Lynda Rey

Spring

Les défis de l’évaluation développementale en recherche: une analyse d’implantation d’un projet «Hôpital promoteur de santé»

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Pages:
1-26

Developmental evaluation (DE), an approach developed by Patton to support the implementation of innovations, remains relatively untested in research. This article describes an attempt to apply DE as part of an implementation study of a healthpromoting hospital project in a university hospital. The article highlights the dichotomous demands of academic research and evaluation use inherent in applying DE from a research perspective, and analyzes the challenges encountered in this case. The conclusion is that DE can be used in research, provided that preliminary context analysis is done to anticipate the challenges related to integrating the demands of research and evaluation use.

Special Issue

Guest Editors' Remarks: How Does Complexity Impact Evaluation? / Un mot des rédacteurs invités : En quoi la complexité a-t-elle des répercussions sur l’évaluation?

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Pages:
v-xx

Évaluer une intervention complexe : enjeux conceptuels, méthodologiques, et opérationnels

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Pages:
1-16

Theoretically, evaluation should help decision-makers address contemporary health system challenges. Paradoxically, the use of evaluation results by decision-makers remains poor, despite rapid development in the evaluation field. The level of use depends on the evaluator's ability to account for the complexity of health-care systems. The complex nature of an intervention often compels evaluators to adopt unconventional approaches to account for the roles of the players. The evaluation of a complex intervention raises conceptual, methodological, and operational challenges the evaluation has to overcome to increase the level of use of its findings by decision-makers.

Logic Analysis: Testing Program Theory to Better Evaluat e Complex Interventions

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Pages:
61-89

Evaluating complex interventions requires an understanding of the program's logic of action. Logic analysis, a specific type of program theory evaluation based on scientific knowledge, can help identify either the critical conditions for achieving desired outcomes or alternative interventions for that purpose. In this article, we outline the principles of logic analysis and its roots. We then illustrate its use with an actual evaluation case. Finally, we discuss the advantages of conducting logic analysis prior to other types of evaluations. This article will provide evaluators with both theoretical and practical information to help them in conceptualizing their evaluations.

Discussion: Practice-Based Evaluation as a Response to Adress Intervention Complexity

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Pages:
105-113