9th European IUHPE Health Promotion Conference
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9th European IUHPE Health Promotion Conference



www.dipsalut.cat Participació de Dipsalut al 9th European IUHPE Health Promotion Conference

www.dipsalut.cat Participació de Dipsalut al 9th European IUHPE Health Promotion Conference



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9th European IUHPE Health Promotion Conference 9th European IUHPE Health Promotion Conference Document Transcript

  • www.dipsalut.cat Theory Based Evaluation model as a basis for evaluation in health promotion Keywords Health promotion, evaluation, innovation, evidence. CONTEXT: GIRONA PROVINCE · Location: Girona is one of the four provinces that form Catalonia, which is the north-east territorial and administrative subdivision of Spain on the border with France. Authors Pau Batlle, Gemma Brunet, Anna Loste, Alex Morales, Mar Redondo, Ester Ruiz, Marc Alabert, Jordi Brunet, Xavier del Acebo, Pilar Castro, David Ferrando · Surface: 5,835.07 km2 · Population: 760,722 inhabitants · Population distribution: It has 221 municipalities. Inland, the population lives in widely dispersed small villages, each of these municipalities being responsible for less than 1,500 inhabitants. The coastal area, by contrast, has a much higher density of population within each municipality (greater than 15,000 inhabitants) and these centers of population are much more contiguous. The capital, Girona, is located in the center of the province and has a strong capital status. BACKGROUND THEORETICAL FRAMEWORK (METHOD) CF ETERMINANT S: S TH D L O EA H FAM C ILY I KIL ES H LIF HEALT LS ENI OF LIFESTYLES AND HEALTHY CONTEXTS DETERMI N AN TS SALUTOG IEW T EN PERSON IV EV REM NT OME VIR EN EXT NT · Conduct a process of reflection on the theoretical framework of our health promotion interventions. · Design a new program evaluation model in health promotion to provide a critical perspective that allows continuous improvement programs. · Create an integrated model between the classic epidemiological perspective and qualitative evaluation. MIC, CULTURA ONO L , EC COMMUNIT AND YC IAL ND O A UA LIT Y AXE Q NE S OBJECTIVES SIT WE PO Being a newly created organization, Dipsalut has an opportunity to build a new way of understanding the evaluation of health promotion. M E O W PO RK EM The legislation that regulates Public Health assigns legal obligations to the different public authorities. Many of the municipalities do not have enough resources to take over these obligations. RA Dipsalut is an organization run by the provincial government of Girona (supramunicipal entity) that was created in November 2008 to provide technical service and support for all the municipalities within the province of Girona, in order to promote public health and to improve the quality of life of its citizens. SENSE OF COHERENCE- SOC METHOD Responsive evaluation is a key tool for understanding the functioning of the programs, and one which overcomes the limits of an evaluation focused exclusively on epidemiological indicators. It is grounded in a constructivist perspective and uses human beings as active interpreters of the program which we will evaluate. © Dipsalut 2012 We have used Theory Based Evaluation (TBE) in order to analyze and understand why, how, for whom and in what circumstances our programs work. RESULTS TBE includes two theories: Change Theory and Implementation Theory, which allow the respective indicators of design, process and outcomes to be prepared. Involved professionals: 1. Girona University Chair in Health Promotion 2. A group of experts in Qualitative Research (AREA Q) PRO RO G P 2. Build the Change Theory 3. Build the Implementation Theory LS Steps: 1. Define the theoretical framework based on the salutogenic perspective SSIO NA 3. Dipsalut professionals in health promotion FE RA M S 4. Build the Evaluation Matrix RESULTS GANIZATIO R N O 5. Obtain the structure, process and result indicators The adoption of TBE highlights the principles, values and processes underlying the projects, generating applied knowledge (know, understand and use) on the mechanisms that operate in a project. We have obtained outputs at different levels: Professionals: Increased professional team’s technical skills in program design, development and evaluation. Projects and Programs: Better knowledge of the projects: their limitations and potential. Developing evaluation questions has improved the understanding of the internal processes of the projects. Organization: The organization has increased its explicit knowledge of the health promotion projects and programs and in consequence the institution is able to clarify its vision, mission and values. CONCLUSIONS The strategy of sharing both academic and technical vision has clarified the theoretical framework. The process has helped the Dipsalut's professional team to increase the cohesion of its members and its effectiveness by engaging these professionals in the design, development and evaluation. CONCLUSIONS THEORY BASED EVALUATION SHARE COHESION CONSCIOUSNESS