The prenatal fitness program that was
open to the city’s general population of pregnant Aboriginal woman was run from
March 1995 to March 1997. Since there is no data to determine if this program
continued after 1997 a summative review such as Scriven’s summative review to
evaluate the end of the program and to see if it was effective or if it has
met its original goals would work well here.
The first step in this process would be
to define the program. In this case the program is an exercise program that is
targeted toward pregnant Aboriginal woman in Saskatoon Saskatchewan with the
intent of reducing the incidences of gestational diabetes mellitus (GDM) and
Type II diabetes. The goal of the program is to prevent this demographic of
high-risk pregnant woman from developing diabetes during their pregnancy.
Now that the program has been defined it is important to
create a succinct purpose for this review. For this I would look to determine
whether the program was effective for the participants, if it reached a large
enough portion of the target population to create a substantial difference in
the incidence of gestational or type II diabetes, as well as whether this
program should increase to a larger percentage of the target population or if
the program should grow to include non Aboriginal pregnant woman. This purpose
would give a clear direction to the data that is to be collected.
The data collection would be both qualitative and
quantitative in nature. The first process in collecting data for this review
would be to gather and synthesize all the existing quantitative data on the
program. This would include information such as, how many people participated,
how many potential participants were there? How much exercise they offered,
what was the average attendance for participants at the once a week sessions,
and is there any information existing to prove whether the participants had a
lower incidence of the two types of diabetes than other Aboriginal woman who
did not partake in this program or follow any exercise program of their own.
After this data is collected and synthesized I would try to contact a selection
of the participants to do a follow up study to see if they had any more
pregnancies, took part in exercise during them and if they had either form of
diabetes during those pregnancies.
I would also try to conduct a focus group session to gather
qualitative data from the original exercise program personnel and the woman who
took part in the program. This review would gather their opinions on subjective
topics such as location and frequency of the sessions, type of exercise
offered, what was the reason they joined the group, what kept them going every
week, what would make the program better, and so on.
With both of these types of data collected the last step would
be to analyze all the information and present the findings to the stakeholders
involved. This would give them a good understanding of how effective the
program was toward the initial goal of lowering the incidence of Aboriginal
pregnant woman developing diabetes. With these results a recommendation for the
future potential or direction of this program would be made.
and
Jason this is an excellent approach to evaluating this program. I agree that because it has ceased a summative evaluation is a logical choice. Beginning by defining the program gives you a defined focus for the rest of the work you intend to do. Your suggestion related to gathering the necessary information help to ensure you have a comprehensive set of data to work with makes sense.
ReplyDeleteWell done!
Jay