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Myth: If our program is working, we should<br />

see results very soon.<br />

Fact: Results will vary depending on the<br />

program, the issue, and the intended<br />

audience. Don’t expect instant results;<br />

creating and sustaining change in attitudes<br />

and particularly in behavior or behavioral<br />

intentions often takes time and commitment.<br />

Your program may show shorter term,<br />

activity-related results when you conduct<br />

your process evaluation; these changes in<br />

knowledge, information seeking, and skills<br />

may occur sooner than more complex<br />

behavioral changes.<br />

Selected Readings<br />

Academy for Educational Development.<br />

(1995). A tool box for building health<br />

communication capacity. Washington, DC.<br />

Agency for Toxic Substances and Disease<br />

Registry. (1994). Guidelines for planning and<br />

evaluating environmental health education<br />

programs. Atlanta.<br />

Center for Substance Abuse Prevention.<br />

(1998). Evaluating the results of<br />

communication programs [Technical<br />

Assistance Bulletin]. Washington, DC: U.S.<br />

Government Printing Office.<br />

Flay, B. R., & Cook, T. D. (1989). Three<br />

models for evaluating prevention campaigns<br />

with a mass media component. In R. E. Rice<br />

& C. K. Atkin (Eds.), Public communication<br />

campaigns (2nd ed.). Thousand Oaks,<br />

CA: Sage.<br />

Flay, B. R., Kessler, R. C., & Utts, J. M.<br />

(1991). Evaluating media campaigns. In<br />

S. L. Coyle, R. F. Boruch, & C. F. Turner<br />

(Eds.), Evaluating AIDS prevention<br />

programs. Washington, DC: National<br />

Academy Press.<br />

Morra, M. E. (Ed.). (1998). The impact and<br />

value of the Cancer Information Service: A<br />

model for health communication. Journal of<br />

Health Communication, 3(3) Suppl.<br />

Muraskin, L. D. (1993). Understanding<br />

evaluation: The way to better prevention<br />

programs. Washington, DC: U.S.<br />

Department of Education.<br />

Rice, R. E., & Atkin, C. K. (2000). Public<br />

communication campaigns (3rd ed.).<br />

Thousand Oaks, CA: Sage.<br />

Rossi, P. H., Freeman, H. E., & Lipsey,<br />

M. W. (1998). Evaluation: A systematic<br />

approach (6th ed.). Thousand Oaks,<br />

CA: Sage.<br />

Siegel, M., & Doner, L. (1998). Marketing<br />

public health: Strategies to promote social<br />

change. Gaithersburg, MD: Aspen.<br />

Windsor, R. W., Baranowski, T. B., Clark,<br />

N. C., & Cutter, G. C. (1994). Evaluation of<br />

health promotion, health education and<br />

disease prevention programs (2nd ed.).<br />

Mountain View, CA: Mayfield.<br />

STAGE 4<br />

Making Health Communication Programs Work 123

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