A framework for evaluating community-based rehabilitation programmes in Chinese communities

Chung, Eva Yin-han; Packer, Tanya; Yau, Matthew K.

doi:10.3109/09638288.2010.541545

Cited by 15 publications

(10 citation statements)

References 27 publications

(40 reference statements)

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“…Thomas [15] suggested that the desirable outcomes proposed in the CBR Guidelines for each element of the CBR matrix should be used to guide the choice of outcomes and indicators in CBR evaluations. Wirz and Thomas [27] believe that a bank of ready-to-use indicators derived from classification systems is needed while others argue that it is best to create a framework and indicators that meet the specific needs of the program to be evaluated [19,20]. …”

Section: Resultsmentioning

confidence: 99%

“…Most authors agree that it is usually best to use more than one method to enable triangulation [2,6,18,20,22,26]. The findings highlight that traditional qualitative methodologies have been used extensively in CBR evaluations [29], but some authors argue that mixed methods and quantitative methodologies have more potential to contribute to demonstrating the effectiveness of CBR programs [13,18,27].…”

Section: Resultsmentioning

confidence: 99%

“…The authors of three articles suggest that CBR needs a common framework from which to derive outcomes for evaluations [15,27,28] while two other groups propose that a localized framework would be better suited to a bottom-up approach like CBR [19,20]. We propose that evaluators need to join forces towards a common framework enabling the combination of findings in the quest for evidence for CBR effectiveness, but that this framework must be clearly defined, comprehensive, and flexible to enable local adaptability.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review on how to conduct evaluations in community-based rehabilitation

Grandisson

Hébert

Thibeault

2013

Disability and Rehabilitation

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PurposeCommunity-based rehabilitation (CBR) must prove that it is making a significant difference for people with disabilities in low- and middle-income countries. Yet, evaluation is not a common practice and the evidence for its effectiveness is fragmented and largely insufficient. The objective of this article was to review the literature on best practices in program evaluation in CBR in relation to the evaluative process, the frameworks, and the methods of data collection.MethodA systematic search was conducted on five rehabilitation databases and the World Health Organization website with keywords associated with CBR and program evaluation. Two independent researchers selected the articles.ResultsTwenty-two documents were included. The results suggest that (1) the evaluative process needs to be conducted in close collaboration with the local community, including people with disabilities, and to be followed by sharing the findings and taking actions, (2) many frameworks have been proposed to evaluate CBR but no agreement has been reached, and (3) qualitative methodologies have dominated the scene in CBR so far, but their combination with quantitative methods has a lot of potential to better capture the effectiveness of this strategy.ConclusionsIn order to facilitate and improve evaluations in CBR, there is an urgent need to agree on a common framework, such as the CBR matrix, and to develop best practice guidelines based on the literature available and consensus among a group of experts. These will need to demonstrate a good balance between community development and standards for effective evaluations.Implications for RehabilitationIn the quest for evidence of the effectiveness of community-based rehabilitation (CBR), a shared program evaluation framework would better enable the combination of findings from different studies.The evaluation of CBR programs should always include sharing findings and taking action for the sake of the local community.Although qualitative methodologies have dominated the scene in CBR and remain highly relevant, there is also a call for the inclusion of quantitative indicators in order to capture the progress made by people participating in CBR programs.The production of best practice guidelines for evaluation in CBR could foster accountable and empowering program evaluations that are congruent with the principles at the heart of CBR and the standards for effective evaluations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A systematic review on how to conduct evaluations in community-based rehabilitation

Grandisson

Hébert

Thibeault

2013

Disability and Rehabilitation

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“…The CBR Guidelines and the corresponding desirable outcomes were selected as a framework for the proposed CBR indicators as they encompass a unified understanding of CBR concepts in line with the CRPD[9,25]. Though a global set was previously suggested[13,26], there is some disagreement as to whether a global set of indicators, even when based on the CBR Guidelines and the corresponding matrix, can cover the cultural and methodological diversity of CBR[18,19]. To account for this, the CBR indicators proposed here take advantage of the several elements of each CBR Matrix component and use them to offer a possibility of customizing data collection.…”

Section: Discussionmentioning

confidence: 99%

“…Previous CBR indicators, however, tend to describe practices and stakeholder perceptions, rather than asses the changes brought by these practices[13]. Furthermore, they tend to target specific CBR activities or are tailored for a specific region[14,18,19]. Indicators suitable to monitor CBR across communities and countries need to be generic in that they can be used to monitor CBR independent of the specific objectives and activities of individual CBR programs.…”

Section: Introductionmentioning

confidence: 99%

Development of indicators for monitoring Community-Based Rehabilitation

et al. 2017

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BackgroundCommunity-Based Rehabilitation (CBR) is a multi-sectoral approach working to equalize opportunities and include people with disability in all aspects of community life. Reliable and internationally comparable data needed to monitor and evaluate CBR are scarce, partially due to the absence of standardized indicators. The objective of this manuscript is to describe the collaborative development process which led to the World Health Organization's (WHO) recently launched set of standardized CBR outcome indicators.MethodsThe WHO's CBR Guidelines recognize CBR as a comprehensive and multi-sectoral strategy, and were therefore used as the starting point for the development of the indicators, in a consensus process involving WHO and International Disability and Development Consortium. Pilot implementations in Guatemala, Egypt and China using a specifically developed mobile phone application to collect data, and an online expert survey were completed to assess validity and feasibility of the indicators and their corresponding questions.ResultsThe indicator set includes 13 Base Indicators which are broad enough to capture the situation of people with disability in settings where CBR is carried out, independently of the specific CBR activities carried out in a community; and 27 Supplementary Indicators that provide more specific coverage and can be selected based on the specific goals of a CBR program.ConclusionThe indicators were suitable to assess differences in health, education, social life, livelihood and empowerment between people with disability and other community members. This comparability provides valuable information to CBR managers, donors and government agencies, to guide decision making, support advocacy and improve accountability. The CBR indicators will support WHO and its member states in their efforts towards strengthening CBR, by generating evidence on its effectiveness.

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Rehabilitación basada en la comunidad (rbc): reflexiones, dificultades y controversias

Díaz-Aristizabal

2013

Rehabilitación

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A framework for evaluating community-based rehabilitation programmes in Chinese communities

Abstract: A comprehensive CBR evaluation framework was built and initially verified with domains, elements and indicators, and is ready for use in Chinese CBR settings.

Cited by 15 publications

References 27 publications

A systematic review on how to conduct evaluations in community-based rehabilitation

A systematic review on how to conduct evaluations in community-based rehabilitation

Development of indicators for monitoring Community-Based Rehabilitation

Rehabilitación basada en la comunidad (rbc): reflexiones, dificultades y controversias

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