CHES EXAM STUDY GUIDE
A practicing health education specialist has entered into a helping process initated by a clinet in order to establish an assistive relationship. This relationship is considered
A consultation
A national health education organization has developed a broad, long term economic strategy to ensure program sustainability and expansion. What term best describes this strategy?
A financial plan
The executive director of an organization has returned the health education department's annual budget request. The director is asking for additional infromation about the proposal. All of the following infromation should be included in the responding budget justification except?
A literature review verifying the importance of the program and propsoed budget
A physical fitness assessment was given after a physical activity and exercise intervention was conducted with upper elementary, middle, and high school studnets groups. To determine if there was a statistically significant diffrence between the groups, which type of bivariate data analysis should be conducted?
ANOVA
A nonprofit health assocation would like to hire the health education specialist in a fromal consulting arragement to implement and deliver services. The next step in the consulting project that the health education specialists needs to perfrom is
Action
When planning an adult audienece training, the health educaiton specialists should include adult learning theory principles. Which of the following is an example of an adult learning principle to use when planning the training?
Adults should be activley in plannning and evulation
The health education specialist overhears two employees in a verbal deabte about whichc department should recieve the budget surplus generated this fiscal year. What is the best first step in conflict resolution in this sistuation?
Analyze the conflict
When forming coalitions, which of the following should occur first?
Analyze the issue or problem that will be the focus of the coalition
A health education specialist is conducting a training session and wants to collect qualitative and quanitative data to evaluate the training session. Which of the following is the most appropriate use of a qualitative data collection technique to collect this evaluation data?
Asking participants to provide their opinions regaridng the usefulness of their training on a feedback form
A health education specialist wishes to use the ecological model in a needs assessment. Which of the following is an example of a way to assess levels of this model?
Assessng attitude, behaviors, policies, and social norms in a community
Which of the following is an important learning principle for andragogy?
Focus on problem solving skills rather than learning contect
Performace appraisals of staff members and volunteers will normally
Focus on strength and areas for improvement
The health education specialist signed a consulting contract to work with a 350 employee health care facility loacted in a large suburban location. Administractors requested an analysis of the high turnover among allied health professionals. Employee burnout may be realted, and a program for employee stress managment may be needed. The type of consulation the health educaiton specialist has entered into would be defined as which of the following?
Formal consultation
The gantor has requested a grant process reprot from the grantee agency. The health education specialist was assigned the task of reports prepatation to maintain support for this project. Which of the following is the best first step in report preparation?
Gathering the data
The cancer control coalition has decided that they have the capacity for an interest in planning for an advocacy campaign. Generally the first step in advocacy planning is to adress
Goals
Which section of a government grant proposal would most likely request the provision of a logic model?
Goals/objectives
The health education manger in charge of career development wishes to provide career development activites and resources to employees. Of the following which are the most appropriate activites for career development?
Having an assigned menotr
For people with less than 12 years of education the infant mortality rate and overall death rate is almost twice as high as people with 13 or more years of education. These examples of:
Health disparities
Providing access to fruit and milk in a school vending machine is an example of which of the following strategies?
Health engineering
Health risk appraisals are which type of intervention stratgey?
Health realted community service strategy
Which level of training evaluation is the extent to which participants are employing the skills on the job?
Behavior
When using the NREPP to inform program decisions making the health education specialist must recognize that although the quality of the research supporting intervention outcomes and the quality and availability of training and implementation materials has been rated users should
Carefully read and understand the research results for each outcome
The health Education specialist hypothesizes a certain skin disease is more common in men who swim than men who do not swim. To study this specific disease exposure relationship in order to determine if an association exists for future study the health Education specialist conducts which type of study
Case control study
When creating the budget for a grant application contributed income can be classified into which two categories?
Cash and in kind
When presenting data to stakeholders or superior in an organization, which of the following would best represent how percentages relate to each other as a whole?
Charts
Conflict may occur in a community health coalition. Which of the following is the most appropriate order for implementing the steps in the conflict resolution process?
Clarify perceptions, build shared positive power, create options, create goals and objectives, and assure benefit of both parties involved.
The health education specialist must analyze the meaning of the data collected during the assessment and determine health education/ promotion needs. If the health education specialist aggregates the data, which cognitive process of qualitative research is he/she focusing on?
Comprehending
When piolt testing materials for an intervention, which of the following should be assessed before implementation of the program?
Comprehension and accetability of the intervetnion and materials.
The sequence for pretesting health education messages focused on knowledge is
Concept development, partially completed materials testing, alternative materials testing, and final product
Prior to meeting with a legislator or policy maker, what would be likely first step?
Conduct reserach on the legislator
When the resutls of a second survery insturment reinforce the findings of the first survery instrument, the second is said to have
Construct validity
A university health education specialist is implementing a program for females on campus about the HPV vaccine. Which statement would be reflective of preparation in the stages of change.
I have decided to get the vaccine next week
A health Education specialist has completed a quick assessment of the stage of change in the priority population. According to the assessment most individuals are not quite ready to take action but are beginning to think about taking action. They do not have any immediate plans but are willing to listen to what the health Education specialist has to say. What is the likely stage of participants.
Contemplation
The intervention program is doing so well it needs to be expanded; however the sponsoring agency has limted funding for expansion. The health educaiton specialist found another agency willing to provide a larger venue in exchange for access to the sponsors educational library. This method of financing the program is called?
Cooperative aggrement
In the study of acute diseases, which morbidity rate is important to calculate?
Incidence rate
A researcher is studying the effects of a health education intervention on reducing obeisty rates of employees at Company X. The researcher requires employees have a BMI of 30 or higher to participate in the study. The researcher is applying which type of criteria to restrict enrollment?
Inclusion
The health department notices a spike in drug use of high school studnets in the county and wishes to predict which students could be a high risk in order to target an intervention program. They would like to determine the relationship between drug use and demographic as well as health behavior variable, and then determine which of these variables or combination of these varailables best predicts drug use risk. They would conduct which two types of studies?
Correlational and then multiple regression
Which analysis measure assesses the economic efficiency of health education program when the health outcomes are disparate?
Cost benefit analysis
A weight managment intervention was delivered as a face to face class an as an online module. To compare costs for all program materials, trainings and staff time between the two delivery methods, which of analysis should be conducted
Cost identifcation
A health education specialist has a request to develop a worksite training to be implemented with a company that focuses on technology security. Management within the company is trying to find a time to schedule a series of training sessions that may change dietary behavior, but one common meeting time for all employees is not feasible. What is the health Education specialist best option based upon the content and needs of the company.
Create an interactive distance learning module that employees can complete as they have time
A health education specialist is planning to train staff from partners and community members to help implement a healhty food access initiative with corner stores and convenience stores. A needs assessment is being planned to identify trainee knowledge on the subject. What should the assessment focus on?
Desired learning outcomes
A health education specialist is planning a training to improve cancer education skills for lay health workers to educate minority communites. What is the second task he/she should complete to accomplish this goal?
Develop a plan for conducting the training
The health education specialist is having difficulty in segmenting the priority population when designing a marketing strategy for a health promotion intervention. Building the strategy on which of the following theories would help him/her segment the audience and assist with a marketing mix decision
Diffusion theory
When planning a smkoking prevention program folling the PRECEDE-PROCEED model data regarding self efficacy to avoid smking in an adolescent population would fall into which assessment phase?
Educational and ecological assessment
In general at what grade level should materails be written to account for the health literacy of most adults?
Eight grade
Following the PRECEDE-PROCEDD model assesing if community members have adequate access to oral health caare services is which type of factor in the educational and ecological assessment?
Enabling
In the correct order what are the six steps of the CDC framework for Program Evaluation?
Engage stakeholders Describe program Focus on the evulation design gather credible evidence Justify conclusion Ensure use and share lessons learned
A health education specialist is serving as a consultant to a local community based organization. The clients needs have been identifed. What should his next step be?
Engagement
What is an important purpose of a piolt test for data collection instrunments?
Ensuing the consistency of measures
When identifying root causes of health issues, it is important to consider multiple factors. If a community would rather ignore a drug problem than address it, this is an example of which type of factor?
Environmental
The health education would use a priotitization matrix in which phases of the PRECEDE-PROCEED model?
Epidemiological assessment
The health education specialist is charged with establishing collaborative relationship with organizations to gain access to data for county wide community needs assessments. Which of the following is the best approach to secure the data needed?
Establish a data sharing agreement including the outcome, purpose, data ownership, and conditons of release
What is the best frst step in developing a health educaiton program hudget?
Establish program goals
The health education specialist is organizing a summative evulation. Which evaluation design offers the most control over confonding variables?
Experimental
A health education specialists finds there are more people requesting a smoking cessation program than can be accommodated. This is an example of which type of needs?
Expressed need
In an urban area with high childhood obesity rates, first and second grade children were not able to identify more than five to ten fruits and vegetables. Many weer from lower income families, where one or more adults in the household worked multiple jobs. There are no grocery stores in the area, and most families shooped for food at conveience stores. Though no one stratgey is going to decrease obesity rates by itself, which would likely be most efficacious in decreasing rates of childhood obesity?
Increasing fresh fruits and vegetables options at the convenience stores
The health educaiton specialist employed at a univeristy is preparing a grant proposal. Generally in which category would one find costs associated with facilities and administration?
Indirect
Informing participants in a training program of both the benefits and risks associated with training typically occurs within which procedure?
Informed consent
Using a socio-ecological model in a school setting the school would be considered as which level?
Institutional
The health educaiton specialist is questioning whether pre-post health behavior changes recorded by trained observers over a long period of time can be direcly attributed to his/her intervention. He/She is questioning which type of threat to the internal validity of evaluation?
Instrucmentation
When applying the ecological perspective to behavior change, the health education specialist bases his/her smoking cessation intervention on the Precation Adoption Process Model. At what level of influence is this intervention addressing?
Intrapersonal
When designing audience-centered culturally appropriate health education materials, it is essential to
Involve the intened audience in development of materials
Of the following educational techniques which is more likley to enhance the retention of people participating in a program
Involve them in an actiivty during a session
The local health promotion coalition elected to implement a single strategy intervention for a complex health problem because of its ease of implementation and lower cost. The health education specialist advises the use of a multi strategy intervention in hopes that at least one or a combination of the strategic makes a difference; however he/she understands that the greatest drawback to the multi strategy intervention is
It is difficult to separate the effects of each strategy in evaluation
For this objective Women in the program will increase their physical actiivty rates by the 4th week of the program what is missing?
It is neither specific nor measurable
When facilitating a training workshop on a new electronic medical records system at a clinic the health education specialist is following the steps for successful training programs. He/She is confident in implementing the traininng steps as there is little diffrence between this process and general health education program implementation excpet for the need to specify
Job performance
When attempting to get people to quit smoking, a health education specialist has to work through several adopter groups according to the diffusion of innovation. Many smokers have adopted the behavior change but one group is particularly different to reach and is quick to dismiss efforts to change. The characterizes which group
Laggards
An objective that is concerned with increasing social support is what type of objective?
Learning
The health education specialist called their state legislator and asked them to specifically support a bill to require 60 minutes of physical activity in school. Which of the following terms would describe this activity?
Lobbying
The agency administrator wants the big picture or summary of an interventions resources, activites, and results. The health education specialists creates which of the following to put in his/her report to the administrator.
Logic model
From a fical perspective which funds represnt the portion of a project the applicant agency or organization is providing?
Matching funds
A health education specialist is interested in attempting to change norms, which encourage teenage pregnancy. What stratgey should the health education specialist employ?
Media advocacy
A health education specialist is searching for a valid information source specifically addressing a population health status health questionnaire, and health care delivery trends. The best source to use would be
NCHS
A health education specialist is trying to find data on emergency room visits and hospitalizations in the community. Which of the following secondary soucres is the best source of this data?
NHCS
When a researcher is conducting a study it's important to remain ——- to reduce——-
Neutral, error
A researcher is coding data to categorize individuals based on sex, race, and political party affiliation. What type of scale is the researcher using?
Nominal scale
A health education specialist has been charged to develp a comprehensive childhood obesity intervention in a community identifed as having a high prevalence of childhood obesity. What planning model would best assist the health educaiton specialist in developing the program?
PRECEDE-PROCEED model
Administrative support was secured and a program planning commitee was formed for a school-based health promotion program. Which of the following should the commitee members identify next before advancing the needs assessment process?
Planning parameter
Which type of literature review typically identifies current gaps in the literature after comprehensively reviewing the literature on a topic?
Pooled analysis
In a community twice as many people died over the course of one year in house fires than in car crashes. Community members demand the health education specialist immediately create a fire prevention intervention. Before planning the fire prevention intervention the health education specialist should first determine
Population at risk
Which of the following are elements of conducting an effective employee/staff appraisal
Present the appraisal verbally and in writing and allow opportunites for discussion
A hospital is expanding outreach services and facilites with a new focused on prevention and the treatment of chronic disease. The health education specialist is tasked with gathering local data on these conditions. Which of the following is the most useful rate to use realted to chronic conditions?
Prevalence rate
Advocacy evulation is typically an ongoing activity given social and political environemnts are constantly changing. What type of health program evaluation is this similar to?
Process
Measuring program reach and response is an element of which type of evulation?
Process
Working as a health coach to increase a clinets physical fitness level, the health education specialists uses an intervention based on the Transtheroretical Model. He/She emphasizes behavioral activites including counter conditioning and reinforcement using which construct?
Process of change
A health education specialist successfully implemented a smoking cessation intervention for tenanats in public housing. To maintain the work, what ecological level should the health education specialist foucs on to help tenants sustain their smoking cessation?
Public policy
What is the main difference between quasi-experimental and experimental study design?
Random assignment of participants occurs in an experimental design
A researcher is analyzing a data set. The researcher computes the absolute difference between the highest and lowest score on a particular variable in the sample. The researcher has computed which statistics for this data set
Range
In a needs assesment for a drug prevention program in a community with high rates of prescription drug, abuse, the following data was gathered: state data regarding prescription drug abuse, rates of prescription drug use in the community, trends in precription drug abuse nationally, and costs of drug abuse. Which of these is a from of primary data?
Rates of prescrption drug use in the community
According to a 4 level training evulation during which level does the evaluator measure participants satisfaction with the training?
Reaction
A university cooperative extensive service program is focusing on health injury prevention and increased safety helment use. The cooperative extension service program is providing technical assistatnce to cub scouts and boy soucts to implement individual counseling and small or large demonstrations at skate parks. What is the greatest challenge the cooperative extension service staff might experience when attempting to provide technical assistance?
Readiness to receive technical assistance
In a behavior change intervention for weight managment following social cognitive theory participants are asked to list both positive and begative environmental influences on their snacking behavior. The concept applied in this type of exercise is called
Reciprocal determinism
A current problem faced by organiztion relying on volunteers is retention rate. In order to increase retention of volunteers, an organization might focus on which of the following?
Recognition
A health education specialist visits elected officals to advocate for an evidence based nutrition program. The health education specialist prepares a packet that summarizes the position statement that will be given during the visit. This is an example of inflencing public policy in what way?
Reinforcing the message
The health education specialist is directing a loal youth health advisory group and a statewide youth coalition. In this role the health education specialist is acting as a
Resource person
When evaluating training, a health education specialist is investigating the impact of reduced turnover in a company. Which level of training evaluation is this?
Results
A process to ensure the readability of interventon materials and items used to collect data is
SMOG
In a strategic planning process, a health education specialist is changed with analyzing assets and areas of weakness in an organization activites. Which of the following stages of strategic planning would allow for this analysis?
SWOT analysis
An out break of dysentery occured in a community over the course of a week. The number of cases and time of onset of symptoms was determined. All who displayed symptoms ate sprouts at the same restaurant. For this outbreak, which type of epedice curve can be prepared for the descriptive study?
Secular
A researcher did not select a random sample of high school studnets across three high schools in a district, but instread selected only intact classrooms in one high school. The researcher is concerned that the results sof te anti-drug intervention the reserach will be used for cannot be generalized to other high schools in the district. The researcher is concerned about which threat to external validity?
Selection treatment interaction
In a worksite health promotion program for weight managment, better results for behavior change were found when the program was more client centered. To balance client autonomy and health education specialist direction which specific behavior modification technqiues should be applied?
Self monitoring
A health education specialist is collaborating with the state health department on a training effort to implement effective physical activity programs. The training team has completed the first step which was to determine training needs. What is the next step to advance the training?
Set objectives
The health education specialist advocacy efforts are starting to be successful. The city council has voted 4-1 to hold a town hall meeting to discuss a clean indoor air ordinance. Which type of advocacy bechmark is this?
Shift in critical mass.
The questions What steps are necessary to move the organization towards the desired future? What progress is being made? are used during what process?
Strategic planning
One of the influences on health behaviros is the pressure to conform to what others in the priority population are doing. According to the Theory of Planned Behavior, which construct describes this phenomena?
Subjective Norms
A health educator is trying to decided how to collect data for progam evaluation in a program to improve nutrition in a low income community sample. The health educator is looking to randomly select a small number of particpants and asssess their individual attitudes toward dietary behavior change and their dietary behavior. Which of the following data collection methods would be best to get the largest response rate in this sample?
Surverys adminstered in person
Which of the following is an effective strategy for a health education specialist to determine the training needs of parents of preschool children regarding infectious disease prevention?
Survey parents of preschool aged children regarding their knowledge of infectious disease prevention.
The healthy families network holds an annual confrence. In order to evulate the conference and gather information from the participants, what is the best way for the health education specialist to collect this information?
Surveys and feedback forms
A health educaiton specialist working in the medical clinic has just demonstrated how to correclty use a peak flow meter to staff. Which technique should be used to ensure the clinet understands the demonstration?
Teach back
Which of the following provides direct support which builds capacity to complete prevention tasks?
Technical assistance
A health Education specialist serves as a patient educator at a hospital. Part of his/her job is to work with patients who have recently suffered a heart attack. This is an example of
Tertiary prevention
Which type of relaiability is important for ensuring any changes detected at the end of an intervention are due to the intervention itself and not random flutuation?
Test-retest reliability
What would a health Education specialist need to know to calculate age specific death rates from cardiovascular disease
The breakdown of deaths by age group and the mid year population by age.
A local group was interested in identifying evidence based interventions to guide the development of a community wide effort to increase physical activites. Participants would included in decision-making. Which of the following tools might be most useful?
The community guide to community preventive services
A health education specialist is meeting with a college campus community to try to make the campus a smoke free. In order to gain support from key stakeholders in the first meeting, which of the following should be the focus of the health education specialist message?
The necessity for the change in policy
The health education specialist chose the PRECEDE-PROCEED model as the organizational framework for the needs assessment of a childhood obesity intervention. Which of the following best represents the Behavioral and Environmental Factors phase?
The school disticts are institutions with agents that can make change
What is the main function of an Institutional Review Board
To protect human subjects involved in the research
Which of the following contains the correct steps in the generalized model of program planning and evaluation
Understand and engage the population, create a needs assessment, write goals and objectives, create intervention, implement the program and evaluate intervention
A health education specialist develped material for the behavioral strategies in a multilevel intervention. He/She pilot-tested the strategies with adolescents in the priority population. After the piolt test, it was found that two of the lessons were difficult for adolescents to understand. What is the best way for the health education specialist to proceed?
Use feedback to modify the lessons so adolescents will better understand them
When establishing the reliability and validity of an existing measurment tool, the evaluator should conduct
an item analysis
A benefit of asynchronous traininng is
busy adults can fit the training into their schedules
Due to financial constraints, a research team is only recruiting participants from three hospitals in the local metroploitan area. In doing so, the reserachers have established
delimitations
An agency needs volunteers at a local health awareness event. Before the recruitment campaign can begin, the first step is to:
develop a volunteer recognition banquet
The health education specialist entered in a consulting relationship that required a conract between the consultant and client. This contract is considered
external
The health education specialist is meeting with a school health advisory council which is trying to encourgae the distict to adopt an evidence based sexuality education curriculum. In preparing his/her presentation to the SHAC, the statistical health data related to sTIs and teen birth rates is most likely to be effective if presented
graphically
Which of the following is an example of a targeted law?
laws regarding child safety seats, specificaly rear-facing infants seats.
During program planning for a behavior change intervention, awareness, knowledge, attitude and skill objectives are written. This hierarchy of objectives is categorized under
learning objectives
In the strategic planning process after an organization defines or refines its mission statement the next step is to
list internal and external strengths and opportunites
The Multi-level Approach to Community Health or MATCH refers to a
model to help guide the delivery of a health education/health promotion program.
The researchers needs to select a probability sample of smokers and nonsmokers and wishes to randomize participant selecton. He/She divdes the population by those characteristics and then randomly selects subjects from the two groups. This type of sampling procedure is called?
nonproportional
A health education specialist conducted an evaluation of the impact of a no-smoking policy on the smoking rate in a county using a retest, postest, comparison group design. If the smoking rate were lower in the intervention group and there were a statistical significance between the groups, which level of probability would indicate the results were least likely due to chance?
p=.001
Effect sizes describes the magnitude of diffrence between two groups and allows researchers to determine the ___________ of the reserach findings?
parctical significance
A health education specialist creates a draft fact sheet about asthma. She recruits a group of 6 parents to read the fact sheet and answer a series of questions. This is an example of
pilot testing
Because a budget is aligned to resources and elements of the strategic plan, the health education specialist must develop the budget during the
planning process
A person environment can help or hinder their physical activity behavior even when a person is highly motivated to be active. This illustates the concept of
reciprocal determinism
During a physical activity intervention session, a health educaiton specialist ask participants to barinstrom ways to overcome varriers to physicaly activity. This session is focusing on which construct from social cognitive theory?
self efficacy
During a teen pregnancy progam the health education specialist discusses confidence so participants can talk to their partners about using a condom. The construct he/she is focusing on is
self efficacy
A local health agency matches senior staff to new hires during their first year. A health educaiton specialist is considering ways to mentor new staff. Which of the following mentoring strategies is most likely to help new hires adjust to the job?
the health educaiton specialist has a new hire join an ongoing project to see how it is currently being handled.
Although the mortality rates of children have declined over the years, the leading causes of mortality in children is
unintentional injury
A health education specialist is working with populations with low health literacy levels. In creating mateirals for this population, which of the following is essentail in resource development?
use simple terms
To understand the three human subjects protection guideline of respect for persons beneficence and justice one would look to the
Belmont report
An instrument measuring what is purports to measure is said be _______ while an instrument repeatedly producing the same results is said to be _________
Valid; Reliable
Understanding why participants drop out of a program is important for establishing
Validity
Which of the following is a major health policy question faced at the national government level
What population groups should receive subsidized coverage from tax revenues.
Which question would be the most appropriate for the health educaiton specialist to ask in the formative evaluation level of a consulting relationship?
What progress has been made to date?
Which questions below would help a health education specialist with policy development?
What were the sources of the policy content?
The health education specialist is measuring the incidnece of breast cancer in Texas in January 2015, which women would be counted for the numerator of the incidence measure?
Women in Texas diagnosed with breast cancer in January 2015
when calculating mortality statistics in a population the health education specialist needs to weight deaths of the very young more than deaths of the very old. Which of the following would he/she calculate?
YPLL
The moving Mommas program will reduce risk of preeclampsia in Shelbyville is an example of
a goal statement
During a needs assessment the priority population identifies the desire for safe places to exercise in the community. They have identified
a perceived need
When the health education specialists needs to mesuare the severity of a disease related to the degree of pahtogencity of the disease prgansim, he/she calculates the
case fatality rate
When inferring needs of a priority population, the health education specialist
considers feedback from the priority population along with data collected on health issues in the population