Evaluation in health education. A review of progress, possibilities, and problems.
Journal of Epidemiology & Community HealthPublished 1 June 1990Open access
Don Nutbeam, Cambray Smith, John Catford
Citations112
SJR quartileQ1
SJR score1.78
SNIP1.24
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A framework for evaluating health education programmes is proposed and suggestions are made for improved health education research.
Keywords
Decision SciencesHealth Professions
Contemporary Sociology A Journal of ReviewsSocial Learning Theory.
25,678 Citations1978Jackson Kytle, Albert Bandura
Health Promotion InternationalHealth promotion glossary
1,582 Citations1986Don Nutbeam
The first edition of this health promotion glossary of terms was published by the World Health Organization (WHO) in 1986 as a guide to readers of WHO documents and publications, and the terms defined have been widely used both within and outside WHO.
The Incorporated StatisticianSurvey Methods in Social Investigation.
1,440 Citations1958C. G. T., C. A. Moser
Contemporary Sociology A Journal of ReviewsCommunication Networks: Toward a New Paradigm for Research.
1,310 Citations1982Scott L. Feld, Everett M. Rogers +1 more
The LancetEFFECT OF DIET AND SMOKING INTERVENTION ON THE INCIDENCE OF CORONARY HEART DISEASE
1,039 Citations1981Ingvar Hjermann, Ingar Holme +2 more
It is concluded that in healthy middle-aged men at high risk of CHD advice to change eating habits and to stop smoking significantly reduced the incidence of the first event of myocardial infarction and sudden death.
BMJEffect of general practitioners' advice against smoking
938 Citations1979Michael A. Russell, Casey Wilson +2 more
The results suggest that any GP who adopts this simple routine could expect about 25 long-term successes yearly, which would exceed half a million ex-smokers a year if all GPs in the UK participated, and could not be matched by increasing the present 50 or so special withdrawal clinics.
Health Education QuarterlyFocus Group Interview: An Underutilized Research Technique for Improving Theory and Practice in Health Education
837 Citations1987Charles E. Basch
Need for more inductive qualitative research in health education; utility of focus group interviews for research and for formative and summative evaluation of health education programs; and need for professional preparation faculty to consider increasing emphasis on qualita tive research methods.
Preventive MedicineEfficacy and effectiveness trials (and other phases of research) in the development of health promotion programs
718 Citations1986Brian R. Flay
The concepts of efficacy and effectiveness are examined from the viewpoints of the traditions and philosophies of health-care research and social program evaluation, and eight phases of research are suggested for the development of health promotion programs.
American Journal of EpidemiologySYMPOSIUM ON CHD PREVENTION TRIALS: DESIGN ISSUES IN TESTING LIFE STYLE INTERVENTION
540 Citations1978Jerome Cornfield
Elsevier eBooksHEALTH LOCUS OF CONTROL SCALES
494 Citations1981Kenneth A. Wallston, Barbara Strudler Wallston
This chapter will review the authors' own program of research and the programs of others across the country who have been using the health-specific scales they developed, the Health Locus of Control (HLC) Scale and the Multidimensional Health locus of control (MHLC) Scales.
Annual Review of Public HealthThe Community-Based Strategy to Prevent Coronary Heart Disease: Conclusions from the Ten Years of the North Karelia Project
466 Citations1985Pekka Puska, Aulikki Nissinen +7 more
CardiologyEffect of Diet and Smoking Intervention on the Incidence of Coronary Heart Disease
374 Citations1984Ingvar Hjermann
These trials have not shown unequivocal results, except for the beneficial effect of antihypertensive treatment on prevention of stroke.
American Journal of Public HealthThe effectiveness of smoking cessation methods for smokers in public health maternity clinics: a randomized trial.
281 Citations1985Richard A. Windsor, Gary Cutter +6 more
Results of this trial indicate that health education methods tailor to the pregnant smoker are more effective in changing smoking behavior than the standard clinic information and advice to quit and/or the use of smoking cessation methods not tailored to the needs of the pregnant smokers.
Journal of Community HealthReducing the risk of cardiovascular disease
263 Citations1977Nathan Maccoby, John W. Farquhar +2 more
Results of a sample survey indicate that substantial gains in knowledge, in behavioral modification, and in the estimated risk of cardiovascular disease can be produced by both methods of intervention.
BMJControlled trial of three different antismoking interventions in general practice.
260 Citations1984Konrad Jamrozik, Martin Vessey +4 more
Giving advice routinely against smoking has a useful effect, and showing an immediate, personal, and potentially harmful consequence of smoking using a CO-oximeter may improve this, particularly in lower socioeconomic groups.
American Journal of EpidemiologySELF-REPORTED PHYSICAL ACTIVITY COMPARED WITH MAXIMAL OXYGEN UPTAKE
232 Citations1985Steven F. Siconolfi, Thomas M. Lasater +2 more
American Journal of Public HealthA controlled study of the effect of television messages on safety belt use.
226 Citations1974Leon S. Robertson, A B Kelley +4 more
A set of television messages based on the findings of a preliminary study of factors associated with actually observed use of safety belts was produced and shown on one cable of a dual cable television system and had no effect whatsoever on safety belt use.
American Journal of Public HealthModifying smoking behavior of teenagers: a school-based intervention.
202 Citations1980Cheryl L. Perry, Joel D. Killen +3 more
Tenth grade health classes in three high schools received a special program focusing on the immediate physiological effects of cigarette smoking and the social cues influencing adoption of the smoking habit, and classes in two control schools received standard information on the long-term effects of smoking.
Journal of Behavioral MedicineMeasurement of adolescent smoking behavior: Rationale and methods
194 Citations1984Terry F. Pechacek, David M. Murray +4 more
Data indicate that habitual smoking appears to develop in a gradual fashion and that several years may pass between initial experimentation and adult levels of smoking, suggesting that inhalation patterns may vary as a function of age or years smoking.
Health Promotion InternationalHealth behaviour in schoolchildren A WHO cross-national survey
175 Citations1986Leif Edvard Aarø, Bente Wold +2 more
Journal of School HealthA Comprehensive School‐Based Smoking Prevention Program
146 Citations1980Gilbert J. Botvin, Anna Eng
Overall, these results support the use of a smoking prevention strategy that focuses on the main psychosocial factors promoting the onset of cigarette smoking by teaching students basic coping skills.
Medical Entomology and ZoologyEvaluation of health promotion and education programs.
140 Citations1984Windsor Ra, Tom Baranowski +2 more
This book focuses on the technical skills that staff members of health promotion programs can use to evaluate their programs, and the purposes and expectations of program evaluation are considered.
BMJComparison of four methods of smoking withdrawal in patients with smoking related diseases. Report by a subcommittee of the Research Committee of the British Thoracic Society.
131 Citations1983R Doll, R Peto +47 more
Four methods of smoking withdrawal were compared in patients with smoking related diseases attending a hospital or chest clinic and nearly a quarter of those patients who denied smoking had carboxyhaemoglobin and plasma thiocyanate concentrations typical of smokers.
BMJThree year evaluation of a programme by general practitioners to help patients to stop smoking.
126 Citations1986Robyn Richmond, A Austin +1 more
The results of this study suggest that general practitioners can help patients to stop smoking.
Preventive MedicinePhysical activity assessment for epidemiologic research: The utility of two simplified approaches
112 Citations1987Richard A. Washburn, Lucile L. Adams +1 more
Two simplified approaches for the assessment of physical activity in a random sample of college students suggest that these simplified approaches may provide useful indices of physicalactivity for epidemiologic research and warrant further investigation in other populations.
The Self-concept
101 Citations1980Robert B. Burns
American Journal of Public HealthA worksite smoking modification competition: potential for public health impact.
89 Citations1986Robert C. Klesges, M M Vasey +1 more
Treatment outcome among participants was generally equivalent across conditions, but at a six-month follow-up, nonabstinent subjects in the competition condition had lower levels of carbon monoxide than Subjects in the non-competition condition.
BMJDecline in cardiovascular mortality in North Karelia and other parts of Finland.
84 Citations1986Jaakko Tuomilehto, J Geboers +4 more
The decline in mortality from all causes was also appreciable in both sexes in North Karelia, but it did not differ significantly from national trends.
Preventive MedicineThe multiple risk factor intervention trial (MRFIT)
80 Citations1981James D. Neaton, Steven K. Broste +4 more
When serum thiocyanate is used to verify reported cessation the SI-UC difference is reduced but still averages greater than the reductions predicted in the third and fourth years of follow-up.
PubMedRandomized controlled trial of anti-smoking advice by nurses in general practice.
69 Citations1989David Sanders, G. Herbert Fowler +4 more
The effect of the nurse intervention itself may be small as the sustained cessation rate in attenders was only 42.4% higher than in non-attenders, and the deception rate in reporting cessation, as measured by urinary cotinine, was of the order of 25%.
Social Science & MedicineA framework for evaluating community-based heart disease prevention programs
67 Citations1986David Altman
A framework encompassing the evaluation of process, impact and social relevance guides this discussion, and the goal is to divide the question, "do community-based health programs work?", into more easily answered evaluation questions.
Journal of Epidemiology & Community HealthDistribution of body weight and height: comparison of estimates based on self-reported and observed measures.
66 Citations1986W J Millar
Comparisons of prevalence estimates of the various weight categories indicate that self-reported weight and height leads to a systematic weight misclassification bias, which has implications for epidemiological studies and suggestions are offered to handle the bias.
Health Education JournalThe health-promoting school: organisation and policy development in Welsh secondary schools
57 Citations1987Don Nutbeam, Jo Clarkson +4 more
The results suggest that a reasonable base exists for the development of health promotion strategies aimed at young people, although there is clear scope for further development.
Health Education ResearchThe diffusion of school-based tobacco-use prevention programs: project description and baseline data
54 Citations1989Guy S. Parcel, Michael P. Eriksen +4 more
The rationale, theoretical basis, intervention strategies and initial findings from one of two federally funded studies to develop and evaluate interventions to enhance the diffusion of tested prevention programs are presented.
Health Promotion InternationalThe Welsh Heart Programme evaluation strategy: Progress, plans and possibilities
53 Citations1987Don Nutbeam, John Catford
Preventive MedicineSmoking intervention in the workplace using videotapes and nicotine chewing gum
48 Citations1988Stephen Sutton, Robert Hallett
A series of randomized controlled studies in four companies in the United Kingdom which were designed to evaluate minimal smoking intervention programs based on the use of motivational videotapes or nicotine chewing gum found no significant differences in cessation, even in the short term.
Health, Prevention and Economics
48 Citations1991David Cohen, John B. Henderson
International Journal of EpidemiologyBias in the Reporied Incidence of Smoking by Children
45 Citations1980Aubrey C. McKennell
International Journal of EpidemiologyEvaluation of General Practitioners' Use of a Smoking Intervention Programme
45 Citations1985Robyn Richmond, Ian Webster
If general practitioners in Australia widely used the intervention programme with similar success this could have a major impact on the smoking habits of the three million smokers in Australia between 16 and 65 years of age.
Journal of School HealthA Process Evaluation Study of Peer Leaders in Health Education
38 Citations1986Cheryl L. Perry, Knut‐Inge Klepp +3 more
Perceptions of elected peer leaders in one seventh grade smoking prevention program and one chemical abuse prevention program in spring 1984 are assessed.
JAMAImpact of a Rural High Blood Pressure Control Program on Hypertension Control and Cardiovascular Disease Mortality
32 Citations1986Jane Morley Kotchen
The results of this program suggest that, in sparsely populated rural areas, existing resources and programs can be successfully utilized in a communitywide cardiovascular disease risk reduction educational program.
Health Education ResearchEvaluation of a peer educator stroke education program for the elderly
28 Citations1986Karen Glanz, Stefanie M. Marger +1 more
Findings for both outcome and process evaluations indicated that the Peer Facilitator Program was successful in training elderly laypersons to carry out health education, increasing knowledge at the program center, and facilitating information and advice for stroke risk reduction.
PubMedPawtucket Heart Health Program: the process of stimulating community change.
25 Citations1988Sverker Jern
Evaluation methods included biennial household risk factor surveys in the education and comparison communities, morbidity and mortality surveillance in hospitals serving each community, and both formative evaluation and process tracking.
The LancetSMOKING IN HOSPITALS
25 Citations1983J. C. Catford, Don Nutbeam
A survey of 190 hospitals and health centres in the Wessex Region showed that the levels of smoking restriction were high, and that patients, visitors, and staff complied well with the restrictions.
Preventive MedicineMultivariate evaluation of health attitudes and behaviors: Development and validation of a method for health promotion research
25 Citations1985John P. Elder, Lynn Artz +7 more
The assumption that organizational and environmental factors can have an important impact on health was supported and the Lack of Social Support and Time and Work Pressure scales had a very limited integration into the overall patterns.
Public HealthDo we need objective measures to validateself-reported smoking?
23 Citations1984Ruth Williams, Pam Gillies
Saliva thiocyanate determination did not prove satisfactory in the validation of self-reported smoking, probably due to lack of sensitivity at the low levels of cigarette consumption recorded in this age group.
Health Education ResearchProcess evaluation of a community-based physical activity campaign: the Minnesota Heart Health Program experience
22 Citations1987S Blake, Robert W. Jeffery +7 more
Journal of School HealthDissemination of Community Health Promotion Programs: The Fargo‐Moorhead Heart Health Program
19 Citations1986David M. Murray
The dissemination process is reviewed, factors critical to successful dissemination are identified, examples from a community-based heart disease prevention study are used to illustrate how health promotion programs can be disseminated across a community, and ways these methods might be applied to a community's approach to adolescent drug use prevention are suggested.
Journal of Public HealthEffectiveness and cost-benefits of smoking education
16 Citations1984John Catford, Don Nutbeam +1 more
Social Science & MedicineEconomic aspects of health education
15 Citations1986Stephen R. Engleman, John Forbes
A detailed economic evaluation is provided of the North Karelia Project which was concerned with the prevention of cardiovascular disease and the inadequacy of the limited economic evaluation of that project is described and an attempt made to assess the true economic consequences of the project.
Health Education JournalTeachers' views of the Family Smoking Education Project
14 Citations1989Ruth G. Newman, Don Nutbeam
The results indicate that the project materials are a good starting point for a more comprehensive smoking education programme, and future modifices to the materials might seek to make them more attractive to less able pupils.
Journal of Public HealthDevelopment of strategies for evaluating a community intervention programme for cancer prevention through dietary change
8 Citations1988Colin Sanderson, Leif Svanström +1 more
Health Education JournalMonitoring alcohol advertisements on television - developing a consensus approach
4 Citations1988Laura L. Pendleton, Christopher Smith +1 more
A cost-effective way of doing this on a large scale is outlined, which is thought by a majority of the viewers to break the regulations in some way, and is a matter worth pursuing.
Journal of Epidemiology & Community HealthA controlled evaluation of a health education programme for pregnant women in rural areas.
1 Citations1988D Zmirou, M Charrel +1 more
The programme succeeded in increasing, in the pilot zone, the proportion of women who benefited from a monthly antenatal visit, whereas no positive trend was shown in the control zones, even when controlling for some identified potential confounders.
