Research Article

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

Table 3

Summary of CMO configurations in the BIG project (Bewegung als Investition in Gesundheit: Movement as Investment in Health).

Context+Enabling mechanism = Outcome pattern

Sensitized city on issues of integration, with diversity reflexes, a sports city, with a background in similar projectsPolitical capital, academic profile, leadership skills, experience and public acceptance of project directorAbility to acquire resources and support to set up a program with a participatory approach
Socially and structurally mature city in terms of integrationInitiation of a cooperative planning/participatory programThe project was set up with the required resources
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersProject team applied a hands-on approach with continuous personal contact und cultural understanding to access and identify womenEngagement of women to participate in the cooperative planning
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersCooperative planning with genuine interest in putting women’s participation and needs in the center of the projectCreation of activities that are fitting for the needs of women as a target group
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersWomen perceived this approach as empowering and felt they were being given priorityCreation of a climate of trust, positive reception, and a feeling of being “heard”
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersCreation of a variety of physical activities (swimming, yoga, dance, pilates), in community amenities (pool, school rooms, community halls) at convenient time slots, with childcare optionsWomen felt empowered and felt they could influence the decision-making
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersWomen felt empowered enough to act as social catalysts and through word-of mouth to identify in their networks other women in need of such interventionsIncreased ability of the project to reach the target group
Established culture and modus operandi in the communityGiving time in the community to find the win-win situation and create the opportunity for entering the existing structure, taking advantage of political windows and changes in key political positionsDecreased ability of the project to proceed, with the need to compromise either the academic or communal role of the project
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersIdentification of women from the personal network of the women acting as social catalystsWomen who knew each other forming cliques within the groups
Project following principles of cooperative planning, bringing necessary stakeholders togetherInvitation of all necessary stakeholders to discuss and agree on the conditions of operationCreation of supportive conditions and the ability to maintain structural changes
Project following principles of cooperative planning, which involves women as a target group in the planning process, with community membersEducation, training and qualification of women as sports assistants for culturally diverse groups and the development of documentation (the BIG manual)Stable flow of course instructors, transfer from university to the community, and the sustainable operation of the project within the community with sustained recourses