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Evaluation & the Health Professions, Vol. 29, No. 4,
407-423 (2006)
DOI: 10.1177/0163278706293402
Evaluating Program Effectiveness Using the Regression Point Displacement Design
Ariel Linden
Linden Consulting Group, Portland
William M. K. Trochim
Cornell University
John L. Adams
Rand Corporation, Santa Monica, CA
Most health care initiatives are evaluated using observational study designs in lieu of randomized controlled trials (RCT) due primarily to resource limitations. However, although observational studies are less expensive to implement and evaluate, they are also more problematic in determining causality than the RCT. This trade off is most apparent in the initial planning stage of program development. An RCT is generally preferred though the cost of implementing a pilot program using the RCT might outstrip the potential benefit if the desired results are not obtained. This article describes a simple quasiexperimental model called the regression point displacement (RPD) design, which compares the prepost results of a single or multiple treatment groups to that of a control population. This design has shown great potential in evaluating health care pilot programs or demonstration projectsespecially those that are community baseddue to its relative ease of implementation and low cost of analysis
Key Words: quasiexperimental regression point displacement internal validity
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