The Program Sustainability Assessment Tool: A New Instrument for Public Health Programs
The Program Sustainability Assessment Tool: A New Instrument for Public Health Programs
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DOI：
10.5888/pcd11.130184
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发表时间：
2014-01-01
影响因子：
5.5
通讯作者：
Moreland-Russell, Sarah
中科院分区：
文献类型：
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作者：
Luke, Douglas A.;Calhoun, Annaliese;Moreland-Russell, Sarah
公共卫生项目只有在能够长期维持项目、政策和活动的情况下才能带来好处。虽然已制定了许多可持续性框架和模式，但几乎没有任何评估工具已证明可靠性或有效性，或已广泛传播。我们提出的程序可持续性评估工具（PSAT），一个新的和可靠的工具，用于评估各种公共卫生和其他programmes.MethodsA测量发展研究的能力，以评估的可靠性的PSAT。代表252个公共卫生项目的项目经理和工作人员（n = 592）使用PSAT来评价其项目的可持续性。国家和社区一级的方案参加，代表4种类型的慢性病计划：烟草控制，糖尿病，肥胖预防，口腔health.ResultsThe最终版本的PSAT包含40个项目，分布在8个可持续发展领域，每个域5个项目。实证因素分析显示，数据与8个可持续发展领域的良好拟合。分量表具有良好的内部一致性;平均克朗巴赫的a为0.88，范围从0.79到0.92。初步验证分析表明，PSAT分数是相关的重要程序和组织characteristics.ConclusionThe PSAT是一种新的和可靠的评估工具，可用于衡量公共卫生计划的可持续发展能力。该工具旨在供研究人员，评估人员，项目经理和大型和小型公共卫生项目的工作人员使用。
IntroductionPublic health programs can deliver benefits only if they are able to sustain programs, policies, and activities over time. Although numerous sustainability frameworks and models have been developed, there are almost no assessment tools that have demonstrated reliability or validity or have been widely disseminated. We present the Program Sustainability Assessment Tool (PSAT), a new and reliable instrument for assessing the capacity for program sustainability of various public health and other programs.MethodsA measurement development study was conducted to assess the reliability of the PSAT. Program managers and staff (n = 592) representing 252 public health programs used the PSAT to rate the sustainability of their program. State and community-level programs participated, representing 4 types of chronic disease programs: tobacco control, diabetes, obesity prevention, and oral health.ResultsThe final version of the PSAT contains 40 items, spread across 8 sustainability domains, with 5 items per domain. Confirmatory factor analysis shows good fit of the data with the 8 sustainability domains. The subscales have excellent internal consistency; the average Cronbach's a is 0.88, ranging from 0.79 to 0.92. Preliminary validation analyses suggest that PSAT scores are related to important program and organizational characteristics.ConclusionThe PSAT is a new and reliable assessment instrument that can be used to measure a public health program's capacity for sustainability. The tool is designed to be used by researchers, evaluators, program managers, and staff for large and small public health programs.