Contexts, Mechanisms, and Outcomes That Matter in Dutch Community-Based Physical Activity Programs Targeting Socially Vulnerable Groups
| العنوان: | Contexts, Mechanisms, and Outcomes That Matter in Dutch Community-Based Physical Activity Programs Targeting Socially Vulnerable Groups |
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| المؤلفون: | Annemarie Wagemakers, M.C. Herens, Maria Koelen, Lenneke Vaandrager, Johan van Ophem |
| المصدر: | Evaluation & the Health Professions, 40(3), 294-331 Evaluation & the Health Professions 40 (2017) 3 |
| بيانات النشر: | SAGE Publications, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Program evaluation, Advisory, Trainer, WASS, Health Promotion, Vulnerable Populations, CMO configurations, Interviews as Topic, 03 medical and health sciences, health-enhancing physical activity, 0302 clinical medicine, realist synthesis, 0504 sociology, qualitative evaluation, Humans, Community Health Services, 030212 general & internal medicine, Exercise, Gezondheid en Maatschappij, Netherlands, Adaptive capacity, business.industry, Health Policy, 05 social sciences, 050401 social sciences methods, timeline technique, Timeline, Focus Groups, Public relations, Focus group, Urban Economics, Outreach, Health and Society, Socioeconomic Factors, Intersectoral Collaboration, Thematic analysis, Psychology, business, Program Evaluation, community-based programs |
| الوصف: | This article presents a practitioner-based approach to identify key combinations of contextual factors (C) and mechanisms (M) that trigger outcomes (O) in Dutch community-based health-enhancing physical activity (CBHEPA) programs targeting socially vulnerable groups. Data were collected in six programs using semi-structured interviews and focus groups using a timeline technique. Sessions were recorded, anonymized, and transcribed. A realist synthesis protocol was used for data-driven and thematic analysis of CMO configurations. CMO configurations related to community outreach, program sustainability, intersectoral collaboration, and enhancing participants’ active lifestyles. We have refined the CBHEPA program theory by showing that actors’ passion for, and past experiences with, physical activity programs trigger outcomes, alongside their commitment to socially vulnerable target groups. Project discontinuity, limited access to resources, and a trainer’s stand-alone position were negative configurations. The authors conclude that local governance structures appear often to lack adaptive capacity to accommodate multilevel processes to sustain programs. |
| وصف الملف: | application/octet-stream; application/pdf |
| تدمد: | 1552-3918 0163-2787 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7b723a3ae3ff03754947e4e31f3a42dc https://doi.org/10.1177/0163278716652940 |
| حقوق: | RESTRICTED |
| رقم الأكسشن: | edsair.doi.dedup.....7b723a3ae3ff03754947e4e31f3a42dc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15523918 01632787 |
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