245886 Program theory evaluation of a lifestyle intervention program for metabolic syndrome

Monday, October 31, 2011: 8:30 AM

Seunghyun Yoo, DrPH , Graduate School of Public Health, Seoul National University, Seoul, South Korea
Hyekyeong Kim, PhD , Health Promotion Research Institute, Korea Association of Health Promotion, Seoul, South Korea
One of the quality requirements for a health intervention program to achieve its intended outcomes is to be established with sound program logic. To evaluate program logic of a lifestyle intervention program for metabolic syndrome, a comprehensive review was performed on program literature, including program plan and reports, health education manual, and health education materials. Matrices suggested by the Intervention Mapping (IM) model were built to evaluate the construction of program objectives, the match between intervention methods and strategies, and the composition of health education materials in terms of health behavior theory constructs. The evaluated program was developed using the IM framework and the constructs of Transtheoretical Model (TTM) and Social Cognitive Theory (SCT). The program showed the TTM pattern of transitioning from cognitive processes to behavioral processes across its intervention areas including diet, physical activity, smoking cessation, moderation of alcohol drinking, and stress management. Consciousness raising, counter-conditioning, stimulus control were main constructs of the TTM applied to the program while SCT constructs such as self-control, self-efficacy, and expectation were also emphasized. However, the program was limited to an individual level, and lacked fostering environmental changes and reinforcing relationships. The health education manual of the program should reflect the theoretical structure of the intervention and highlight specific intervention strategies to be used in health education for theory-based constructs and approaches to be actually implemented. Program theory evaluation serves as an opportunity to examine the logic of the program and to enhance program structure and implementation.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
1. Explain the components of program theory evaluation; 2. Discuss the utility and value of program theory evaluation; and 3. Apply program theory evaluation approaches to their practices.

Keywords: Health Education, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the PI of an evaluation project of a lifestyle intervention for metabolic syndrome, and publishd a number of peer-reviewed journal articles on health education evaluation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.