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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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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909