Evaluation in health sciences
11 important questions on Evaluation in health sciences
What are outcome evaluations and process evaluations?
- Outcome evaluations assess the effectiveness of an intervention/program in producing change
- Process evaluations help stakeholders see how an intervention/program outcome or impact was achieved
Evaluations in study designs
Th policy cycle
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What are the differences between monitoring vs evaluation?
- Monitoring: mostly performed by people that are implementing the intervention
- Provides answers to the question are we doing it right?
- Relevant for the process?
- Evaluation: is preferably done by people that are outside the evection or are unaware of the study?
- Are we doing the right thing?
- Relevant for the outcome
Types of monitoring and evaluation on different aspects like research, pragmatic, constructivist, positivist
Randomized controlled trial
- Experimental study design
- Randomized group division
- Control over which group gets the intervention and which group the control treatment
- Pros: controlled
- Cons: ethical, generaliseerbaarheid van resultaten vaak matig
What is the theory of change?
- Problem are to be addressed --> Cause(s) --> underlying knowledge-related cause(s) -- (research activities) --> output --> outcome --> impact
- First three steps: problem analysis
- Last three steps: impact pathway
What to do with reflexive monitoring in action?
- Frequently reflect on activities
- Discuss results
- Identify barriers
- Develop strategies
- Mutual leraning
- Action-learning spiral: reflect, plan, act, observe, reflect, adapt plan, etc.
Reflective Monitoring in Action (RMA)
- Explore ambitions, challenges, and stakeholders
- Ask many questions about relations between activities, ambitions and context (interviews)
- Brainstorm w/ key actors, pioneers
- Assist in preparation of collective activities
- Stimulate reflection and learning
- Use special RMA tools
What is timeline/learning (hi)stories
- Timeline: gives insight in factual activities
- Learning (hi)stories: give insight in perceptions of all stakeholders
- Room for reflection while discussing the timeline or quotes
What is the timeline method and what are the steps of this method?
- Draw a timeline
- When did it start, why, what happened, what happened next, who was involved, why, etc.
- What were the most important, special moment to you ? Why?
- What were the most difficult moments to you? Why?
- What lessons do you draw? How can that help the process? How can it help others?
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