Breastfeeding interventions in Kansas: A qualitative process evaluation of program goals and objectives

Across the state of Kansas, eighteen public health departments received funding through the 2011 Breastfeeding Grant Initiative to start a breastfeeding intervention. The main objective of this study was to evaluate the progress toward program goals and objectives. This study was a process evaluation. Qualitative data were collected from recipient health departments at two time-points during the program year. Structured, open-ended questions were asked through telephone interviews. This study examined: (1) progress toward program goals and objectives, (2) problems encountered during implementation, and (3) evaluation measures employed to assess program impact. All health departments reported making significant progress toward program goals and objectives and reported successful collaboration with other healthcare providers. The use of breast pumps, educational classes, and professional training of staff were reported as providing the best outcome in the promotion of breastfeeding. The majority of respondents did not measure program impact. From a public health perspective, it is important that infants receive breast milk for the first six months of life. It appears that goals and objectives set a priori guided health departments with the administration of their breastfeeding program. Results may be used to enhance and sustain delivery of breastfeeding support programs in Kansas communities.     

人力资源管理专业结构化职业技能培养方案设计

从培养目标、培养内容、培养方式、技能考核等方面出发,着重探讨了基于校企合作的能力培养模式,提出了人力资源管理专业结构化职业技能培养的整体方案。     

An interprofessional internship model for training master’s level social work and counseling students in higher education settings

ABSTRACT

The mental health needs of college students are steadily on the rise, which compels mental health service providers and educators to explore innovative ways to provide more collaborative, supportive, and interdisciplinary service models of practice and professional training. Graduate programs in social work and counseling are at the crux of producing internship training programs to help accommodate the influx of students with persistent mental health concerns across a variety of needs and cultures. This article describes an interprofessional internship program structured and designed to meet the clinical training needs of master’s level students matriculating in social work and counseling who aspire to provide mental health services in higher education settings. The interprofessional internship training model proposes an innovative interdisciplinary approach to field education which may result in positive training outcomes and learning experiences for social work and counseling students. This paper discusses the model’s emphasis on individual and interdisciplinary group supervision, objectives of the internship experience, internship site criteria, and professional and personal benefits to pre-service social workers and counselors. Recommendations for training and limitations of the model are provided.     

Internship training in marriage and family therapy: a survey of doctoral program objectives and implementation

This article presents the results of a survey that examined the implementation of the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) internship requirement by accredited doctoral Marriage and Family Therapy (MFT) programs. Representatives from each of 10 doctoral MFT programs provided responses to questions regarding program objectives for internship training. Respondents also provided subjective impressions regarding the effectiveness with which established internship goals are accomplished, associated benefits and difficulties, and adequacy of the standards. Results suggest that although most programs perceive the internship requirement as beneficial, many express concern regarding the effects of the internship requirement on other aspects of training and in relationship to the overall goals for doctoral MFT education. Conclusions and recommendations are offered based on the mixed findings.     

The Doctoral Student Experience: A Preliminary Study

This paper reports data from a study of former doctoral students, examining their personal characteristics, program experiences, and later career patterns. High motivation and career change objectives characterized this group at program entrance. They felt well-served by their educational experiences, and were in highly satisfying positions that were easily obtained upon leaving the program. General themes emerging from these data were discussed in a final section that explores the characteristics of doctoral training and its implications for participants and the profession.     

Models of Interdisciplinary Programs in Social Work Doctoral Education

Social work doctoral programs increasingly embrace an interdisciplinary orientation and structure. In this paper, the strengths and weaknesses of interdisciplinary doctoral education are assessed in light of the ultimate training objectives. Six alternative models of interdisciplinary programs are identified based on the content of knowledge and the structure of the program, and the relative costs and payoffs of each model are analyzed. Such analysis should assist educational decision makers to evaluate more systematically their actual or planned doctoral program.     

Narrative review of strategies by organizations for building evaluation capacity

Program evaluation is an important source of information to assist organizations to make “evidence-informed” decisions about program planning and development. The objectives of this study were to identify evaluated strategies used by organizations and program developers to build the program evaluation capacity of their workforce, and to describe success factors and lessons learned. Common elements for successful evaluation capacity building (ECB) include: a tailored strategy based on needs assessment, an organizational commitment to evaluation and ECB, experiential learning, training with a practical element, and some form of ongoing technical support within the workplace. ECB is a relatively new field of endeavor, and, while existing studies in ECB are characterized by lower levels of evidence, they suggest the most successful approaches to ECB are likely to be multifaceted. To build the level of evidence in this field, more rigorous study designs need to be implemented in the future.     

Interventions to Strengthen Noncustodial Father Involvement in the Lives of Their Children

Abstract

This paper describes quantitative evaluation of a program designed to increase noncustodial fathers' visitation frequency and financial assistance to their children. The initial program objectives were to enhance parental skills and work opportunities for fathers. Discussion group data revealed that additional obstacles to father involvement included conflicts between parents and substance misuse and abuse. Communication skills, anger management, alternative methods of coping with stress and increased activities for families were added to the program components in response to these needs. Future plans for strengthening community connections to expand educational, training and employment opportunities as well as increased outreach to families were based on additional assessment of interventions needed for successful co-parenthood.     

Using formative research to tailor a community intervention focused on the prevention of chronic disease

This case study attempts to illustrate and address in-depth the issues surrounding the collection, analysis, and application of formative research findings to program development and implementation. We provide an in-depth case study of tailoring a program for the residents of Berkshire County, Massachusetts. The formative research process includes collection and analysis of secondary data sources, extensive in-person interviews with community leaders, and in-depth focus groups with members of the population of interest. Findings from the formative research are then applied to tailoring the program materials and presentations and the training of the integrative team of health professionals that offer the program. Distinct components of program are tailored to the realities of the social, cultural, historical, and health and medical contexts in each community while other components of the program are tailored to individual participants. Overall, we believe this case study fully illustrates the utility of formative research in tailoring evidenced-based programs to increase program relevance and positive outcomes while maintaining fidelity to a program’s learning objectives and evaluation. We hope this in-depth account with specific examples proves useful as a guide to others when designing and conducting formative research to tailor health and medical interventions to the audience.     

Einsatz von Simulationspatienten im Kommunikations- und Interaktionstraining für Medizinerinnen und Mediziner (Medi-KIT): Bedarfsanalyse — Training — Perspektiven

Communication skills are of central importance within daily medical life providing effective treatment. In the modern high-tech field of medicine, trustful conversations play a prominent role. In order to help students of the Heidelberg Medical Faculty to be ready for their highly responsible role as communication partner, training is carried out in the framework of HeiCuMed (short for Heidelberger Curriculum Medicinale) using specially trained simulation patients. The communication and interaction training program (referred to as Medi-KIT) enables to practice conducting conversations with challenging communication partners and grave conversational content in difficult situations. Feedback from the standardized patients, as well as from peers and tutors represents a central didactic element.In order to secure knowledge transfer into daily clinic life and as well to build a relation to cognitive knowledge transfer, all medical students are assigned, alongside Medi-KIT lessons, to a ward, and training units are coordinated in terms of content to correspond with symptom-oriented lectures and parallel POL-groups (problem-oriented learning groups). In addition, communication learning objectives are examined at the end of the semester in the form of a clinical practical exam (OSCE: Objective Structured Clinical Examination) and at patient’s bedside (Mini-CEX: Mini Clinical Examination). The goal in imparting communication skills within medical education is that the longitudinal communication curriculum be maintained and continued in subsequent medical specialization studies.     

An evaluation of prototype school-based peer counseling program.

This study reports short-term outcome evaluation results of a school-based peer counseling (PRC) program as implemented by North Forsyth High School during January 1990-February 1991. The PRC program is evaluated in terms of: 1) the content of the program as evaluated by the PRC trainees; 2) the quality of the PRC instructor as perceived by these trainees; 3) several instrumental objectives deduced from the PRC training program; and 4) the degree to which the program was able to reach other students at North Forsyth during the time the PRC was in operation. In the absence of a control group, the treatment effect of the program is determined in terms of individual growth curve models. Through the multiple evaluation designs employed in this research, it has been learned that a significantly larger proportion of students in the PRC group had more favorable attitude toward the content of the PRC program when compared to the content of what they learned from their regular school curricula. Furthermore, a significantly larger proportion of students in the PRC program reported more favorable attitude toward their instructor than their regular school teachers. The PRC program was able to elicit an improvement of trainee self-esteem (p less than .01) and their social values (p less than .05) between pre and post of the Peer Training Evaluation Instrument. In terms of client access, 18.4 percent of the totality of potential clients at North Forsyth have been reached through sixty-one peer counselors sanctioned by the school.     

Goal-oriented evaluation for program planning: A case study

Utilizing a contextual model of evaluation, a goal-oriented method was applied to the Health Psychology program, a doctoral program in its early stages at the University of California, San Francisco. There were five stages involved in implementing this method: (1) clarification of the goals and objectives of the program, (2) prioritizing the objectives, (3) judging the attainment of the objectives, (4) organization of faculty/student input, and (5) feedback to the program management. All faculty members and students were invited to participate as selfevaluators in this evaluation effort. The results indicated that there were significant differences between the faculty group and the student group on their ranking and rating of the importance of specific educational and resource objectives. A one year follow-up was obtained by interviewing the director of the program to assess the impact of the project on program planning. The advantages and disadvantages of the approach were discussed in light of this attempt to analyze a new educational program.     

Family Therapy for the Trainee in Family Therapy*

The growth and self understanding of the therapist as a person are considered by most training centres to be a significant part of the training process. This article reports on a pilot project which provided marital and family therapy for trainees in a two-year program. Therapy was established on a contract basis and included individual, conjoint, family intergenerational and small group. Interns and family members responded favorably to the program. Supervisors found the experience enabled trainees to maintain an experiential consistency with a general systems model utilized as the core theory of the training program.     

Designing useful evaluations: The stakeholder survey

The failure of program evaluations to provide policy decision-makers with useful information is a familiar complaint. This paper discusses an approach towards designing and implementing more useful evaluations — the stakeholder survey. Stakeholders are individuals, or groups, who have a direct interest in the program being evaluated. The central premise of the paper is that the information needs of stakeholders should be incorporated directly into the formulation of evaluation objectives, and the design of the evaluation to achieve those objectives. The paper presents a rationale for the stakeholder survey, describes its major components, and reports on the application of the approach in a large program evaluation. Key issues involved in applying the approach are also considered. The evidence from this study suggests that such surveys are not only feasible, but also of considerable value to the evaluation team.     

A parent aide program: record keeping, outcomes, and costs

As the use of parent aides grows, it is important that plans for developing and administering the services be carefully drawn to enhance the service. The record-keeping system described here evolved in direct response to program objectives and has helped maintain those objectives. It should be emphasized that although the procedures involved appear time consuming and perhaps troublesome, they play an important part in saving program time overall and making an effective service available to as many clients as possible. When the costs of parent aides are compared with those of other services, the results show that the time-limited, goal-oriented focus of this program allows effective services to be delivered economically.     

Informing employees in small and medium-sized firms about training: Results of a randomized field experiment

We mailed brochures to 10,000 randomly chosen employed German workers who were eligible for a subsidized occupational training program called WeGebAU, informing them about the importance of skills-upgrading training in general and about WeGebAU in particular. Using survey and register data, we estimate effects of the informational brochure on awareness of the program, on take-up of WeGebAU and other training, and on subsequent employment. The brochure more than doubles awareness of the program. There are no effects on WeGebAU take-up, but participation in other (unsubsidized) training increases among employees aged under 45. Short-term labor market outcomes are not affected.     

The selfish giant: narration and language instruction in a multicultural pre-primary class as a model for teacher change and development

Within the framework of multicultural education, a school-based teacher training program was implemented in a public preschool in Nicosia, Cyprus, where a large number of migrant pupils were enrolled. The main goal of the program was to create a basis for reflection and interaction among the teaching staff about issues related to the social and learning development of migrant pupils. The approach was based on a model for teacher change which focuses on enactment and reflection. Specific methodological aspects were applied in a session related to language instruction, which was carried out and observed by the school teaching staff. The main conclusion was that most of the migrant pupils reacted positively: they played an active role and their participation increased. This teacher training program enabled the teachers to realize how they, as professionals, are influenced by their own experiences and they also recognized the limits of their competences and expertise.     

Evaluability assessment of the adult education program (AEP): The results and their use

This paper describes the conduct and the results of an evaluability assessment (EA) of the Adult Education Program (AEP), PL 91-230, as amended (20 U.S.C. 1201–1211c). It presents the findings on the intended program, the actual program, the plausibility of the objectives, the measurement of the objectives, and the program evaluability and options for improvement. The paper concludes with a discussion of the management use of the results following the study and within the current context for the program.     

Systems engineering: A problem-solving approach to improving program performance

Evaluation methodologies have generally emphasized the measurement and assessment of program merit, as reflected by the achievement of program objectives. Less attention has been devoted to analyzing and explaining the reasons for deficient performance and, more importantly, what needs to be modified to improve performance. While evaluators do identify performance problems, the identified problems are not always analyzed. Consequently, the information reported to decision makers may be incomplete, inconclusive, and of limited utility in the decision-making process. This article describes an evaluation methodology based on problem solving techniques which can be effective and efficient in defining and analyzing problems which impair program performance. The model can be applied in evaluations where the purpose is to provide decision makers with information and recommendations to improve program performance and provide an alternative to those evaluation models which emphasize the assessment of program merit. The model also provides a potentially unique cost/benefit methodology for estimating the potential worth of improving program performance (i.e., solving the problem).