Evaluation and measurement: some dilemmas for health education

L.W. Green

American Journal of Public Health, 1977, vol. 67, issue 2, 155-161

Abstract: Seven dilemmas of evaluation and measurement posed by the nature of health education are presented, together with suggestions for their resolution. These include the dilemmas of: 1) rigor or experimental design vs significance or program adaptability; 2) internal validity or 'true' effectiveness vs external validity or feasibility; 3) experimental vs placebo effects; 4) effectiveness vs economy of scale; 5) risk vs payoff; 6) measurement of long term vs short term outcomes; and 7) threshold vs diminishing return levels of expenditure on health education. Emphasis is placed on the need to develop a more cumulative data base through standardization of measures, replication of experiments in different settings, and better documentation, reporting, and diffusion of experiences in practice.

Date: 1977
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1977:67:2:155-161_3

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