Comparison of the pre-post and transition question assessments in a health education setting

Jordan, Joanne E., Haynes, Kerry, Livingston, Jennifer A. and Osborne, Richard H. 2009, Comparison of the pre-post and transition question assessments in a health education setting, Journal of clinical epidemiology, vol. 62, no. 6, pp. 642-649.

Attached Files
Name Description MIMEType Size Downloads

Title Comparison of the pre-post and transition question assessments in a health education setting
Author(s) Jordan, Joanne E.
Haynes, Kerry
Livingston, Jennifer A.
Osborne, Richard H.
Journal name Journal of clinical epidemiology
Volume number 62
Issue number 6
Start page 642
End page 649
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2009-06
ISSN 0895-4356
1878-5921
Keyword(s) pre–post assessment
transition question
response shift
chronic disease
self-management
patient-reported outcomes
Summary Objective : This study examined the classical pre-intervention/post-intervention assessment (pre–post) and the single post-intervention transition question assessment (transition question) to determine how well these methods reflected qualitative interview–based participant-reported outcomes from chronic disease self-management education programs (CDSMEPs).

Study Design and Setting :
A mixed-method qualitative and quantitative approach was applied in 25 interviews with participants recruited from CDSMEPs within Australia. Qualitative interviews with participants were used as a relative “gold standard” and compared with questionnaire-based pre–post and transition question assessments.

Results : Comparison of the two questionnaire-based assessments showed that most of the individual paired responses were discordant (61%). Using participant's qualitative narratives as a “true” indicator, the pre–post assessment was found on more occasions to be discordant with participant-reported outcomes than the transition question. The origin of the inconsistency was largely because of a change in respondents' perspective that had occurred after pretest, which was mediated by CDSMEPs' experiences and insights.

Conclusion : This study suggests that the pre–post assessment has poor validity for the assessment of health education program outcomes. Alternative assessments, such as the transition question, may result in a more accurate reflection of the impact of such programs on participants.
Language eng
Field of Research 110322 Rheumatology and Arthritis
Socio Economic Objective 920204 Evaluation of Health Outcomes
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2009, Elsevier Inc.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30022876

Document type: Journal Article
Collection: Public Health Research, Evaluation, and Policy Cluster
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in TR Web of Science
Scopus Citation Count Cited 3 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 386 Abstract Views, 1 File Downloads  -  Detailed Statistics
Created: Wed, 03 Feb 2010, 13:47:40 EST by Sally Morrigan

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.