Syllabus

Graduate Programs in Public Health

GPH 738 Program Planning & Evaluation – Summer B 2020

Credits - 3

Description

This course provides an overview of the development of public health programs and the evaluation of those programs. The course will help students develop skills required to assess community needs and assets, identify and adapt evidence-based programs, evaluate program effects, and seek funding for these programs.

 

Materials

Required

Issel, M. & Wells, R. (2018). Health Program Planning and Evaluation: A Practical, Systematic Approach for Community Health. (4th Ed).  Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284112115   http://www.jblearning.com/catalog/9781284112115/

Learning Objectives and Outcomes

Course Outcomes

  1. Identify appropriate resources for evidence-based public health planning.
  2. Select appropriate process and outcome evaluation indicators for a public health program.
  3. Describe the basic components of a public health planning process.
  4. Develop evidence-based program goals and outcomes using SMART objectives.
  5. Present and defend an intervention plan to address a public health problem.
  6. Develop an initiative to improve a public health problem, that includes a sustainability plan.

Public Health Competencies

  • PC 4: Evaluate the use of financial resources and management techniques by public health programs to achieve goals and sustainability
  • FC 7: Assess population needs, assets, and capacities that affect communities’ health
  • FC 8: Apply awareness of cultural values and practices to the design or implementation of public health policies or programs
  • FC 9: Design a  population-based policy, program, project or intervention
  • FC 11: Select methods to evaluate public health programs

Assignments

Class Discussions: Discussion forums are an essential part of the online course experience.  Discussion prompts build on readings, lectures and course content, and allow students to contribute to the learning experience through collaboration with the instructor and peers. Rubrics for each discussion are listed below.

Weekly Assignments: Each week you will have assignments to complete. The lectures, readings, and earlier weekly assignments are scaffolded so as to build toward a grant proposal assignment due in Week 7 and a budget assignment due in Week 8. See the Course Schedule below and the relevant modules in Blackboard for full assignment details.

Final Project: You may view the Final Project Instructions via the course menu button with the same name. This project is due in Week 7.

Grading Policy

Your grade in this course will be determined by the following criteria:

Grade Breakdown

AssignmentsTotal Points
Weekly Discussions (7 X 3 Points Each)21
Week 1: Overview of a Health Problem6
Week 2: Assessment of Needs and Assets10
Week 3: Evidence-Based Options6
Week 4: Program Adaptation and Goals/Objectives 6
Week 5: Logic Model10
Week 6: Evaluation Plan10
Week 7: Final Assignment25
Week 8: Budget6
Total Points100

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Format:

This course is delivered via a web-based format, consisting of eight weekly modules. Within each module, there are video lectures, reading assignments, web links, discussion questions, and written assignments. The weekly modules will become available Wednesdays at 12:01 AM.

Course Weeks:

Each week opens on Wednesday at 12:01 AM ET. Each week closes on Wednesday at 11:59 pm ET, with the exception of Week 8, which ends on Sunday.

  • Week 1: June 24 – July 1
  • Week 2: July 1 – July 8
  • Week 3: July 8 – July 15
  • Week 4: July 15 – July 22
  • Week 5: July 22 – July 29
  • Week 6: July 29 – August 5
  • Week 7: August 5 – August 12
  • Week 8: August 12 – August 16 (Sunday)

Course Outline:

Week 1: Overview of Program Planning and Evaluation

Objectives:

  • Investigate the rational and cyclical nature of program planning and evaluation, as well as the unpredictability that is a part of real-world public health efforts.
  • Utilize an ecological approach to assess the various levels at which public health programs can intervene.
  • Apply principles of cultural humility and cultural competency to program planning and evaluation.

Readings and Videos:

Required:
  • Issel/Wells: Chapters 1 and 2
  • “Executive Summary” and “Introduction”:  CDC’s Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide (https://www.cdc.gov/eval/guide/execsummary/index.htm)
  • Yeager KA, Bauer-Wu S. Cultural humility: Essential foundation for clinical researchers. ANR. 2013. 26(4):10.1016/j.apnr.2013.06.008. doi: 10.1016/j.apnr.2013.06.008. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834043
  • Healthy People 2020: Midcourse Review (https://www.healthypeople.gov/2020/data-search/midcourse-review/lhi)
Recommended: 
  • Frieden TR. A Framework for Public Health Action: The Health Impact Pyramid. Am J Pub Health. 2010. 100(4):590-595. doi:10.2105/AJPH.2009.185652. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2836340/
  • Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453–1463. https://www.sciencedirect.com/science/article/pii/S014067361730569X?via%3Dihub
  • Robert Wood Foundation. Ensuring the opportunity for health for all. 2018.  https://www.preventioninstitute.org/sites/default/files/uploads/040618_CounteringHealthInequities_final.pdf

Discussion Board Question: Initial post due by 11:59 PM Sunday. Response posts due by 11:59 PM Wednesday.

Introduce yourself to your classmates. Referring to the Final Project Instructions, choose the health issue you will address in this class and explain why this topic appeals to you. Remember, this should be a Healthy People 2020 health indicator that has seen “little or no detectable change” or one that is “getting worse.”

In responses to at least two classmates, suggest how they might engage with people or organizations outside the health sector in order to establish intersectoral efforts. Explain how this type of community engagement could help address social determinants of health related to your health issue.

Week 1 Assignment: Overview of a Health Problem

Choose a health problem from the final project guidelines, and provide an analysis of that problem. Be sure to include any disparities in incidence, prevalence, treatment, or mortality for that condition, and provide data that addresses all levels of the ecological model (the relationship between that health problem and the health of individuals, communities, populations, and infrastructure).

 

Week 2: Assessing Community Health 

Objectives:

  • Describe commonly used program planning models.
  • Select a target population for a public health issue.
  • Conduct a community health assessment using public data to describe both needs and assets.
  • Develop a causal theory diagram.

Readings and Videos:

Required:
  • Issel/Wells: Chapters 3 and 4
  • Wight et al. Six steps in quality intervention development. Journ Epidemiol Community Health. 2015.  http://jech.bmj.com/content/jech/70/5/520.full.pdf
  • Manchanda, R. What makes us get sick? Look upstream. Ted.com. 2014. https://www.ted.com/talks/rishi_manchanda_what_makes_us_get_sick_look_upstream
Recommended:
  • Community defined health: Thinking from the inside out. Community Campus Partnership for Health. 2000.11(2). https://journals.iupui.edu/index.php/muj/article/view/19870/19565

Discussion Board Question: Initial post by 11:59 PM Sunday and response by 11:59 PM Wednesday.

Determine your target population for your final project. Then, using the model in Figure 4.1, create a causal diagram for the health issue among your target population.

Then provide constructive criticism to at least two classmates to help them to strengthen their causal diagram

Week 2 Assignment: Assessment of Needs and Assets

Using public data, describe your target population, its needs, and its assets. The target population (sometimes referred to as the community or the intended audience) should be limited to a specific geographic area (e.g. neighborhood, city, county, etc.) and be specific enough that you can design a program that is tailored to that particular group. For example, your priority population description may be limited by race, ethnicity, gender, age, sexual orientation, occupation, or other characteristics. Describe at least two ways you could collect additional data to that would result in a more comprehensive community health assessment.

 

Week 3: Using Evidence to Develop Effective Programs

Objectives:

  • Determine at least three different sources for evidence-based public health programs.
  • Identify evidence-based programs to address a public health issue.
  • Select social science or behavioral theories that can inform program development.

Readings and Videos

Required:
  • Issel/Wells: Chapter 5
  • Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions: https://www.annualreviews.org/doi/full/10.1146/annurev.publhealth.012809.103604
Recommended:
  • Fishbein M, Yzer MC. Using theory to design effective health behavior interventions. http://www.sibson.com/media/1536/using-theory-to-design-effective-health-behavior-interventions.pdf
  • Brownson RC, Allen P, Duggan K, Stamatakis KA, Erwin PC. Fostering more-effective public health by identifying administrative evidence-based practices. Am J Prev Med. 2012;43(3):309-319. doi:10.1016/j.amepre.2012.06.006
  • Heath G, et al. Evidence-based Interventions in physical activity: lessons from around the world. http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4978123&blobtype=pdf
  • Theory at a Glance: A Guide for Health Promotion Practice

Discussion Board Question: Initial post by 11:59 PM Sunday and post response by 11:59 PM Wednesday.

Figure 5.3 in the textbook shows a possible effect theory, with the interventions, to address the health problem of congenital anomalies. It builds on the causal theory shown in Figure 5.4. Develop and share an effect theory diagram for the health issue you have selected for your final project.

Respond to at least two classmates’ posts. Make at least one suggestion for how each student can make their diagram more clear or complete.

Week 3 Assignment: Evidence-Based Options

Search HealthyPeople.gov for evidence-based programs (EBP) for your chosen health topic. For each EBP that you identify as possibly appropriate for your target population, locate and read the original peer-reviewed article that presents the evidence that the program is effective.

Identify 5 evidence-based programs that may be appropriate to address your selected health issue in the priority population. Briefly describe each program, name the behavioral theories that inform each EBP, and summarize the key findings (150-200 words each). Provide at least one citation from a peer-reviewed journal for each evidence-based program.

 

Week 4: Program Development

Objectives:

  • Write specific, measurable, achievable, realistic, and time-bound (SMART) objectives for a grant proposal.
  • Adapt an evidence-based program.
  • Define inputs and outputs required to create changes in specific health outcomes.

Readings and Videos:

Required:
  • Issel/Wells: Chapters 6 and 7
  • CPCRN.org Trainings (https://cpcrn.org/training)
    • Session 5: Adaptation Guidance Tool 
Recommended:
  • CPCRN.org Trainings (https://cpcrn.org/training)
    • Session 3: Finding Evidence-Based Interventions
    • Session 4: Selecting Evidence-Based Interventions with the Best Fit

Discussion Board Question: Initial post by 11:59 PM Sunday and response by 11:59 PM Wednesday.

Select one of the evidence-based programs you identified in your Week 3 Assignment. Compare and contrast the population for which the EBP was designed and the target population you have selected. Explain how the program could be adapted for your target population to accommodate these differences.

In your responses to at least two classmates, recommend at least one additional factor that they should consider when adapting the program.

Written Assignment 4: Program Adaptation and Goals/Objectives

Select 1 or more of the evidence-based interventions you identified in Week 3 that you will use in your final project. Submit SMART goals and objectives for the grant proposal. While goals can be more general, the objectives must be SMART – specific, measurable, achievable, realistic, and time-bound. You may submit up to 3 goals. Each goal should be supported by 2 to 3 SMART objectives.

 

Week 5: Logic Models

Objectives:

  • Create a logic model that visually depicts the relationship between the inputs, activities, outputs, outcomes, and impact.
  • Explain the limitations of logic models.

Readings and Video:

Required:
  • Issel/Wells: Chapters 9 and 10
  • Kellogg Foundation Logic Model Guide: Chapters 1 and 2: https://www.bttop.org/sites/default/files/public/W.K.%20Kellogg%20LogicModel.pdf

Recommended:
  • Kania J, Kramer M, Russell P. Strategic philanthropy for a complex world. Stanford Social Innovation Review. 2014. https://ssir.org/up_for_debate/article/strategic_philanthropy
  • Kellogg Foundation Logic Model Guide: Chapter 4: https://www.bttop.org/sites/default/files/public/W.K.%20Kellogg%20LogicModel.pdf

Discussion Board Question: Post original contribution by 11:59 PM Sunday and post second by 11:59 PM Wednesday.

For this week’s discussion, you will consult with your classmates about how you might evaluate your program. While we won’t cover evaluation in detail until next week, it is important to start thinking early about possible measures of success. In your original post, describe how you might know that your program has been successful. Don’t worry too much about specific indicators or ways to measure your results. This is an opportunity to share some ideas and get feedback from your colleagues.

In your feedback to a classmate, offer constructive criticism, and suggest at least one additional way they might define success.

Week 5 Assignment: Logic Model

Using the examples and guidance from the Kellogg Foundation Logic Model Development Guide, create a one-page logic model that visually depicts the relationships between inputs (resources), activities, outputs, outcomes (short and medium-term), and impact (long-term).

A successful assignment will have the following elements:

  • A list of major resources necessary to implement the program
  • Resources included are sufficient for the activities
  • A list of major activities necessary to implement the program
  • Addresses multiple levels of the ecological model and the theory or theories that inform your evidence-based program.
  • Outcomes are SMART objectives within the scope of the program’s control or sphere of reasonable influence and are reflective of reasonable, progressive steps toward longer-term impacts

 

Week 6: Evaluation

Objectives:

  • Develop and prioritize evaluation questions.
  • Select appropriate quantitative and qualitative data collection strategies.
  • Distinguish between internal and external validity.

Readings and Videos:

Required:
  • Issel/Wells: Chapters 11, 12, and 15
Recommended:
  • CDC Evaluation Guide: https://www.cdc.gov/eval/guide/cdcevalmanual.pdf

Discussion Board Question: Initial post by 11:59 PM Sunday and response by 11:59 PM Wednesday.

Describe a program and its evaluation with which you are familiar, and explain how they engage at least one group of stakeholders in the evaluation.

Respond to at least one classmate and suggest how the evaluation they described could deepen their engagement with that group of stakeholders or engage a different group of stakeholders.

Week 6 Assignment: Evaluation Plan

As you have learned, evaluation types differ depending on what you are hoping to achieve. When evaluating a program, an evaluator may focus on assessing process by measuring elements related to organizational and/or service utilization plans. Wanting to know the level of difficulty related to accessing your program would be a part of a process assessment.

An effect evaluation is focused on determining the impact of a program on its recipients. In other words, how well did the program address causal, moderating, and mediating factors? What changes occurred among participants as a result of your program? These are examples of measuring effects.

For this assignment, you will focus on effect evaluations and develop questions for this type of assessment.

    1. List your evaluation question(s)
    2. Describe three different effect evaluation designs that could be used to answer these questions (e.g. one group posttest only; one group time series).
    3. Explain the benefits and limitations of each design.

Use AMA formatting for the assignment. Your assignment should be between 800 and 1000 words, not including references.

 

Week 7: Bringing it Together 

Objectives:

  • Prepare a grant proposal using best practices in public health planning and evaluation.

Discussion Board Question: Initial post by 11:59 PM Sunday and response by 11:59 PM Wednesday.

Candid.org and The Chronicle of Philanthropy are two good sources of information about grant writing. Identify one free article from either site and provide the link and a short summary of the article. Describe at least one idea from the article that was new or surprising to you.

Read at least one classmate’s article (their summary and the original article). Share at least one thing about their article that was new or surprising about the article your classmate chose.

Week 7 Assignment: Final Project

Throughout the course, you will practice skills that are important when developing an effective public health intervention. Each week builds upon the others and leads up to the final project, a mock grant proposal to an imaginary funder: The Health Community Foundation. The grant proposal will include the following elements:

  • Statement of Need (1-2 pages)
  • Goals and Objectives (1/2 – 1 page)
  • Program Plan (2 -3 pages)
  • Evaluation Plan (2 -3 pages)
  • Logic Model (1 page)

Details for this assignment can be found via the “Final Project Instructions” button in the course menu.

 

Week 8 (Ends Sunday): Program Budgeting and Management

Objectives:

  • Develop an accurate budget that follows funder and organizational guidelines that clearly communicates how grant funds will be used.
  • Write a budget justification that clearly explains how the proposed budget relates to the proposed program and evaluation activities.

Readings and Videos:

Required:
  • Issel/Wells: Chapter 8
  • Sustainability of Public Health Programs: The Example of Tobacco Treatment Services in Massachusetts (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1522114/)
Recommended:
  •  Is Sustainability Possible? A Review and Commentary on Empirical Studies of Program Sustainability (http://journals.sagepub.com.une.idm.oclc.org/doi/pdf/10.1177/1098214005278752)

Week 8 Assignment: Budget

For this assignment, you will evaluate the use of financial resources to achieve goals and sustainability. Submit a three-year budget totaling $300,000 for your proposed program using the template provided. Assume a fringe rate of 25%, salary inflation rate of 3% annually, and an indirect/overhead rate of 20%. Submit a one-page budget justification that explains how expenses were calculated, what was included and any relevant assumptions. The budget justification should make clear the relationship between the funds requested and the activities described in the grant proposal. Be sure to explain how the program or program impact will be sustained after the funding ends.

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AMA Writing Style Statement

The American Medical Association Manual (AMA) of Style, 11th edition is the required writing format for this course. Additional support for academic writing and AMA format is provided throughout the coursework as well as at the UNE Portal for Online Students.

Online resources: AMA Style Guide

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Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in APA citation and academic writing.

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Students are responsible for submitting work by the date indicated in Brightspace.

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Assignments: Unless otherwise specified, assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

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Student Handbook

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