Click on individual ô Headings to display information for that topic, or click here to Open or Close all headings.
This page provides links to a range of CDSM Resources that have been used by clinicians, trainers, consumers and researchers on the Eyre Peninsula as well as some other resources used by other groups.
The files provided are in a variety of formats (e.g. PDF, Word, PowerPoint).
To open the files in a new Window, just click on the Links below. To Open Word files in Word, hold the Control key down while clicking on the Link, otherwise the WOrd file will open in a browser Window.
To Download the Files, Right Click on the Link and select Save Target As from the Menu and then save the file to a location of your choosing (e.g. the Desktop or My Documents)
We have also listed additional resources available on the Web. We have not provided these on the CD because they change from time to time and the Web is therefore the best source for the up-to-date resources. These links will open in a new Window. Follow the instructions on the respective Web sites for downloading these resources.
| Category | Document type |
| Commonwealth | |
| AHMC - National Chronic Disease Strategy | PDF - 272 Kb |
| Australian better health initiative: Promoting good health, prevention and early intervention | PDF - 25 Kb |
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Sharing Health Care Initiative — Final report of the National Evaluation Executive summary and discussion. June 2005 |
PDF - 473 Kb |
| State (SA) | |
| Chronic disease. Prevention and management opportunities for South Australia | PDF 750 Kb |
| Sharing Health Care SA: Qualitative Impact Evaluation.Final Report June 2004 | PDF - 726 Kb |
| Other documents | |
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Ottawa
Charter for Health Promotion First International Conference on Health Promotion Ottawa, 21 November 1986 - WHO/HPR/HEP/95.1 |
PDF - 18 Kb |
| Category | Document type |
| Stanford Guide | |
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Stanford Course Implementation Guide. For a Community based CDSM Support Program in Regional SA |
PDF - 56 Kb |
| Flinders Model | |
| PDF - 133 Kb | |
| Living improvements are for Everyone (LIFE) | |
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Incorporating Self-management support in an Aboriginal Health Service |
PDF 76 Kb |
| PDF - 29 Kb | |
| GP Tools | |
| Incorporating self-management support into General Practice’ | PDF - 528 Kb |
| Chronic disease management - GPMP and TCA Made Easy | PDF - 286 Kb |
| Care Planning using Medical Director™ | PDF - 29 Kb |
| EPDGP Mental Health Training Manual | PDF -575 Kb |
| New Medicare GP Mental Health Care Items | PDF - 757 Kb |
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Evaluations are designed to provide information for:
They can be used to evaluate:
Qualitative and quantitative methodologies are both useful in evaluations and it is advisable to combine the advantages of both methodologies in ways relevant to the stage of the program development. Quantitative methodologies focus on objective reality by utilising strict designs and standardised tools. Qualitative methodologies focus on subjective truths and explore perceptions, motivations, and constructed meanings. For example, while quantitative methods can measure enrolment and retention rates in a CDSM education course, qualitative methods can more fully explore the motivations for enrolling, attending or withdrawing. |
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The short-term nature of some projects or interventions can make evaluation of long-term outcomes problematic. It may necessitate the measurement of intermediate impacts, rather than longer-term improvements in health status. For example, a CDSM education activity may improve a client’s level knowledge about the benefits of exercise, which may result in a lifestyle change (e.g. increased exercise) that may lower a risk factor (e.g. lower blood pressure) and eventually result in better health. In the time scale of the intervention or program it might only be possible to detect improvements in health literacy or increases in the amount of exercise rather than improved health outcomes.
The Health Education Impact Questionnaire ( heiQ ) is an example of a standardised quantitative data collection tool designed to evaluate CDSM education and measures a range of impacts:
Motivation to be active
Changes in behaviour
Improvement in knowledge and skills
Changes in attitude
Improvements in the ability to self-monitor
Improvement in the ability to navigate health services
Improvements in social engagement
Improvements in emotional well-being
The questionnaire must be purchased from the University of Melbourne. Further information is available by emailing heiQ @unimelb.edu.au
Similar information could be obtained qualitatively by utilising in-depth interviews or focus groups.
Regardless of the evaluation tools or method used, the long-term, multidimensional nature of Primary Health Care(PHC) interventions make the establishment of direct causal links between interventions and outcomes problematic.
The World Health Organisation has made the following points about evaluations of PHC programs:
Those who have a direct interest in a health promotion initiative should have the opportunity to participate in all stages of its planning and evaluation as this increases the relevance and credibility of evaluation results, as well as the likelihood that the results will be used
Ten percent of program funds should be devoted to evaluation
The use of Randomised Control Trials to evaluate health promotion initiatives is, in most cases, inappropriate, misleading and unnecessarily expensive and evaluators need to use a wide range of qualitative and quantitative methods.
Both processes and outcomes should be evaluated as outcome measures are not sufficient to allow understanding of the ways in which a health promotion program or policy has brought about a change.
WHO European Working Group on Health Promotion Evaluation
| Category | Comments |
| CDSM | |
|
Stanford University have published numerous evaluation tools and they are available at http://patienteducation.stanford.edu/programs/cdsmp.html |
The Stanford Patient Education Research Center is part of the Department of Medicine at the Stanford University School of Medicine, located in Palo Alto, California, U.S.A. Over the past 24 years, they have developed, tested, and evaluated self-management programs for English and Spanish speakers with chronic health problems. Programs are designed to help people gain self-confidence in their ability to control their symptoms and how their health problems affect their lives. Small-group workshops are given in community settings and on the Internet. They are facilitated by two leaders/moderators with health problems of their own. The workshops are highly interactive, focusing on building skills, sharing experiences, and support. |
Health
Evaluation Impact Questionnaire (heiQ)
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The
heiQ is an Australian-developed health education impact
evaluation instrument. It consists of 42-questions, organised into a
set of eight scales (measuring Positive and active engagement in
life, Health directed behaviour, Skill and technique acquisition,
Constructive attitudes and approaches, Self monitoring and insight,
Health service navigation, Social integration and support and
Emotional well-being) designed to measure effectiveness of health
education programs and to inform health professionals and
researchers on the outcomes of health education programs delivered
to people with chronic diseases. Nine additional questions cover the
quality of delivery of the course. The heiQ is a generic
instrument, appropriate for use with a wide range of courses and
disease groups. The instrument should meet the requirements of
health professionals, government agencies, community health
specialists, and researchers. The primary function of the heiQ
is to assess change on key indicators of the performance of
self-management programs due to participation in the program. The
principal importance of the heiQ in health education
settings is to monitor the impact of the self-management program in
their value to the participants. In addition, the heiQ
scores will provide course leaders and their affiliated institutions
with valuable information about consumer satisfaction, service
delivery quality, and effects of quality improvement activities. In
research settings, heiQ may be used for the comparison
of effectiveness of different types of health educations programs,
or comparison of program effectiveness in different disease,
settings or population groups. |
| Primary Health Care and General Practice | |
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Evaluating health promotion programs 1998 The Health communication Unit, Centre for Health Promotion, Toronto: THCU, University of Toronto. Available at www.thcu.ca/ |
The Health Communication Unit, recommend a 9-step approach to evaluating health promotion programs. Evaluation is explored in detail in evaluating health promotion programs, focus groups, and conducting survey workshops. |
| Focus on … Tools for measuring change in chronic disease management in Primary Care, 2006, No. 3, Primary Health Care Research and Information Service, Flinders University, Adelaide. Available at http://www.phcris.org.au/publications/focuson/index.php. | |
| Assessment of Chronic Illness Care (ACIC) | The survey allows organizations to identify areas for improvement in chronic illness care before beginning quality improvement work and to periodically evaluate the impact of the changes made on improving chronic illness care. |
| Patient Assessment of Chronic Illness Care (PACIC) | The PACIC measures specific actions or qualities of care, congruent with the CCM, that patients report they have experienced in the delivery system. The survey includes 20 items, and should be sufficiently brief to use in many settings. When paired with the ACIC, these tools can provide complementary consumer and provider assessments of important aspects of care for chronic illness patients. |
| The PCAS was developed to operationalize formal definitions of primary care, including the definition by the Institute of Medicine Committee on the Future of Primary Care (1994). The PCAS measures seven domains of care through 11 summary scales: accessibility (organizational, financial), continuity (longitudinal, visit-based), comprehensiveness (contextual knowledge of patient, preventive counseling), integration, clinical interaction (clinician-patient communication, thoroughness of physical examinations), interpersonal treatment, and trust. | |
| General Practice Assessment Questionnaire (GPAQ) | GPAQ is a new questionnaire which has been developed at the National Primary Care Research and Development Centre in Manchester for the new GP contract. GPAQ focuses on questions about access, inter-personal aspects of care, and continuity of care. |
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Hawe, P., Degeling, D., & Hall, J., 1990, Evaluating Health Promotion: a health workers guide, MacLennan& Petty, Sydney |
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| Other tools | |
| The Team Climate Inventory (TCI) is a multidimensional measure of work group climate. Intended primarily as a team development tool capable of facilitating interventions in work groups, the TCI is an easy-to-administer 44 question measure which should take each team member no longer than 15 minutes to complete. | |
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Program Evaluation Wizard (PEW) – developed by the South Australian Community Health Research Unit (SACHRU) available at http://som.flinders.edu.au/FUSA/SACHRU/PEW/index.htm |
PEW aims to demystify the jargon associated with project planning, evaluation, and report writing, as well as provide practical assistance and examples, and maybe even make these tasks a bit more enjoyable! |
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Weiss, C 1998, Evaluation methods for studying programs and policies, 2nd edn, Prentice Hall, New Jersey |
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| PHCRIS - Tools for measuring change in Primary Care, July 2006 | Covers a range of
Primare health care evaluation and assessment tools PDF - 247 Kb) |
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Please note that the Video files are only available on the CD-ROM Version of this guide. They are too large to be easily viewed on the Web.
The video files should open automatically in your browser or play in Windows Media Player, Quick Time or other video player program. If not then you may have to download and install an appropriate player from the Web or from this CD (see below).
If your Multimedia player does not play AVI files, an AVI Video Player is included on the CD-ROM. Right Click the link below and select "Save as.." to download and then install the program. Double CLick the File to install it on your computer.
A range of promotional materials developed by the Sharing Health Care SA project are also provided as part of this electronic Project Guide. These include information brochures for health care providers and consumers, posters, flyers and information sheets. Materials from other agencies are also included.
Click here to go the Promotion Materials page.
The Service Directory is a MS Access™ Database written by Catherine Leahy and can be used to record the contact details of health service providers, health services and other agencies that might be useful for referring clients. The database provides searching, reporting, data export and database administration functionality and is based around contact with institutions, (e.g. hospitals, pathology laboratories or schools) or health care providers (e.g. GPs, allied health or specialists).
The database could also be used by individuals and practices as a general contacts database as well as specifically as a CDSM support tool practice.
Click here to go to the Service Directory Template page that provides instructions for Downloading the Database as well as the Service Directory Instruction Manual.
To open the files in a new Window, just click on the Links below. To Open Word files in Word, hold the Control key down while clicking on the Link, otherwise the WOrd file will open in a browser Window.
To Download the Files, Right Click on the Link and select Save Target As from the Menu and then save the file to a location of your choosing (e.g. the Desktop or My Documents)