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Evaluating Health Programmes. By Geoff Middleton Lecturer: Health Promotion & Exercise Faculty of Health Life and Social Sciences. Why Evaluate?. To describe and/or assess what was intended? (goals/aims/objectives/KPIs?) May be to describe what was unintended? What was actually implemented?
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Evaluating Health Programmes By Geoff Middleton Lecturer: Health Promotion & Exercise Faculty of Health Life and Social Sciences
Why Evaluate? • To describe and/or assess what was intended? (goals/aims/objectives/KPIs?) • May be to describe what was unintended? • What was actually implemented? • What outcomes/results where achieved? • What are the implications of the findings? (actions/recommendations?) • To answer three basic questions: WHAT? SO WHAT? NOW WHAT? Adopted from: Patton (2008)
Interaction of health promotion programme outcomes Raised awareness and participation Short-term programme impact Social & behavioural outcomes Health status & disease changes Adopted from: Nutbeam & Bauman (2006)
Health promotion evaluation stages Adopted from: Davies & Macdowall (2006)
SOCIAL OUTCOMES Measures include quality of life, functional independence, social capacity and equity. HEALTH OUTCOMES Measures include increased morbidity, reduced disability and avoidable mortality. Adopted from: Nutbeam & Bauman (2006)
Review • Evaluation has simple principles: “What”, “So What” and “Now What”. • Health programmes should be evaluated across the spectrum of it’s activities • This will require different time-points of inquiry and different types of evaluative procedures (process, intermediate and final outcomes). • Concentrating just of the final outcomes will mean a narrow focus, and will most likely divulge programme ‘failure’. • Concentrating on evaluation at the start and throughout can inform progress, change and evolve the programme creating final outcomes of value.
References • Nutbeam, D., Bauman, A. (2006) Evaluation in a Nutshell: A practical guide to the evaluation of health promotion programmes. McGraw Hill: New York, USA. • Davies, M., Macdowall, W. (2006) Health Promotion Theory: Understanding Public Health. Open University Press: Maidenhead, UK. • Patton, M. (2008) Utilisation-focused Evaluation. SAGE: London, UK. Contact details Geoff Middleton, MSc, RNut School of Sport, Coaching and Exercise Science University of Lincoln Sports Centre: 1st Floor offices Brayford Campus Lincoln Lincolnshire LN6 7TS Tel: 01522 837308 Email: gmiddleton@lincoln.ac.uk