La evaluación del proceso en relación con la evaluación de la efectividad: Experiencias de programas en el medio escolar

Evaluation of public health interventions usually focusses on the quality of design and research methods, and less on the quality of the intervention or process evaluation. In process evaluation of school-based interventions, key issues are how completely the intervention is carried out and adherenc...

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Detalles Bibliográficos
Autores: Ariza C., Villalbí J.R., Sánchez-Martínez F., Nebot M.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p10692
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10692
https://www.scopus.com/inward/record.uri?eid=2-s2.0-80655144909&doi=10.1016%2fS0213-9111%2811%2970006-1&partnerID=40&md5=06a3cf671d475f79458633fc5a38004f
Access Level:acceso abierto
Palabra clave:addiction
adolescent
article
child behavior
female
government
health care quality
human
Human immunodeficiency virus infection
intervention study
male
methodology
organization and management
preventive health service
public health
school
school health service
sexual behavior
Spain
Adolescent
Adolescent Behavior
Female
Government Programs
HIV Infections
Humans
Intervention Studies
Male
Preventive Health Services
Program Evaluation
Public Health
Research Design
School Health Services
Schools
Sexual Behavior
Substance-Related Disorders
Descripción
Sumario:Evaluation of public health interventions usually focusses on the quality of design and research methods, and less on the quality of the intervention or process evaluation. In process evaluation of school-based interventions, key issues are how completely the intervention is carried out and adherence to the protocol. In addition, exploration of intermediate variables, such as those that influence (and often predict) preventable behavior, is highly useful. This article describes the basic concepts in this topic, using examples of the effectiveness of some preventive interventions carried out in schools. The interventions discussed were mainly quasi-experimental studies, based on data from programs promoted by public health teams in the city of Barcelona. Data from process evaluation of preventive programs in secondary schools that underwent formal assessment of their effectiveness is provided. The examples are drawn from preventive programs of HIV infection or unprotected sexual intercourse (PRESSEC program) and drug consumption prevention (the PASE, PASE.bcn and xkpts programs). These examples show why the intervention process influences the impact of the programs and their results. Thorough planning of process evaluation is essential to obtain valid indicators that will identify, in the effectiveness evaluation of the intervention, the most efficacious strategies to obtain positive outcomes. © 2011 Sociedad Española de Salud Pública y Administración Sanitaria.