MCHES: 1- Needs Assessment (Questions With
Solutions)
Six Step Process for Conducting Needs Assessment Right Ans - 1. determine
the scope of work
2. gather the data
3.analyze the data
4. identify any factors linked to the health problem
5. identify the focus for the program
6. validate the need before continuing with the planning process
Five levels of influence Right Ans - Behavioral, organizational, cultural,
community, policy and env
Five Models for Conducting Needs Assessment - issel 2013 Right Ans - 1.
Epi Model- focus on epi data (death, prevalence, birth)
2. Public Health Model - attempts to quantify the problem and use epi data.
However, more focus on specific pop - mindful of limitations/use p&p
planning model
3. Social model - social/political issues that influence health
4. Asset model - strengths of community organization/pop & how to use
existing assets to improve health
5. Rapid model - used when time/money lacking - offers basic info/lacking
detail
Needs Assessment Models Right Ans - PRECEDE-PROCEED: specific
order/info
MAPP: community driven
Intervention Mapping Approach: 1. create matrix of proximal program objs. 2.
select theory based intervention methods/strategies. 3. Design and organize a
program. 4. Specify adoption/implementation plans. 5. Gather program eval
plans
(Review behavior change models)
Six Ethical Frameworks of Assessment Right Ans - Autonomy: Personal
right to self-determination
Criticality: Worst off benefit the most
Egalitarian: All person equal value/ minimize disparity
, Needs Based: Equal opportunity to meet own needs
Resource Sensitive: Resources are scarce
Utilitarian: Greatest good for the greatest number; the end justifies the means
Lit Review Process Right Ans - 1. Specific study aims
2. Set inclusion criteria
3. Design recruitment strategy
4. Screen potential partners (what meets criteria)
5. Decide on measures & design data collection protocol (what to code)
6. Select appropriate metric to represent strength of findings
7. Collect data 8. Analyze/display data 9. Draw conclusions
Primary Data Collection - Group Methods Right Ans - Nominal Group
Process: highly structured; few reps from priority pop (5-7 ppl) have equal
discussion/1 vote - privately rank ideas & share via round-robin - time
consuming/requires large space.
Delphi Panel: Generates consensus by a series of mailed/emailed surveys -
decision makers, staff, and program participants
Data Collection Phases Right Ans - -Data Collection and Instrument
Development (dev, test, revise, administer, select/prep data collectors)
-Data Analysis Plan (Data System Management - data entry, verification,
analysis, transfer)
-Findings or Results of Assessment (current results, gaps, existing strengths,
casual analysis)
-Written Reporting of Data
Design & Complete Survey Right Ans - 1. Plan the survey 2. Design Survey
3. Collect data 4. Plan data analysis 5. Draw sample 6. Construct questionnaire
7. Pretest quest 8. Revise quest 9. Administer survey 10. Prepare data (coding)
11. Verify (data tested for accuracy) 12. Enter data 13. Tabulate 14. Analyze
15. Recording/reporting
5 Levels of Influence of Health Behavior Right Ans - Individual (knowledge,
attitudes, beliefs)
Interpersonal (association w/ family, friends, and peers)
Institutional (rules, regs, policies)
Community (social networks/norms)
Public Policy (local, state, and federal policies/laws)
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