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Responsive evaluation in health promotion: its value for ambiguous contexts.

Tineke A Abma1

  • 1University of Maastricht, Healthcare Ethics and Philosophy, PO Box 616, 6200 MD Maastricht, The Netherlands. t.abma@zw.unimaas.nl

Health Promotion International
|June 24, 2005
PubMed
Summary

Responsive evaluation is best for health promotion programs with high ambiguity. Evaluators should assess ambiguity levels to choose appropriate research designs, favoring quantitative methods when ambiguity is low.

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Area of Science:

  • Health Promotion Evaluation
  • Program Assessment
  • Stakeholder Engagement

Background:

  • Traditional program evaluation focuses on policy goals.
  • Responsive evaluation emphasizes stakeholder perspectives on practice value.
  • Health promotion often involves complex, ambiguous contexts.

Purpose of the Study:

  • Advocate for responsive evaluation in health promotion.
  • Define responsive evaluation's applicability based on contextual ambiguity.
  • Guide the selection of appropriate evaluation designs.

Main Methods:

  • Conceptual argument for responsive evaluation.
  • Analysis of ambiguity in health promotion contexts.
  • Comparison of responsive evaluation with quantitative methods like random controlled trials (RCTs).

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Main Results:

  • Responsive evaluation is highly suitable for health promotion with high ambiguity.
  • High ambiguity arises from non-routine programs, unclear success indicators, and lack of consensus.
  • Low ambiguity contexts are better suited for quantitative methods and RCTs.

Conclusions:

  • The degree of ambiguity dictates the most appropriate evaluation design.
  • Evaluators must first assess situational ambiguity before selecting methods.
  • Responsive evaluation offers a valuable framework for complex health promotion initiatives.