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Understanding the factors that influence health promotion evaluation: The development and validation of the evaluation practice analysis survey
Institution:1. School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia;2. Prevention Research Collaboration, School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia;3. Health Data Research UK, Swansea UniversityMedical School, Swansea University, Singleton Park, Swansea, SA2 8PP, Wales, UK;4. National Heart Foundation of Australia, 334 Rokeby Road, Subiaco, WA 6008, Australia;1. École nationale d’administration publique, Université du Québec, 283 boul, Alexandre-Taché, Gatineau, QC, J8X 3X7, Canada;2. University of Ottawa, Canada;1. The College of Business, Law and Governance, The Cairns Institute, Australia;2. Indigenous Education & Research Centre, James Cook University, PO Box 6811, Cairns, Queensland, 4870, Australia;3. CRANAplus, Adelaide, South Australia, Australia;4. Australasian College of Health Service Management (ACHSM), Australia;5. The Cairns Institute and the College of Arts Society and Education, James Cook University, Cairns, Australia;1. University Medical Center Hamburg, Institute of Medical Sociology, Germany;2. Health Authority of Hamburg-Eimsbüttel, Germany;1. Education Development Center, Inc., United States;2. University of Oklahoma, United States
Abstract:The demand for improved quality of health promotion evaluation and greater capacity to undertake evaluation is growing, yet evidence of the challenges and facilitators to evaluation practice within the health promotion field is lacking. A limited number of evaluation capacity measurement instruments have been validated in government or non-government organisations (NGO), however there is no instrument designed for health promotion organisations. This study aimed to develop and validate an Evaluation Practice Analysis Survey (EPAS) to examine evaluation practices in health promotion organisations. Qualitative interviews, existing frameworks and instruments informed the survey development. Health promotion practitioners from government agencies and NGOs completed the survey (n = 169). Principal components analysis was used to determine scale structure and Cronbach’s α used to estimate internal reliability. Logistic regression was conducted to assess predictive validity of selected EPAS scale. The final survey instrument included 25 scales (125 items). The EPAS demonstrated good internal reliability (α > 0.7) for 23 scales. Dedicated resources and time for evaluation, leadership, organisational culture and internal support for evaluation showed promising predictive validity. The EPAS can be used to describe elements of evaluation capacity at the individual, organisational and system levels and to guide initiatives to improve evaluation practice in health promotion organisations.
Keywords:Health promotion  Evaluation practice  Evaluation capacity building  Measurement  Reliability  Validity
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