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The complexity of the discussion on effectiveness and evidence in health promotion practices

Department of Social Sciences, ENSP/FIOCRUZ, Brazil, bodstein{at}ensp.fiocruz.br

This article discusses an evaluation framework based on an understanding of the constitutive elements and multi-strategic characteristics of health promotion (HP) programs. Health promotion presents an ongoing challenge for traditional evaluation frameworks (Rootman et al., 2001; Potvin, 2006; Barnes et al., 2003) when it redefines its actions as empowerment, community participation, local development, health literacy and intersectorial activities for the purpose of reducing inequalities for individuals, organizations, and public policies (Kickbush, 1994). This challenge also applies to the discussion on effectiveness of HP practice; what is at stake is the knowledge about how health promotion actions generate changes and outcomes. In short, this article proposes to discuss this redefined HP perspective and identify its usefulness in terms of the debate on effectiveness and evidence of HP in Brazil. (Promotion & Education, 2007, Supplement (1): pp 16-20)

Key Words: health programs • effectiveness • evidence • program evaluation

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Promotion & Education, Vol. 14, No. 1 suppl, 16-20 (2007)
DOI: 10.1177/10253823070140010401x


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Bodstein, R. Search for Related Content PubMed PubMed Citation Articles by Bodstein, R. Social Bookmarking                         What's this?