The burden of childhood visual impairment and disparities in access to pediatric vision care remain pressing issues in the United States. School-based vision programs (SBVPs) serve as one approach to advancing health equity. Operating at the intersection of schools and healthcare, SBVPs can increase access to pediatric vision services, improve…

Many children, including those with asthma, remain exposed to secondhand smoke. This manuscript evaluates the process of implementing a secondhand smoke reduction counseling intervention using motivational interviewing (MI) for caregivers of urban children with asthma, including reach, dose delivered, dose received and fidelity. Challenges,…

Purpose: To quantify the monetary value of medications provided to rural Alabamians through provision of pharmaceutical manufacturer-sponsored prescription assistance programs (PAPs) provided by a clinical pharmacist in a private Black Belt family medicine clinic during 2007 and 2008. Methods: Patients struggling to afford prescription medications…

Minimising discrepancies between Australia's rural and the more favourable urban health status relates to more than workforce recruitment, retention and access to health services: A proactive strategy, using resources at hand, can empower people to improve their health. Academics from a nurse education unit have, therefore, regularly engaged with…

This paper reflects on a process evaluation of a home visitation programme in South Africa. The programme, implemented in two low-income communities, focused on the reduction of risks to unintentional childhood injuries. The evaluation comprised a combination of qualitative and quantitative methods, including observations in conjunction with an…

This study aimed to examine the implementation, adequacy, and outcomes of discharge planning. The authors carried out a prospective study of 1,426 adult patients discharged from 11 acute care hospitals in Israel. Social workers provided detailed discharge plans on each patient. Telephone interviews were conducted two weeks post-discharge. Findings…

Background: This paper describes a portion of a larger evaluation project of a state hepatitis prevention program. Purpose: The study explored the suggestions of key informants related to the delivery of hepatitis services in the state. Methods: Researchers conducted key informant interviews lasting 30 to 45 minutes. Results: Important findings…

Strategies to avoid the penalties of extra variation described by J. Cornfield and reduced degrees of freedom in community-level trials were compared in Monte Carlo simulations. The three conditions necessary to ensure nominal Type I and Type II error rates are detailed. (SLD)

A Monte Carlo study compared performance of linear and logistic mixed-model analyses of simulated community trials having specific event rates, intraclass correlations, and degrees of freedom. Results indicate that in studies with adequate denominator degrees of freedom, the researcher may use either method of analysis, with certain cautions. (SLD)

A method is described for increasing residual degrees of freedom in a community experiment without substantially increasing cost or difficulty by dividing experimental subunits into batches. Theoretical advantages of batch sampling are described and illustrated with data from the Pawtucket Heart Health Program. (SLD)

Articles in this special issue consider different aspects of community-level evaluation research and demonstrate the emerging sophistication and promise of this field. Process evaluation, qualitative research, and meta-analysis are promising new directions for ensuring more appropriate levels of analysis and more appropriate outcomes. (SLD)

This presentation will report on the findings of the evaluation of Project SOBEIT a multi-school initiative focused on building partnerships between schools, law enforcement, and community mental health agencies. Guided by a process, context, outcomes, and sustainability framework and grounded in the understanding of the impact of change theory on…

There is an extensive body of research on the factors that predict mental health and illness, focusing on factors within the adolescent as well as within the various components of the adolescents environment. This paper presents a selective review of the research pertaining to each layer of the adolescent's internal and external world. Throughout…

Tested the Homemakers Home Health Aide Program Evaluation Questionnaire, a management tool for evaluating homemaker/client relationship, job performance and achievement of objectives, for a sample of 40 clients. The questionnaire, which is appended, is valid, reliable, and relatively inexpensive. (Author/JAC)

A methodology is presented for collection of cost data in evaluation of community-level health interventions that coincides with the intervention implementation. The seven discrete steps of the analysis are described, and the Minimal Contact Education for Cholesterol Change study is used as an example of how the strategy is used. (SLD)