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Abstract

This article presents the results of the qualitative component of a comprehensive evaluation of a state hepatitis prevention and control program. The qualitative component of the evaluation was designed to assess the motivational factors behind clients seeking hepatitis-related services and explore their experiences with the services provided by local health departments. The transtheoretical model was employed as a means of identifying the stage of change the client was in and what processes of change were useful in moving the client through the various stages of change. Focus groups were conducted with 44 participants in six different counties in Florida. Results of the focus group interviews support the use of the transtheoretical model in program evaluation using focus group methods. The findings of the focus groups suggest the need for education of the public and health care providers regarding hepatitis and the importance of supportive relationships to clients seeking and receiving hepatitis screening and vaccination.

Keywords

hepatitis transtheoretical model focus group evaluation

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References

Balfour, L. , Cooper, C. , Tasca, G.A. , Kane, M. , Kowal, J. , & Garber, G. (2004). Evaluation of health care needs and patient satisfaction among hepatitis C patients treated at a hospital-based, viral hepatitis clinic . Canadian Journal of Public Health, 95(4), 272-277.

Barr, J. , & Schumacher, G. (2003). Using focus groups to determine what constitutes quality of life in clients receiving medical nutrition therapy: First steps in the development of a nutrition quality-of-life survey. Journal of the American Dietetic Association, 103(7), 844-851.

Centers for Disease Control & Prevention. (CDC). (2000). Adult immunization programs in nontraditional settings: Quality standards and guidance for program evaluation. Morbidity and Mortality Weekly Report, 49(RR01) 1-13.

Florida Viral Hepatitis Council. (2004). The Florida viral hepatitis strategic plan. Available from http://www.doh.state.fl.us/disease_ctrl/aids/hep/VHCouncil/VHCouncil.html .

Fraenkel, L. , McGraw, S. , Wongcharatrawee, S. , & Garcia-Tsao, G. (2005). What do patients consider when making decisions about treatment for hepatitis C? American Journal of Medicine, 118(12), 1387-1391.

Krueger, R. (1998). Analyzing and reporting focus group results. Thousand Oaks, CA: Sage.

Lindsay, J. , Smith, A.M.A. , & Rosenthal, D.A. (1999). Conflicting advice? Australian adolescents' use of condoms or the pill. Family Planning Perspectives , 31(4), 190-194.

Maiman, L. , & Becker, M. (1974). The health belief model: Origins and correlates in psychological theory. Health Education Monographs, 2(4), 336-353.

McGregor, J. , Marks, P.J. , Hayward, A. , Bell, Y. , & Slack, R.C.B. (2003). Factors influencing hepatitis B vaccine uptake in injecting drug users. Journal of Public Health Medicine , 25(2), 165-170.

10.

Menon, G. , Block, L. , & Ramanathan, S. (2002). We're at as much risk as we are led to believe: Effects of message cues on judgments of health risk . Journal of Consumer Research, 28(4), 533-549.

11.

National Cancer Institute. (2002). Making health communication programs work (National Institute of Health Publication No. 02-5145). Rockville, MD: U.S. Department of Health and Human Services.

12.

Nutbeam, D. , & Harris, E. (1999). Theory in a nutshell: A guide to health promotion theory. Roseville, Australia: McGraw-Hill .

13.

Prochaska, J. , DiClemente, C. , & Norcross, J. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114.

14.

Prochaska, J. , Redding, C. , Harlow, L. , Rossi, J. , & Velicer, W. (1994). The transtheoretical model of change and HIV prevention: A review. Health Education Quarterly, 21(4), 471-486.

15.

Sladden, T. , Hickey, A. , Dunn, T. , & Beard, J. (1998). Hepatitis C virus infection: Impacts on behaviour and lifestyle. Australian and New Zealand Journal of Public Health, 22(4), 509-511.

16.

Teague, W. , & Hepworth, J. (1999). Support for patients with hepatitis C: An exploratory qualitative study of medical specialists' perceptions. Australian and New Zealand Journal of Public Health, 23(2), 201-203.

17.

Temple-Smith, M. , Gifford, S. , & Stoove, M. (2004). The lived experience of men and women with hepatitis C: implications for support needs and health information. Australian Health Review, 27(2), 46-56.

An Evaluation of a State Hepatitis Prevention and Control Program: Focus Group Interviews With Clients

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