Hi ! I am a member of a International Working party on Evaluation of Health promotion chaired by Irv Rootman from Toronto and supported by WHO Euro , Health Canada CDC USA and HEA London. One of the aims of the working party is to look at this whole issue and it has commissioned papers form " experts " on a whole range of health promotion issues. There is a background working paper and the aim is to produce a report to be taken to WHO and to the next international conference on HP in Dajkarta. One of things emerging is that RCT 's in some areas are definitely not the way forward and are not a cost effective way of analysing impact etc. One of the problems of the eviedence based practice approach is it is dominated by the biomedical model whihc draws its methods from the natural sciences. There is a whole welter of more humanistic ( for want of a better term) developing in the social sciences that are more appropropriate to social and human dimensions of health promotion. Its important that those working in the field do not allow biomedicine to dictate and ADVOCATE for altrnative methodolgies. My colleague Lindsey Dugdill and I have written a paper published in the Health Education Journal and the Journal of Contemporary health published by our Institute ( references below)which addresses some of the issues. We are meeting again on June 12th in Toronto and I can report back on my return to the UK . The references are : Springett,J and Dugdill, L (1995) Workplace Health promotionprogrammes : towards a framework for Evaluation HEJ 55 91-103 Springett, J Costongs, C and Dugdill, L (1995) towards a framework for Evaluation in health promotion: Methodology Principles and Practice Jounral of Contemporary health 2 61-65 You will see our address on our WWW page. Jane Springett Reader in Health Institute for Health Liverpool John Moores University