Health Communication
It’s a program for health promotion with this sequence
Some sources are attached you can follow what in the slides
| Item of evaluation |
| 1- Selecting project topic, it should be related to health
2- Write overall project goal 3- Write outcome objectives |
| 4- Post situation and audience analysis |
| 5- Post communication objectives |
| 6- Post communication strategies |
| 7- Post action and evaluation plans |
| 8- Presentation |
Evaluating Outcomes of Health Communication Interventions
Chapter 14
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
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Overview/Objectives
- Why, What and How We Measure
- Evaluation Models and Tips
- Case Studies
- Linking Outcomes to Strategic Communication Programs
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
Why, What and How We Measure
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
The Language of Evaluation
Evaluation
Program Assessment
Metrics
Return on Investment (ROI)
Outcomes
Impact
Social Change Indicators and Social Impact
Behavioral Impact
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
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Social Change and Behavioral Indicators
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013, figure 14.1. © Copyright 2013. All rights reserved.
Why We Measure
- Focus staff/partners/intended audiences on shared goals
- Clarify program purposes, goals, and objectives
- Identify and compare effective practices
- Improve service delivery
- Adjust program in progress by refining strategies/messages
- Assess cost effectiveness of program
- Assess program results/ROI
- In public health communication, ROI = health or social behavior that leads to improved public health outcomes
- Determine program reproducibility and sustainability/opportunities for scaling-up phase
- Communicate results to key stakeholders/ audiences
- Implement lessons learned from new models/strategies in future interventions
- Compete for economic and human resources
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
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Drawbacks of Evaluation
- Cost
- Time
- Chance of measuring wrong variables and indicators
- Questionable accuracy for programs with limited scope, reach and duration
- Potential bias in evaluation method or tool
- Hard to do if not planned ahead
- Results that may be affected by independent influences on key audiences and program’s outcomes
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
*
Types of Evaluation
- Formative
- Before program development/implementation
- Pre-testing
- Process and Progress
- Compares program’s implementation with original plan
- Program reach
- Progress monitoring/intermediate results
- Summative (outcome or impact evaluation in different models)
- Program’s impact in relation to program/outcome objectives (behavioral, social, organizational) and long-term communication objectives
Each type corresponds to a specific
research and monitoring phase
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
*
What’s Being Measured?
Process Evaluation/Intermediate Results
- Message delivery: depth/extent, tone, frequency/ repetition, reach
- Message retention: at what time intervals after the event?
- Participation in an event: influential advocates/ endorsers, target population
- Distribution of materials; number of follow up requests
- Endorsement from third-party/KOLs
- Ability to create alliances
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
*
What’s Being Measured?
Process Evaluation/Intermediate Results
- Media reach: circulation, impressions
- Inquiry for information: toll-free #, website visits
- Ability to neutralize opposition
- Short-term or intermediate changes in knowledge/ attitudes, skills, community participation levels, etc. (progress)
Summative Evaluation (also Outcome or Impact Evaluation)
- Changes in attitude, knowledge, social norms, policies, health or social behavior
- Refers to outcome and communication objectives
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
*
Summative Evaluation
- “Evaluates program’s efficacy in relation to outcome and communication objectives initially established by the program” (R. Schiavo, 2007, p. 326)
- Recognizes current emphasis on strategic behavior communications/behavioral impact
- Measures extent to which change occurs
- “In health communication programs, the primary objective is usually a health-related behavior.”
J. Bertrand, John Hopkins Center for Health
Communication, The Drum Beat, CI, 2005
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
11/14/2007
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Health Outcomes as a Complex and Multidimensional Construct
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013, figure 3.2. © Copyright 2013. All rights reserved.
Evaluating Behavioral and Social Impact
Schiavo, R. Health Communication: From Theory to Practice, San Francisco: Jossey-Bass, Second Edition, 2013. © Copyright 2013. All rights reserved.
Assessing changes in individual, community, or social behavior requires:
- Intensive effort in concentrated geographic area/time period
- Front/back market research against
- Tracking surveys
- Other qualitative/quantitative measurements
- Significant financial commitment
- Only long-term efforts can generate sustainable behavioral and social results!
11/14/2007
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How We Measure
Qualitative Methods
In-depth interviews with members of intended audiences, program participants, or other key stakeholders before and after the program
Focus groups
Completion of evaluation forms after specific activities (for process evaluation only)
Evidence of endorsement, such as letters of support or actual program participation from key influentials (for formative and process evaluation only)
Panel studies, that is, pre- and post-intervention studies, which involve the same panel of key stakeholders or representatives of key groups and relevant communities
Community dialogue, public consultations, and other participatory research methods
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