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Using evaluability assessment to assess local community development health programmes: a Scottish case-study.

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Evaluability assessments are cost-effective tools that improve health program evaluations. This study shows they can develop program objectives and identify measurable short- and long-term outcomes for community health initiatives.

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Area of Science:

  • Community health program evaluation
  • Health services research
  • Program planning and development

Background:

  • Evaluations are crucial for demonstrating program effectiveness but can be costly and focus on unrealistic outcomes.
  • There is a need for cost-effective pre-evaluation tools to provide constructive feedback and improve program objectives.
  • This research aimed to demonstrate the utility of evaluability assessments in enhancing community health programs.

Observation:

  • The study focused on the Health Issues in the Community program in Glasgow, Scotland.
  • Data were collected through document analysis and stakeholder interviews.
  • A realist approach and thematic analysis were used to develop a logic model and identify evaluation options.

Findings:

  • Five main themes emerged: History, Framework, Structure and Delivery, Theory of Action, and Barriers.
  • A logic model identified key program activities and 23 potential outcomes, with 16 short-term and 6 long-term.
  • Short-term outcomes included increased self-esteem and health awareness; long-term outcomes included improved social capital and mental wellbeing.

Implications:

  • Evaluability assessments can be applied to community health programs to identify measurable outcomes and avoid poorly designed evaluations.
  • This pre-evaluation method offers a valuable tool for regional and community health program evaluation.
  • It aids in developing realistic objectives and demonstrating program effectiveness efficiently.