Skip to main content

Table 2 Operationalisation of context-mechanism-outcomes concepts in the VoM programme

From: Unravelling mechanisms underlying the action principles of a community-based health promotion programme: a realist evaluation

Concept

Theoretical definitiona

Operational descriptionb

Thematic elaborationc

Context

Refers to the fact that a relationship between causal mechanisms and their effects depends on the specific circumstances

Something (situation or condition) that existed prior to the start of the VoM programme or something happening outside control of the programme

Historical factors

Organisational factors

Programme-related

Mechanisms

Responsible for the relationship between context and outcome; the cognitive or affective responses of participants to resources offered [57]

Activities and actions taken by actors (citizens, community workers, coalition members) in the VoM programme

Programme-related: actions taken by community workers, VoM coalition members

Participant-related: actions taken by citizens

Outcomes

Results from different layers of reality in social explanation

Results of the VoM programme; programme outputs and short-term outcomes (Fig. 1). Intended short-term and long-term outcomes as defined in the programme theory and unplanned outputs and outcomes as perceived by stakeholders (community workers and citizens)

Results at the level of:

- citizens

- community workers

- community

  1. a Based on Pawson et al. (2005) [53], Jagosh et al. (2015) [31], Herens et al. (2017) [21]; b Based on Calò et al. (2020) [44], Marchal (2012) [54]; c Based on Herens et al. (2017)[21]