Research Article

Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity

Table 2

Summary of CMO configurations in the Healthy Weight Communities (HWC) project.

Context+Enabling mechanism= Outcome pattern

Existing network of community health servicesProcess of bringing partners together to form partnershipsOpportunity to realize a different approach to obesity prevention
Existing good working relationships and a culture of partnership-workingProcess of bringing partners together from different backgrounds and different areas of workMerging of different approaches shaped the main prevention project differently in each community
Existing good working relationships and a culture of partnership-workingBringing partners together from different backgrounds and different areas of workRealization of the need to work differently towards obesity prevention
Existing good working relationships and a culture of partnership-workingBringing partners together from different backgrounds and different areas of workCreation of new perspectives on community work
Existing good working relationships and a culture of partnership-workingBringing partners together from different backgrounds and different areas of workShaping existing community work with a common focus on health
Different mentalities and diverse agendas within the communityCapacity building activities, allowing time to align understanding along community officersCompromised ability to set health priorities within community activities
Established background on community health workImplementation of a project which brings partners together from different backgrounds and different areas of workAligning existing services by placing the focus on health
Health promotion project with an institutionally given mandate to use a pathfinder approachEmpowering community practitioners to improve their literacy on healthy weight levels and enabling them to understand better the change they invokeCreation of a meaningful and holistic approach to health
Health promotion project with an institutionally given mandate to use a pathfinder approachFlexibility and freedom to adjust the project’s activities according to the needs of the communitiesWide dissemination of the project’s activities and increased community engagement
Health promotion project with an institutionally given mandate to use a pathfinder approachDetermination of the project’s practitioners to create a change with community engagementIncreased usage of green space for physical activity, healthier cooking, and promotion of healthier habits
Residents use regularly, rely on and have confidence on council servicesSocial marketing strategy with positive and non-stigmatizing vocabulary towards health body weight levelsIncreased outreach of the project to those more in need of the project’s activities
Residents use regularly, rely on, and have confidence in council servicesAllowing time for the communication work to grow in the community and letting people gradually familiarize themselves with messages about healthy weight levelsSocial change is gradually taking place within the communities
Residents use regularly, rely on, and have confidence in council servicesFocus on the project activities according to the needs of the communitiesElevation of social cohesion within families belonging to the community
Health promotion project with the aim to create cultural shift around healthy nutrition, weight, and movementRestricted timeframe of the health promotion projectCompromised capacity of the project to produce a cultural shift in health behavior