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NSCA's Guide To Program Design (




This third edition has been thoroughly revised to better reflect the current scientific knowledge about .[Table 1](#tbl1){ref-type="table"} shows the page numbers of the original and updated editions. A central goal of the revised Guide to Program Design was to improve upon the clarity and organization of the original text to make the material easier to read and use. We added a visual grid to the text, which facilitates reading by highlighting important aspects of the information presented in the figures. We also combined some of the tables into the figure legends to improve the flow of reading. The Guide to Program Design is organized into 5 broad topic areas: introduction; describing the nature and rationale of the program; developing the program objectives, goals, and targets; designing a comprehensive evaluation program; and managing a program. Other changes to the third edition include additions of new material to the chapters and a more detailed analysis of the strengths and weaknesses of existing programs. NSCA recognizes the need for science and medicine to change over time and accepts that this may necessitate changes to existing programs. The scientific knowledge and expertise needed to maintain the basis of existing programs is also constantly changing. Therefore, NSCA is committed to maintaining and updating this Guide to Program Design as new information emerges. The principles of NSCA's Guide to Program Design are straightforward: (1) a program should improve health; (2) programs should be designed by people who are knowledgeable about the factors affecting health and those who have expertise in the particular areas addressed in the program; (3) programs should be designed and managed in a systematic manner to ensure good program management and program sustainability; and (4) the design and management of a program should be appropriate to the issues being addressed by the program. NSCA believes that all programs that meet these principles have a role in improving the health of the population. For a program to meet these principles, several requirements must be met. First, a program needs to be designed in such a way that it meets the health needs of the target population. A program can be designed to achieve a broad set of health goals; for example, a program on vitamin D can achieve many health goals, including increases in vitamin D status, reduction in bone fractures, and reductions in cardiovascular disease morbidity and mortality. Such a broad program may require a number of interventions, but the research design and approach will be similar. A program designed to meet a specific health goal will have a different design and research approach. Second, the




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NSCA's Guide To Program Design (
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