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Evaluation and measurement: some dilemmas for health education

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  • Green, L.W.

Abstract

Seven dilemmas of evaluation and measurement posed by the nature of health education are presented, together with suggestions for their resolution. These include the dilemmas of: 1) rigor or experimental design vs significance or program adaptability; 2) internal validity or 'true' effectiveness vs external validity or feasibility; 3) experimental vs placebo effects; 4) effectiveness vs economy of scale; 5) risk vs payoff; 6) measurement of long term vs short term outcomes; and 7) threshold vs diminishing return levels of expenditure on health education. Emphasis is placed on the need to develop a more cumulative data base through standardization of measures, replication of experiments in different settings, and better documentation, reporting, and diffusion of experiences in practice.

Suggested Citation

  • Green, L.W., 1977. "Evaluation and measurement: some dilemmas for health education," American Journal of Public Health, American Public Health Association, vol. 67(2), pages 155-161.
    • Handle: RePEc:aph:ajpbhl:1977:67:2:155-161_3
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    Cited by:

    1. Jay Cross & Cynthia Saunders & Debra Bartelli, 1998. "The Effectiveness of Educational and Needle Exchange Programs: A Meta-analysis of HIV Prevention Strategies for Injecting Drug Users," Quality & Quantity: International Journal of Methodology, Springer, vol. 32(2), pages 165-180, May.
    2. Ilona van de Kolk & Sanne M. P. L. Gerards & Lisa S. E. Harms & Stef P. J. Kremers & Angela M. H. S. van Dinther-Erkens & Monique Snellings & Jessica S. Gubbels, 2020. "Study Protocol for the Evaluation of “SuperFIT”, a Multicomponent Nutrition and Physical Activity Intervention Approach for Preschools and Families," IJERPH, MDPI, vol. 17(2), pages 1-15, January.
    3. Rilana Prenger & Marcel E. Pieterse & Louise M. A. Braakman‐Jansen & Talitha L. Feenstra & Eline S. Smit & Ciska Hoving & Hein de Vries & Jan‐Kees van Ommeren & Silvia M. A. A. Evers & Job van der Pal, 2016. "Dealing With Missing Behavioral Endpoints in Health Promotion Research by Modeling Cognitive Parameters in Cost‐Effectiveness Analyses of Behavioral Interventions: A Validation Study," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 24-39, January.
    4. Steven Paul Schinke & Lewayne D. Gilchrist & Deborah Lodish & Janet Kay Bobo, 1983. "Strategies for Prevention Research in Service Environments," Evaluation Review, , vol. 7(1), pages 126-136, February.
    5. Jarmila Šebestová & Kateřina Nowáková, 2013. "Dynamic strategy for sustainable business development: mania or hazard?," The AMFITEATRU ECONOMIC journal, Academy of Economic Studies - Bucharest, Romania, vol. 15(34), pages 442-454, June.
    6. Jarmila Šebestová, 2011. "Entrepreneurship within health care - a dilemma of identity and profession," Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, Mendel University Press, vol. 59(7), pages 423-430.
    7. Rilana Prenger & Marcel Pieterse & Louise Braakman-Jansen & Job Palen & Lieke Christenhusz & Erwin Seydel, 2013. "Moving beyond a limited follow-up in cost-effectiveness analyses of behavioral interventions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 297-306, April.

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