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

Rich literature abounds concerning the clinical effectiveness of programs aiming to produce weight gain/obesity prevention outcomes. However, there is very little evidence on how these outcomes are produced, and what interplay of factors made those programs effective (or not) in the environment that...

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Main Author: Vasiliki Kolovou
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Advances in Public Health
Online Access:http://dx.doi.org/10.1155/2022/3289330
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author Vasiliki Kolovou
author_facet Vasiliki Kolovou
author_sort Vasiliki Kolovou
collection DOAJ
description Rich literature abounds concerning the clinical effectiveness of programs aiming to produce weight gain/obesity prevention outcomes. However, there is very little evidence on how these outcomes are produced, and what interplay of factors made those programs effective (or not) in the environment that produced those effects. This study aims to describe the application of realistic evaluation in the field of obesity prevention, as an approach to unravel those components that influence the capacity of a program to produce its effects and to examine its significance in an effort to understand those components. The concepts of critical realism have informed the development of an interview topic guide, while three European programs were selected as case studies after a rigorous selection process. In total, 26 in-depth semi-structured interviews were taken, paired with personal observation and secondary data research. Several grounded context-mechanisms-outcomes (CMO) configurations were described within the respective context of each location, with the mechanisms introduced from each project resulting in distinctive outcomes. This study highlights the potential of realistic evaluation as a comprehensive framework to explain in which contextual circumstances of each program’s effects are produced, how certain underlying mechanisms produce those effects, and how to explicitly connect the context and the acting mechanisms into distinct outcome patterns, which will ultimately form unique configuration sets for each of the analyzed projects.
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spelling doaj-art-d198baae87544624828a4f54a57403202025-02-03T05:50:45ZengWileyAdvances in Public Health2314-77842022-01-01202210.1155/2022/3289330Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of ObesityVasiliki Kolovou0Hanover University of Applied Sciences and ArtsRich literature abounds concerning the clinical effectiveness of programs aiming to produce weight gain/obesity prevention outcomes. However, there is very little evidence on how these outcomes are produced, and what interplay of factors made those programs effective (or not) in the environment that produced those effects. This study aims to describe the application of realistic evaluation in the field of obesity prevention, as an approach to unravel those components that influence the capacity of a program to produce its effects and to examine its significance in an effort to understand those components. The concepts of critical realism have informed the development of an interview topic guide, while three European programs were selected as case studies after a rigorous selection process. In total, 26 in-depth semi-structured interviews were taken, paired with personal observation and secondary data research. Several grounded context-mechanisms-outcomes (CMO) configurations were described within the respective context of each location, with the mechanisms introduced from each project resulting in distinctive outcomes. This study highlights the potential of realistic evaluation as a comprehensive framework to explain in which contextual circumstances of each program’s effects are produced, how certain underlying mechanisms produce those effects, and how to explicitly connect the context and the acting mechanisms into distinct outcome patterns, which will ultimately form unique configuration sets for each of the analyzed projects.http://dx.doi.org/10.1155/2022/3289330
spellingShingle Vasiliki Kolovou
Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity
Advances in Public Health
title Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity
title_full Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity
title_fullStr Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity
title_full_unstemmed Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity
title_short Application of a Realistic Evaluation Approach on Three Public Health Programs Aiming at Prevention of Obesity
title_sort application of a realistic evaluation approach on three public health programs aiming at prevention of obesity
url http://dx.doi.org/10.1155/2022/3289330
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