Participatory evaluation of a noncommunicable chronic disease prevention and treatment program

ABSTRACT This work concerns the evaluation of a program for the prevention and treatment of Chronic Non-Communicable Diseases (NCD) offered to the community assisted by a public university by means of its outpatient health facility. The evaluation process sought to apprehend the dynamics and to understand the form of interaction between the actors involved in the daily routine of the Program grounded on the understanding of its interest groups, composed of staff, users, managers and referral professionals. A qualitative, participatory and formative research was conducted to broaden the Program possibilities of improvement by the stakeholders based on elements derived from their experience. Guba’ and Lincoln’ Fourth Generation Evaluation and Paideia’ Method of Campos guided the research methodology. The empirical material analysis was grouped into three thematic clusters: working method, team, and program management. It was revealed that a reflective listening by professionals is a deciding factor to extend the autonomy of users and their therapeutic adherence; that the gathering of educational groups in the work premises favored the participation of users and their capture for treatment, especially as for males; and that the group meetings allow for various objective and subjective gains, such as social interaction among people from different areas of the University.

摘要 本研究针对某公立大学依托其门诊医疗机构向帮扶社区提供的慢性非传染性疾病（Chronic Non-Communicable Diseases，NCD）防控项目开展评估。本次评估旨在把握项目运行动态，厘清项目日常运转中各参与主体的互动模式，评估工作以项目的利益相关群体为核心认知基础，该群体涵盖工作人员、服务对象、管理人员及转诊专业人员。本研究采用质性、参与式及形成性研究方法，基于利益相关方的实践经验提炼相关要素，以拓展项目的优化空间。本研究方法以古巴（Guba）与林肯（Lincoln）提出的第四代评估法，以及坎波斯（Campos）的Paideia方法为指导框架。实证资料分析被归纳为三大主题集群：工作方法、团队建设与项目管理。研究结果显示：专业人员的反思性倾听是提升服务对象自主权与治疗依从性的关键因素；在工作场所开展教育小组活动，有助于提升服务对象的参与度并吸引其参与治疗，尤其对男性群体效果显著；小组会议可带来多方面客观与主观收益，例如来自大学不同部门的人员之间的社会互动。