Health education & behavior : the official publication of the Society for Public Health Education, 1997
In the United States alone, there are more than 2,000 community coalitions to address local conce... more In the United States alone, there are more than 2,000 community coalitions to address local concerns about abuse of alcohol, tobacco, and other drugs. This article describes an evaluation system used to examine the process, outcome, and impact of coalitions for the prevention of substance abuse. The evaluation addresses five key questions: (a) Was the community mobilized to address substance abuse (Process)? (b) What changes in the community resulted from the coalition (Outcome)? (c) Is there a change in reported use of alcohol and other substances by youths (Outcome)? (d) Does the coalition have a community-level impact on substance abuse (Impact)? and (e) Is community-level impact related to changes facilitated by the coalition (Impact)? To address these and other questions, using eight core measurement instruments, the evaluation system collects 15 distinct measures. This evaluation system is illustrated with a multiyear study of Project Freedom, a substance abuse coalition in a ...
We describe a case study evaluation of Kansas LEAN, a statewide partnership with the mission of r... more We describe a case study evaluation of Kansas LEAN, a statewide partnership with the mission of reducing risks for chronic diseases through dietary and exercise modification. We used a case study design to examine five primary questions related to process and outcome: (a) were the goals of the partnership important to constituents? (process), (b) were constituents satisfied with the partnership (process), (c) were community or systems changes (new or modified programs, policies, or practices) facilitated by partnership efforts (outcome)?, (d) were these changes important to the partnership's mission (outcome)?, and (e) what critical events helped facilitate community changes (outcome)? several measurement instruments--a monitoring and feedback system, constituent surveys, and semistructured interviews--were used to address key evaluation questions. Kansas LEAN is a strong statewide partnership with involvement from key representatives throughout Kansas. It is an ongoing, compreh...
Empowerment Evaluation: Knowledge and Tools for Self-Assessment & Accountability Empowerment evaluation: Knowledge and tools for self-assessment & accountability, 1996
Many behaviors, such as physical inactivity or a poor diet, that put adults at risk for chronic d... more Many behaviors, such as physical inactivity or a poor diet, that put adults at risk for chronic diseases are established in childhood. This manuscript describes the outcomes of a comprehensive school health project, the Kansas LEAN School Intervention Project. The ...
Risks for cardiovascular diseases (CVDs) are established early in life with behavior patterns ass... more Risks for cardiovascular diseases (CVDs) are established early in life with behavior patterns associated with diet and physical activity. Establishing healthy behavior patterns among children, and providing the environmental supports necessary to maintain them, has the potential to reduce future risks for chronic diseases. This paper reviews the literature on collaborative partnerships formed to address similar issues.The authors describe the
A telephone survey was conducted in a midsized city in the Midwest to assess community members’ o... more A telephone survey was conducted in a midsized city in the Midwest to assess community members’ opinions about sexuality education being taught in school. Out of 566 people who were called, 350 completed the survey (61% response rate). The results showed that community members were supportive (91%) of sexuality education being taught in school. Other findings suggest that community members
Youth lay health advising, a form of support or helping, is an important potential resource for p... more Youth lay health advising, a form of support or helping, is an important potential resource for preventive intervention. This article describes a case study of a youth lay health advising program designed to provide high school students with support and guidance to handle challenges and concerns related to their health and quality of life. First, the planning, program development, and implementation of the approach are described. Second, a rapid formative evaluation presents quantitative and qualitative information on adolescent issues faced, the types and content of interactions, and peer helper satisfaction with the program. Third, the strengths and challenges of the peer helping program and the role of youth as lay health advisors are discussed. The article concludes with a discussion of the implications for practitioners on this approach to building the capacity of adolescents as lay advisors for community health.
... United States. 1,2 Of the 2,740 adolescents impregnated each day, 3 nearly half give birth an... more ... United States. 1,2 Of the 2,740 adolescents impregnated each day, 3 nearly half give birth and only about 4 percent use adoption, 4 14 percent of the pregnancies end in miscarriages, and 35 percent end in abortions. 5 Thus ...
Health education & behavior : the official publication of the Society for Public Health Education, 1997
In the United States alone, there are more than 2,000 community coalitions to address local conce... more In the United States alone, there are more than 2,000 community coalitions to address local concerns about abuse of alcohol, tobacco, and other drugs. This article describes an evaluation system used to examine the process, outcome, and impact of coalitions for the prevention of substance abuse. The evaluation addresses five key questions: (a) Was the community mobilized to address substance abuse (Process)? (b) What changes in the community resulted from the coalition (Outcome)? (c) Is there a change in reported use of alcohol and other substances by youths (Outcome)? (d) Does the coalition have a community-level impact on substance abuse (Impact)? and (e) Is community-level impact related to changes facilitated by the coalition (Impact)? To address these and other questions, using eight core measurement instruments, the evaluation system collects 15 distinct measures. This evaluation system is illustrated with a multiyear study of Project Freedom, a substance abuse coalition in a ...
We describe a case study evaluation of Kansas LEAN, a statewide partnership with the mission of r... more We describe a case study evaluation of Kansas LEAN, a statewide partnership with the mission of reducing risks for chronic diseases through dietary and exercise modification. We used a case study design to examine five primary questions related to process and outcome: (a) were the goals of the partnership important to constituents? (process), (b) were constituents satisfied with the partnership (process), (c) were community or systems changes (new or modified programs, policies, or practices) facilitated by partnership efforts (outcome)?, (d) were these changes important to the partnership's mission (outcome)?, and (e) what critical events helped facilitate community changes (outcome)? several measurement instruments--a monitoring and feedback system, constituent surveys, and semistructured interviews--were used to address key evaluation questions. Kansas LEAN is a strong statewide partnership with involvement from key representatives throughout Kansas. It is an ongoing, compreh...
Empowerment Evaluation: Knowledge and Tools for Self-Assessment & Accountability Empowerment evaluation: Knowledge and tools for self-assessment & accountability, 1996
Many behaviors, such as physical inactivity or a poor diet, that put adults at risk for chronic d... more Many behaviors, such as physical inactivity or a poor diet, that put adults at risk for chronic diseases are established in childhood. This manuscript describes the outcomes of a comprehensive school health project, the Kansas LEAN School Intervention Project. The ...
Risks for cardiovascular diseases (CVDs) are established early in life with behavior patterns ass... more Risks for cardiovascular diseases (CVDs) are established early in life with behavior patterns associated with diet and physical activity. Establishing healthy behavior patterns among children, and providing the environmental supports necessary to maintain them, has the potential to reduce future risks for chronic diseases. This paper reviews the literature on collaborative partnerships formed to address similar issues.The authors describe the
A telephone survey was conducted in a midsized city in the Midwest to assess community members’ o... more A telephone survey was conducted in a midsized city in the Midwest to assess community members’ opinions about sexuality education being taught in school. Out of 566 people who were called, 350 completed the survey (61% response rate). The results showed that community members were supportive (91%) of sexuality education being taught in school. Other findings suggest that community members
Youth lay health advising, a form of support or helping, is an important potential resource for p... more Youth lay health advising, a form of support or helping, is an important potential resource for preventive intervention. This article describes a case study of a youth lay health advising program designed to provide high school students with support and guidance to handle challenges and concerns related to their health and quality of life. First, the planning, program development, and implementation of the approach are described. Second, a rapid formative evaluation presents quantitative and qualitative information on adolescent issues faced, the types and content of interactions, and peer helper satisfaction with the program. Third, the strengths and challenges of the peer helping program and the role of youth as lay health advisors are discussed. The article concludes with a discussion of the implications for practitioners on this approach to building the capacity of adolescents as lay advisors for community health.
... United States. 1,2 Of the 2,740 adolescents impregnated each day, 3 nearly half give birth an... more ... United States. 1,2 Of the 2,740 adolescents impregnated each day, 3 nearly half give birth and only about 4 percent use adoption, 4 14 percent of the pregnancies end in miscarriages, and 35 percent end in abortions. 5 Thus ...
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Papers by Adrienne Paine-andrews