Research Article

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

Table 4

Summary of CMO configurations in the Walking for Health (WfH) project.

Context+Enabling mechanism= Outcome pattern

Existing culture of walking as a collective activityOperation of a new walking project with a differentiated intentionOpportunity to realize a different approach to the existing one towards a walking activity
Fertilization of a project conception aiming at walkingProcess of bringing a new reasoning to people who wished to walk but did notParticipant walkers join in increasing numbers
Operation of a new walking project with a differentiated intentionBelief in the mission/conception/core idea of the projectParticipant walkers come up with a new reasoning while joining the walking schemes
Operation of a walking project with a differentiated intentionBelief in the mission/conception/core idea of the projectFeelings of gratification and commitment in both the delivery and recipient parts
Operation of a walking project with a differentiated intentionAbility to directly access the impact of their work on the recipients, receiving positive feedback from the effects of the project’s operation on the recipientsAmplification of rewards and feelings of gratification, with a sense of making a difference on recipients
Operation of a project with a differentiated core mission, team spirit, supportive staffStimulating work in terms of acquiring new skills and expertise, flexible operating hours, clear organizational structureReinforcement of the project’s team commitment and belief in the concept
Atmosphere of gratification and commitment for both the delivery and recipient partsEthos of belief in the mission/conception/core idea of the project because it had no financial rewardProliferation of walking schemes nationwide with increased participation of walkers
Operation of a walking project with a differentiated intention within a climate of gratification and commitment for both the delivery and recipient partsCreating enjoyable and sociably pleasant experiences from participation in the walking schemesBetter mental health through socialization, social networks and overcoming solitude
Operation of a walking project with a differentiated intention within a climate of gratification and commitment for both the delivery and recipient partsCreating enjoyable and sociably pleasant experiences from participation in the walking schemesIncrease in physical activity levels through walking
Operation of a walking project with employees with professional expertiseOffering of a bundle of resources and creation of win-win arrangementsEstablishment of sustainable walking schemes
Operation of a walking project with employees with professional expertiseAbility to attract meaningful partnerships with stakeholdersEstablishment of sustainable walking schemes
Operation of a walking project with win-win arrangementsCreating a new reasoning for partnerships as advantageous and valuable for all involved stakeholdersSustainability of the concept with structural embeddedness