2000
DOI: 10.1177/109019810002700610
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Assessing Community Change at Multiple Levels: The Genesis of an Evaluation Framework for the California Healthy Cities Project

Abstract: More than 40 cities have participated in the California Healthy Cities Project since its inception in 1988. Because Healthy Cities efforts are community driven, these cities address diverse health and social issues using a wide variety of strategies. This complexity, in addition to the usual difficulties associated with evaluating community interventions, creates many challenges for evaluation. Given the community building and process orientation of Healthy Cities, it may be most appropriate to measure interme… Show more

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Cited by 59 publications
(45 citation statements)
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References 62 publications
(97 reference statements)
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“…Thus far, it has been very difficult to document that broad participation and collaboration actually strengthen the ability of communities to improve the health and well-being of their residents. 17,[22][23][24][25][26] Without evidence showing that community engagement works-or for which kinds of problems it works-participatory approaches to civic problem solving have not been taken seriously by many policymakers. 2,27,28 Why are we in this predicament?…”
Section: Introductionmentioning
confidence: 99%
“…Thus far, it has been very difficult to document that broad participation and collaboration actually strengthen the ability of communities to improve the health and well-being of their residents. 17,[22][23][24][25][26] Without evidence showing that community engagement works-or for which kinds of problems it works-participatory approaches to civic problem solving have not been taken seriously by many policymakers. 2,27,28 Why are we in this predicament?…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, much of the current research on councils has focused on formative ''outcomes'' (Kegler et al 2000) including, for example, the quality of council action plans (e.g., Kumpfer et al 1993) and member satisfaction (e.g., Kegler et al 1998). However, such formative ''outcomes'' may not gauge the areas of change that councils are well-positioned to facilitate.…”
Section: Introductionmentioning
confidence: 99%
“…Different individuals and groups evaluate situations differently, which leads to different actions. Everyone's views are heavy with interpretations, biases and prejudices, and this implies that there are multiple possible descriptions of any real world activity (Kegler, Twiss & Look 2000). It was therefore important to avoid reducing the question of stakeholder representation to the notion of a generic community upon which policy-making can be based.…”
Section: The Case Study: Research Design and Methodsmentioning
confidence: 99%