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Health Education & Behavior
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Closing the Gap in Quality Assurance: A Tool for Evaluating Group Leaders

Judith R. Miller, M.P.H.

Health Education Department of Group Health Cooperative of Puget Sound

Frances M. Lewis, R.N., Ph.D.

Department of Community Health Care Systems, School of Nursing, University of Washington, Seattle, WA 98195

A commitment to quality assurance means offering a cycle of feedback to those being evaluated. How to meet that commitment was the question asked by the Health Education Department of a large Health Maintenance Organization whose more than 70 facilitators annually provide instruction for over 3,000 enrollees. As part of the multi-faceted endeavor to develop a systematic quality assurance program for the department's offerings, a reliable participant-scored standardized tool had to be constructed. The staff of the department first identified two concepts as critical for quality instruction: interpersonal skills and technical competence. Based on these criteria a 49-item questionnaire was developed and tested during "pre-pilot" and pilot stages. By computer analysis, 27 items with an alpha-reliability coefficient of .94 remained to form the tool the department uses. The development of the evaluation tool and its use are described.

Health Education & Behavior, Vol. 9, No. 1, 55-66 (1982)
DOI: 10.1177/109019818200900104
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