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Related Experiment Video

Updated: Apr 30, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Evaluating complex community-based health promotion: addressing the challenges.

Gwyneth Jolley1

  • 1South Australian Community Health Research Unit, Flinders University, Bedford Park, SA 5062, Australia.

Evaluation and Program Planning
|April 24, 2014
PubMed
Summary

Community-based health promotion evaluation is complex due to changing contexts and multiple factors. A new conceptual model, using complexity and developmental evaluation, aids in designing and conducting effective health promotion evaluations.

Keywords:
ComplexityEvaluationHealth promotionSettings

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Area of Science:

  • Public Health
  • Program Evaluation
  • Health Promotion

Background:

  • Community-based health promotion lacks robust theoretical frameworks and a clear evidence base.
  • Evaluating complex health promotion interventions presents significant challenges.

Purpose of the Study:

  • To examine the characteristics of community-based health promotion and associated evaluation challenges.
  • To develop and explore a conceptual model for designing and conducting health promotion evaluations.

Main Methods:

  • Review of health promotion evaluation literature.
  • Exploration of complexity theory and developmental evaluation approaches.
  • Reflexive analysis of three past program evaluations.

Main Results:

  • Health promotion programs are complex due to context-contingent nature, community turbulence, multiple stakeholders, and uncertain outcomes.
  • A conceptual model integrating complexity and developmental evaluation offers a framework for addressing evaluation challenges.

Conclusions:

  • The proposed model emphasizes adapting to changing contexts and outcomes, providing rapid feedback, and promoting reflexive practice.
  • This approach can enhance understanding of contextual influences and implementation factors in complex settings.
  • Utilizing the model can contribute to building transferable evidence for effective health promotion.