Process evaluation of in-person, news and social media engagement of a community-based programme Brown Buttabean Motivation (BBM): a research protocol

Savila, Fa'asisila; Bamber, Anele; Smith, Sandra; Fernandez, Karen V.; Harding, Truely; Letele, Dave; Werf, Bert van der; Loheni, Mia; Bagg, Warwick; Swinburn, Boyd; Goodyear‐Smith, Felicity

doi:10.1136/bmjopen-2022-062092

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Most interventions to address obesity do not result in sustained weight loss over time, and a review of the literature recommended “Māori and Pacific-led, culturally tailored weight loss programs that promote holistic, small, and sustainable lifestyle changes delivered in socially appropriate contexts” [ 3 ]. A pre-post longitudinal quantitative cohort study is underway to evaluate the effectiveness of BBM for sustained health and well-being outcomes, especially weight loss [ 4 ]. A further study is underway to conduct a mixed methods process evaluation of BBM’s community engagement through in-person, social, and news media outreach activities with respect to the health and well-being of the Māori and Pacific communities over time [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach

Savila¹,

Harding²,

Bagg³

et al. 2023

JMIR Res Protoc

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Background Brown Buttabean Motivation (BBM) is an organization providing support for Pacific people and Indigenous Māori to manage their weight, mainly through community-based exercise sessions and social support. It was started by DL, a man of Samoan and Māori descent, following his personal weight loss journey from a peak weight of 210 kg to less than half that amount. DL is a charismatic leader with a high media profile who is successful in soliciting donations from corporations in money and kindness. Over time, BBM’s activities have evolved to include healthy eating, food parcel provision, and other components of healthy living. A co-design team of university researchers and BBM staff are evaluating various components of the program and organization. Objective The purpose of this study is to build culturally centered system dynamics logic models to serve as the agreed theories of change for BBM and provide a basis for its ongoing effectiveness, sustainability, and continuous quality improvements. Methods A systems science approach will clarify the purpose of BBM and identify the systemic processes needed to effectively and sustainably achieve the study’s purpose. Cognitive mapping interviews with key stakeholders will produce maps of their conceptions of BBM’s goals and related cause-and-effect processes. The themes arising from the analysis of these maps will provide the initial indicators of change to inform the questions for 2 series of group model building workshops. In these workshops, 2 groups (BBM staff and BBM members) will build qualitative systems models (casual loop diagrams), identifying feedback loops in the structures and processes of the BBM system that will enhance the program’s effectiveness, sustainability, and quality improvement. The Pacific and Māori team members will ensure that workshop content, processes, and outputs are grounded in cultural approaches appropriate for the BBM community, with several Pacific and Māori frameworks informing the methods. These include the Samoan fa’afaletui research framework, which requires different perspectives to be woven together to create new knowledge, and kaupapa Māori–aligned research approaches, which create a culturally safe space to conduct research by, with, and for Māori. The Pacific fonofale and Māori te whare tapa whā holistic frameworks for interpreting people’s dimensions of health and well-being will also inform this study. Results Systems logic models will inform BBM’s future developments as a sustainable organization and support its growth and development beyond its high dependence on DL’s charismatic leadership. Conclusions This study will adopt a novel and innovative approach to co-designing culturally centered system dynamics logic models for BBM by using systems science methods embedded within Pacific and Māori worldviews and weaving together a number of frameworks and methodologies. These will form the theories of change to enhance BBM’s effectiveness, sustainability, and continuous improvement. Trial Registration Australian New Zealand Clinical Trial Registry ACTRN 12621-00093-1875; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382320 International Registered Report Identifier (IRRID) PRR1-10.2196/44229

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Section: Introductionmentioning

confidence: 99%

Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach

Savila¹,

Harding²,

Bagg³

et al. 2023

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

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Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach (Preprint)

Savila¹,

Harding²,

Bagg³

et al. 2022

Preprint

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BACKGROUND Brown Buttabean Motivation (BBM) is an organization providing support for Pacific people and Indigenous Māori to manage their weight, mainly through community-based exercise sessions and social support. Over time, BBM’s activities have evolved to include healthy eating and other components of healthy living. A co-design team of university researchers and BBM staff are evaluating various components of the program and organization. OBJECTIVE To build culturally-centered, system dynamics logic models to serve as the agreed theories of change for BBM, and provide a basis for its ongoing effectiveness, sustainability, and continuous quality improvements. METHODS A systems science approach will clarify the purpose of BBM and identify the systemic processes needed to effectively and sustainably achieve this. Cognitive mapping interviews of key stakeholders will produce maps of their conceptions of BBM’s goals and related cause and effect processes. The themes arising from the analysis of these maps will provide the initial indicators of change to inform the questions for a series of group model-building workshops. In these workshops, two groups (BBM staff and BBM members) will build qualitative systems models (casual loop diagrams), identifying feedback loops of the structures and processes of the BBM system which will enhance the program’s effectiveness, sustainability and quality improvement. The Pacific and Māori team members will ensure that workshop content, processes and outputs will be grounded in the cultural approaches appropriate for the BBM community, with several Pacific and Māori frameworks informing the methods. This includes the Samoan fa’afaletui research framework, which requires different perspectives to be woven together to create new knowledge, and Kaupapa Māori-aligned research approaches, which create a culturally safe space to conduct research by, with, and for Māori. The Pacific Fonofale and Māori Te Whare Tapa Whā holistic frameworks for interpreting people's dimensions of health and wellbeing, will also inform this study. RESULTS Not applicable CONCLUSIONS This study will adopt a novel and innovative approach to co-designing culturally-centered, system dynamics logic models for BBM, by using systems science methods embedded within Pacific and Māori world views, weaving together a number of frameworks and methodologies. These will form the theories of change to enhance BBM’s effectiveness, sustainability and continuous improvement. CLINICALTRIAL Australian New Zealand Clinical Trial Registry ACTRN 12621-00093-1875 Submitted 10-05-2021, completed 1507-2021.

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Process evaluation of in-person, news and social media engagement of a community-based programme Brown Buttabean Motivation (BBM): a research protocol

Cited by 2 publications

References 18 publications

Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach

Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach

Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach (Preprint)

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