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Healthy Skepticism Library item: 7432

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Gyurcsik NC, Brittain DR.
Partial examination of the public health impact of the People with Arthritis Can Exercise (PACE) program: reach, adoption, and maintenance.
Public Health Nurs 2006 Nov-Dec; 23:(6):516-22
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1525-1446.2006.00591.x


Abstract:

OBJECTIVE: To partially evaluate the public health impact (i.e., reach, adoption, maintenance) of People with Arthritis Can Exercise (PACE) programs, which were initiated as a result of two PACE instructor-training workshops.

DESIGN: The study design involved a one-time only, cross-sectional assessment of reach, adoption, and maintenance, conducted 6 months after the workshops. Sample: Participants were 11 adults (n(females)=10) trained to be PACE instructors at one of the workshops.

MEASUREMENTS: One-on-one phone interviews, developed using the RE-AIM framework, assessed reach, adoption, and maintenance.

RESULTS: Eight of the 11 individuals trained as instructors subsequently began PACE in one of 10 organizations across various communities, indicating high program adoption. However, on average, only 7 individuals with arthritis participated in each PACE program, indicating a low program reach. Within 6 months of beginning PACE, only 3 organizations continued to offer PACE, indicating low program maintenance. Two primary challenges to initiating PACE included recruiting a sufficient number of people to participate in the program and in finding a convenient time to offer it so more individuals could join.

CONCLUSION: The public health impact, as assessed by reach, adoption, and maintenance, of PACE programs initiated as a result of 2 instructor-training workshops was low.

Keywords:
Publication Types: Evaluation Studies Research Support, Non-U.S. Gov't MeSH Terms: Advertising/methods Arthritis/psychology Arthritis/rehabilitation* Attitude of Health Personnel* Community-Institutional Relations Cross-Sectional Studies Exercise Therapy/organization & administration* Health Promotion/organization & administration* Health Services Needs and Demand* Humans Kansas Marketing of Health Services/organization & administration Nurse's Role Nursing Methodology Research Patient Acceptance of Health Care/psychology Patient Acceptance of Health Care/statistics & numerical data Patient Education/organization & administration* Patient Selection Program Development Program Evaluation Public Health Public Health Nursing/organization & administration Questionnaires Time Factors

 

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As an advertising man, I can assure you that advertising which does not work does not continue to run. If experience did not show beyond doubt that the great majority of doctors are splendidly responsive to current [prescription drug] advertising, new techniques would be devised in short order. And if, indeed, candor, accuracy, scientific completeness, and a permanent ban on cartoons came to be essential for the successful promotion of [prescription] drugs, advertising would have no choice but to comply.
- Pierre R. Garai (advertising executive) 1963