Evaluating Equity in Health Promotion

Potvin, Louise; Mantoura, Pascale; Ridde, Valéry

doi:10.1007/978-0-387-70974-1_21

Cited by 13 publications

(6 citation statements)

References 48 publications

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“…Some aspects, e.g., the ö rtlichen Schule. Ein gemeindenahes Gesundheitsf ö rderungsprogramm ist komplex und erfordert meist die Schaffung entsprechender Organisationsstrukturen und die Einbeziehung einer Vielzahl von Partnern [2,8] .…”

Section: Discussionunclassified

“…Man kann meist auch von einem Programm zur " Gesunden Gemeinde " sprechen. Dabei sollen in erster Linie die Umweltbedingungen, die Gesundheitsverhalten oder Gesundheit beeinfl ussen, ver ä ndert werden, langfristig auch lokale Wertvorstellungen, soziale Normen und politische Strategien [2] . Regional verankerte massenmediale Aktivit ä ten sowie die Unterst ü tzung der Selbsthilfe k ö nnen ebenfalls zum Interventionsspektrum geh ö ren [3] .…”

Section: Ziele Und Handlungsbereiche Gesundheitsf ö Rderlicher Gemeinunclassified

“…in Zusammenschau mit den Erfahrungen der Prozesevaluation, was modifiziert werden soll oder kann [54,62] . Dar ü ber hinaus m ü ssen bei der Evaluation Besonderheiten gemeindenaher Programme ber ü cksichtigt werden: § die erreichten Ver ä nderungen der Umwelt und Lebenswelt auf Gemeindeebene [19,63] , § die Entwicklung von Planungs-und Managementstrukturen in der Gemeinde sowie die Kooperation und Vernetzung mit Schl ü sselpersonen und -organisationen im Sinne einer " Strukturevaluation " [2,9,16,19] , § das Erreichen von Empowerment und Partizipation auf individueller wie Gemeinde-Ebene. F ü r einzelne der genannten Evaluationsaspekte sind in der internationalen Literatur Theorien oder Beispiele beschrieben.…”

Section: Dimensionen Der Evaluation Von Gemeindenaher Gesundheitsf ö unclassified

See 2 more Smart Citations

Gemeindenahe Gesundheitsförderung - Herausforderung an die Evaluation

Loss¹,

Eichhorn²,

Gehlert³

et al. 2007

Gesundheitswesen

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The presented framework can serve as a basis for the development of flexible and individual instruments for the evaluation of CBHP, which should not ignore the perspective of the citizens, or complex aspects like changes on the community level. Some aspects, e.g., the potential evaluation of further targets of CBHP (improvement of quality of life, reduction of social and health inequalities), the responsibility of evaluation or the effects of financial constraints, are important questions to be addressed in the future.

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Section: Discussionunclassified

Section: Ziele Und Handlungsbereiche Gesundheitsf ö Rderlicher Gemeinunclassified

Section: Dimensionen Der Evaluation Von Gemeindenaher Gesundheitsf ö unclassified

See 1 more Smart Citation

Gemeindenahe Gesundheitsförderung - Herausforderung an die Evaluation

Loss¹,

Eichhorn²,

Gehlert³

et al. 2007

Gesundheitswesen

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“…Data was also gathered on individuals in two further comparison areas with a demographic profile similar to two of the intervention areas (Nutbeam et al, 1993;Potvin and Richard, 2001). Randomisation was not feasible as individuals self-selected to undertake the selfcare skills training course in the intervention areas.…”

Section: Methodsmentioning

confidence: 99%

The self-care for people initiative: the outcome evaluation

White

South

Bagnall

et al. 2012

Prim Health Care Res Dev

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Aim: To determine the effects of a community-based training programme in self-care on the lay population. Background: Self Care is recognised as being a cornerstone of the populations health, but to date there have been few large-scale studies of its effectiveness on the general public. This paper reports on an evaluation of a self-care skills training course delivered in small group sessions within workplace and parent and toddler group settings to a lay population. Methods: A quasi-experimental longitudinal study of 12-month duration was conducted in three intervention primary care trusts (PCTs) and two similar comparison PCTs in England. The sample comprised 1568 selfselecting participants: 868 received the intervention and 700 did not. Findings: No changes were seen in usage of General Practitioner services, the primary outcome, however, statistical analysis suggested that being in the intervention group may be associated with increased use of out-of-hours and secondary care services. At six months' follow-up small but statistically significant positive effects of being in the intervention group were seen on self-esteem, well-being and anxiety scores. At 12 months' follow-up small but statistically significant positive effects of being in the intervention group were also seen on recovery locus of control, health literacy and self-esteem scores, and on knowledge of adult cough. The clinical significance of these very small changes is unclear.The training programme had a small but positive effect, which was still evident at 12 months, on individuals' knowledge and confidence levels with regard to managing their own health, but did not lead to reductions in health service use.

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“…Zunehmend sieht sich auch die Gesundheitsf ö rderung der Forderung nach Qualit ä tssicherung und -entwicklung sowie wissenschaftlicher Evaluation ausgesetzt [9] . Die Evaluation von Prozessen sowie kurz-und langfristigen Ergebnissen einer gesundheitsf ö rderlichen Intervention kann helfen nachzuvollziehen, wer von der Intervention erreicht wird, sowie wie und warum derartige Interventionen funktionieren [10,11] . Die Ergebnishierarchie von Nutbeam illustriert die verschiedenen Ebenen und Typen von Ergebnissen, die in der Gesundheitsf ö rderung erwartet werden k ö nnten, z.…”

Section: Evaluation Von Empowermentunclassified

Evaluation von Empowerment – Perspektiven und Konzepte von Gesundheitsförderern. Ergebnisse einer qualitativen Studie in Australien

Loss¹,

Wise²

2008

Gesundheitswesen

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Background:Although the concepts of participation and empowerment are hallmarks of the WHO vision of health promotion, it is acknowledged that they are diffi cult to evaluate. Devising adequate study designs, indicators and methods for the assessment of participation and empowerment should take into account the experiences, concerns, working conditions and constraints of health promotion practitioners. Methods: Semi-structured interviews were conducted with 17 experienced practitioners in community-based health promotion in New South Wales, Australia. The interviews covered benefi ts of and barriers to the evaluation of empowerment, key indicators and methodological aspects. Interview transcripts were examined using thematic content analysis. Results and Discussion: The idea of evaluating empowerment is supported by health promo tion practitioners, provided that empowerment is part of the programme logic and / or programme theory. The interviews highlighted the importance of a receptive environment for evaluation of empowerment and participation to take root. The resistence of health authorities towards empowerment indicators is a great challenge for funding of evaluations. Community members are to be included in the evaluation process, although it is not always easy to do so in a representative way and empowering approach. The best methods to capture whether empowerment has occurred in a programme are qualitative ones. The positive experiences that the interview partners made with innovative qualitative methods encourage further investment in developing new research designs.

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Evaluating Equity in Health Promotion

Cited by 13 publications

References 48 publications

Gemeindenahe Gesundheitsförderung - Herausforderung an die Evaluation

Gemeindenahe Gesundheitsförderung - Herausforderung an die Evaluation

The self-care for people initiative: the outcome evaluation

Evaluation von Empowerment – Perspektiven und Konzepte von Gesundheitsförderern. Ergebnisse einer qualitativen Studie in Australien

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