The Swedish routine program for antenatal care is based on a number of scheduled visits for the detection of symptomless complications, as well as psychosocial support and health education. The scientific evidence to support the present timing and contents of routine visits is unsatisfactory, and there is a great need for evaluation both of single diagnostic procedures and interventions and of programs of antenatal care.
In 1998, 11.8% of the Quebec population over 15 years showed mobility problems and 2.3% of that group revealed that their needs were not met. The same year, the Régie de l'assurance-maladie du Québec distributed more than 4,500 wheelchairs and repaired some 30,000 others, at a cost of over $20 million. The recycling of wheelchairs is seen as a solution for improving this situation. This paper presents an evaluation of a wheelchair recycling program.
Three groups of participants involved in the recycling of wheelchairs contributed to the gathering of information. These were: personnel (n = 9), occupational therapists in the community (n = 5) and users of refurbished wheelchairs (n = 20).
A participative and qualitative research approach was conducted with the 1st group. The results outline the inefficacy of the process on the structural level (e.g. not enough resources to collect unused wheelchairs), operational level (e.g. absence of norms to recycle), strategic level (e.g. absence of policy to encourage people to give back their unused wheelchair) and systemic level (e.g. the state is not imputable). A quantitative approach with the 2nd and 3rd groups revealed high satisfaction with regard to the efficacy, appearance, safety, durability and comfort as well as the delivery and follow-up services rendered.
The evaluation procedure herein proposed can be customized to fit other contexts and provides policy-makers with quick access to field data to help them choose the appropriate course of action.
Evidence is provided for that it is urgent to elaborate a problem of hemoblastosis and hemopoietic depressions within the framework of a special federal research and technological programme. Priorities of research lines in this areas, trends of their development till 2005 are presented.
This article uses data from a field experiment in Sweden to analyze the effects of active placement efforts. In particular, the relative efficiency between combining job-search monitoring and job-search assistance, and monitoring alone, is analyzed. Although the impact estimates are generally imprecisely estimated, a general conclusion is that placement programs are effective policies in increasing the job exit rate for various groups of unemployed. I find that monitoring of job search is an efficient method to increase off-unemployment exit rate both alone and combined with job-search assistance services. The results, however, indicate that the combined services generate more permanent job exits.
Assess the impact of the health education program Les médicaments: Oui ... Non ... Mais! [prescription drugs: yes ... no ... maybe!] on the adoption of self-care behaviours and the proper use of prescription drugs in people aged 55 and older. This assessment is based on the theory of self-efficacy.
Longitudinal study conducted with 563 participants. A pre-test/post-test type quasi-experimental research plan using offset groups with a control group was selected to determine the impact of the program. The data were collected via a questionnaire prior to the intervention, immediately following the intervention and one year later.
The study revealed that the program improves participants' knowledge regarding certain physiological phenomena and health issues associated with aging. It modifies their attitudes as health care users, enhances their sense of self-efficacy with respect to health behaviours, improves their level of preparation for interviews with the physician and pharmacist, and fosters the adoption of alternative health behaviours to complement or replace prescription drugs: stress management, physical activity, a healthy diet and sleep regimen.
Our study shows the program's short- and long-term impact on the health behaviours of participants.
Our team has worked closely with First Nations, Metis, and Inuit (FNMI) community partners and our local school board over the past 9 years to develop a range of strengths-based health promotion programs for FNMI youth. This article begins with a brief description of our school-based programming to provide context. Next, we identify challenges in conducting rigorous program evaluation and highlight the requirements of community-based research partnerships. Finally, we identify a number of factors that have helped us achieve a balance between the frameworks of rigour and community-based research partnerships. Throughout the paper we use examples from our projects to illustrate issues.