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American Journal of Community Psychology Jun 2008The first purpose of this review was to assess the impact of implementation on program outcomes, and the second purpose was to identify factors affecting the... (Review)
Review
The first purpose of this review was to assess the impact of implementation on program outcomes, and the second purpose was to identify factors affecting the implementation process. Results from over quantitative 500 studies offered strong empirical support to the conclusion that the level of implementation affects the outcomes obtained in promotion and prevention programs. Findings from 81 additional reports indicate there are at least 23 contextual factors that influence implementation. The implementation process is affected by variables related to communities, providers and innovations, and aspects of the prevention delivery system (i.e., organizational functioning) and the prevention support system (i.e., training and technical assistance). The collection of implementation data is an essential feature of program evaluations, and more information is needed on which and how various factors influence implementation in different community settings.
Topics: Health Promotion; Outcome Assessment, Health Care; Program Development
PubMed: 18322790
DOI: 10.1007/s10464-008-9165-0 -
Evaluation and Program Planning Apr 2017This article challenges the conventional wisdom in mainstream evaluation regarding the process for developing specific, measurable, attainable, relevant, and time-bound...
This article challenges the conventional wisdom in mainstream evaluation regarding the process for developing specific, measurable, attainable, relevant, and time-bound (SMART) objectives. The article notes several advantages of mainstreaming the SMART method including program capacity building and being able to independently monitor progress toward process and outcome objectives. It is argued the one size fits all approach for writing SMART objectives is misleading. The context in which the evaluation is conducted is a key deciding factor in how and when the SMART criteria should be applied. Without an appreciation of the evaluation context, mainstream users may be developing objectives that are far from smart. A case example is presented demonstrating a situation where a stepwise, rather than simultaneous application of the SMART criteria was necessary. Learning from this case, recommendations are forwarded for adjusting how SMART criteria should be presented in mainstream evaluation manuals/guides.
Topics: Awareness; Goals; Health Knowledge, Attitudes, Practice; Health Promotion; Humans; Leadership; Organizational Case Studies; Out-of-Hospital Cardiac Arrest; Program Development; Program Evaluation
PubMed: 28056403
DOI: 10.1016/j.evalprogplan.2016.12.009 -
Journal of Graduate Medical Education Aug 2020
Topics: Family Practice; Humans; Internship and Residency; Professional Practice Location; Program Development; Rural Population
PubMed: 32879671
DOI: 10.4300/JGME-D-19-00932.1 -
Rehabilitation Nursing : the Official... 2020The aim of the study was to develop the Healthy Beat Acupunch (HBA) exercise program and evaluate its feasibility for community older adults.
PURPOSE
The aim of the study was to develop the Healthy Beat Acupunch (HBA) exercise program and evaluate its feasibility for community older adults.
DESIGN
Stage I: The Delphi technique was used to consult 16 experts to develop the program. Stage II: A preexperimental, one-group, posttest-only design was used to pilot-test the program feasibility with 31 older adults.
METHODS
After 4 weeks of interventions, participants evaluated the program based on four criteria (simplicity, safety, suitability, and helpfulness) and responded to five open-ended questions.
FINDINGS
The developed HBA program from Stage I includes three phases with 24 motions and takes 40 minutes to complete. Program feasibility in Stage II showed average scores ranged from 8.84 ± 1.32 to 9.97 ± 0.18.
CONCLUSION
Both experts and elderly participants confirmed that the HBA program was simple, safe, suitable, and helpful to older adults.
CLINICAL RELEVANCE
The HBA program provides older adults with a new set of exercise options.
Topics: Acupuncture Therapy; Adult; Feasibility Studies; Female; Geriatrics; Humans; Male; Middle Aged; Program Development
PubMed: 29864046
DOI: 10.1097/rnj.0000000000000157 -
Rehabilitation Nursing : the Official... 2020
Topics: Acupuncture Therapy; Adult; Feasibility Studies; Female; Geriatrics; Humans; Male; Middle Aged; Program Development
PubMed: 32604261
DOI: 10.1097/RNJ.0000000000000276 -
Journal of Nuclear Medicine Technology Sep 2018Program development and review are a central part of institutional and industry quality assurance. Traditional approaches, although well established, present several...
Program development and review are a central part of institutional and industry quality assurance. Traditional approaches, although well established, present several barriers that could undermine the integrity of the process and the quality of outcomes. Here, a new approach to program development and design is explored with the goal of enhancing outcomes for students and institutions.
Topics: Accreditation; Program Development
PubMed: 29724798
DOI: 10.2967/jnmt.118.208272 -
Journal of Pain and Symptom Management Dec 2015Specialist palliative care (PC) often embraces a "less is more" philosophy that runs counter to the revenue-centric nature of most health care financing in the U.S. A... (Review)
Review
Specialist palliative care (PC) often embraces a "less is more" philosophy that runs counter to the revenue-centric nature of most health care financing in the U.S. A special business case is needed in which the financial benefits for organizations such as hospitals and payers are aligned with the demonstrable clinical benefits for patients. Based on published studies and our work with PC programs over the past 15 years, we identified 10 principles that together form a business model for specialist PC. These principles are relatively well established for inpatient PC but are only now emerging for community-based PC. Three developments that are key for the latter are the increasing penalties from payers for overutilization of hospital stays, the variety of alternative payment models such as accountable care organizations, which foster a population health management perspective, and payer-provider partnerships that allow for greater access to and funding of community-based PC.
Topics: Biomedical Research; Humans; Palliative Care; Program Development; United States
PubMed: 26297853
DOI: 10.1016/j.jpainsymman.2015.06.013 -
BMJ (Clinical Research Ed.) Nov 2013
Topics: Delivery of Health Care; Evidence-Based Medicine; Humans; Program Development; Translational Research, Biomedical
PubMed: 24259324
DOI: 10.1136/bmj.f6753 -
Frontiers in Public Health 2022Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently... (Review)
Review
BACKGROUND
Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently suggest that interventions that include both spouses are effective in decreasing depression and relationship distress. Considering the busy lives of middle-aged couples, it is essential to develop an online-coaching blended couple-oriented intervention. This study aimed to describe the development, implementation, and evaluation of an online-coaching blended couple-oriented intervention using an online program and coaching videoconference to prevent middle-aged couples' depression; this was done using an intervention mapping (IM) protocol.
METHODS
Six steps of IM were used to systematically develop a tailored multi-level intervention specific to middle-aged couples' depression. These steps of the IM protocol involve needs assessment, formulation of change objectives, theory-based methods, and practical strategies for program design, program development, program implementation, and program evaluation.
RESULTS
The results of the six steps were as follows: (a) middle-aged couples' needs and mental health problems were identified through a scoping review study, mixed-method study, and expert interviews; (b) six performance objectives (POs) were formulated based on the results of Step 1, and intrapersonal, interpersonal, and temporal/transpersonal determinants were identified based on the self-transcendence theory. Change objectives were developed by combining POs with determinants; (c) self-regulated learning was chosen for theoretical teaching methods and practical strategies to change the determinants of each level; (d) four modules consisting of 16 sessions were developed based on the self-transcendence theory; (e) experts evaluated the program and coaches were trained; and (f) the evaluation plan for the program's feasibility, acceptability, usability, and preliminary effects was developed.
DISCUSSION
The systematic process using IM allowed us to develop an online-coaching blended couple-oriented intervention to prevent depression and promote couples' relationships. The primary effects of this newly developed program should be evaluated in future studies. This may lead to the increased adoption and implementation of evidence-based and tailored interventions for psychological wellbeing in middle adulthood.
Topics: Depression; Learning; Mentoring; Program Development; Program Evaluation
PubMed: 35719656
DOI: 10.3389/fpubh.2022.882576 -
Journal of the American College of... Oct 2018
Topics: Cardiology; Humans; Leadership; Program Development
PubMed: 30360832
DOI: 10.1016/j.jacc.2018.09.029