Acceptability, impact and sustainability of the national pilot quality assurance system for self management programs

Chronic condition self-management education and training interventions such as the Stanford Self Management Programs (SMP) have the capacity to improve health and quality of life of people with chronic conditions whilst reducing the use of health services. This is in line with the outcomes from the recent Council of Australian Governments’ meeting where it was indicated that self-management will be a centrepiece in forthcoming chronic disease initiatives.
Aim: report on a large national pilot quality assurance program involving the implementation and of an evaluation and quality monitoring system for SMPs including the provision of structured feedback to courses course leaders and service providers. During 2005/06 the quality assurance program was implemented at 11 diverse organisations across Australia. The program involved assisting organisations apply the 42-item Health Education Impact Questionnaire (HEIQ), a chronic disease health education outcome measure, and then observe and evaluate the value and impact of the quality program. Interviews with course leaders (n=60) and course participants (n=35) have elicited views about course quality and feedback processes.
Results: The evaluation revealed enablers and barriers to effective implementation and sustainability. Important enablers were:
- Course Leaders and organisations valued an Australia-wide system that provided feedback on course
quality and the impact on participants.
- Course Leaders were strongly personally motivated to respond appropriately to HEI-Q course
report feedback.
- Completing the questionnaire provided participants with the opportunity to reflect on issues that
emerge in the course content and reflect on their progression at the end of the SSMP.
Sustainability issues included:
- Organisations and course leaders require support, training and flexibility on how to administer and
manage the use of the HEI-Q.
- Availability of administrative resources in organisations to support the quality assurance activities.
- The requirement that course leaders are trained in interpreting HEI-Q course report data.
A quality improvement framework was developed which identified the actions required of key stakeholders to
support effective implementation.
Discussion: With the increasing endorsement of SMP across sectors it is important that course quality is known, is acceptable, and is communicated to stakeholders to inform and engender confidence in the SSMP. To effectively implement and sustain a quality improvement program for SMP, the processes and tools for measuring outcomes need to be responsive, flexible and easily integrated into the organisation and delivery of programs.

Economic growth and sustainability - an empirical study of the Thai development experience

Increasing economic growth has long been the dominant position within the public policies of all South East Asian countries. More recently, a new issue, sustainability, has emerged within development economic literature, which has significant implications for the continual pursuit of economic growth. Sustainability is concerned with ensuring the current generation meets their present needs without threatening future generations' ability to do likewise. This ability is dependent on a healthy and functioning socio-economic environmental (SEE) system. Economic growth can damage the SEE-system, though, through resource degradation, over-harvesting and pollution. Therefore, achieving economic growth and sustainability simultaneously may not be possible. This paper discusses these tensions between economic growth and sustainability by undertaking a number of SEE-based adjustments to GDP in order to measure sustainability. Thailand is used as a case study for a 25 year period, 1975-1999. The adjustments include the environmental costs caused by economic growth such as noise pollution, water pollution, the depletion of non-renewable resources, and deforestation. The results show a stark difference in terms of GDP per capita and the SEE-adjusted GDP per capita figure. The paper concludes that with increasing environmental costs of economic growth, pursuing high growth objectives without considerations to the environment threatens sustainability

Renewable energy and sustainability - an evaluation

Renewable energy advocates often invoke the goal of sustainability in order to promote their cause. Most people agree that the energy supply for a sustainable world should be based on safe, clean and renewable forms of energy. However, sustainability is a much over-used word to the point where it has become almost meaningless. This paper argues that we need to reaffirm the meaning of sustainability and use its defining principles to guide our advocacy and practice. If we ignore these principles, we run the danger of generating unrealistic expectations and mistrust, and becoming involved in practice that is questionable from a sustainability perspective. On the other hand, if we use the principles of sustainability to guide our practice and advocacy, our goals will be more achievable, our credibility will increase and our practice will become more ethical. This paper uses one model of sustainability to evaluate examples of renewable energy advocacy and practice.

Architecture, ethics and sustainability - an exploration

Globally we are grappling with the concept of sustainability. What does it mean and how should we respond to ensure that the planet and its ecosystems survive? While the problem of living in a sustainable way must be addressed by all sectors of society, architects are arguably in the 'front line' because of the impact of buildings in terms of resource use and waste generation. Most definitions of sustainability are unhelpful because of their wordiness, lack of detail or ambiguity. Others distort the concept of sustainability to allow business-as-usual (i.e. unsustainable) activity to continue. Using one particular model of sustainability, this paper explores the apparent contradictions between architectural practice in the residential sector, 'sustainable' housing and the desire to behave ethically. The paper begins with definitions of sustainability and ethics, together with some guiding principles. The literature examining the ethics of sustainable architecture is then reviewed. Two indicators are suggested to make a broad-brush assessment of sustainability. Current practice in Australian residential architectural design, both mainstream and 'green', is then critiqued against these indicators. Finally, some practical options for a practising architect faced with a client, who wants an 'unsustainable' house, are briefly explored.

Online self-and-peer-assessment for teamwork in architecture and business communications

There is considerable evidence of general student scepticism regarding the purpose of team assignments and high levels of concern for the fairness of assessment procedures when all members of a team receive the same grade. Some educators are similarly anxious about not only the validity of team grades, but also the need to assess ongoing team processes in addition to the final assignment product. This paper offers self-andpeer-assessment (SAPA) as a fair, valid and reliable method of producing information about ongoing team processes. The paper examines a pilot study investigating an online SAPA tool originally developed for a small class of architecture students. This tool is adapted for use for by students completing team assignment in two further architecture design units and for a very large class of 800 business communication students. The sample students studied on four campuses, as well as in off campus and offshore modes. The paper focuses on the initial stages of the study to demonstrate how researchers from very different backgrounds collaborated to adapt the online tool and implement a pilot study whilst maintaining both comparability of assessment and integrity of research design.

Online self and peer assessment in large, multi-campus, multi-cohort contexts

The increasing use of team assignments within higher education is well documented. The driving forces behind this include desires to facilitate reflective and collaborative learning, to develop generic teamwork skills for graduate employment and to reduce the grading workloads of faculty staff. Students however consistently report dissatisfaction when the assessment of team assignments produces a common grade for all team members. Self-andpeer-assessment (SAPA) is presented as a fair, valid and reliable method of producing information about ongoing team processes. This information can provide ongoing feedback to team members and rich formative data to instructors attempting to assess the team process and students’ teamwork skills. This data can also enable individualised summative assessment in dysfunctional teams or situations of uneven team member contributions. Whilst manual SAPA protocols can work effectively for smaller classes, computer-assisted SAPA offers a solution to the problems of large classes. This paper reports on the early stages of an online SAPA tool, originally developed for small classes of architecture students, adapted for use by very large business communication classes comprising up to 1000 students in a semester. This large unit is delivered on four Australian campuses as well as off-campus and in off-shore mode, by up to fourteen instructors at any one time. The paper documents how three researchers from very different backgrounds worked to create their own research team, implement a pilot study, and adapt the online tool, whilst adhering to comparability of assessment constraints and maintaining integrity of research design.

Developing business community portals for SMEs-Issues of design, development and sustainability

Governments worldwide are using funding initiatives to encourage small businesses to adopt e-commerce technology. In Australia both State and Federal Governments have encouraged e-commerce uptake through the funding of Internet portal developments that have a specific community or business focus. The success of such portals, as with many Web developments, has been mixed and there is little evidence of any evaluation of the effectiveness of such investments. This paper reports on research into an Australian B2B business community portal from launch to closure. A survey and in-depth interviews with portal participants were undertaken. The research sought to understand how the portal had been developed, and what factors may have contributed to its demise. The findings identified a number of factors, not discussed in the literature, that are important in portal development. These include: how the development process is undertaken; technological readiness of the small business owners; meeting business expectations; and understanding the business community stakeholders. The results from this study suggest that portal projects such as this are problematic and funding bodies such as governments need to understand the factors that contribute to success before funds are committed.