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Health Promotion Practice
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Developing a Process-Evaluation Plan for Assessing Health Promotion Program Implementation: A How-To Guide

Ruth P. Saunders, PhD

Department of Health Promotion, Education, and Behavior in the Arnold School of Public Health at the University of South Carolina in Columbia, South Carolina.

Martin H. Evans, MS

Praphul Joshi, PhD, MPH

Division of Cardiovascular Health at the South Carolina Department of Environmental Control in Columbia, South Carolina.

Process evaluation is used to monitor and document program implementation and can aid in understanding the relationship between specific program elements and program outcomes. The scope and implementation of process evaluation has grown in complexity as its importance and utility have become more widely recognized. Several practical frameworks and models are available to practitioners to guide the development of a comprehensive evaluation plan, including process evaluation for collaborative community initiatives. However, frameworks for developing a comprehensive process-evaluation plan for targeted programs are less common. Building from previous frameworks, the authors present a comprehensive and systematic approach for developing a process-evaluation plan to assess the implementation of a targeted health promotion intervention. Suggested elements for process-evaluation plans include fidelity, dose (delivered and received), reach, recruitment, and context. The purpose of this article is to describe and illustrate the steps involved in developing a processevaluation plan for any healthpromotion program.

Key Words: process evaluation • measuring program implementation

Health Promotion Practice, Vol. 6, No. 2, 134-147 (2005)
DOI: 10.1177/1524839904273387


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