{"title":"在为社区卫生工作者开展工作培训项目后,获得了最显著的变化","authors":"Sylvia Hoens , Suzannah D’Hooghe , Octavia Kint , Bert Quintiens , Dorien Brosens , Liesbeth De Donder , An-Sofie Smetcoren","doi":"10.1016/j.evalprogplan.2025.102667","DOIUrl":null,"url":null,"abstract":"<div><div>This paper examines the changes community health workers experienced after following a nine-month work-training program and the enabling/disabling factors leading to these changes. Using the Most Significant Change technique, stories from community health workers were collected through individual interviews (N = 9), after which other community health works discussed these stories in a focus group (N = 7). Results showed that Most Significant Changes were: increased knowledge, social skills and attitudes, career discovery and facilitated employability, expanded social networks and support systems, and gained social recognition. Mentoring, peer learning and peer support, and experience-based learning were indispensable in realizing those changes. Participants selected stories as significant when they were recognizable, inspirable, or admirable. Finally, our experience suggests that the Most Significant Change technique mostly identifies positive changes, which has the potential to move programs forward. In future evaluation research using the Most Significant Change, we suggest not only a horizontal (with peers) but also vertical story selection process (with coordinators) to have a deeper understanding of different perspectives and their reasoning behind selecting stories.</div></div>","PeriodicalId":48046,"journal":{"name":"Evaluation and Program Planning","volume":"112 ","pages":"Article 102667"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Capturing the most significant change after a work-training program for community health workers\",\"authors\":\"Sylvia Hoens , Suzannah D’Hooghe , Octavia Kint , Bert Quintiens , Dorien Brosens , Liesbeth De Donder , An-Sofie Smetcoren\",\"doi\":\"10.1016/j.evalprogplan.2025.102667\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>This paper examines the changes community health workers experienced after following a nine-month work-training program and the enabling/disabling factors leading to these changes. Using the Most Significant Change technique, stories from community health workers were collected through individual interviews (N = 9), after which other community health works discussed these stories in a focus group (N = 7). Results showed that Most Significant Changes were: increased knowledge, social skills and attitudes, career discovery and facilitated employability, expanded social networks and support systems, and gained social recognition. Mentoring, peer learning and peer support, and experience-based learning were indispensable in realizing those changes. Participants selected stories as significant when they were recognizable, inspirable, or admirable. Finally, our experience suggests that the Most Significant Change technique mostly identifies positive changes, which has the potential to move programs forward. In future evaluation research using the Most Significant Change, we suggest not only a horizontal (with peers) but also vertical story selection process (with coordinators) to have a deeper understanding of different perspectives and their reasoning behind selecting stories.</div></div>\",\"PeriodicalId\":48046,\"journal\":{\"name\":\"Evaluation and Program Planning\",\"volume\":\"112 \",\"pages\":\"Article 102667\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-07-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evaluation and Program Planning\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S014971892500134X\",\"RegionNum\":4,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SOCIAL SCIENCES, INTERDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evaluation and Program Planning","FirstCategoryId":"90","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S014971892500134X","RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SOCIAL SCIENCES, INTERDISCIPLINARY","Score":null,"Total":0}
Capturing the most significant change after a work-training program for community health workers
This paper examines the changes community health workers experienced after following a nine-month work-training program and the enabling/disabling factors leading to these changes. Using the Most Significant Change technique, stories from community health workers were collected through individual interviews (N = 9), after which other community health works discussed these stories in a focus group (N = 7). Results showed that Most Significant Changes were: increased knowledge, social skills and attitudes, career discovery and facilitated employability, expanded social networks and support systems, and gained social recognition. Mentoring, peer learning and peer support, and experience-based learning were indispensable in realizing those changes. Participants selected stories as significant when they were recognizable, inspirable, or admirable. Finally, our experience suggests that the Most Significant Change technique mostly identifies positive changes, which has the potential to move programs forward. In future evaluation research using the Most Significant Change, we suggest not only a horizontal (with peers) but also vertical story selection process (with coordinators) to have a deeper understanding of different perspectives and their reasoning behind selecting stories.
期刊介绍:
Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.