Diabetes Self Care Program (7 steps to success)
1.7 Evaluation
Evaluation can be formative or summative. Formative evaluation focuses on the processes of a program eg to find out if improvements or adjustments are needed to achieve the educational outcomes. Evaluating processes is a way of monitoring the implementation of the program. The summative evaluation is focused on assessing what outcomes have been achieved from the program eg long term effects of a program.
The first phase for evaluating this program will use a formative approach as this will inform further adjustments/improvements to the education program.
Formative evaluation
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1. Service capacity measures
- total occasions of service for DSCP
- number of referrals to DSCP versus prevalence of DM2 for a given geographical area
- number of referrals to DSCP of newly diagnosed DM2 versus incidence of DM2 for region
- number of people referred versus the number attending the introductory module
- number people attending the introductory module versus numbers attending further modules (none, some, all)
- number of people who actually attended versus number booked in
- number referred to other health service providers
These can be used at the end of each session to get a general feel for how the clients and the presenter felt after the session. Click on the link for an example of a consumer satisfaction survey and a health professional survey.
This framework can then guide discussion between the diabetes educator and the observer. A written summary about any ‘action taken’ is also recommended.
Summative evaluation (to be completed post formative evaluation stage)
The report Outcomes and Indicators for Diabetes Education – A National Consensus Position (Outcomes and Indicators Framework 2007) provides a framework for the design and evaluation of diabetes education programs. Some of the outcomes related to diabetes education from this report were identified as:
- Knowledge / understanding (including the application of knowledge)
- Self management
- Self determination
- Psychological adjustment
- Clinical outcomes
Some of the tools that can be used pre and post education to assess outcomes are listed below.
- Diabetes Knowledge Questionnaire
- Summary of Diabetes Self-Care Activities (SDSCA)
- Diabetes Empowerment Scale from the University of Michigan
- Problems Areas in Diabetes (PAID) questionnaire
If you would like access further information about these tools please contact Diabetes Outreach either via email of phone.
