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5. Evaluate the impact of implemented self-care strategies

5
Evaluate the impact of implemented self-care strategies

  • Develop impact indicators
  • Consider qualitative evaluation
  • Evaluate continuously and adapt your strategy in consequence

Evaluation activities are ideally integrated into the change process from the beginning.

Establish concrete goals against which to measure progress of the implementation. Goals should be ambitious but attainable and very concrete. For example: “Reducing the number of unnecessary GP consults for minor conditions” is not concrete enough, formulating it as “Reducing the number of unnecessary GP consults for minor conditions by 10% in a year” will help to evaluate the progress of the strategy.

5.1. Develop impact indicators

  • Develop indicators for all levels of implementation:
    • Micro level: evaluate attitudes of professionals and patients, level of knowledge, use of information materials.
      1. Number of performed training sessions for patients/year.
      2. Number of patients attending training sessions.
      3. Number of training sessions for professionals.
      4. Number of professionals who have attended and % of those who should attend.
      5. Incidence rate of ITU
      6. Incidence of recurrent rate of ITU
    • Meso level: evaluate the use of health services, the degree of implementation of the intervention(s)
      1. Level of knowledge of acquired information by patients (survey).
      2. Acquired skills by professionals in communication (specific question in survey patient).
      3. Incidence rate of ITU
      4. Incidence of recurrent rate of ITU
    • Macro: evaluate costs, overall use of the developed self-care resources
      1. Number of website visits of education program.
  • Consider the inclusion of indicators of structure, process and outcomes.

5.2. Consider qualitative evaluation (both by patients/general public and professionals).

  • Qualitative techniques might be particularly useful to detect the acceptability of an intervention, identification of barriers and facilitators of the new intervention for example, interviews with GP that have been educated in communication skills to determine the applicability of the acquired knowledge.

5.3. Evaluate continuously and adapt your strategy in consequence.

Annually assessing results of the indicators and qualitative evaluation, and redesign or abandon unproductive strategies, especially those providing a lower cost/benefit ratio.