No abstract available.
Program Evaluation ; Public Relations

PURPOSE: Teaching evaluation tools can be used to provide feedback to medical educators and help them improve their teaching skills. The purpose of this study was to develop a clinical teaching evaluation tool and test its efficacy. METHODS: The draft tool was developed based on clinical education literature and was modified by the stakeholder groups. To examine the quality of the instrument, content and construct validity, as well as reliability and fitness were analyzed. Content validity was tested by the stakeholder groups using a survey, and construct validity was verified by confirmatory factor analysis using LISREL 8.8. Internal consistency of items was assessed thorough Cronbach alpha estimation. Rasch analysis using Winstep 3.65 was performed to estimate the fitness of the tool. RESULTS: The resulting tool consisted of 4 large categories, 25 small categories, and 43 items. According to the test results, the average importance of all 43 items was 4.03 (3.63 to 4.29). Cronbach alpha was 0.9689, and the correlation coefficients between the items were high. With regard to construct validity, 10 items needed minor modifications in the category setting. As the infit (0.76 to 1.23) and outfit (0.75 to 1.40) indices show, 42 items were fit to the item response theory. CONCLUSION: The clinical teaching evaluation tool that has been developed in this study is valid and reliable and fits the item response theory. It can be used as an evaluation method in a variety of clinical teaching settings.
Educational Measurement ; Program Evaluation

The objective of this study was to evaluate the effect of a healthy school tuck shop program, developed as a way of creating a healthy and nutritional school environment, on students' access to healthy foods. Five middle schools and four high schools (775 students) participated in the healthy school tuck shop program, and nine schools (1,282 students) were selected as the control group. The intervention program included restriction of unhealthy foods sold in tuck shops, provision of various fruits, and indirect nutritional education with promotion of healthy food products. The program evaluation involved the examination of students' purchase and intake patterns of healthy foods, satisfaction with the available foodstuffs, and utilization of and satisfaction with nutritional educational resources. Our results indicated that among of the students who utilized the tuck shop, about 40% purchased fruit products, showing that availability of healthy foods in the tuck shop increased the accessibility of healthy foods for students. Overall food purchase and intake patterns did not significantly change during the intervention period. However, students from the intervention schools reported higher satisfaction with the healthy food products sold in the tuck shop than did those from the control schools (all P < 0.001), and they were highly satisfied with the educational resources provided to them. In conclusion, the healthy school tuck shop program had a positive effect on the accessibility of healthy food. The findings suggest that a healthy school tuck shop may be an effective environmental strategy for promoting students' access to healthy foods.
Fruit ; Humans ; Program Evaluation

Background: National malaria preventive and control program is rather successful, but the special result has not been accurately analyzed.\r\n', u'Objectives: to evaluate of the malaria situation for the period of 2000-2007 in Viet Nam.\r\n', u'Subjects and methods: This retrospective study analyzed data from malaria information system.\r\n', u'Results: On annual average, about 140.000 to 150.000 patients are diagnosed as malaria. Annual malaria morbidity is greatly reduced from 6.91/1000 in 2000 to 2.21/ 1000 population in 2007. The deaths in children accounted for 30 to 40% of the total malaria deaths of the whole country. The annual average number of malaria cases treated is about 150.000 to 160.000 and it is decreased by year. Artemisinine based Combination Therapy (ACT) for P.falciparum cases is 18 - 20% of the total patients. \r\n', u'From 2000 to 2007, on average, about 1.5 to 2 million of people in the malaria endemic, high risk areas were protected by Indoor Residual Spray (IRS) annually. The coverage of protected population tends to be reduced from 6.7% to 5.9 % of population at risk of malaria. \r\n', u'The annual average number of population protected by Insecticide Treated Bed Nets (ITNs) is from 8.5 to 11.5 million and the coverage of ITNs is increasing from 23.6% to 31.0% of population in malaria endemic areas. . \r\n', u'Conclusion:From 2000 to 2007, the malaria in Vietnam continues to be decreased in term of morbidity and mortality.\r\n', u'
Malaria control program ; evaluation

Background: Our Lady of Porziuncola Hospital, Inc. (OLPHI) and the City Government of Calbayog, Samar collaborated to operate a City Ward and other related indigent services. The program was called: "Kamanlalakbay sa Kalusugan". After initial years of operation, no formal evaluation has been conducted to assess if the program is doable and achieving its objectives. There is also a need to identify problems hindering its implementation-hence this research. Method: A descriptive study utilizing a goal-based evaluation of the program was conducted last February 1 to March 31, 2010. It looked into: how processes are implemented; if target beneficiaries were reached; contributions to include financial resources; and satisfaction of implementers and recipients to services rendered. It utilized census, logbooks, key informant interviews and pre-validated PSI questionnaires and quantitative and qualitative data starting from July 1, 2007 to December 31, 2009; with consent duly obtained from the respondents. Results: Subsidized operation of forty charity beds, transfer of city health services and LGU personnel in OLPHI, specialty missions, and tie-ups with service providers made health care accessible. Shared and outsourced assistance resulted to affordable care but financial subsudues are still deficient. Social service benefits, "in-kind/in-labor" payments, empowerment/capability building seminars, and community participation afforded active participation. Problems encountered included financial constraints; non-compliance to MOA; meddling from politicians/detractors and limitations as a new hospital. Conclusion: Public-Private partnership in health delivery is doable, offering a landmark innovation of giving accessible, affordable and actively participative care. However, obstacles identified were financial limitation and lack of continued support from implementers. The DOH-Eastern Visayas office will do follow-up program evaluation this year.
GOAL_BASED EVALUATION ; HEALTH CARE PROGRAM

Background: Tuberculosis (TB) is a disease that has continuously burdened Filipinos. Various programs have been launched by public and private sectors to decrease the incidence of TB and to scale up TB prevention and control in the country. In line with this, pharmacists have been contributing in the campaign against TB since 2004 through the implementation of the Pharmacy DOTS Initiative (PDI). Through the project Innovations and Multi-Sectorial Partnerships to Achieve Control of TB (IMPACT), PDI was relaunched in the country in 2014. Objectives: This case study aims to evaluate the impact of PDI on TB prevention and control by assessing the effectiveness of the technical assistance package rolled out during program implementation. Methods: A review of documents was done to evaluate the achievement of the specific targets of PDI. Results: Among the targets, the percentage of actively referring pharmacies and the number of referrals made throughout the program failed to meet the target. The remaining program targets such as the establishment of a referral system, training of pharmacy personnel, adoption of a TB DOTS curriculum in pharmacy schools, and presence of national legislation, policies, and guidelines relevant to PDI were satisfactorily met. Conclusion PDI had a good response at the start of its implementation, but several issues resulted in the inability to sustain the interventions and achieve set targets.
Tuberculosis ; Program Evaluation ; Case Reports

PURPOSE: The purpose of this study was to develop and evaluate a school adaptation program (SAP) for school-age children with emotional and behavioral problems who attended public elementary schools. METHODS: SAP, developed by the authors, addresses school adaptation and academic efficacy and consists of 10 sessions based on five categories (i.e., school life, classroom activity, relationship with friends, relationship with teacher, and school environment). Sixteen children with emotional and behavior problems answered questionnaires before and after participation in the program. RESULTS: The results showed that there was a significant difference between pre and post-test on school adaptation (t=-2.78, p=.015) and academic efficacy (t=-4.62, p<.001) after the 10 sessions of SAP. CONCLUSION: The results indicate that SAP can could serve as a practical program for school nurses and teachers. Further studies based on SAP in various school settings are recommended.
Child* ; Friends ; Humans ; Program Development ; Program Evaluation ; Surveys and Questionnaires

PURPOSE: In numerous studies, MBSR programs have been shown to reduce stress and improve health-related QOL. Although MBSR programs have been shown to be beneficial, its effects have not been well-determined among Korean populations in clinical nursing practice. The purpose of this review was to describe the effects of MBSR on stress and health-related QOL so that the potential benefits of this intervention may be evaluated for wider application in Korea. METHODS: Articles published in peer-reviewed journals in the English or Korean language up to 2009 were reviewed; 14 articles met the inclusion criteria for this review and there were no Korean papers. RESULTS: MBSR groups were found to have significantly reduced stress outcomes relative to non-MBSR groups in 6 of 11 studies. In regards to health-related QOL, participants of the MBSR programs had increased scores after MBSR intervention relative to control groups in 5 of 7 studies. CONCLUSION: MBSR programs was effective in decreasing stress and increased the health-related QOL in the majority of studies reviewed. MBSR merits study in Korean patients to determine whether similar salutary patient outcomes may be obtained.
Humans ; Korea ; Program Evaluation ; Quality of Life

OBJECTIVE:This study was conducted to provide the fundamental information to prepare better strategies based on the experiences of occupational health care providers who are involved in the Government-funded subsidized occupational health programs for small scale industries. METHODS:The focus group methodology was used in this study.The data was collected using focus group interviews and analyzed in the framework of the Grounded theory method as mapped by Strauss and Corbin(1990). The subjects enrolled in this study included 20 occupational health care providers in the Government-funded subsidized occupational health program for the SSI;6 doctors and 14 nurses. RESULTS: We identified 69 concepts,28 sub-categories and 5 categories(Table 2).The categories were the Program's Goals, Various Services,Difficulties in Implement Services, Program Evaluation,and Suggestions for Alternative Plans. CONCLUSIONS: This program showed that autonomous health management ability has not changed although the possibility for small scale industries to start the health management arose by acknowledging the importance of the health management in the work-place. A successful program should provided a practical service that is planned by the characteristics and the requirements of the workers,a better service than the standard, more visiting times,and a trusting relationship among workers. The occupational health agency's quality and the health manager's specialty needs to be improved and the health manager's authority should be consolidated. An actively cooperative triangular relation among the Labor Department/KOSHA, service organizations, and the workplace is required.In addition,alternative plans were suggested.These included various programs for planning an autonomous service suitable for the quality of the workplaces,a model set-up suitable for the quality of the workplaces,and a role model set-up for the health manager.
Focus Groups* ; Occupational Health* ; Program Evaluation

E-learning is recently considered as a critical strategy to improve the effectiveness and efficiency of education. Although the use of e-learning has been growing rapidly in medical education, there are not sufficient data applying e-learning and evidence of the effectiveness. The purpose of the study is to review the recent literatures on applying e-learning in medical education settings and to identify usage types and educational effectiveness appeared in the research. The results demonstrated the types applying e-learning in medical education were categorized into the blended learning, online education, and virtual learning environment. The educational effectiveness of e-learning were the improvements of knowledge, clinical skill, attitude, and satisfaction. The study suggested the recommendations based on the results in order to apply e-learning effectively to medical education.
Clinical Competence ; Education, Medical ; Learning ; Program Evaluation