Does attitude hinder or help selecting evaluation questions?

Positive attitude leads to a more successfully implementation of a change. we investigated the effect of attitudes of stakeholders toward a program on their prioritization of the program components for selecting the key question of a theory-driven evaluation with concept mapping method. materials and methods: during a brainstorming session,stated statements defined the program components. then they were sorted and rated regarding the importance and feasibility of them. in addition,the attitudes of participants were assessed by a 30 items questionnaire extracted from a pool named as “50 reasons not to change.” we determined and compared the consensus points of participants both with and without of considering their attitudes toward the program. results: the participants were divided into two groups of high (45% - above the mean) and low (55% - below the mean) attitude. brainstorming discussions generated a pool of almost 120 statements which were subsequently refined to 44 statements. matching the rating scores between two attitude groups yielded a consensus at a higher priority than the other method. conclusion: in the concept mapping procedure,it is crucial to reach the consensus with respect to the participants’ attitude,rather than the similarity of mean scores of feasibility and importance. © 2015 journal of research in medical sciences.