Chapter 4/5 Quiz Review Flashcards
Needs Assessment
A process of identifying, analyzing, and prioritizing needs of a priority population (Provides objective data to: define important health problems, set priorities for program implementation, establish a baseline or evaluating program impact)
Needs Assessment Process
1) Determine the purpose (goal) and scope of the needs assessment; 2) Gather Data 3) Analyze the Data 4) Identify risk factors. 5) Identify the program focus 6) Validating the prioritized need ( Confirm steps followed properly)
Step 2: Gather Data
1) Relevant data- most applicable 2) Quantitative/Qualitative 3) Secondary data - already exists, limitations, cost, availability 4) Primary data to fill in data gaps; costs to create
Step 3: Analyze the Data
Analyze informal vs. Formal; identify and prioritize the health problems
Prioritization matrix
Important in step three (analyzing the data); used to evaluate if a program should be based on a happening in a priority population.
Basic Priority Rating
BPR A,B,C,D (A-size); (B-seriousness of the problem) (C=Effectiveness of the possible interventions) (D= propriety, economics, acceptability, resources, and legality PEARL)
Single-Step
Single contact Survey (written, electronic, face-to-face)
Cross-Sectional Survey
point in time (written, electronic, face-to-face)
Multi-step Survey (Delphi technique)
Series of mailed questionnaires that become more specific
based on responses
Community forum (town hall meeting)
Moderated and recorded, members of priority population
can share thoughts
Meetings
Smaller group than town hall
Focus Group
Usually 8-12 people, more in-depth – feelings, perceptions,
beliefs, etc.
Nominal Group Process
Structured process, 5-7 ‘experts’, responses are recorded
and prioritized
Observation
Windshield / walk-through tour,
Self-Assessments
Health risk, health status, lifestyle, wellness, health
behavior
Levels of Measurement
NOIR (Nominal- categorical, Ordinal- categorical/rank ordered (Show sequence only), Interval- no absolute zero (Farenheit) , Ratio- scale (height, weight)
Measurement
the process of assigning numbers or
labels to objects, events, or people, according to a particular set of rules
Reliability
Consistency in the measurement process. Reliability produces the same result
Validity
Measures what it is intended to measure
Issues affecting quality of experimentation
bias, fairness, cultural background, correct instrumentation, sampling, sampling frame
Pilot Study
A dress rehearsal. Used to try out processes of a study before it is conducted. Used to identify problems.
What should programmers expect from a needs assessment?
1) logical place to start 2) helps assure appropriate programming resources 3) makes sure we look at the appropriate problem 4) capacity - resources that enable a community to take action 5) develop intervention to address problem
What is the difference between primary and secondary data?
Secondary data already exists, primary data, you collect yourself- needs to be made to fill gaps
sources of primary data
single step survey, multi-step survey, observation, focus group, nominal group process
sources of secondary data
government agencies, non-government agencies, literature
What are the six steps in the needs assessment process? What step is the most difficult to achieve?
1) Determining the purpose and scope of the needs assessment 2) gathering data 3) analyzing data (hardest) 4) Identifying risk factors 5) Identify the program focus 6) Validating the prioritized need.
What is the HIA?
Health Impact Assessment: a combination of procedures, methods, and tools by which a policy or project or program may be judged as to its potential effects on the health of a population DESE democracy, equity, sustainable development, ethical use of evidence.
What is bias in data collection? Name three ways it can be reduced
Bias are those data that have been distorted because of the way they have been collected; 1) unobtrusive observation 2) confidentiality 3) proper framing of questions.
Ethical issues associated with measurement?
1) Informed consent/voluntary basis 2) Assuring confidentiality 3) Non-manipulation of data