Exam 1 - Needs Assessment Flashcards

1
Q

Definitions

  • Need – the difference between the present situation and and a more ________ one.
  • Perceived or actual.
  • Needs assessment – process of identifying, analyzing, and prioritizing the ______ of priority population.
  • AKA: community analysis/diagnosis/assessment
  • Most critical step in planning process
A

desirable

needs

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2
Q

Needs assessment place in planning process

  • Identify issues
  • Set priorities
  • Established baseline
  • Determine _________ capacity
  • Individual, organizational, and community resources that can enable a community to take action.
  • -Leadership, infrastructure, operations, politics.
  • Consider necessary capacity building.
  • -Activities that enhance the resources of individuals, organizations, and communities to improve their effectiveness to take _____.

-Provides focus for developing intervention.

A

community

action

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3
Q

When a needs assessment is not needed

*When one was done recently.

  • Program planners employed by agency that already deals specifically with health issue that is known.
  • Ex. Cancer and the American Cancer Society.

*Funding is appropriated for a specific cause and can only be used for programming related to it (categorical funds)..

A

Yuh

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4
Q

What questions a needs assessment answers

1) Who is the priority population?
2) What are the _____ of the priority population?
3) Which _______ within the priority population have the greatest need?
4) Where are these subgroups located geographically?
5) What is currently being done to _______ identified needs?
6) How well have the identified needs been addressed in the past?

A

needs

subgroups

resolve

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5
Q

Acquiring needs assessment data

  • Primary data – data you collect _______.
  • ______, focus group, in-depth _______, etc.
  • Advantages: directly answers planner’s questions.
  • Limitations: can be expensive and take a lot of ____.
  • Secondary data – data already collected by _________ else and available for use.
  • Advantages: already exists and usually ________.
  • Limitations: may not identify true needs due to collection methods used, variables considered, or from whom data was collected.
A

yourself
examples: Survey, interviews
time

somebody
inexpensive

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6
Q

Sources of primary data: Single-step or cross-sectional surveys

  • Data collected at ___ point in time.
  • Written surveys and interviews.
  • Self-report, proxy measure, significant others, opinion leaders, key informants.
  • Advantages: usually _____.
  • Limitations: ____.
  • Written surveys, telephone/face-to-face/electronic/group interviews.
A

one

quick

bias

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7
Q

Sources of primary data: Single-step or cross-sectional surveys

  • Steps to increase accuracy of data collection:
    1) Select measures that reflect program _______.
    2) Select _____ and ______ measures.
    3) Conduct pilot study with priority population.
    4) Employ quality control procedures to detect other sources of _____.
    5) Employ multiple methods.
    6) Use multiple measures.
    7) Use _________ experimental and _______ groups to control for response bias.
A

outcomes

valid and reliable

error

randomized, control

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8
Q

Sources of primary data: Single-step or cross-sectional surveys

  • Written survey:
  • Advantages: reach _____ number of people in _____ time, low ____, lower response bias.
  • Disadvantages: [highest/lowest] response rate, inability to clarify questions, respondent confusion.
  • Should be attractive and easy to ____ with enough white space.
  • Easy to follow instructions and clear questions.
  • -Include cover letter with mail surveys.
  • Short in ______ and easy to fill out surveys more likely to be returned.
A

large, short, cost

lowest

read

length

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9
Q

Sources of primary data: Single-step or cross-sectional surveys

  • Face-to-face _________:
  • Can include administering survey to respondent.
  • Not typically done if population is [small/large].
  • Advantages: high __________ rate, build rapport with respondent, visual cues.
  • Disadvantages: _____ consuming, need training (i.e. probing, motivational interviewing), expensive, inter-rater reliability concerns.
A

interviews

large

participation

time

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10
Q

Sources of primary data: Single-step or cross-sectional surveys

*________ interviews:
-Advantages: modest cost, easy to do, can clarify questions.
-Disadvantages: wireless only households, lack of phone “list”, resistance of answering questions on phone, need training, inter-rater reliability concerns, no visual cues
Random-digit dialing (RDD).

  • Number combinations randomly selected
  • Advantages: Could include non-listed numbers and cell phones.
  • Disadvantages: ____ consuming because not all generated numbers will be valid or for an individual, cell phones may not have area code of city in which person lives.
A

Telephone

Time

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11
Q

Sources of primary data: Single-step or cross-sectional surveys

  • ________ interviews:
  • Advantages: reduced response time, low ____, ease of data collection, flexibility of design and format, control over distribution, data __________ entered in spreadsheet or data software.
  • Disadvantages: lack of ______ access, obtaining email address, respondent’s lack of comfort using computer.
  • Survey companies provide platform for a fee.
  • -Qualtrics, Survey Monkey, Zommerang.
  • Mixed reports on response rate.
A

Electronic

cost

automatically

internet

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12
Q

Sources of primary data: Single-step or cross-sectional surveys

  • _____ interviews:
  • Data collected from more than one person during a single, short period of time.
  • -Ex. Focus groups.
  • Advantages: high ________ rate, efficient and economical, can stimulate productivity of others.
  • Disadvantages: intimidation or suppression of individual differences.
A

Group

response

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13
Q

Sources of primary data: Single-step or cross-sectional surveys

  • ______ technique:
  • Multistep technique that generates consensus through a series of _________, usually done through mail or __________.
  • -Primary questionnaire questions are usually _____.
  • -Secondary questionnaire questions usually more ______ and based on primary questionnaire responses.
  • -This goes on until consensus is reached (usually 5 or fewer rounds).
  • Advantages: pooled responses, high motivation and commitment, reduced influence of others, high response quality and quantity, equal representation, consistent contact with respondent.
  • Disadvantages: high ____, takes a lot of ____, unable to clarify, limits immediate reinforcement.
A

Delphi

questionnaires, electronically

broad
specific

cost
time

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14
Q

Sources of primary data: Single-step or cross-sectional surveys

  • Meetings:
  • Good source of _________ for preliminary needs assessment or for evaluation purposes.
  • -Meet with small group to find out needed information.
  • Advantages: good formative ________, low cost, flexible.
  • Disadvantages: result _____, limited input from participants.
A

information

evaluation

bias

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15
Q

Sources of primary data: Single-step or cross-sectional surveys

  • ______ groups:
  • Qualitative research that was grown from group therapy.
  • Obtain information about feelings, opinions, perceptions, insights, beliefs, misconceptions, attitudes, receptivity of group towards idea or issue.
  • Small, 8-12 people.
  • -Best if they’re [people you know/strangers].
  • -_______ only.
  • General information given a few weeks before group meets.
  • Facilitated by _________ who elicits candid responses.
  • Advantages: low cost, convenient, creative atmosphere, clarification possible, flexibility.
  • Disadvantages: limited representation, dependence on moderator skill, preliminary insights, participant involvement.
A

Focus

strangers

Invitation

moderator

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16
Q

Sources of primary data: Single-step or cross-sectional surveys

  • _______ group process:
  • Highly _________ process where few knowledgeable representatives of priority population qualify and quantify specific needs.
  • 5-7 people.
  • Record responses to questions on paper before discussing.
  • _________ writes down everyone’s responses and seeks clarity when needed.
  • Participants _____ responses by importance to priority population.
  • Advantages: direct involvement of priority group, planned interactivity, diverse opinions, full participation, creative atmosphere, recognition of commonalty.
  • Disadvantages: time commitment, competing issues, participant bias.
A

Nominal

structured

Facilitator

rank

17
Q

Sources of primary data: Single-step or cross-sectional surveys

  • ____________ (minimal contact method)
  • Observation of people and environment of priority population.
  • ______ observation – actually witnessing situation or behavior.
  • Advantages: people typically don’t refuse to participate = high response rate.
  • Disadvantages: time consuming.
  • More accurate than self-report, but observer presence may alter individual’s behavior.
  • -_________ observation – people know they’re being observed.
  • -__________ observation – people are unaware they’re being observed allowing for less bias, but is it ethical?
  • Advantages: accurate behavioral data, can be obtrusive, moderate cost.
  • Disadvantages: trained observers, biased behavior, observer bias, time-consuming.
A

Observation

Direct

report

Obtrusive

Unobtrusive

18
Q

Sources of primary data: Single-step or cross-sectional surveys

  • Self-__________:
  • Generally address ________ prevention issues (i.e. risk assessment and protective factors) and ________ prevention process (i.e. early detection of symptoms).
  • Ex. Breast self exams, testicular exams, health assessments.
  • Health assessments can elicit health risk appraisals of health risk assessments, health status assessments, and various lifestyle-specific assessments in priority population.
  • Advantages: _________, no interviewer bias, moderate cost, minimum staff required, easy to administer, flexibility.
  • Disadvantages: possible low response rate, lack of diversity/representation, self-selection.
A

assessments

primary, secondary

convenient

19
Q

Sources of secondary data

  • __________ agencies:
  • Some mandated by law to provide data while some data collected voluntarily.
  • Usually ____ if you contact agency.
  • Nongovernment agencies and organizations:
  • Healthcare systems, voluntary health agencies, business, civic and commerce groups.
  • Create facts and figures in booklets that provide epidemiological data.
  • Usually collect data for own use.
A

Government

free

20
Q

Sources of secondary data

  • Existing _______:
  • Data collected as a by-product of a service effort, such as an immunization program or water pollution control program.
  • Ex. Checking medical records to monitor blood pressure and cholesterol levels in participants of exercise program.
  • _________:
  • Evaluate existing literature on priority population.
  • Utilize available literature databases (i.e. PsychInfo, Medline, ERIC, CINAHL).
A

records

Literature

21
Q

Conducting a needs assessment

1) Determine the _______ and _____ of the needs assessment.
- Know the _____ of needs assessment.
- Stakeholders and key decision makers determine extent of needs assessment.
- Categorical funding.
- If health issue is known, may be necessary to identify most significant determinants or intervention strategies with most promise.
- Participatory research – priority population collaborate with researchers/planners to understand health issues and develop intervention strategies.

A

purpose, scope

goal

22
Q

Conducting a needs assessment

2) Gathering data:
- Identify most _______ data.
- Consider cost and availability.
- -Start with ________ data.

  • Common that local data does not exist so may need to consider collecting _______ data.
  • Primary data used to fill in “data gaps.”
  • Quantitative vs. qualitative.
  • Consider planning model being used.
  • -Are there specific assessments built into model?
A

relevant

secondary

primary

23
Q

Conducting a needs assessment

3) ________ data:
- Must analyze all data collected
- Goal is to identify and _________ health problems.
- Most difficult to complete
- Start by answering following questions posed in PRECEDE model:
- -What is the QoL of priority population?
- -What are social conditions and perceptions shared by those in priority population?
- -What are the social indicators that reflect social conditions and perceptions?
- -Can the social conditions and perceptions be linked to health promotion? If so, how?
- -What are the health problems associated with the social problem?
- -Which health problem is most important to change (priority)?

-Consider resources available, whether an intervention is necessary, and the amount of time needed to solve problem.

A

Analyzing

prioritize

24
Q

Conducting a needs assessment

3) Analyzing data (cont.)
- Basic Priority Rating Model (BPR Model) – planners rate four different components of identified needs to determine priority ratings between 0 and 100.

A) Size of problem (0-10).
B) Seriousness of problem (0-20).
C) Effectiveness of possible interventions (0-10).
D) Propriety, economics, acceptability, resources, and legality (PEARL) (0-1).

*Place scores in formula: BPR = [(A + B)C / 3] x D.

A

yuH

25
Q

Conducting a needs assessment

4) Identifying the risk factors linked to the ______ problem:
- Parallels Phase 2 of PRECEDE-PROCEED model – epidemiological assessment.
- -Genetic risk factors.
- –Typically cannot be changes.
- Behavioral risk factors.
- Environmental risk factors.
- -Physical, economical, social, psychological, emotional, political, and service environments.
- Prioritize risk factors once identified.

A

health

26
Q

Conducting a needs assessment

5) Identifying the program focus:
- Similar to Phase 3 of PRECEDE-PROCEED Model – educational and ecological assessment.
- -Identify predisposing, enabling, and reinforcing factors that seem to directly impact risk factors.
- Consider existing programs to avoid duplicating efforts.
- -Research.
- -Networking.
- -Community resource guide.
- -Organizations.

A

Yuh

27
Q

Conducting a needs assessment

6) Validating the prioritized needs.
- Confirm need identified is the need that should be addressed.
- -Double checking.
- Recheck steps followed in needs assessment to eliminate bias.
- Conduct focus group to determine reaction to identified need.
- Get second opinion from other health professionals.

A

Yuh