The value of process evaluation in a community-based cancer control program
The value of process evaluation in a community-based cancer control program
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DOI：
10.1016/s0149-7189(99)00033-6
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发表时间：
2000-02-01
影响因子：
1.6
通讯作者：
Boxley, J
中科院分区：
文献类型：
--
作者：
Cunningham, LE;Michielutte, R;Boxley, J
癌症意识计划是一个为期四年的社区健康教育项目，在北卡罗来纳州的六个农村县进行。该教育方案旨在提高低收入妇女的乳腺癌、宫颈癌和皮肤癌筛查行为。每个县卫生部门的20岁以上的女性客户都有资格参加该方案。方案干预活动既针对卫生部门，也针对妇女个人。除了社区。干预活动包括媒体信息，电话咨询的参与者，社区介绍，印刷材料，公告栏，和直接教育。过程评估允许对所有程序组件进行定期监控，确定需要修改的任何区域，并为项目的远程监督而开发。措施包括录像的介绍，会议与关键个人和工作人员，参与者的评价和反馈，重点小组，以及每周的活动报告的工作人员。过程评价的结果使调查人员能够确定导致预期结果的有效干预组成部分。此外，它还允许调查人员确定需要修改的领域，并调整特定组件。对该项目的最后评价表明，干预措施大大提高了对皮肤癌和乳腺癌筛查的参与。包括在文件中的目的，每一个过程中的方法，确定的问题，以及他们的解决方案。本文对过程评价在社区健康教育中的应用提出了建议，（C）2000爱思唯尔科学有限公司版权所有。
The Cancer Awareness Program was a four-year community health education project conducted in six rural North Carolina counties. The educational program was designed to increase breast, cervical, and skin cancer screening behaviors in low income women. Female clients of the health department in each county, aged 20 and older, were eligible for the program. Program intervention activities were targeted both to the health departments and to the individual women. in addition to the community. Intervention activities included media messages, telephone counseling of participants, community presentations, printed materials, bulletin boards, and direct education. Process evaluation allowed for regular monitoring of all program components, identifying any areas in need of modification, and was developed for the long distance supervision of the project as well. Measures consisted of videotaping of presentations, meetings with key individuals and staff, participant evaluations and feedback, focus groups, and weekly activity reports from staff. The results of the process evaluation enabled investigators to pinpoint effective intervention components that led to desired results. In addition, it allowed investigators to define areas in need of modification, and adjust specific components. Final evaluation of the project indicated that the intervention significantly increased participation in screening for skin cancer and breast cancer. Included in the paper are the purposes of each process method, problems identified, and their resolution. Suggestions are made for use of process evaluation in community health education programs, (C) 2000 Elsevier Science Ltd. All rights reserved.