1.One critical process box in the logic model is the "Enhanced community connections and pride" within the Intermediate Outcomes. This box is crucial because community engagement and pride are pivotal in promoting healthy behaviours. The assumption that enhanced community connections contribute to sustained engagement aligns with existing research (Passmore et al., 2017). This aspect recognises the importance of cultural and social factors in influencing lifestyle choices among Aboriginal Australians (Verbunt et al., 2021). By prioritising community connections, the program aims to foster an environment where individuals are more likely to support and motivate each other in adopting and maintaining healthier lifestyles. Therefore, assessing the effectiveness of activities related to community connections will help determine the program's impact on the community's social fabric and its potential to create lasting positive change.
One critical impact/outcomes box in the logic model is "Improved overall physical health and well-being" within the Long-Term Outcomes (Passmore et al., 2017). This box represents the ultimate goal of the program – achieving positive health outcomes. It consolidates intermediate outcomes such as weight loss, reduced BMI, improved mental health, and increased physical activity, indicating a comprehensive approach to health improvement. Evaluating this box is essential as it captures the holistic impact of the program on participants' health. The measured reduction in BMI, significant weight loss, and improvements in mental well-being are concrete indicators that validate the program's success in enhancing the overall health and quality of life among Aboriginal Australians in NSW (Osborne et al., 2020). This outcome directly aligns with the program's objectives and provides a comprehensive assessment of its effectiveness in promoting healthy lifestyles within the target population.
2. For the critical process box "Enhanced community connections and pride" in Intermediate Outcomes, an evaluation question could be: "To what extent did the community-led program foster increased community connections and pride among adult Aboriginal Australians in NSW?" This question aims to assess the success of program activities in building stronger community ties and instilling a sense of pride within the participants (Dudgeon et al., 2022). It could involve measuring the frequency of community interactions, participants reported feelings of pride, and qualitative feedback on the program's impact on social bonds within the community (Passmore et al., 2017). By evaluating this question, the program can gain insights into the social dynamics influenced by its initiatives, providing valuable information for future community-focused interventions.
For the critical impact/outcomes box "Improved overall physical health and well-being" in Long-Term Outcomes, an evaluation question could be: "What quantitative and qualitative changes in physical health and well-being were observed among participants as a result of the program?" This question delves into the multifaceted aspects of health improvement, including weight loss, BMI reduction, mental well-being, and increased physical activity (Plough, 2020). By quantifying these changes and gathering participants' subjective experiences, the evaluation can comprehensively capture the program's impact on the overall health and well-being of the target population (Passmore et al., 2017). This information is crucial for understanding the program's effectiveness in achieving its ultimate goal and guiding potential adjustments or expansions for future iterations.
Study Design |
Timeframe |
Assessment Method |
Sample |
Data Collection Procedure |
Pre-post intervention design with a control group |
Baseline assessment before the program, follow-up assessments during and after the program |
-Surveys/questionnaires assessing participants' perceptions of community connections and pride - Social network analysis to measure changes in community interactions - Qualitative interviews or focus groups for in-depth understanding (Nyumba et al., 2018) |
- Intervention Group: Adult Aboriginal Australians participating in the program - Comparison Group: Adult Aboriginal Australians not participating in the program but from similar communities |
-Pre-program surveys to establish baseline community connections and pride. -Post-program surveys and focus group discussions. -Participant observation to capture real-time community dynamics. -Control group data collected concurrently for comparison |
Study Design |
Timeframe |
Assessment Method |
Sample |
Data Collection Procedure |
Longitudinal cohort study |
Baseline assessment before the program, follow-up assessments during and after the program |
- Physical health metrics: Weight, BMI, self-reported health assessments - Mental well-being assessments: Surveys/questionnaires - Qualitative interviews or focus groups for in-depth qualitative insights (Poon et al., 2022) |
All participants in the community-led program |
-Baseline biometric measurements and surveys before program initiation. -Regular biometric measurements during the program, focusing on weight, BMI, and other health indicators. -Post-program surveys and qualitative interviews at the end of the program. |
Dudgeon, P., Bray, A., Blustein, S., Calma, T., McPhee, R., Ring, I., & Clarke, R. (2022). Connection to community. Australian Institute of Health and Welfare. https://apo.org.au/sites/default/files/resource-files/2022-03/apo-nid317110.pdf
Nyumba, T., Wilson, K., Derrick, C. J., & Mukherjee, N. (2018). The Use of Focus Group Discussion methodology: Insights from Two Decades of Application in Conservation. Methods in Ecology and Evolution, 9(1), 20–32. Wiley.https://doi.org/10.1111/2041-210X.12860
Osborne, S. R., Piper, D., Alston, L. V., Bolton, K. A., Whelan, J., Reeve, E., Wong Shee, A., Browne, J., Walker, T., Versace, V. L., Allender, S., Nichols, M., Backholer, K., Goodwin, N., Lewis, S., Dalton, H., Prael, G., Curtin, M., Brooks, R., & Verdon, S. (2020). Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia. Medical Journal of Australia, 213(S11). https://doi.org/10.5694/mja2.50881
Passmore, E., Shepherd, B., Milat, A., Maher, L., Hennessey, K., Havrlant, R., Maxwell, M., Hodge, W., Christian, F., Richards, J., & Mitchell, J. (2017). The impact of a community-led program promoting weight loss and healthy living in Aboriginal communities: the New South Wales Knockout Health Challenge. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4955-7
Plough, A. L. (Ed.). (2020). Well-being: Expanding the definition of progress: Insights from practitioners, researchers, and innovators from around the globe. Oxford University Press.
Verbunt, E., Luke, J., Paradies, Y., Bamblett, M., Salamone, C., Jones, A., & Kelaher, M. (2021). Cultural determinants of health for aboriginal and torres strait islander people – a narrative overview of reviews. International Journal for Equity in Health, 20(1). https://doi.org/10.1186/s12939-021-01514-2
Poon, J.-L., Marshall, C., Johnson, C., Pegram, H. C., Hunter, M., Kan, H., & Ahmad, N. N. (2022). A qualitative study to examine meaningful change in physical function associated with weight-loss. Quality of Life Research. https://doi.org/10.1007/s11136-022-03191-2
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