HealthyPeople.gov provides science-based 10 year national objectives to help improve the health of all Americans. These objectives are focused on encouraging collaborations across communities, empowering people to make individual health choices, and measuring the impact of prevention activities. Currently we are in the time frame referred to as Healthy People 2020 with goals and objectives to achieve by the year 2020 listed at their website http://www.healthypeople.gov/2020/about
There are 42 topic areas with over 1,200 objectives for Healthy People 2020, so a smaller subset of objectives has been identified as Leading Health Indicators (LHI) to communicate high-priority health issues and actions to take for addressing them. These LHI objectives are included within the 12 areas of access to health services, clinical preventative services, environmental quality, injury and violence, maternal, infant and child health; mental health, nutrition, physical activity and obesity; oral health, reproductive and sexual health, social determinants, substance abuse, and tobacco.
Monthly Leading Health Indicators (LHI) infographics help visually communicate Healthy People 2020 data, such as the one above about children’s exposure to secondhand smoke based on health insurance status, and are freely available for download and use by the public at http://www.healthypeople.gov/2020/LHI/infographicGallery.aspx. The infographics are arranged in chronological order, most recent month available at the top, with the LHI area included so you can quickly identify and click those health topics of interest to you and your programs. They are also a great source of data, both in raw downloads and these visualizations, for presentations and publications for your health information outreach programs that are related to the LHI areas. Be sure to sign up for their monthly newsletter at the infographic site so you won’t miss the latest one each month!
“If people can see what you’re saying, they’ll understand it.” This quote comes from the Perspectives page of Duarte.com, which now offers a free Diagrammer that provides more than 4,000 free, downloadable diagram templates to help you present your evaluation findings visually.
A handy directory helps you determine the type of diagram you need based on the data relationships you want to portray. You then choose a diagram and download it into a PowerPoint-ready image that is completely customizable. You add text, change font size and color, even move or eliminate parts of the diagram. The PowerPoint slide can be inserted into a slide file for an oral presentation or saved as an image and inserted into a written evaluation report.
I tried my hand at creating a diagram to show how NN/LM train-the-trainer programs encourage the spread of health information resource use. This is what I came up with:
I learned about this tool from an AEA365 blog post by Sheila Robinson. As an example, she included an infographic she designed using the Diagrammer to illustrate American Evaluation Association learning opportunities.
Duarte.com is the company of Nancy Duarte, a master presentation designer who has become a favorite among evaluators on a mission to get their evaluation reports understood and used. If you are interested in punching up the impact of your presentations, you also might want to check out her book “Resonate” (2010, Wiley & Sons) or watch her popular TEDtalk The Secret Structure of Great Talks. Many of her principals can be applied to oral or written presentations.
Librarians’ expert searching skills provide some great opportunities for collaboration with researchers. Biomed Central’s new open access Systematic Reviews journal is about a specialized type of expert searching that librarians can provide for their communities. More than a source of protocols and a record of others’ work, this journal has great potential for those of us in academia who want to publish articles to share information with our colleagues about what we have done.
Here’s more information from the Aims and Scope:
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal aims to publish high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modeling. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
It is a long-term goal of the journal to ensure all systematic reviews are prospectively registered in an appropriate database, such as PROSPERO, as these resources for registration become available and are endorsed by the scientific community.
Article types include:
- Research Articles
- Review Updates
The editors-in-chief comprise an international group hailing from the University of Ottawa; the RAND corporation and UCLA; and the University of York.
Take a look at this journal! It could be a source of inspiration for any librarian whose emphasis is on expert searching.
Last month the Group Health Research Institute (GHRI) presented a webcast entitled A Healthy Dose: Strengthening Reach and Impact of Community Strategies from their background of working with stakeholders who have deep (25-30 years) experience working with community health initiatives. They have noticed a trend over the past ten years to include more information beyond the basics of the number of community members reached and initial (short term) impacts of community health projects in related reports.
GHRI have also studied data available from the Kaiser Foundation and other resources to find that the critical factor for successful long term impacts of community health projects is community involvement in them. Using the Reach Effectiveness Adoption Implementation (RE-AIM) model, which helps to best translate public health research into practice, they identified areas in projects ranging from low to high reach (fewer/greater numbers of community members involved) and low to high strength (lesser/greater impact on the health of the community).
Factors that calculate impact strength include whether a health project event is held one time or is a consistent part of the community’s environment, the degree that healthy options are the only choices available, and supporting community health projects with promotion and education. Some examples discussed during the webcast include building sidewalks (high reach, low strength) and establishing physical education classes at local schools (high reach, high strength).
The webcast recording and slides are available here, and their published findings in the American Journal of Evaluation are freely available at Using the Concept of “Population Dose” in Planning and Evaluating Community-Level Obesity Prevention Initiatives.
Attention iPad and iPhone users: SurveyMonkey recently launched a mobile app so you can create, send, and monitor your surveys from your phone or tablet. The app is free, although you need a SurveyMonkey account to use it.
With the SurveyMonkey app, you no longer have to rely on your computer to design and manage a survey. The app also allows you to conveniently view your data from any location with Internet access. I think the most notable benefit is that the analytic reports are optimized for mobile devices and are easy to read on small screens.
I have been asked how this app compares to QuickTapSurvey (see my previous blog entry). In my opinion, the app does not make SurveyMonkey comparable to QuickTapSurvey, which is designed specifically to collect onsite visitor feedback in informal settings such as exhibits and museums. SurveyMonkey, by comparison, is designed to collect data through email, web sites, or social media. Both apps work best in their respective settings. I think you could adapt SurveyMonkey to collect data at face-to-face events (if there is onsite Internet access), but it probably won’t work as smoothly as QuickTapSurvey.
For more information about the Survey Monkey mobile app, click here.
Did you know that the American Medical Association has a specific recommendation for its authors about questionnaire response rate? Here it is, from the JAMA Instructions for Authors:
Manuscripts reporting survey data, such as studies involving patients, clinicians, the public, or others, should report data collected as recently as possible, ideally within the past 2 years. Survey studies should have sufficient response rates (generally at least 60%) and appropriate characterization of nonresponders to ensure that nonresponse bias does not threaten the validity of the findings. For most surveys, such as those conducted by telephone, personal interviews (eg, drawn from a sample of households), mail, e-mail, or via the web, authors are encouraged to report the survey outcome rates using standard definitions and metrics, such as those proposed by the American Association for Public Opinion Research.
Meanwhile, response rates to questionnaires have been declining over the past 20 years, as reported by the Pew Research Center in “The Problem of Declining Response Rates.” Why should we care about the AMA’s recommendation regarding questionnaire response rates? Many of us will send questionnaires to health care professionals who, like physicians, are very busy and might not pay attention to our efforts to learn about them. Even JAMA authors such as Johnson and Wislar have pointed out that “60% is only a “rule of thumb” that masks a more complex issue.” (Johnson TP; Wislar JS. “Response Rates and Nonresponse Errors in Surveys.” JAMA, May 2, 2012—Vol 307, No. 17, p.1805) These authors recommend that we evaluate nonresponse bias in order to characterize differences between those who respond and those who don’t. These standard techniques include:
- Conduct a follow-up survey with nonrespondents
- Use data about your sampling frame and study population to compare respondents to nonrespondents
- Compare the sample with other data sources
- Compare early and late respondents
Johnson and Wislar’s article is not open access, unfortunately, but you can find more suggestions about increasing response rates to your questionnaires in two recent AEA365 blog posts that are open access:
Find more useful advice (e.g., make questionnaires short, personalize your mailings, send full reminder packs to nonrespondents) at this open access article: Sahlqvist S, et al., “Effect of questionnaire length, personalisation and reminder type on response rate to a complex postal survey: randomised controlled trial.” BMC Medical Research Methodology 2011, 11:62
The current trend in evaluation reporting is toward fewer words and more images. There are a number of companies that offer high-quality, royalty free photographs at minimal cost. (Stockfresh, for example, charges as little as $1 per image.) However, no-cost is even better than low-cost. Freelancers Union, a nonprofit organization dedicated to assisting freelance workers, recently published a list of the best websites for no-cost images. If you are looking for free images for your presentations or reports, check out their article:
(The article also describes the difference between public domain, royalty-free and Creative Commons-licensed images.)
Last week I attended a webinar presentation from Stanley Capela entitled Recipe of Evaluation Techniques for the Real World. This is one of the American Evaluation Association’s (AEA) ongoing 20 minute Coffee Break webinars . The webinars, offered Thursdays at 2pm Eastern time, often present similar tools and tips that are also covered in the Tip a Day blog but allow for audience questions & answers and networking with the presenters.
Capela’s recipe focused primarily on internal evaluation in a non-profit or government settings where people are seeking realistic answers in response to your assessment efforts. His tips include:
- Value People’s Time – all time is valuable, regardless of who you are working with, and clear communication on the intent of the evaluation helps to make the best use of everyone’s time.
- Ethical Conduct – working within the parameters of organization and/or professional association codes of conducts in addition to established support of upper level administration will help to minimize the potential for ethical dilemmas.
- Know Your Enemies – be aware of those who are resistant to program evaluation and may try to undermine these efforts, and also know that you as an evaluator may be perceived as an enemy by others. Again, clear communication helps!
- Culture of Accountability – take the time to know the story of those you are working with – where are they coming from? What is their history with previous assessments? Were their needs met, or were there issues that had negative effects on relationships and outcomes?
- Do Something – avoid cycles of conducting reviews, identifying deficiencies, and outcomes that only include developing correction plans. Also important to note is that program evaluation does not solve management problems.
- A Picture is Worth 1,000 Words – find ways to integrate charts that direct the reader to the most important information clearly and concisely.
- Let Go of Your Ego – working from a mindset that accepts the people conducting the program itself will most likely ‘get the credit’, and that your measure of success is doing your job to the best of your ability knowing you made a difference.
- Give Back – develop of network of trusted colleagues, such as through personal and organization connections on LinkedIn and other platforms, share ideas, and asking questions since others have probably encountered a similar situation or can connect you with those who have.
Hopefully you have found the information we at the Outreach Evaluation Resource Center (OERC) have freely available for you in our updated Evaluation Guides helpful as an additional source of ideas, strategies, and worksheets to include in your evaluation recipe collection!
The National Network of Libraries of Medicine Outreach Evaluation Resource Center (OERC) offers a range of webinars and workshops upon request by network members and coordinators from the various regions. Take a look at the list and see if one of the options appeals to you. To request a workshop or webinar, contact Susan Barnes.
The workshops were designed as face-to-face learning opportunities but we can tailor them to meet distance learning needs by distilling them to briefer webinars or offering them in series of 1-hour webinars.
Don’t see what you’re looking for on this list? Then please contact Susan and let her know!
We’re looking forward to hearing from you.
Exhibiting is a popular strategy for health information resource promotion, but exhibits can be challenging events to evaluate. Survey platforms for tablets and mobile phones can make it a little bit easier to collect feedback at your booths. At the OERC, we have explored QuickTapSurvey, which seems well-suited to getting point-of-contact responses from visitors. The application allows you to create short, touch-screen questionnaires on Apple or Android tablets. You simply hand the tablet to visitors for their quick replies. The same questionnaire can be put on multiple tablets, so you and your colleagues can collect responses simultaneously during an exhibit.
When you have an Internet connection, responses are automatically uploaded into your online QuickTapSurvey account. When no connection is available, data are stored on the tablet and uploaded later. You can use QuickTapSurvey’s analytics to summarize responses with statistics and graphs. You also can download the data into a spreadsheet to analyze in Excel.
QuickTapSurvey is a commercial product, but there is a limited free version. The application is fairly user friendly, but we recommend experimenting with it before you take it on the road. Information about QuickTapSurvey, including the different pricing packages that are available, can be found here: http://quicktapsurvey.com/