Health promotion practice
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Health promotion practice · Apr 2005
ReviewDeveloping a process-evaluation plan for assessing health promotion program implementation: a how-to guide.
Process evaluation is used to monitor and document program implementation and can aid in understanding the relationship between specific program elements and program outcomes. The scope and implementation of process evaluation has grown in complexity as its importance and utility have become more widely recognized. Several practical frameworks and models are available to practitioners to guide the development of a comprehensive evaluation plan, including process evaluation for collaborative community initiatives. ⋯ Building from previous frameworks, the authors present a comprehensive and systematic approach for developing a process-evaluation plan to assess the implementation of a targeted health promotion intervention. Suggested elements for process-evaluation plans include fidelity, dose (delivered and received), reach, recruitment, and context. The purpose of this article is to describe and illustrate the steps involved in developing a process evaluation plan for any health promotion program.
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Health promotion practice · Jul 2004
ReviewAfter the Master Settlement Agreement: trends in the American tobacco retail environment from 1999 to 2002.
Research indicates that one impact of the Master Settlement Agreement (MSA) may be to increase the focus of the tobacco industry's marketing approach on the retail tobacco environment. This article aims to provide an overview of and trends in the post-MSA American tobacco retail environment from 1999 to 2002, nationally, by region, and by locale. We examined the following specific retail tobacco environment issues: price, promotions, advertising, and placement, which stimulate or reduce demand for tobacco products. ⋯ Results show overall high levels of advertising, promotional activity, and price increase trends across the United States. Tobacco promotions in stores increased between 2001 and 2002. Stores in the south and rural areas tended to have the lowest prices and highest prevalence of promotions and advertising, suggesting a need for tobacco control intervention.
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Health promotion practice · Jul 2004
The 1998 Master Settlement Agreement: a public health opportunity realized--or lost?
On November 23, 1998, a legal settlement of historic proportions took place. The five major U. S. tobacco manufacturers signed an agreement with 46 states, the District of Columbia, and five U. ⋯ S.$206 billion for the first 25 years) and also banned an array of advertising and marketing efforts to attract young people to tobacco. Five years after the settlement, however, it appears that most states have not committed a significant portion of the funds for tobacco prevention efforts but rather have used the money to support other state needs. Moreover, tobacco companies have continued aggressive marketing efforts to reach youth.
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Process evaluation is now a core component of health promotion program evaluations. Over the past decade, considerable attention and resources were devoted to developing sensitive and collaborative process evaluation methodologies. ⋯ This article describes dialogue boxes, a process evaluation tool that has proven extremely useful in diverse health promotion program and planning efforts. The tool itself is described, along with eight lessons learned about the power of this seemingly simple evaluation method, comments about the challenges of this type of process evaluation, and tips for using dialogue boxes in health promotion planning and programs.
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Health promotion practice · Apr 2004
Worker-trainers as evaluators: a case study of a union-based health and safety education program.
The United Automobile Workers uses worker-trainers to deliver health and safety education training to its members. The union has experimented with worker-trainers participating in program evaluation. ⋯ The incorporation of workers as evaluators is a key step toward the goal of worker empowerment. The involvement of program participants in their program's evaluation can enhance the quality and usefulness of work-site health and safety programs in general.