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Evaluation of community-based injury prevention programmes: methodological issues and challenges.

Per Nilsen1

  • 1Linköping University, Department of Health and Society IHS, Division of Social Medicine and Public Health Science, SE-58183 Linköping, Sweden. nilsen@uptown.se

International Journal of Injury Control and Safety Promotion
|December 13, 2005
PubMed
Summary

Evaluating community injury prevention programs is challenging. This review found that context, structure, and process elements are often neglected, impacting effectiveness assessments.

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Area of Science:

  • Public Health
  • Program Evaluation
  • Injury Prevention

Background:

  • Evaluating comprehensive community-based injury prevention programs presents significant methodological challenges.
  • A lack of consensus exists in current literature regarding optimal evaluation methodologies.

Purpose of the Study:

  • To systematically review evaluations of 16 community-based injury prevention programs.
  • To examine key methodological issues and challenges in program evaluation.

Main Methods:

  • Systematic literature review of 16 community-based injury prevention program evaluations.
  • Analysis of assessed elements (context, structure, process, impact, outcome), study design, and methodological issues.

Main Results:

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  • Context, structure, and process assessments were the most neglected aspects.
  • Impact and outcome evaluations focused on injury incidence, with mixed inclusion of impact variables.
  • Quasi-experimental designs are common, but external and construct validity issues were largely overlooked.

Conclusions:

  • Significant gaps exist in the evaluation of community-based injury prevention programs, particularly concerning contextual and process elements.
  • While internal validity threats were often identified, external and construct validity require greater attention for robust program evaluation.