Methodologic problems in the evaluation of self-management programs.
Two conceptions of program evaluation, namely, evaluation-as-proof and evaluation-as-improvement, are considered. Evaluation for purposes of program improvement of health-related programs is recommended. Recent advances in assessment of program outcomes, particularly criterion-referenced measurement, are described. Recommendations are also offered regarding treatment definition, data-gathering designs, cost analysis, and the collaborative conduct of health-related evaluations.
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