CHES Program Implementation Strategies 4 — Questions and Answers
Question 1: Which principle of adult learning (andragogy) is MOST important to apply when implementing health education programs for adults?
- Adults learn best through lecture-only formats
- Adults need external motivation rather than internal drive
- Adults bring prior experience that should be integrated into learning (Correct answer)
- Adults require highly structured, teacher-centered instruction
Correct answer: Adults bring prior experience that should be integrated into learning
Andragogy recognizes that adults learn most effectively when their life experiences are acknowledged and incorporated.
Question 2: When encountering mission drift during program implementation, a health educator should:
- Expand program goals to accommodate new demands
- Realign activities with the original program objectives (Correct answer)
- Seek additional funding for the new direction
- Dismiss stakeholder concerns about scope changes
Correct answer: Realign activities with the original program objectives
Realigning with original objectives ensures the program remains focused on its intended health outcomes.
Question 3: A health educator implementing a diabetes prevention program in a rural community should FIRST:
- Import an urban program model without modification
- Conduct a community assessment to understand local assets and barriers (Correct answer)
- Set national-level participation targets
- Purchase all equipment before assessing community needs
Correct answer: Conduct a community assessment to understand local assets and barriers
A community assessment identifies unique rural resources and barriers that must be addressed in the implementation plan.
Question 4: Dosage in program implementation refers to:
- The medication prescribed to participants
- The amount and frequency of intervention exposure delivered (Correct answer)
- The number of program staff per participant
- The budget allocated per session
Correct answer: The amount and frequency of intervention exposure delivered
Dosage measures how much of the program participants actually receive, which affects effectiveness.
Question 5: Which of the following scenarios represents a program implementation challenge related to resource constraints?
- Participants express high interest in the program topic
- The health educator lacks training in motivational interviewing
- The program site has limited space and no audiovisual equipment (Correct answer)
- Evaluation data shows positive behavior change
Correct answer: The program site has limited space and no audiovisual equipment
Physical resource limitations directly constrain the methods and activities a health educator can use during delivery.
Question 6: When a community health program is implemented using a train-the-trainer (TTT) model, the PRIMARY advantage is:
- Reducing the need for any evaluation
- Expanding program reach by building local educator capacity (Correct answer)
- Ensuring the program developer controls all sessions
- Limiting program delivery to certified professionals only
Correct answer: Expanding program reach by building local educator capacity
TTT models multiply program reach by equipping community members to deliver the intervention themselves.
Question 7: Which strategy BEST supports health equity during program implementation?
- Delivering identical programs to all populations regardless of need
- Targeting resources and adaptations toward underserved populations (Correct answer)
- Focusing exclusively on the highest-income participants
- Avoiding data collection on race and ethnicity
Correct answer: Targeting resources and adaptations toward underserved populations
Health equity requires directing additional resources to populations facing greater barriers to health.
CHES Program Implementation Strategies 4
Which principle of adult learning (andragogy) is MOST important to apply when implementing health education programs for adults?