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Exploring the conceptualization of program theories in Dutch community programs: a multiple case study.

Janneke Harting1, Patricia van Assema

  • 1Social Medicine, AMC/UvA, PO Box 22660, Amsterdam 1100 DD, The Netherlands. j.harting@amc.uva.nl

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Summary
This summary is machine-generated.

Most community health programs show limited effectiveness because their underlying program theories are poorly conceptualized. Improving program theory development is crucial for enhancing health promotion and disease prevention strategies.

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Area of Science:

  • Public Health
  • Health Promotion
  • Program Evaluation

Background:

  • Community programs aim to prevent disease and promote health.
  • The effectiveness of many such programs is limited.
  • The quality of program theory conceptualization is a potential factor.

Purpose of the Study:

  • To evaluate if poor program theory conceptualization explains the limited effectiveness of community health programs.
  • To assess the quality of program theories in 16 Dutch community programs (1990-2004).

Main Methods:

  • Retrospective multiple case study design.
  • Document analysis and member checks were employed.
  • A community approach reference framework was developed for evaluation.

Main Results:

  • Program theories often lacked clear process, component, and impact theories.
  • Theories were generally not specific, complete, or valid.
  • Most programs exhibited limited conceptualization of their underlying theories.

Conclusions:

  • Limited effectiveness of community programs is likely due to poor initial program theory conceptualization.
  • Inadequate program theories hinder thorough evaluation of community approaches and interventions.