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Dilemmas in Health Promotion Evaluation: Participation and Empowerment

  • Marjorie MacDonald
  • Jennifer Mullett

Over the past few years, there has been dialogue and debate in the health promotion literature on appropriate approaches to health promotion evaluation (Labonte & Laverack, 2001; Springett, 2001). A basic premise of this book is that evaluation must be sensitive of the principles of health promotion to be able to contribute to the overall objectives of health promotion. In this chapter, we take up the challenge inherent in this premise and hope to contribute to the dialogue on appropriate approaches to health promotion evaluation. We do this by retrospectively comparing two unique cases in which we experienced challenges in enacting the principles of participation and empowerment in our evaluations. In a cross-case analysis, we identify and elaborate on the themes that emerged in the comparison and draw some conclusions about the application of these principles in evaluating health promotion.

Health Promotion Principles: Participation and Empowerment

We selected the principles of...

Keywords

Health Promotion British Columbia School Climate School Administrator Health Promotion Program 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Arnstein, S. (1969). A ladder of citizen participation. Journal of the American Institute of Planners, 35(4), 216–224.CrossRefGoogle Scholar
  2. Becker, A. B., Israel, B. A., Schultz, A. J., Parker, E. A., & Klem, L. (2002). Predictors of perceived control among African American women in Detroit: Exploring empowerment as a multilevel construct. Health Education and Behavior, 29(6), 699–715.CrossRefPubMedGoogle Scholar
  3. Bollnow, O. F. (1961). Lived space. Philosophy Today, 5, 31–39.Google Scholar
  4. Butterfoss, F. (2006). Process evaluation of community participation. Annual Review of Public Health, 27, 323–340.CrossRefPubMedGoogle Scholar
  5. Clark, D. L. (1981). Rational planning in curriculum and instruction. Washington, DC: National Education Association.Google Scholar
  6. Flick, U. (2006). An introduction to qualitative research (3rd ed.). London: Sage Publications.Google Scholar
  7. Foucault, M. (1980). Power/knowledge. Brighton: Harvester.Google Scholar
  8. Freire, P. (1970). Pedagogy of the oppressed. New York: Continuum Press.Google Scholar
  9. Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. Strategies for qualitative research. Chicago: Aldine.Google Scholar
  10. Green, L. W., & Kreuter, M. W. (1991). Health promotion planning: An educational and environmental approach. Mountain View, CA: Mayfield Publishing Company.Google Scholar
  11. Greene, J. (1994). Qualitative program evaluation: Practice and promise. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research. Thousand Oaks: Sage Publications.Google Scholar
  12. Gregory, A. (2000). Problematizing participation: A critical review of approaches to participation in evaluation theory. Evaluation, 6(2), 179–199.CrossRefGoogle Scholar
  13. Hall, S. (2001). Foucault: Power, knowledge and discourse. In M. Weatherall, S. Taylor, & S. J. Yates (Eds.), Discourse theory and practice: A reader (pp. 72–81). London: Sage Publications.Google Scholar
  14. Hargreaves, A. (1994). Changing teachers, changing times. Toronto: Ontario Institute for Studies in Education.Google Scholar
  15. Jayaratna, N. (1994). Understanding and evaluating methodologies: NIMSAD A systematic framework. London: McGraw-Hill.Google Scholar
  16. Kotilla, W. (2005). Youth and ecological restoration project final report. Victoria, Queen Alexandra Hospital Foundation. Retrieved on January 31, 2006 www.queenalexandra.org/
  17. Kugelman, R. (2004). Health and illness: A hermeneutical phenomenological approach. In M. Murray (Ed.), Critical health psychology (pp. 44–57). Basingstoke, England: Palgrave Macmillan.Google Scholar
  18. Labonte, R. (1993). Health promotion and empowerment: Practice frameworks. Toronto: Centre for Health Promotion, University of Toronto and Participaction.Google Scholar
  19. Labonte, R., & Laverack, G. (2001). Capacity building in health promotion, Part 2: whose use? And with what measurement? Critical Public Health, 11(2), 129–138.CrossRefGoogle Scholar
  20. Laverack, G. & Wallerstein, N. (2001). Measuring community empowerment: A fresh look at organizational domains. Health Promotion International, 16(2), 179–185.CrossRefPubMedGoogle Scholar
  21. Lewin, K. (1952). Group decision and social change. In G. E. Swanson, T. M. Newcomb, & E. L. Hartley (Eds.), Readings in social psychology. New York: Henry Holt.Google Scholar
  22. Louis, K. S., & Miles, M. B. (1990). Improving the urban high school: What works and why. New York: Teachers College |Press.Google Scholar
  23. MacDonald, M., & Green, L. W. (2001). Reconciling concept and context: The dilemma of implementation in school-based health promotion. Health Education and Behavior, 28(6), 749–768.CrossRefPubMedGoogle Scholar
  24. Miles, M., & Huberman, M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks: Sage Publications.Google Scholar
  25. Miller, G., Mullett, J., & VanSant, D. (2006). Community youth development: An evaluation of four communities, province of British Colombia. British Colombia: Community Youth Development Coalition-BC.Google Scholar
  26. Murray, M. (2004). Conclusion: Towards a critical health psychology. In M. Murray (Ed.), Critical health psychology (pp. 222–229). Basingstoke, England: Palgrave Macmillan.Google Scholar
  27. Nyswander, D. (1955). Education for health: Some principles and their applications. Health Education Monographs, 14, 65–70.Google Scholar
  28. Pavis, S., Constable, H., & Masters, H. (2003). Multi-agency, multi-professional work: Experiences from a drug prevention project. Health Education Research, 18(6), 717–728.CrossRefPubMedGoogle Scholar
  29. Paul, A., & Lefkovitz, B. (2006). Engaging youth: A how-to guide for creating opportunities for young people to participate, lead and succeed. Sierra Health Foundation. Accessed July 10, 2006. http://www.sierrahealth.org/programs/reach/docs/Engaging_Youth_Report.pdf
  30. Potvin, L., Cargo, M., McComber, A. M., Delormier, T., & Macaulay, A. C. (2003). Implementing participatory intervention and research in communities: Lessons from Kahnawake Schools Diabetes Prevention Project in Canada. Social Science and Medicine, 56(6), 1295–1305.CrossRefPubMedGoogle Scholar
  31. Queen Alexandra Foundation. (2004). Strategic Investment Initiatives Fund (SIIF) Grants. www.queenalexandra.org
  32. Rahman, M. A. (1993). People’s self development. London: Zed Books.Google Scholar
  33. Reason, P. (1994). Participation in human inquiry. London: Sage Publications.Google Scholar
  34. Rebein, C. C. (1996). Participatory evaluation of development assistance: Dealing with power and facilitative learning. Evaluation, 2, 151–172.CrossRefGoogle Scholar
  35. Schwandt, T. (2001). Dictionary of qualitative inquiry (2nd ed.). Thousand Oaks: Sage Publications.Google Scholar
  36. Simovska, V. (2004). Student participation: a democratic education perspective – experience from the health promoting schools in Macedonia. Health Education Research, 19, 198–207.CrossRefPubMedGoogle Scholar
  37. Speer, P. W., Jackson, C. B., & Peterson, N. A. (2001). The relationship between social cohesion and empowerment: Support and new implications for theory. Health Education and Behavior, 28, 716–732.CrossRefPubMedGoogle Scholar
  38. Springett, J. (2001). Appropriate approaches to the evaluation of health promotion. Critical Public Health, 11, 139–151.CrossRefGoogle Scholar
  39. Stake, R. (1995). The art of case study research. Thousand Oaks: Sage Publications.Google Scholar
  40. Stam, H. J. (2004). A sound mind in a sound body: A critical historical analysis of health psychology. In M. Murray (Ed.), Critical health psychology (pp. 15–30). Basingstoke, England: Palgrave Macmillan.Google Scholar
  41. Themessl-Huber, M. T., & Grutsch, M. A. (2003). The shifting locus of control in participatory evaluations. Evaluation, 9, 92–111.CrossRefGoogle Scholar
  42. Tjora, A. H. (2006). Writing small discoveries: An exploration of fresh observers’ observations. Qualitative Research, 6, 429–451.CrossRefGoogle Scholar
  43. Strauss, A., & Corbin, J. (1997). Basics of qualitative research. Thousand Oaks: Sage Publications.Google Scholar
  44. Wallerstein, N. (2006). What is the evidence on the effectiveness of empowerment to improve health? Copenhagen, WHO Regional Office for Europe. (Health Evidence Network Report; Accessed February 18, 2006 http://www.euro.who.int/Document/E88086.pdf.)
  45. Wang, C., & Burris, M. A. (1997). Photovoice: Concept, methodology, and use for participatory needs assessment. Health Education and Behavior, 24(3), 369–387.CrossRefPubMedGoogle Scholar
  46. World Health Organization. (1986). Ottawa charter for health promotion. Ottawa: World Health Organization, Health and Welfare Canada, Canadian Public Health Association.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Marjorie MacDonald
    • 1
  • Jennifer Mullett
  1. 1.University of VictoriaVictoriaCanada

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