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3 Framework for Evaluation
Pages 73-94

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From page 73... ... Of the components outlined in the framework, the Committee report recommends guiding principles, indicators of success, plans for national, state, and community evaluation, and improvements to the evaluation infrastructure. T he vision for evaluating progress in obesity prevention is clear: Assure timely and meaningful col lection and analysis of data to inform progress in obesity prevention efforts at national, state, and community levels. Read the entire page →
From page 74... ... To more fully understand user needs, the Committee consulted a range of end users representing various sectors engaged in obesity prevention efforts, including those working in health organizations, government at multiple levels, business, health care, schools, communities, and academia (see Preface, Chapter 2, and workshop agenda in Appendix I for an acknowledgment of individuals consulted) Read the entire page →
From page 75... ... • Measures of health equity • Health care/Worksites behaviors and social Develop Resources for Training, Technical Intermediate -Term • National Prevention Strategy • Context-/setting-specific measures • School/Child care norms Assistance, and Dissemination: • Systems-level • Others • Evaluation criteria and decision tree Increased Evaluationa Activities: • Curricula • System-wide use of evidence and practice-based • Products/protocols/templates Support for Implementation: interventions and policies Context for Evaluationa: • Web-based support and training Increased Energy Expenditure and • Using data to inform intervention and policy design • Timely and useful evaluations • Indicators/measures of varying quality and utility • Clearinghouses for measures Decreased Energy Intake and decision making • Education of workforce for evaluation • Unconnected data systems • Communications • Using data to monitor intervention/policy • Monitoring of changes in policies, programs, built • Multi-component, multi-sector, and multi-level environment, and systems implementation and progress interventions • Monitoring of implementation and intensity of • Using data to measure a continuum of • Limited measures of inequity community programs/policies (e.g., strength, Reduced Overweight/Obesity outcomes/impacts • Academic, community, and funding partners duration, reach, sustainability) • Participatory evaluation to engage stakeholders • Varying capacity, capabilities, leadership, and Prevalence and Incidence • Case examples in diverse contexts resources Long-Term Enhanced Data Use: Guiding Principles for Evaluationa • Wider adoption and more effective use of surveillance and evaluation data at national, state, Improved Population Improved Health Resources and local community levels Health and Well-Being Equity • Use knowledge to understand and improve obesity prevention efforts FIGURE 3-1 Framework for evaluating progress of obesity prevention efforts. Read the entire page →
From page 76... ... on APOP provided more specific system-wide goals and strategies to prevent obesity as well as guidance about indicators of progress in implementing the recommended actions at national and community levels. Five critical, cross-cutting areas of focus were identified for intervention: physical activity environments; food 1 Formore information about the Guide to Community Preventive Services, see http://www.thecommunityguide.org (accessed November 11, 2013) Read the entire page →
From page 77... ... Also, CDC's Guide to Community Preventive Services provides timely updates to evidence-based recommendations for action on an array of public health issues, including nutrition, physical activity, and obesity prevention (Task Force on Community Preventive Services, 2005, 2011; Truman et al., 2000) Read the entire page →
From page 78... ... , the Committee identified the following Guiding Principles (listed alphabetically for ease of presentation) : • Accuracy • Capacity Building • Comparability • Context • Coordination and Partnership • Dissemination • Feasibility 78 Evaluating Obesity Prevention Efforts Read the entire page →
From page 79... ... For example, allocating resources for state or national surveillance systems differs from examining the effects of a grant-funded initiative to promote physical activity and healthy nutrition. Technical support is typically needed for evaluation, including for the core tasks of obtaining end-user input; choosing indicators, measures, and designs; collecting and analyzing data; and ultimately improving the evaluation infrastructure and necessary inputs to support evaluation efforts. Read the entire page →
From page 80... ... 80 Evaluating Obesity Prevention Efforts Read the entire page →
From page 81... ... 4. Use participatory methods to monitor and improve community partnerships and collaborative action to promote physical activity and healthful nutrition and to prevent obesity. Read the entire page →
From page 82... ... , offer promise in increasing evaluation capacity in the field. Media communications and case examples of how evaluation activities were used to target and improve obesity prevention efforts can help to enhance their perceived value and widespread use. Read the entire page →
From page 83... ... The Committee found that evaluation users have numerous individual behavioral indicators, but they need guidance on a core set of environmental change outcomes that influence access and availability of healthful food, beverages, and activity. Guidance for evaluators or evaluation users is particularly needed for • identifying, prioritizing, or selecting common quantifiable measures sensitive to goals/objectives; • identifying core types and attributes of environmental changes to be measured; • documenting and analyzing the contribution of multiple changes in programs and policies for collective impact; • accounting for analysis at the level of communities and broader systems; • gauging the type of infrastructure necessary to support monitoring and summative evaluation activities; • assessing changes in the level of investments that reflect the engagement in and support for o besity prevention activities; • leveraging networks, identifying leaders, and enabling continuous learning to advance best prac tices in obesity prevention; and • identifying and promoting the contributions that institutions, workplaces, and health care can make to enhance physical activity, nutrition, and healthy weight. Read the entire page →
From page 84... ... Decision trees could help to guide choices in implementing protocols for evaluation activities in the face of community resource limitations and differences in context. Effective assessment and surveillance is necessary for the successful targeting and management of obesity prevention efforts. Read the entire page →
From page 85... ... Combined, these intended outcomes represent enhanced capacity for evaluation activities needed to understand and improve progress in preventing obesity and achieving population health and health equity. Short-Term: Improved Capacity and Infrastructure of Evaluation Activities Evaluation users need resources and infrastructure to build and maintain capacity for successful evaluations. Read the entire page →
From page 86... ... . 86 Evaluating Obesity Prevention Efforts Read the entire page →
From page 87... ... . Evaluation researchers have documented and characterized community programs and policies of chronic disease prevention efforts by attributes, such as strength of change strategy and duration, thought to be associated with collective impact in groups experiencing health disparities (Cheadle et al., 2010, 2013; Collie-Akers et al., 2007; Fawcett et al., 2013) Read the entire page →
From page 88... ... behaviors and environments related to obesity preven tion and improved population health. Knowledge utilization to understand and improve obesity prevention efforts. Once data on environmental change and outcomes are generated, they are available for systematic reflection and use in making adjust ments. Read the entire page →
From page 89... ... Changes in environments and systems are intended to result in changes in behaviors leading to increased energy expenditure (through increased physical activity) and decreased energy intake (through dietary changes) Read the entire page →
From page 90... ... 90 Evaluating Obesity Prevention Efforts Read the entire page →
From page 91... ... Atlanta, GA: National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; Division of Nutrition, Physical Activity, and Obesity. Cheadle, A., S Read the entire page →
From page 92... ... 84-118. 92 Evaluating Obesity Prevention Efforts Read the entire page →
From page 93... ... Paper read at Public Session of the Committee on Evaluating Progress of Obesity Prevention Efforts, October 12, 2012, Washington, DC. Read the entire page →
From page 94... ... 94 Evaluating Obesity Prevention Efforts Read the entire page →

From page 73...

... Of the components outlined in the framework, the Committee report recommends guiding principles, indicators of success, plans for national, state, and community evaluation, and improvements to the evaluation infrastructure. T he vision for evaluating progress in obesity prevention is clear: Assure timely and meaningful col lection and analysis of data to inform progress in obesity prevention efforts at national, state, and community levels.

3 Framework for Evaluation Pages 73-94

3 Framework for Evaluation
Pages 73-94