3 Flashcards
Health program
an organized response, or intervention, to reduce or eliminate one or more problems by achieving one or more objectives, with the goal of improving the health of society or reducing health inequalities across social groups
Program theory of cause and effect
the underlying assumptions or logic explaining why a program is expected to cause specific outcomes. - usually captured by if/then statements.
program theory of implementation
predicts or explains why a program’s implementation is successful or not
programs are successfuly only when
a sound theory of cause and effect and a sound theory of implementation combine to produce intended outcomes.
programs may fail to achieve intended outcomes because of
- faulty assumptions in the program’s underlying theory of cause and effect, 2. failure of the program to be implemented as intended or, if implemented as intended, choice of thew rong strategy of implementation, 3. both.
Conceptual model
design a model of the program theory of cause and effect and conceptual model of program’s implementation. for program theory, a conceptual model is a diagram with arrows that hsows the program’s chain of causation.
autonomy is
a global concept related to notions of control or sense of control over one’s environemnt or life.
moderator
a factor that moderates expected outcomes.
Confounder
not in the project’s causal pathway, - not mediators. morbidity at baseline, as an example.
Guidelines for developing conceptual models of a program’s theory of cause and effect
- aim for clarity, 2. start at both ends, 3. revise revise revise 4. reviewt he literature, 5. focus on concepts rather than data, 6. address culture, 7 cross check for mediators, moderators and confounders 8. check the arrows (aka relationships), 9. perform logic analkysis of program theory
Program objectives
defined by the program’s developers, the program objectives form teh criteria for judging a program.
hierarchy of objectives
multiple objectives, arranged in an order that can help structure the evaluation of a program’s implementation.
objectives should contain
one purpose and one end result; end results should be observable and therefore measurable, fourth objectives should contain action-oriented verbs that describe a behavior that can be observed (increase immunizations), fifth, programs with multiple objectives should have a single statement for each objective.
basic options for evaluation
- focus on questions about the intermediate an dultimate objectives and conduct an impact evaluation. 2 focus on questions about immediate and intermediate objectives and conduct an implementation evaluation or 2. address both implementation and impact questions about the program.