caa a22 4500 397547595 CHVBK 20180308164742.0 cr unu---uuuuu 161202e199609 xx s 000 0 eng 10.1093/heapro/11.3.227 doi (NATIONALLICENCE)oxford-10.1093/heapro/11.3.227 Developing methodologies for evaluating community-wide health promotion [Elektronische Daten] [ROBERT SANSON-FISHER, SALLY REDMAN, LYNNE HANCOCK, STEPHEN HALPIN, PHILIP CLARKE, MARGOT SCHOFIELD, ROBERT BURTON, MICHAEL HENSLEY, ROBERT GIBBERD, ALEXANDER REID, RAOUL WALSH, AFAF GIRGIS, LOUISE BURTON, ANN McCLINTOCK, ROBERT CARTER, ALLAN DONNER, SYLVAN GREEN] There has been growing recognition that health promotion programs which target whole communities are more likely to be effective in changing health behaviour. However, studies evaluating the impact of community-wide health promotion programs rarely use adequate methodology. Randomised control trials where multiple whole communities are randomly assigned to control and intervention groups are optimum if evaluators hope to validly attribute changes in health behaviour to the intervention. However, such trials present a number of difficulties including cost and feasibility limitations and the evolving nature of statistical techniques. This paper proposes applying a fairly well-accepted phased evaluation approach to the evaluation of community participation programs, using three defined phases. Phase 1 consists of small-scale studies to develop the measures and assess acceptability and feasibility of the intervention; Phase 2 consists of studies in a small number of communities designed to trial the intervention in the real world; Phase 3 studies use an appropriate number of entire communities to provide valid evidence of efficacy of the intervention. It is suggested that criteria be resolved to identify adequate studies at each stage and that advantages and limitations of Phase 1 and 2 studies be clearly identified. The paper describes the major design, sampling and analysis considerations for a Phase 3 study. © Oxford University Press Perspectives nationallicence community nationallicence evaluation nationallicence health promotion nationallicence SANSON-FISHER ROBERT University of Newcastle Australia aut REDMAN SALLY University of Newcastle Australia aut HANCOCK LYNNE University of Newcastle Australia aut HALPIN STEPHEN University of Newcastle Australia aut CLARKE PHILIP University of Newcastle Australia aut SCHOFIELD MARGOT University of Newcastle Australia aut BURTON ROBERT University of Newcastle Australia aut HENSLEY MICHAEL University of Newcastle Australia aut GIBBERD ROBERT University of Newcastle Australia aut REID ALEXANDER University of Newcastle Australia aut WALSH RAOUL University of Newcastle Australia aut GIRGIS AFAF NSW Cancer Council Australia aut BURTON LOUISE NSW Cancer Council Australia aut McCLINTOCK ANN NSW Cancer Council Australia aut CARTER ROBERT Australian Institute of Health aut DONNER ALLAN University of Western Ontario Canada aut GREEN SYLVAN National Cancer Institute United States aut Health Promotion International Oxford University Press 11/3(1996-09), 227-236 0957-4824 11:3<227 1996 11 heapro https://doi.org/10.1093/heapro/11.3.227 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapro/11.3.227 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- SANSON-FISHER ROBERT University of Newcastle Australia aut NATIONALLICENCE 700 1- REDMAN SALLY University of Newcastle Australia aut NATIONALLICENCE 700 1- HANCOCK LYNNE University of Newcastle Australia aut NATIONALLICENCE 700 1- HALPIN STEPHEN University of Newcastle Australia aut NATIONALLICENCE 700 1- CLARKE PHILIP University of Newcastle Australia aut NATIONALLICENCE 700 1- SCHOFIELD MARGOT University of Newcastle Australia aut NATIONALLICENCE 700 1- BURTON ROBERT University of Newcastle Australia aut NATIONALLICENCE 700 1- HENSLEY MICHAEL University of Newcastle Australia aut NATIONALLICENCE 700 1- GIBBERD ROBERT University of Newcastle Australia aut NATIONALLICENCE 700 1- REID ALEXANDER University of Newcastle Australia aut NATIONALLICENCE 700 1- WALSH RAOUL University of Newcastle Australia aut NATIONALLICENCE 700 1- GIRGIS AFAF NSW Cancer Council Australia aut NATIONALLICENCE 700 1- BURTON LOUISE NSW Cancer Council Australia aut NATIONALLICENCE 700 1- McCLINTOCK ANN NSW Cancer Council Australia aut NATIONALLICENCE 700 1- CARTER ROBERT Australian Institute of Health aut NATIONALLICENCE 700 1- DONNER ALLAN University of Western Ontario Canada aut NATIONALLICENCE 700 1- GREEN SYLVAN National Cancer Institute United States aut NATIONALLICENCE 773 0- Health Promotion International Oxford University Press 11/3(1996-09), 227-236 0957-4824 11:3<227 1996 11 heapro Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford