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MCHES Eighth Edition
The health education specialist has limited resources for program evaluation but wishes to place
different variables into the intervention to see change over time as well as to eliminate any program
activities that do not positively impact program objectives. The best evaluation design to use in this case
is:



a. pre- and post-single-group design.

b. interrupted time series design with a single group.

c. post-test only single group design

d. pre-test only single group design. - ANS b. interrupted time series design with a single group.



A foodborne outbreak has caused the closing of three local restaurants so that epidemiologists and food
safety staff can identify the outbreak source. Health education specialists and communication specialists
plan to use earned media and social media to educate local community members about the outbreak.
What should the health education specialists and communication specialists do first?

a. Identify the audience.

b. Pick a theory or model to use.

c. Check available funds.

d. Find partners to help. - ANS a. Identify the audience.



A health education specialist wants to be sure that participants in an 8-week healthy eating program
have acquired the fundamental cooking skills prior to the end of the sessions. Which one of the
following evaluations would the health education specialist implement to assess skills acquisition?



a. Impact

b. Outcome

c. Process

,d. Formative - ANS a. Impact



A health education specialist from the local health department has been invited to participate in a
statewide cancer control consortium. The role that the health education specialist is likely to fulfil is as
the:



a. patient regulator.

b. primary care expert.

c. community developer.

d. subject matter expert. - ANS d. subject matter expert.



To design the health communication messages and select appropriate media for a health education
strategy, the health education specialist must understand the priorities and influences of the audience.
Therefore, the health education specialist should first conduct an audience:



a. influence technique.

b. analysis.

c. ideation procedure.

d. synthesis. - ANS b. analysis.



A health education specialist is using Social Cognitive Theory to plan a community wide program to
prevent alcohol use among middle school aged youth. One aspect of the program includes a curriculum
designed to help youth resist peer pressure to drink. To increase self-efficacy to resist peer pressure, the
curriculum should include:



a. activities that allow practice of skills.

b. trained peer leaders elected by middle school youth.

c. activities that reinforce the negative consequence of alcohol use.

,d. small prizes for completing all homework assignments. - ANS a. activities that allow practice of skills.



In the informational training related to an adolescent health literacy pilot program, the attendees, all of
whom are classroom teachers, state that instead of having a single facilitator come into their classroom
to deliver the curriculum, they prefer to deliver it themselves. They make their case to the trainer,
stating they are classroom teachers and, as such, know how to deliver curriculum. Which of the
following concepts does the trainer use to explain why this health education curriculum is being
implemented with a single facilitator?



a. Validity

b. Reliability

c. Evaluation

d. Fidelity - ANS d. Fidelity



The health education specialist called the state legislator to specifically ask about that legislator's
support for HR 66, a bill that permanently funds the Children's Health Insurance Program (CHIP) and
related programs that are used to support the development of child health quality measures and
outreach and enrollment efforts. Which of the following terms describe this activity?



a. Direct advocacy

b. Education advocacy

c. Lobbying

d. Indirect advocacy - ANS c. Lobbying



A large group of tourists traveled on a cruise ship and developed an acute, flu-like illness. The suspected
cause of the illness was associated with the trip on the cruise ship. Health authorities need to know the
number of all passengers who became ill as well as those who traveled on the cruise ship. Which rate
should the health education specialist calculate to provide information to health authorities?



a. Prevalence rate

, b. Fatality rate

c. Attack rate

d. Mortality rate - ANS c. Attack rate



A survey is conducted to assess community members' opinions on tobacco-free local parks. The health
education specialist selects a random sample of community members from each of the four park
districts. This sample plan is called:



a. simple random.

b. stratified random.

c. cluster.

d. snowball. - ANS b. stratified random.



A health education specialist wants to attend a school board meeting to discuss safety issues in the
school. Though multiple forms of data will be used, which of the following will cause a more emotional
reaction to evidence that an intervention is necessary?



a. Photovoice or story-telling from the students' point of view

b. National data from the CDC compared to state data regarding safety

c. Data presented from a survey of high school seniors

d. GIS data of the community - ANS a. Photovoice or story-telling from the students' point of view



If, in an evaluation question, a person is asked about an abstract concept, the concept seems hard to
measure, and little credible data have previously been found, which of the following methods would be
most helpful to use?



a. Qualitative

b. Quantitative

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