A case study of the Arthritis Self-Care Project, a rural community intervention in Virginia, demonstrates the importance of process evaluation in determining the actual independent variable. Instances of reinvention uncovered by the study are explored, and suggestions are provided for dealing with the reinvention inevitable in field research. (TJH)

A new outcome-oriented, utilization-focused approach to program evaluation is introduced. The new framework encourages stakeholders to consider academic dissemination, product development, and implementation as three primary outcomes when evaluating educational and clinical approaches. Secondary outcomes focus on education, clinical service, and…

An organizational blockage instrument was administered to measure the effects of administrative interventions by a new nursing dean prior to and following certain organizational changes. A significant reduction in perceived blockages and moderate prediction of the magnitude of specific changes prior to the second data gathering could be found.…