3034.0: Monday, October 22, 2001 - 12:30 PM

Abstract #23504

Participant preference as a dimension in the evolution of a heart disease management program for older women

Julia A. Dodge, MS, RN1, Nancy K. Janz, PhD1, Mary R. Janevic1, and Noreen M. Clark, PhD2. (1) School of Public Health, University of Michigan, 1420 Washington Heights, Room M5116, Ann Arbor, MI 48109-2029, 734-647-3177, jadodge@umich.edu, (2) Department of Health Behavior & Health Education, University of Michigan School of Public Health, 109 S. Observatory Street, Ann Arbor, MI 48109-2029

The development of effective health education programs requires a dynamic interplay between methodology, evaluation data, and ongoing modifications to the programs. This presentation will highlight the evolution of an innovative program ("Women take PRIDE") that utilized qualitative and quantitative data to guide program revisions. The primary focus will be on the effect of incorporating participant preference into the study design of the current evaluation. 1100 women were randomized to one of two study arms prior to initial contact: 1) Arm A, in which participants were further randomized to group or self-directed format or a control group; or 2) Arm B, in which participants were offered a choice of group or self-directed format. Findings to date indicate a trend for women in the "choice" arm to be more likely to agree to participate than women in the random arm (p=.08). Within the "choice" arm, 68% of the women elected to attend the group-format program. Having a "choice" significantly enhanced program attendance, with women who chose the group format 3.7 times more likely to attend most classes compared to women randomized to the group. Discussion will focus on "choice" as a strategy for enhancing the effectiveness of health education programs in the clinical setting.

Learning Objectives: 1. List three reasons for incorporating "participant preference" into the evaluation of health education programs. 2. Describe an innovative study design which includes both a randomized, controlled experimental design and participant "choice". 3. Discuss the effects of "participant preference" on study participation and program attendance in a heart disease management program for older women.

Keywords: Disease Management, Women

Awards: best paper on "older women and public health" - WinnerPresenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA