    students over the years who asked questions
    that revealed the typical sticking points in their
    acquiring and understanding of the concepts
    and content, as well as where new explanations
    were needed. Through their eyes we have learned
    there is no one way to explain a complex notion
    or process. Their interest and enthusiasm for
    planning and evaluating health programs was
    a great motivator for writing this book.
    Several additional colleagues helped fine-tune
    this text. We are especially indebted to Arden
    Handler at the School of Public Health, University
    of Illinois at Chicago, for taking time to contribute
    to this textbook. Her devotion to quality and clarity
    has added much to the richness of otherwise dry
    material. We remain deeply indebted to Deborah
    Rosenberg, also at the School of Public Health
    University of Illinois at Chicago, for sharing her
    innovative and quintessentially useful work on
    developing targets for program objectives. Special
    thanks as well to Joseph Chen, at the University
    of Texas School of Public Health, for his many
    contributions to updating the literature cited
    across many chapters and for his contribution
    on big data. Last, but not least, thanks to Mike
    Brown, publisher at Jones & Bartlett Learning, for
    his encouragement and patience over the years.
    xxv
    © Lynne Nicholson/Shutterstock
    List of Acronyms
    ABCD
    Asset-based community
    development
    DHHS
    U.S. Department of Health
    and Human Services
    ACA
    Affordable Care Act
    DSM-5
    AEA
    American Evaluation Association
    AHRQ
    Agency for Healthcare Research
    and Quality
    Diagnostic and Statistical
    Manual of Mental Disorders,
    Fifth Edition
    EBM
    Evidence-based medicine
    ANOVA
    Analysis of variance
    EBP
    Evidence-based practice
    APHA
    American Public Health Association
    EHR
    Electronic health record
    BPRS
    Basic priority rating system
    EMR
    Electronic medical record
    BRFSS
    Behavioral Risk Factor Surveillance
    System
    FTE
    Full-time equivalent
    GAO
    BSC
    Balanced Score Card
    U.S. Government Accountability
    Office
    CAHPS
    Consumer Assessment of Health
    Plans
    GNP
    Gross Product
    GPRA
    Government Performance
    and Results Act
    HEDIS
    Healthcare Effectiveness Data
    and Information Set
    CARF
    Commission on Accreditation
    of Rehabilitation Facilities
    CAST-5
    Capacity Assessment of Title-V
    CBA
    Cost–benefit analysis
    HIPAA
    CBPR
    Community-based participatory
    research
    Health Insurance Portability
    and Accountability Act
    HIT
    Health information technology
    CDC
    Centers for Disease Control
    and Prevention
    HMOs
    Health maintenance organizations
    HRQOL
    Health-related quality of life
    HRSA
    Health Resources and Services
    Administration (part of DHHS)
    CEA
    Cost-effectiveness analysis
    CER
    Cost-effectiveness ratio
    CFIR
    Consolidated Framework for
    Implementation Research
    i-APP
    Innovation–Adolescent Preventing
    Pregnancy (Program)
    CFR
    Code of Federal Regulations
    ICC
    Intraclass correlation
    CHIP
    Community Health Improvement
    Process
    IRB
    Institutional review board
    CI
    Confidence interval
    JCAHO
    CPT
    Current Procedural Terminology
    Joint Commission on the
    Accreditation of Healthcare
    Organizations
    CQI
    Continuous quality improvement
    MAPP
    CUA
    Cost–utility analysis
    Mobilizing for Action through
    Planning and Partnership
    DALY
    Disability-adjusted life-year
    MBO
    Management by objectives
    xxvii
    xxviii
    MCHB
    NACCHO
    List of Acronyms
    Maternal and Child Health Bureau
    (part of HRSA)
    PSA
    Public service announcement
    QALY
    Quality-adjusted life-year
    National Association of City
    and County Health Officers
    RAR
    Rapid assessment and response
    RARE
    Rapid assessment and response
    and evaluation
    RE-AIM
    Reach, Effectiveness, Adoption,
    Implementation, and Maintenance
    model
    NAMI
    National Alliance on Mental Illness
    NCHS
    National Center for Health Statistics
    NCQA
    National Commission on Quality
    Assurance
    NFPS
    National Family Planning Survey
    RR
    Relative risk
    NHANES
    National Health and Nutrition
    Examination Survey
    SAMHSA
    Substance Abuse and Mental
    Health Services Administration
    NHIS
    National Health Interview Survey
    SCHIP
    NIH
    National Institutes of Health
    State Child Health Insurance
    Program
    NPHPS
    National Public Health Performance
    Standards
    SES
    Socioeconomic status
    SMART
    OHRP
    Office for Human Research
    Protections
    Specific, measurable, achievable,
    realistic, and time (objective)
    TAAPS
    OMB
    Office of Management
    and Budgeting
    Time frame, Amount of what
    Activities done by which
    Participants/program Staff
    OR
    Odds ratio
    TQM
    Total quality management
    PACE-EH
    Protocol for Assessing Excellence
    in Environmental Health
    TREW
    PAHO
    Pan American Health Organization
    Time frame, what portion of
    Recipients experience what
    Extent of Which type of change
    PDCA
    Plan-Do-Check-Act
    UOS
    Units of service
    PEARL
    Property, economic, acceptability,
    resource, legality system
    WHO
    World Health Organization
    WIC
    PERT
    Program Evaluation and Review
    Technique
    Special Supplemental Nutrition
    Program for Women, Infants,
    and Children
    PPIP
    Putting Prevention into Prevention
    YHL
    Years of healthy life
    PRECEDE
    Predisposing, Reinforcing,
    and Enabling Factors in
    Community Education
    Development and Evaluation
    (model)
    YLL
    Years of life lost
    YPLL
    Years of potential life lost
    SECTION I
    The Context of
    Health Program
    Development
    © Lynne Nicholson/Shutterstock
    CHAPTER 1
    Context of Health Program
    Development and Evaluation
    H
    ealth is not a state of being that can easily
    be achieved through isolated, uninformed,
    individualistic actions. Health of individuals, of families, and of populations is a state in
    which physical, mental, and social well-being are
    integrated to enable optimal functioning. From
    this perspective, achieving and maintaining health
    across a life span is a complex, complicated, intricate affair. For some, health is present irrespective
    of any special efforts or intention. For most of
    us, health requires, at a minimum, some level of
    attention and specific information. It is through
    health programs that attention is given focus and
    information is provided or made available, but
    that does not guarantee that the attention and
    information are translated into actions or behaviors
    needed to achieve health. Thus, those providing
    health programs, however large or small, need
    to understand both the processes whereby those
    in need of attention and health information can
    receive what is needed, and also the processes by
    which to learn from the experience of providing
    the health program.
    The processes and effects of health program planning and evaluation are the subjects
    of this text. The discussion begins here with a
    brief overview of the historical context. This
    background sets the stage for appreciating the
    considerable number of publications on the topic
    of health program planning and evaluation,
    and for acknowledging the professionalization
    of evaluators. The use of the term processes to
    describe the actions involved in health program
    planning and evaluation is intended to denote
    action, cycles, and open-endedness. This chapter
    introduces the planning and evaluation cycle,
    and the interactions and iterative nature of
    this cycle are stressed throughout the text.
    Because health is an individual, aggregate,
    and population phenomenon, health programs
    need to be conceptualized across those levels.
    The public health pyramid, introduced in this
    chapter, is used throughout the text as a tool
    for conceptualizing and actualizing health
    programs for individuals, aggregates, and
    populations.
    © Lynne Nicholson/Shutterstock
    3
    4
    Chapter 1 Context of Health Program Development and Evaluation
    ▸▸ History and Context
    An appropriate starting point for this text is
    reflecting on and understanding what “health”
    is, along with having a basic appreciation for the
    genesis of the fields of health program planning
    and evaluation. A foundation in these elements
    is key to becoming an evaluation professional.
    Concept of Health
    To begin the health program planning and
    evaluation cycle requires first reflecting on the
    meaning of health. Both explicit and implicit
    meanings of health can dramatically influence
    what is considered the health problem and the
    subsequent direction of a program. The most
    widely accepted definition of health is that put
    forth by the World Health Organization (WHO),
    which for the first time defined health as more
    than the absence of illness and as the presence
    of well-being (WHO, 1947).
    Since the publication of the WHO definition, health has come to be viewed across the
    health professions as a holistic concept that
    encompasses the presence of physical, mental,
    developmental, social, and financial capabilities, assets, and balance. This idea does not
    preclude each health profession from having a
    particular aspect of health to which it primarily
    contributes. For example, a dentist contributes
    primarily to a patient’s oral health, knowing that
    the state of the patient’s teeth and gums has a
    direct relationship to his or her physical and
    social health. Thus the dentist might say that
    the health problem is caries. The term health
    problem is used, rather than illness, diagnosis, or
    pathology, in keeping with the holistic view that
    there can be problems, deficits, and pathologies
    in one component of health while the other
    components remain “healthy.” Using the term
    health problem also makes it easier to think
    about and plan health programs for aggregates
    of individuals. A community, a family, and a
    school can each have a health problem that is
    the focus of a health program intervention. The
    extent to which the health program planners have
    a shared definition of health and have defined
    the scope of that definition influences the nature
    of the health program.
    Health is a matter of concern for more than
    just health professionals. For many Americans,
    the concept of health is perceived as a right,
    along with civil rights and liberties. The right
    to health is often translated by the public and
    politicians into the perceived right to have or to
    access health care. This political aspect of health
    is the genesis of health policy at the local, federal,
    and international levels. The extent to which the
    political nature of health underlies the health
    problem of concern being programmatically
    addressed also influences the final nature of the
    health program.
    Health Programs, Projects,
    and Services
    What distinguishes a program from a project or
    from a service can be difficult to explain, given
    the fluidity of language and terms. The term
    program is fairly generic but generally connotes
    a structured effort to provide a specific set of
    services or interventions. In contrast, a project
    often refers to a time-limited or experimental
    effort to provide a specific set of services or
    interventions through an organizational structure. In the abstract, a service can be difficult to
    define but generally includes interaction between
    provider and client, an intangibility aspect to
    what is provided, and a nonpermanence or
    transitory nature to what is provided. Using this
    definition of service, it is easy to see that what
    is provided in a health program qualifies as a
    service, although it may not be a health service.
    A health program is a totality of an organized
    structure designed for the provision of a fairly
    discrete health-focused intervention, where that
    intervention is designed for a specific target
    audience. By comparison, health services are
    the organizational structures through which
    providers interact with clients or patients to meet
    the needs or address the health problems of the
    clients or patients. Health programs, particularly
    History and Context
    in public health, tend to provide educational
    services, have a prevention focus, and deliver
    services that are aggregate or population-focused.
    In contrast, health services exist exclusively as
    direct services. Recognizing the distinction
    between health programs and health services is
    important for understanding the corresponding
    unique planning and evaluation needs of each.
    History of Health Program
    Planning and Evaluation
    The history of planning health programs has a
    different lineage than that of program evaluation.
    Only relatively recently, in historical terms, have
    these lineages begun to overlap, with resulting
    synergies. Planning for health programs has
    the older history, if public health is considered. Rosen (1993) argued that public health
    planning began approximately 4,000 years ago
    with planned cities in the Indus Valley that had
    covered sewers. Particularly since the Industrial
    Revolution, planning for the health of populations
    has progressed, and it is now considered a key
    characteristic of the discipline of public health.
    Blum (1981) related planning to efforts
    undertaken on behalf of the public well-being
    to achieve deliberate or intended social change
    as well as providing a sense of direction and
    alternative modes of proceeding to influence
    social attitudes and actions. Others (Dever, 1980;
    Rohrer, 1996; Turnock, 2004) have similarly
    defined planning as an intentional effort to create
    something that has not occurred previously for
    the betterment of others and for the purpose of
    meeting desired goals. The purpose of planning
    is to ensure that a program has the best possible
    likelihood of being successful, defined in terms of
    being effective with the least possible resources.
    Planning encompasses a variety of activities
    undertaken to meet this purpose.
    The quintessential example of planning is
    the development and use of the Healthy People
    goals. In 1979, Healthy People (U.S. Department
    of Health, Education, and Welfare [DHEW],
    1979) was published as an outgrowth of the
    5
    need to establish an illness prevention agenda
    for the United States. The companion publication, Promoting Health/Preventing Disease (U.S.
    Department of Health and Human Services
    [DHHS], 1980), marked the first time that
    goals and objectives regarding specific areas of
    the nation’s health were made explicit, with the
    expectation that these goals would be met by the
    year 1990. Healthy People became the framework
    for the development of state and local health
    promotion and disease prevention agendas.
    Since its initial publication, the U.S. goals for
    national health have been revised and published
    as Healthy People 2000 (DHHS, 1991), Healthy
    Communities 2000 (American Public Health
    Association [APHA], 1991), Healthy People 2010
    (DHHS, 2000), and Healthy People 2020 (DHHS,
    2011), with development of Healthy People 2030
    underway. Other nations also set health status
    goals and international organizations, such as
    the World Health Organization (WHO) and
    Pan American Health Organization (PAHO),
    develop health goals applicable across nations.
    The evolution of Healthy People goals also
    reflects the accelerating rate of emphasis on
    nationwide coordination of health promotion and
    disease prevention efforts and a reliance on systematic planning to achieve this coordination. The
    development of the Healthy People publications also
    reflects the underlying assumption that planning is
    a rational activity that can lead to results. However,
    at the end of each 10-year cycle, many of the U.S.
    health objectives were not achieved, reflecting the
    potential for planning to fail. Given this failure
    potential, this text emphasizes techniques to help
    future planners of health programs to be more
    realistic in setting goals and less dependent upon
    a linear, rational approach to planning.
    The Healthy People 1990 objectives were
    developed by academics and clinician experts
    in illness prevention and health promotion. In
    contrast, development of the goals and health
    problems listed in Healthy People 2010 and
    Healthy People 2020 incorporated ideas generated
    at public forums and through Internet commentary; these ideas later were revised and refined
    by expert panels before final publication of the
    6
    Chapter 1 Context of Health Program Development and Evaluation
    objectives. Greater participation of the public
    during the planning stage of health programs has
    become the norm. In keeping with the emphasis
    on participation, the role and involvement of
    stakeholders are stressed at each stage of the
    planning and evaluation cycle.
    The history of evaluation, from which the
    evaluation of health programs grew, is far shorter
    than the history of planning, beginning roughly in
    the early 1900s, but it is equally rich in important
    lessons for future health program evaluators.
    The first evaluations were done in the field of
    education, particularly as student assessment and
    evaluation of teaching strategies gained interest
    (Patton, 2008). Assessment of student scholastic
    achievement is a comparatively circumscribed
    outcome of an educational intervention. For
    this reason, early program evaluators came from
    the discipline of education, and it was from the
    fields of education and educational psychology
    that many methodological advances were made
    and statistics developed.
    Guba and Lincoln (1987) summarized the
    history of evaluations by proposing generational
    milestones or characteristics that typify distinct
    generations. Later, Swenson (1991) built on their
    concept of generations by acknowledging that
    subsequent generations of evaluations will occur.
    Each generation incorporates the knowledge of
    early evaluations and extends that knowledge based
    on current broad cultural and political trends.
    Guba and Lincoln (1987) called the first
    generation of evaluations in the early 1900s “the
    technical generation.” During this time, nascent
    scientific management, statistics, and research
    methodologies were used to test interventions.
    Currently, evaluations continue to incorporate the
    rationality of this generation by using activities
    that are systematic, science based, logical, and
    sequential. Rational approaches to evaluations
    focus on identifying the best-known intervention or strategy given the current knowledge,
    measuring quantifiable outcomes experienced by
    program participants, and deducing the degree
    of effect from the program.
    The second generation, which lasted until
    the 1960s, focused on using goals and objectives
    as the basis for evaluation. Second-generation
    evaluations were predominantly descriptive. With
    the introduction in the 1960s of broad innovation
    and initiation of federal social service programs,
    including Medicare, Medicaid, and Head Start,
    the focus of evaluations shifted to establishing
    the merit and value of the programs. Because
    of the political issues surrounding these and
    similar federal programs, determining whether
    the social policies were having any effect on
    people become a priority. Programs needed to
    be judged on their merits and effectiveness. The
    U.S. General Accounting Office (GAO; now
    called the Government Accountability Office)
    had been established in 1921 for the purpose of
    studying the utilization of public finances, assisting Congress in decision making with regard to
    policy and funding, and evaluating government
    programs. The second-generation evaluation
    emphasis on quantifying effects was spurred, in
    part, by reports from the GAO that were based
    on the evaluations of federal programs.
    Typically, the results of evaluations were not
    used in the “early” days of evaluating education
    and social programs. That is, federal health
    policy was not driven by whether evaluations
    showed the programs to be successful. Although
    the scientific rigor of evaluations improved,
    their usefulness remained minimal. Beginning
    in the 1980s, however, the third generation of
    ­evaluations—termed “the negotiation generation”
    or “the responsiveness generation”—began. During
    this generation, evaluators began to acknowledge
    that they were not autonomous and that their
    work needed to respond to the needs of those
    being evaluated. As a result of this awareness,
    several lineages have emerged. These lineages
    within the responsiveness generation account
    for the current diversity in types, emphases,
    and philosophies related to program evaluation.
    One lineage is utilization-focused evaluation
    (Patton, 2012), in which the evaluator’s primary
    concern is with developing an evaluation that will
    be used by the stakeholders. Utilization-focused
    evaluations are built on the following premises
    (Patton, 1987): Concern for use of the evaluation
    pervades the evaluation from beginning to end;
    History and Context
    evaluations are aimed at the interests and needs
    of the users; users of the evaluation must be invested in the decisions regarding the evaluation;
    and a variety of community, organizational,
    political, resource, and scientific factors affect
    the utilization of evaluations. Utilization-focused
    evaluation differs from evaluations that are
    focused exclusively on outcomes
    Another lineage is participatory evaluation
    (Whitmore, 1998), in which the evaluation is
    merely guided by the expert and is actually generated by and conducted by those invested in the
    health problem. A participatory or e­ mpowerment
    approach invites a wide range of stakeholders
    into the activity of planning and evaluation,
    providing those participants with the skills and
    knowledge to contribute substantively to the
    activities and fostering their sense of ownership
    of the product (TABLE 1-1).
    The fourth generation of evaluation,
    which emerged in the mid-1990s, seems to
    be meta-evaluation, that is, the evaluation of
    evaluations done across similar programs. This
    trend in program evaluation parallels the trend
    in social science toward using meta-analysis of
    existing studies to better understand theorized
    relationships and the trend across the health
    professions toward establishing evidence-based
    practice guidelines. This new generation became possible because of a pervasive culture of
    evaluation in the health services and because
    of the availability of huge data sets for use in
    the meta-evaluations. An early example of the
    evaluation culture was the mandate from United
    Way, a major funder of community-based health
    programs, for their grantees to conduct outcome
    evaluations. To help grantees meet this mandate,
    United Way published a user-friendly manual
    (United Way of America, 1996) that could be
    used by nonprofessionals in the development
    of basic program evaluations. More broadly,
    the culture of evaluation can be seen in the
    explicit requirement of federal agencies that
    fund community-based health programs that
    TABLE 1-1 Comparison of Outcome-Focused, Utilization-Focused, and Participatory
    Focused Evaluations
    Outcome-Focused
    Evaluations
    7
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