HLTH 416_ Assignment 3

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Queens University *

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416

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Health Science

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Apr 3, 2024

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docx

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1 HLTH 416 Assignment 3 - Program Design and Evaluation The purpose of this plan is to evaluate the implementation of a community-based program in Kingston that aims to enhance the quality of life of new mothers through health education, physical activity, time outdoors, and socialization. By evaluating this program, the hope is to improve its overall quality and further improve the lives of new mothers. 1a) The health promotion (HP) team will recruit participants for the weekly walking program via a Kingston Mom Facebook page. The new mothers and HP team will meet at the Kingston Waterfront Trail once a week on Sundays at 11 a.m. to engage in a 60-minute walk. This program is scheduled to last six months (April-October 2024) but can be extended if women enjoy and benefit from it. On this walk, through conversation, the HP team will deliver evidence- based health education to the new mothers, covering topics such as physical activity and social support. Further, the new mothers will have the opportunity to converse with other mothers with similar challenges and experiences. Ideal participation engagement involves, a consistent number of mothers participating each week, walking in a cohesive group, posing thoughtful questions to the HP team and engaging in conversation with other mothers. 1b) The health education sessions will be delivered in person by the HP team at the Kingston Frontenac Public Library. The sessions will be on the first Wednesday of each month at 6 pm, for 45 minutes. Sessions will include collaborative components to engage new mothers and their partner(s), including information and tips about sleeping with a newborn, exercise, nutrition, and the 24-Hour Movement Guidelines. The Social Cognitive Theory will provide a foundation for the information provided. Additionally, there is an option to join on Zoom for those who can not attend in person. This program is scheduled for 6 months but can be extended upon demand.

2 Ideal participation will involve mothers and partner(s) participating in the activities, asking questions and conversing with the HP team and other mothers throughout the sessions. 1c) In their walking group and education sessions, the HP team will provide mothers with information about sidewalk safety. Then, the HP will ask the mothers and their partners to sign a petition about making sidewalks safer for new mothers. The petition will be available during each weekly walk and at the monthly education sessions. When the HP team receives at least 40 signatures, they will take the petition to the City Council at Kingston City Hall to advocate for safer sidewalks. The aim is to receive at least 40 signatures within two months. With a shorter timeline, it is intended that the mothers will benefit from the sidewalk improvements during their weekly walks. To achieve this goal, ideal participation will include new mothers signing the petition, getting others to sign it and spreading awareness about the issue of sidewalk safety. 3) The findings of the process evaluation can be used by the intervention staff to assess what is working in the program and what may need improvement. Specifically, the results give insight into the richness of the program and help us to understand how the program is supposed to work. Based on the plan, the team can evaluate why or why it was not successful based on the degree to which the program plan was followed. Using this information, the team will deduce areas where the program quality could be improved to maximize the intended influence in the target population. If the evaluation yields that the program was successful, the team can use this information to make decisions about program continuation or generalizability of the program in different populations. All of this information will be of interest to the stakeholders of the program. Importantly, conducting a process evaluation will ensure that type II error, referring to the conclusion that the program is ineffective when in reality it was the implementation that was inadequate, is avoided.

3 Individual-level intervention activity description 2a) Weekly Neighbourhood Walking Club for New Mothers Process evaluation component Evaluation Questions Data Source Specific Data collection methods, procedures, and timing Fidelity To what extent is the intervention plan rooted in scientific evidence? Was the information implemented as planned? Program intervention team and evaluation team staff. Formative: Provide staff with feedback each week about what works and what can be improved. Dose delivered (completeness) How many neighbourhood walks were implemented by the HP team? Program intervention team. Summative: Keep a record of each neighbourhood walk implemented over the six months. Dose received (exposure) To what extent were the new mothers engaged in the activities and information provided? New Mothers and staff from our team Formative: Monitor engagement at each weekly walk. Report the number of questions asked, walking patterns, conversation, etc. Dose received (satisfaction) Did the new mothers enjoy the neighbourhood walks? Did they find the information helpful? New Mothers Formative: Surveys sent out weekly by email for feedback Summative: Surveys sent out at the end of the 6 months to determine mothers’ satisfaction and the impact of the walks on their health. Reach Were the weekly walks delivered to at least 60% of new mothers in Kingston? New Mothers Formative: Record attendance at each weekly walk Summative: Compare attendance rates across all weeks in a report at the end of the six months

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