1. Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 16 Program Planning, Implementation, and Evaluation

2. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Program Planning, Implementation and Evaluation Programs focus on health issues Goal of programs is to improve health of community

3. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Programming Process Steps Assessment Planning Implementation Evaluation

4. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Program Models Participatory, Partnership Model Health Care System as Expert Model

5. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Health Programming Does not occur in isolation Utilizes change theory Must examine context for health programming

6. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Health Programming in Context Health care reform Societal trends

7. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Definitions of Health Medical Behavioral Socioeconomical Ecological Programming upstream

8. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Primary Health Care Principles for Programs Health promotion Prevention Rehabilitation Supportive services

9. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Empowerment and Partnership Empowerment  Process and outcome Partnership  Nurses have expertise in health care  Communities have expertise in their own lives

10. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Meta-Theories Broad descriptions Explanations of general happenings in the world

11. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Types Caring Phenomenological Feminist Critical social

12. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Change Theories Programs usually involve change

13. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Levels of Change Individual Group or family Organizational Community Societal

14. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Transtheoretical Model of Stages of Change Upward Spiral Precontemplation  Contemplation, Preparation, Action Maintenance Termination

15. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Change Models Relapse prevention Diffusion theory Freire’s Theory of Freeing Community organization PATCH

16. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Programming Theories and Practicalities Language Participation Process

17. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Healthy Communities Model Phases  Entry  Needs assessment  Planning  Doing  Renewal

18. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Programming Models Health promotion at the community level Population health-promotion model Diagrammatic models PRECEDE/PROCEED

19. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Programming Practicalities Community analysis Identifying issues  Nominal group  Delphi  Fostering participation Clarifying goals

20. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Programming Practicalities (cont.) Design actions Resources, budgets, and feasibility Managing tasks and time Grant writing Documenting programs

21. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Program Implementation Putting the program into action Ethics Follow through Managing the unexpected

22. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Program Evaluation Evaluation types  Formative  Summative

23. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Evaluation as Comparison Health Promotion Evaluation Data Sources and Collection Methods

24. Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 16 Evaluation Models Translate results into meaningful information Report outcomes Cost analysis