Program Planning and Evaluation in Public Health

This article discusses program planning and evaluation in public health, with a focus on breast cancer rehabilitation and physical activity interventions for breast cancer survivors. It includes an overview of the Ottawa Strategy, underlying theories, and evaluation methods used in recent studies.

Running head: PROGRAM PLANNING AND EVALUATION IN PUBLIC HEALTH
PROGRAM PLANNING AND EVALUATION IN PUBLIC HEALTH
Name of the Student
Name of the University
Author Note

1PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
1. Stout NL, Harrington SE, Pfalzer LA, Fisher MI. Breast Cancer Rehabilitation. Topics in
Geriatric Rehabilitation. 2015 Oct 1;31(4):258-72.
2. Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK. Taking the
next step: a systematic review and meta-analysis of physical activity and behavior change
interventions in recent post-treatment breast cancer survivors. Breast cancer research and
treatment. 2015 Jan 1;149(2):331-42.
3. Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of supervised
exercise on cancer-related fatigue in breast cancer survivors: a systematic review and
meta-analysis. BMC cancer. 2015 Dec;15(1):77.

2PROGRAM PLANNING AND EVALUATION IN PUBLIC HEALTH
Articl
e ID
Specific
strategy
Underly
ing
theory
Ottawa
charter
action
areas
Strategy
context (time,
place ,
environment,
resources)
Research
questions
or purpose
Evaluati
on type,
method,
measure
s and
results
Criticall
y
appraise
the
evaluatio
n
Applicabillity to
your project
(reproducible,
similar context
and target
group)
Level
evidence
1 Recent
models of
the breast
cancer care
models fail
to signify the
negative
impacts of
the treatment
of the
cancer.
The
underlyi
ng
theory is
to
provide
the
breast
cancer
patient a
proper
The
article
and the
strategy
follows
five
action
areas of
Ottawa
charter.
This
In the article
the main
focus is on the
bringing
awareness to
the adverse
effects of the
cancer
treatment that
can bring
impairment or
This article
aims to
provide a
comprehen
sive
overview
of the
evidence
supporting
the use of
various
There are
two
primary
measure
ment
tools:
1.
Patient’s
self-
report
measures,
Applicability of
this policy to the
breast cancer
patient will allow
the impairment
and disability
detection of the
patient. However
many patient does
not actively
submit the their
Levels:
policy fo
p44 guid
for the p
improveme
Which is P
and
participatio
the elabo
of the cl
guidelines

3PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
According to
the study a
proper
rehabilitation
model will
address all
the physical
function
from the
point of the
diagnosis of
the cancer.
In this article
scout and
colleagues
preoperative
examination
should carry
out in all the
patient with
breast cancer
prior to
physical
impairments,
other
model
intervent
ional
treatmen
t.
article
strategy
is
acting
on
buildin
g
healthy
public
policy.
The
policy
targets
early
cancer
patients
with
proper
rehabili
tation
to
fasten
the
treatme
nt of
disability of
the patient.
The journal
showed some
model based
structure to
ensure the
frequent
check up on
the patient in
order to
provide
accurate
analysis. The
method also
provide
activities and
involvement
plans. Many
tools and
measurements
are used in the
article to
evaluate an
accurate
clinical
measureme
nt tools for
the breast
cancer
population
and
highlights
the
implementa
tion of
rehabilitati
on
examinatio
n and
assessment
along the
continuum
of disease
treatment.
which
mainly
consist
general
informati
on about
patient’s
medical
backgrou
nd and
about the
part
which is
manly
effected.
2.
Objective
based
which
involves
impairme
nt based
or
performa
nce
participation for
the proper
evaluation.

4PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
exercise
habits of the
patient. The
tests should
establish a
baseline (6).
The
examination
should be
repeated
frequently.
The
education for
the exercises
should be
provided and
If functional
limitation
presented at
this time
rehabilitation
interventions
can be
initiated (3).
If there is no
their
breast
cancer.
The
environ
ment
given is
a home
based
environ
ment.
The
policy
involve
s
activitie
s and
particip
ation
among
the
patients
to
establis
h
measurements
. (1)
based.
Method:
Circumfe
rence
measure
ments,
water
displace
ment and
bioelectri
cal
impedanc
e are the
most
recomme
nder
methods
for the
assessme
nt.
Measure
:
Many
clinical
measure

5PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
impairment
present then
the
surveillance
should be
continued.
At each
follow up the
rehabilitation
provider
should have
information
about the
changing
pattern of the
treatment of
that
particular. If
the detection
of cancer is
early then
the changing
of the
medicine
should take
interper
sonal
interact
ion and
relation
ships.
ment
tools are
used to
use to
valid the
clinical
attempts
to
evaluate
the
impairme
nt or
disability.
Results:
Results
showed
that the
early
diagnosis
of any
kind of
impairme
nt in a
patient

6PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
place within
3 month.
can
reduce
the
morbidity
rate or
any kind
of
complexi
ty in the
patients
during
the
treatment
of the
cancer.
2. The
strategies
that are
expressed in
the literature
review are
the primary
intervention
strategies
and the other
The
theories
that are
mention
ed in the
article is
the
behavio
ur
theory,
The
relevant
OC
action
areas
that are
mentio
ned in
the
article:
The type of
articles that
are included:
Preferred
Reporting of
Systematic
Reviews and
Meta-
Analysis
(PRISMA)
. The
purpose of
this
systematic
review and
meta-
analysis is
to
rigorously
assess the
Methods:
The meta
analysis
that are
used in
the article
are if the
interventi
ons of the
physical
From the
systematic review
that
I learnt from the
article that the use
of several
researcher tools in
order to analyse
the data.
The limitations
It is level 1.

7PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
details which
includes
duration and
the theory
use. The
intervention
which are
included
consists of
behavioural
change
strategies.
Particularly
for this paper
intervention
after the post
treatment of
the breast
cancer is
described as
a set of
behavioural
strategies.
social
cognitiv
e theory.
Mostly
the
paper
focuses
in the
behavio
ural
theory
or the
intervent
ions that
are
perform
ed with
the
breast
cancer
survival
patients.
Healthy
public
policy
should
be
applied
to
rehabili
tate the
person
who
had a
breast
cancer.
The
support
ive
environ
ment
that is
used in
this
article
are the
home
guidelines,
PubMed
articles
(National
Library of
medicines),
CINAHL Plus
and the
PsycINFO.
effectivene
ss of PA
interventio
ns among
recent,
post-
treatment
BCS using
data from
experiment
al and
quasi-
experiment
al studies.
activity
(2). It
will
access
the
effective
ness of
the
physical
activity
interventi
ons.
Exercise
movemen
t
technique
s are also
used for
the
benefit
(5).
Measures
:
Meta-
analysis
were many in that
article:
The search
strategy published
in the peer review
journals and it is
expressed in
English only.

8PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
based
articles.
The
commu
nities
that are
taken
are the
local
church
and the
health
clubs.
The
persona
l skills
that are
develop
ed are
the
active
lifestyle
,
physica
l action
paramete
rs are
calculate
d with
the help
of metan
function
in Stata
13.0
software.
The
Lipsey
and
Wilson
method
and The
Hedge’s
g method
was
applied to
extract
the data.

9PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
patterns
and the
exercis
e habits
after
the
treatme
nt (4).
3. The main
objective of
the study is
to examine a
collective
data analysis
for the breast
cancer
patient under
supervision
to evaluate
the
interventions
on CRF
(Cancer
Related
Fatigue) of
The
theories
that are
mention
ed in the
article
mainly
focused
on the
reductio
n of the
CRF of
the
breast
cancer
patient
by doing
The OC
areas
that are
covered
in this
journal
are
buildin
g
healthy
public
policy
that can
help to
reduce
the
fatigues
The inclusion
of the articles
in this journal
included all
the systematic
review
articles and
meta journals
that follow the
PRISMA
guidelines.
All selected
articles are
from the
electronic
databases
such as
This study
aimed to
determine
the pooled
effects of
supervised
exercise
interventio
ns on CRF
in breast
cancer
survivors.
We
searched
PubMed/M
EDLINE,
EMBASE,
All the
journals
that are
included
in this
meta-
analysis
have used
the PICO
methodol
ogy that
will
follow
the
criteria of
Patient/Pr
oblem,
From the
systematic review
and meta-analysis
of the 9 journals I
have learned that
the supervised
exercise of the
patients suffering
with breast cancer
can help to reduce
the quantity of
fatigue among
them caused by
the treatment of
the cancer.
It is level 1.

10PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
the breast
cancer
patients. The
journal
searches
MEDLINE/
PUBMED,
CENTRAL,
CINAHL,
EMBASS
and Scopus
without any
restrictions
in language
(7).
exercise
s under
supervis
ion. The
cancer
related
fatigue
seems to
the most
common
disturbin
g
sympto
ms
among
the
breast
cancer
patient
during
therapeu
tic
treatmen
t.
Exercise
among
the
breast
cancer
patient.
Other
OC
areas
are
creating
support
ing
environ
ment
like
home
environ
ment
for the
patient
with
local
commu
nity
that can
PubMed/ME
DLINE,
CINAHL,
CENTRAL
and
EMBASS.
Scopus,
CENTRAL
and
CINAHL
databases
between
December
2013 and
January
2014
without
language
restrictions.
Interventi
on,
Comparis
on/Contr
ol and
Outcome
s/Effects.
The
journals
measures
the
outcomes
according
to the
depressio
n, body
mass
index
(BMI)
using the
tools
Function
al
Assessme
nt of

11PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
is
known
to be
most
effective
non-
pharmac
ological
therapeu
tic
treatmen
t that
can
reduce
the CRF
accordin
g to the
journal.
provide
comfort
to the
patients
.
Cancer
Therapy
(FACT)
to
measure
the
fatigue
level (7).
9 studies
that were
included
in this
journal
for
systemati
c review
and meta-
analysis
showed a
mean
PEDro
score
of^.33
(SD=1.1)
. The

12PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
results
shows
data in
favour of
the
supervise
d
exercise
to reduce
CRF
among
the breast
cancer
patient.

13PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
References
1. Baumann FT, Bieck O, Oberste M, Kuhn R, Schmitt J, Wentrock S, Zopf E, Bloch W,
Schüle K, Reuss-Borst M. Sustainable impact of an individualized exercise program
on physical activity level and fatigue syndrome on breast cancer patients in two
German rehabilitation centers. Supportive Care in Cancer. 2017 Apr 1;25(4):1047-54.
2. Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, Alter DA.
Sedentary time and its association with risk for disease incidence, mortality, and
hospitalization in adults: a systematic review and meta-analysis. Annals of internal
medicine. 2015 Jan 20;162(2):123-32.
3. Bluethmann SM, Vernon SW, Gabriel KP, Murphy CC, Bartholomew LK. Taking the
next step: a systematic review and meta-analysis of physical activity and behavior
change interventions in recent post-treatment breast cancer survivors. Breast cancer
research and treatment. 2015 Jan 1;149(2):331-42.
4. DiSipio T, Rye S, Newman B, Hayes S. Incidence of unilateral arm lymphoedema
after breast cancer: a systematic review and meta-analysis. The lancet oncology. 2013
May 1;14(6):500-15.
5. Goyal, M., Singh, S., Sibinga, E.M., Gould, N.F., Rowland-Seymour, A., Sharma, R.,
Berger, Z., Sleicher, D., Maron, D.D., Shihab, H.M. and Ranasinghe, P.D., 2014.
Meditation programs for psychological stress and well-being: a systematic review and
meta-analysis. JAMA internal medicine, 174(3), pp.357-368.
6. Loh SY, Musa AN. Methods to improve rehabilitation of patients following breast
cancer surgery: a review of systematic reviews. Breast Cancer: Targets and Therapy.
2015;7:81.

14PROGRAMME PLANNING AND EVALUATIION IN PUBLIC HEALTH.
7. Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of supervised
exercise on cancer-related fatigue in breast cancer survivors: a systematic review and
meta-analysis. BMC cancer. 2015 Dec;15(1):77.
8. Pinto, B.M., Papandonatos, G.D. and Goldstein, M.G., 2013. A randomized trial to
promote physical activity among breast cancer patients. Health Psychology, 32(6),
p.616.
9. Stout NL, Harrington SE, Pfalzer LA, Fisher MI. Breast Cancer Rehabilitation.
Topics in Geriatric Rehabilitation. 2015 Oct 1;31(4):258-72.