Empowerment and Participatory Evaluation of a Community Health Intervention: Implications for Occupational Therapy

Abstract

Community-based organizations have experienced an increased demand for new and expanded programs, as well as pressure from private and public sources of funding to document the impact of their services and programs. This article highlights the importance of a participatory and empowerment approach to evaluating a community health intervention. A five-phase approach to implementing an empowerment and participatory evaluation process is described using a research study. The five phases included developing a partnership and planning the evaluation, developing a logic model, identifying the methodology and data collection, interpreting and reporting findings, and monitoring and utilizing evaluation findings. In this research study, a WebTV community intervention was implemented to assist community residents in accessing health information and resources through the project's home web page and the Internet. A group of citizen leaders was provided with a WebTV unit, training, and ongoing support and assistance. Citizen leaders used the unit as a tool to obtain health information and resources and to advocate and support community action. Implications of empowerment and participatory evaluation of this type of community intervention are discussed for community occupational therapy, including occupational therapists as agents of change and facilitators of skills building and organizational capacity.