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Published on: September 11, 2021
[Process evaluation in relation to effectiveness assessment: experiences with school-based programs]
Carles Ariza1, Joan R Villalbí, Francesca Sánchez-Martínez
1Agència de Salut Pública de Barcelona, España. cariza@aspb.cat
Process evaluation is crucial for public health interventions, especially school-based programs. Understanding how interventions are implemented and adherence to protocols significantly impacts their effectiveness in preventing behaviors like HIV and drug use.
Area of Science:
- Public Health
- Health Behavior Research
- Intervention Science
Context:
- Traditional public health intervention evaluation prioritizes research design over process quality.
- School-based interventions require assessment of implementation fidelity and protocol adherence.
- Process evaluation explores intermediate variables influencing preventable behaviors.
Purpose:
- To describe core concepts of process evaluation in public health interventions.
- To illustrate the impact of intervention processes on program outcomes using school-based examples.
- To highlight the importance of planning process evaluations for effective intervention strategies.
Summary:
- Examines process evaluation in school-based public health interventions, focusing on implementation completeness and protocol adherence.
- Utilizes quasi-experimental data from Barcelona-based HIV/unprotected sex (PRESSEC) and drug use (PASE, PASE.bcn, x kpts) prevention programs.
- Demonstrates how intervention processes critically influence program impact and results.
Impact:
- Emphasizes that thorough process evaluation planning yields valid indicators for effectiveness studies.
- Identifies efficacious strategies for achieving positive outcomes in public health interventions.
- Provides insights for optimizing school-based preventive programs through robust process evaluation.
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