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Theory-based programme development and evaluation in physiotherapy
Maria P J Huijbregts1, Theresa Kay, Beth Klinck
1Maria P.J. Huijbregts , BScPT, PhD: Director of Clinical Evaluation, Baycrest, Toronto; Assistant Professor (status only), Department of Physical Therapy, University of Toronto, Toronto, Ontario; Adjunct Professor, Master of Public Health Department, Lakehead University, Thunder Bay, Ontario.
Purpose:
Programme evaluation has been defined as "the systematic process of collecting credible information for timely decision making about a particular program." Where possible, findings are used to develop, revise, and improve programmes. Theory-based programme development and evaluation provides a comprehensive approach to programme evaluation.
Summary Of Key Points:
In order to obtain meaningful information from evaluation activities, relevant programme components need to be understood. Theory-based programme development and evaluation starts with a comprehensive description of the programme. A useful tool to describe a programme is the Sidani and Braden Model of Program Theory, consisting of six programme components: problem definition, critical inputs, mediating factors, expected outcomes, extraneous factors, and implementation issues. Articulation of these key components may guide physiotherapy programme implementation and delivery and assist in the development of key evaluation questions and methodologies. Using this approach leads to a better understanding of client needs, programme processes, and programme outcomes and can help to identify barriers to and enablers of successful implementation. Two specific examples, representing public and private sectors, will illustrate the application of this approach to clinical practice.
Conclusions:
Theory-based programme development helps clinicians, administrators, and researchers develop an understanding of who benefits the most from which types of programmes and facilitates the implementation of processes to improve programmes.
