Change Program Research Articles

Telehealth Diabetes Prevention Program for Adults With Prediabetes in an Academic Medical Center Setting: Protocol for a Hybrid Type III Trial.

Diabetes is a costly epidemic in the United States associated with both health and economic consequences. These consequences can be mitigated by participation in structured lifestyle change programs such as the National Diabetes Prevention Program (DPP) led by the Centers for Disease Control and Prevention. Mississippi consistently has among the highest rates of diabetes and prediabetes nationally. Implementing the National DPP through large health care systems can increase reach and accessibility for populations at the highest risk for diabetes. Translational research on the National DPP in Mississippi has not been studied. This study aims to evaluate the implementation and impact of the National DPP delivered using telehealth modalities at the University of Mississippi Medical Center in Jackson, Mississippi. An effectiveness-implementation hybrid type III research design is proposed. The study design is guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework and the Practical, Robust Implementation and Sustainability Model. Participants are being recruited via provider referral, and the DPP is being delivered by trained lifestyle coaches. Study participants include adult (≥18 years) patients eligible for the DPP with at least 1 encounter at 1 of 3 ambulatory clinic specialties (lifestyle medicine, family medicine, and internal medicine) between January 2019 and December 2023. The National DPP eligibility criteria include a BMI ≥25 kg/m2 and hemoglobin A1c between 5.7% and 6.4%. The University of Mississippi Medical Center criteria include Medicare or Medicaid beneficiaries. The University of Mississippi Medical Center's a priori implementation plan was developed using the Consolidated Framework for Implementation Research and includes 23 discrete strategies. The primary aim will use an embedded mixed method process analysis to identify and mitigate challenges to implementation. The secondary aim will use a nonrandomized quasi-experimental design to assess the comparative effectiveness of the DPP on health care expenditures. A propensity score matching method will be implemented to compare case subjects to control subjects. The primary outcomes include patient referrals, participant enrollment, retention, engagement, the incidence of diabetes, and health care resource use and costs. At baseline, of the 26,151 patients across 3 ambulatory clinic specialties, 1010 (3.9%) had prediabetes and were eligible for the National DPP. Of the 1010 patients, more than half (n=562, 55.6%) were aged 65 years or older, 79.5% (n=803) were Medicare beneficiaries, 65.9% (n=666) were female, and 70.8% (n=715) were obese. This is the first translational study of the National DPP in Mississippi. The findings will inform implementation strategies impacting the uptake and sustainability of the National DPP delivered in an academic medical setting using distance learning and telehealth modalities. ClinicalTrials.gov NCT04822480; https://clinicaltrials.gov/study/NCT03622580. DERR1-10.2196/50183.

Rights-based approaches and Indigenous peoples and local communities: Findings from a literature review

Abstract This preliminary assessment of rights-based approaches (RBAs) seeks to contribute to the ongoing discussions of RBAs for Indigenous Peoples and local communities (IPs and LCs). RBAs purposefully position the recognition of, respect for, and access to individual and collective rights as central to an initiative’s planning, design, implementation, process monitoring, and outcomes. In mainstream climate change, conservation, and development programs and policies, this means refocusing the relationship between “beneficiaries” and “implementers” to one of rights-holders and duty-bearers. RBAs hold growing discursive importance in relation to the rights of IPs and LCs in conservation and climate change spheres, including the agendas of international agencies. The growing interest in RBAs, and their inclusion in frameworks that will guide development, conservation, and climate projects over the next decade, is laudable. However, there are few reviews that seek to understand how RBAs emerged and how they have been conceptualized. Such analysis is a necessary basis from which to advance discussions on the impact of RBAs and provide lessons to support them. In this review, our primary interest is the conception, conceptualization, and implementation of RBAs in forest-based initiatives, but we reviewed the wider scholarly and gray literature on RBAs in development, conservation, and climate action initiatives.

Abstract 12594: Comparison of Effects of Face-to-Face and Online Community-Based Healthy Lifestyle Behavior Change Programs on Life Simple 7 Score in the Elderly

Introduction: The Life Simple 7 (LS7) score, developed by the American Heart Association, is a powerful predictor of an individual's cardiovascular health. It consists of seven key cardiovascular health metrics, including cholesterol levels, blood pressure, blood sugar, body mass index, diet, smoking status, and physical activity levels. In-person behavior change programs that target LS7 may not be accessible to older people. Aims: Our aim was to compare the impact of face-to-face and online community-based programs on the LS7 score among elderly individuals. Methods: Elderly participants were recruited from local community centers and randomly assigned to either a face-to-face or online program group. The face-to-face group attended weekly sessions at the community center, while the online group received program content through a web-based platform. Changes in the LS7 score were measured at baseline and six weeks after the intervention. An analysis of covariance (ANCOVA) was used to compare outcomes. Results: A total of 114 elderly individuals, with an average age of 71.75 ± 10.39 and 70.8% males, participated in the study (face-to-face group, n=48; online group, N=66. The findings indicate significant improvements in blood pressure (p=0.048), cholesterol (p=0.021), exercise (p=0.000), and diet scores (p=0.001). However, no significant differences were observed between the two groups (F=0.16, p>.05). Conclusion: The findings suggest that both modes of intervention are effective in improving cardiovascular health, highlighting the potential of online programs during times such as the COVID-19 pandemic or in rural areas.

Demeaning, depriving, and isolating the academic subject: A case study of the degradation of professional autonomy

This article explores the dismantling of professional autonomy during a change management programme at a business school in the United Kingdom. The change programme proposed the disinvestment from research in Critical Management Studies (CMS) and Political Economy and resulted in compulsory redundancies. The study reconstructs the managerial processing of this ‘case for change’ with a particular focus on the mechanisms behind the dismantling of professional autonomy. Specifically, three mechanisms of degradation are highlighted: first, a managerial attitude of censorship and anti-intellectualism that serves to demean academic scholarship, second, the regulation of time, space and information that deprives academics of the means to defend themselves and, finally, the isolation of professionals and the creation of docile academic subjects. By focussing on the micro-physics of power and understanding the mundane processes through which it takes effect and circulates, the ways in which it routinely undermines the autonomy of those it wants out, the article offers further avenues to discuss ways to resist the dismantling of professional autonomy in the managerial university.

Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom?

BackgroundWorkplace behaviours of healthcare staff impact patient safety, staff well-being and organisational outcomes. A whole-of-hospital culture change programme, Ethos, was implemented by St. Vincent’s Health Australia across eight hospitals. Ethos...

가상현실 기반 예비교사 에듀테크 프로그램 개발 및 적용

The paper aims to understand developing and applying a program for digital competence and awareness change of pre-service teachers and to analyze experience following the need to build an EduTech environment and foster digital literacy suggested in the 2022 revised national curriculum. The Tyler model, providing a rational process, was used to develop systematic programs. The evaluation was designed to check the changes in pre-service teachers' perceptions of EduTech, and a survey was planned to analyze the educational experience. A 6-times blended learning program was developed, and a virtual space and learning tools were produced. After applying the program, the results of the paired sample t-test showed a significant mean increase in the change of pre-service teachers' perceptions. It is hoped that study will effectively cultivate the EduTech capabilities of pre-service teachers and change their perceptions to respond to social changes.

Changes in Healthcare Utilization After Lifestyle Intervention for Weight Loss

This study evaluates the real-world impact of a lifestyle change program (LCP) on healthcare utilization in a large health system. Using electronic health record data from a large health system in northern California, U.S., LCP participant and propensity-score-matched nonparticipant outcomes were compared in the second year post-participation: (1) overall healthcare utilization and (2) utilization and medications related to cardiometabolic conditions and obesity. Adult LCP participants between 2010 and 2017 were identified and matched 1:1 with replacement to comparable nonparticipants. Participants without electronic health record activity in the 12-36 months before baseline, or with conditions or procedures associated with substantial weight change, were excluded. Statistical analysis and modeling were performed in 2021-22. Compared to matched nonparticipants, LCP participants in the 12-24 months post-baseline were more likely to have specialty-care visits (+4.7%, 95% CI +1.8%, +7.6%), electronic communications (8.6%, 95% CI +5.6%, +11.7%), and urgent-care visits (+6.5%, 95% CI +3.0%, 10.0%). Participants also had more office visits for cardiometabolic conditions and obesity (+1.72 visits/patient, 95% CI +1.05, +2.39). Compared with matched nonparticipants, LCP participation was associated with higher utilization of outpatient services post-participation. Additional research could assess whether this indicates an increase in preventive care that could lead to improved future outcomes.

Barriers and facilitators to sustainable operating theatres: a systematic review using the Theoretical Domains Framework.

The health sector contributes significantly to the climate crisis. Operating theatres in particular are a major contributor of greenhouse gas emissions and waste, and while there are several evidence-based guidelines to reduce this impact, these are often not followed. We systematically reviewed the literature to identify barriers and facilitators of sustainable behaviour in operating theatres, categorising these using the Theoretical Domains Framework (TDF). Medline, Embase, PsychInfo, and Global Health databases were searched for articles published between January 2000 - June 2023, using the concepts: barriers and facilitators, sustainability, and surgery. Two reviewers screened abstracts from identified studies, evaluated quality, and extracted data. Identified determinants were mapped to TDF domains and further themes as required. The results were reported in line with PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) and AMSTAR (A MeaSurement Tool to Assess Systematic Reviews) guidelines. Twenty-one studies were selected for analysis and assessment (seventeen surveys and four interview studies) comprising 8286 participants, including surgeons, nurses and anaesthetists. Eighteen themes across ten TDF domains were identified. The most common barriers to adoption of green behaviours in operating theatres were in domains of: 'knowledge' (N=18) e.g. knowledge of sustainable practices; 'environmental context and resources' (N=16) e.g.'personnel shortage and workload and inadequate recycling facilities; 'social influences' (N=9) e.g. lack of leadership/organisational mandate or support; 'beliefs about consequences' (N=9) e.g. concerns regarding safety. Intention was the most common facilitator, with eleven studies citing it. Despite intentions to adopt sustainable practices in operating theatres, this review identified several barriers to doing so. Interventions should focus on mitigating these, especially by improving staff's knowledge of sustainability practices and working within the environmental context and time pressures. Furthermore, institutional change programmes and policies are needed to prioritise sustainability at the Hospital and Trust level. Additional qualitative work should also be conducted using behavioural frameworks, to more comprehensively investigate barriers and determinants to decarbonise operating theatres.

Delivering the National Diabetes Prevention Program: Assessment of Outcomes in In-Person and Virtual Organizations.

The Centers for Disease Control and Prevention's Diabetes Prevention Recognition Program (DPRP) has helped organizations deliver the National Diabetes Prevention Program (National DPP) lifestyle change program for over 10 years. Four delivery modes are now approved: in person, online (self-paced, asynchronous delivery), distance learning (remote, synchronous delivery), and combination (hybrid delivery using more than one delivery mode). We assessed outcomes using data from 333,715 participants who started the 12-month program between January 1, 2012, and December 31, 2018. The average number of sessions attended was highest for in-person participants (15.0), followed by online (12.9), distance learning (12.2), and combination (10.7). The average number of weeks in the program was highest for in-person participants (28.1), followed by distance learning (20.1), online (18.7), and combination (18.6). The average difference between the first and last reported weekly physical activity minutes reflected an increase for in person (42.0), distance learning (27.1), and combination (15.0), but a decrease for online (-19.8). Among participants retained through session 6 or longer, average weekly physical activity minutes exceeded the program goal of 150 for all delivery modes. Average weight loss (percent of body weight) was greater for in person (4.4%) and distance learning (4.7%) than for online (2.6%) or combination (2.9%). Average participant weight loss increased gradually by session for all delivery modes; among participants who remained in the program for 22 sessions, average weight loss exceeded the program goal of 5% for all delivery modes. In summary, if participants stay in the program, most have positive program outcomes regardless of delivery mode; they have some outcome improvement even if they leave early; and their outcomes improve more the longer they stay. This highlights the benefits of better retention and increased enrollment in the National DPP lifestyle change programs, as well as enhancements to online delivery.

Input, Outcome, and Impact: A Program-Informed Model to Improve the Effectiveness of Corporate Social Marketing

Background The purpose of this research is to extend Corporate Social Marketing (CSM) literature and provide practitioners with a framework that can be used in different contexts, as the existing literature lacks an understanding of what factors determine the success of a CSM program and understand the interplay between cross-sector partnerships, CSM, and societal outcomes and impact delivery. Companies are taking a greater interest in addressing social issues, utilizing innovative CSR approaches such as CSM to promote behavior change among their audience while matching their core strengths and attributes ( Kotler et al., 2012 ). Focus of the Article The article evaluates how the CSM program Mein Pragati developed lasting behavior change and seeks to develop a conceptual model around its success. Research Question How can the CSM contribute to behavior change programs? Program Design/Approach Importance to the Social Marketing Field The proposed model (Input, Outcome, and Impact Model of Program Development) provides a structured approach to building a CSM program that changes behavior and develops mutual benefit between corporations, government, and nonprofits. Methods Using a case study approach, this paper analyzes a successful financial inclusion program, Mein Pragati of a global analytics company, CRISIL, and its CSR arm. The three studies (in-depth interviews with eight management members, in-depth interviews with 82 Sakhis (peer educators) and their spouses, and 248 survey interviews with beneficiaries reveal the connection between program development, social outcomes, and societal impact. Results Based on the findings of the three studies, the cross-sector Input, Output, and Outcome Model of the Program Development proposes ways to build effective CSR interventions. Individually, the findings from the in-depth interviews provide a thematic overview of CSM’s success, peer educator interviews identify the impact and outcomes of Mein Pragati, and beneficiary interviews demonstrate program success. Recommendations for Research and Practice Future research can empirically test the Input, Outcome, and Impact Model of Program Development, as further exploration of CSM is needed to understand how the concepts of people, planet, and profits can mutually benefit and provide both behavioral and societal change within program development.

1.N. Workshop: Improving the wellbeing of the health workforce in Europe: Issues and lessons from Ireland

Abstract Health systems have been subject to a series of crises over the last fifteen years from economic austerity to the COVID-19 pandemic and now the cost of living crisis. At the same time many high-income countries have bolstered their own deficient supply of health workers by importing skilled health professionals from other countries. The health workforce has borne the brunt of each of these shocks and it is no surprise that there is demotivation, burnout and high attrition across staff cadres across Europe. Not enough is known about the root causes of these phenomena and therefore what can be done to effectively enhance workforce wellbeing and engagement and also assist health systems to deal effectively with the legacy of pent up demand from the pandemic which is threatening to overwhelm services. This session seeks to identify and evaluate the different factors that have led to disengagement of staff and assess strategies to improve staff wellbeing, retention and health system recovery, based on quantitative and qualitative research. Three case studies from Ireland distinguish different elements of the problem: 1) an investigation of the dimensions of disengagement and their underlying causes after austerity across staff cadres with particular focus on bullying and discrimination 2) an evaluation of turnover amongst nurses post COVID and the factors which are linked to this, and 3) an examination of racial attitudes and discrimination towards non-Irish health professionals in Irish hospitals. Each study highlights particular factors which have caused disengagement and evaluates their consequences and causes. Together they paint a powerful picture of a health system and its workforce struggling to cope with crisis after crisis, mismanagement and ambitious change programmes. A fourth presentation will compare and contrast this picture with analysis from other high-income countries and examine optimal investment strategies to solve the heath workforce problems. This high-level analysis places the Irish case studies in perspective and allows a more thorough evaluation of key factors and strategies to turn round the situation across Europe. Each presenter will be given a strict deadline of 10 minutes each by the chair and then the audience will be invited to debate the problems identified and strategies proposed to discuss: (i) the appropriate course of action for health systems in Europe at this time, (ii) the conditions under which strategies will achieve the desired results for the health workforce and (iii) how and whether a coordinated approach across Europe would be more effective. Key messages • This session will improve understanding of the causes of burnout, disengagement and high turnover amongst the health workforce in order to address these problems. • Strategies for investing in the education, protection and wellbeing of the European health workforce will be evaluated to assist with our readiness for future shocks.

"Like a broom tied together": A qualitative exploration of social cohesion and its role in community capacity strengthening to support integrated health in Nigeria.

Social cohesion, broadly understood as the degree of connectedness, solidarity, and trust across various community groups and between individuals, is critical for community capacity. This paper examines social cohesion and its role in community capacity strengthening for sustaining integrated health gains in Nigeria. This study took place in the context of a mid-course qualitative evaluation of a Community Capacity Strengthening approach that focuses on engaging Ward Development Committees (WDC) to increase community agency, coordinate and support the ward-level health ecosystem and ensure sustained community-level activities supporting behaviour change for improved health outcomes. This qualitative study was conducted in four selected wards per state in Bauchi and Sokoto states, targeting WDC members, Village Development Committee members, Community Volunteers, local government officials, traditional leaders, and Community Capacity Strengthening project staff. Thematic content analysis findings show that recognition and legitimacy were operationalized through the election of members into committees which in turn gave them a sense of identity and credibility. At the community level, WDCs leveraged the influence of social networks in the community to achieve their goal. Trust was also identified as a prerequisite to the acceptance and accomplishment of social and behaviour change programming. At the institutional level, our findings revealed strong conflict management skills and high collective efficacy of committee members for programme implementation. This study found high cohesion among committee members, promoting a sense of belonging and agency, and facilitating social and behavior change activities for improved health outcomes. However, we found clear limits to the extent to which high social cohesion can contribute to community capacity to sustain health implementation and improvements. While cohesive community organizations present a good opportunity for health programmes, there is a need for more investment of resources to address funding, logistics, and service delivery limitations.

Mollusca collected by Agassiz trawl from the 2016 SO-AntEco (JR15005) expedition to the South Orkney Islands, Antarctica - data.

This dataset contributes to the knowledge of macro- and megafaunal Mollusca associated with a range of benthic habitat types in the South Orkney Islands, Antarctica, an exceptionally diverse region of the Southern Ocean. The information presented is derived from Agassiz trawl samples collected on the archipelago's shelf plateau and slope, within and outside of the South Orkney Islands Southern Shelf Marine Protected Area (SOISS MPA). Sampling was conducted in the framework of the British Antarctic Survey/SCAR "South Orkneys - State of the Antarctic Ecosystem" (SO-AntEco) project aboard RRS James Clark Ross during expedition JR15005 in Austral summer 2016. This dataset is published by the British Antarctic Survey under the licence CC-BY 4.0. We would appreciate it if you could follow the guidelines from the SCAR Data Policy (SCAR 2023) when using the data. If you have any questions regarding this dataset, do not hesitate to contact us via the contact information provided in the metadata or via data-biodiversity-aq@naturalsciences.be. Issues with the dataset can be reported at https://github.com/biodiversity-aq/data-publication/. This dataset is part of the Biodiversity, Evolution and Adaptation Project of the Environmental Change and Evolution Program of the British Antarctic Survey. The cruise report of the expedition is available at https://www.bodc.ac.uk/resources/inventories/cruise_inventory/reports/jr15005.pdf. We report occurrences of Mollusca from individual samples taken with a 2 m-wide Agassiz trawl (AGT) in the framework of the February - March 2016 research expedition JR15005 of RRS James Clark Ross to the SOISS MPA and adjacent shelf and slope areas. Of 78 successful AGT deployments, 44 trawls at depths ranging from 235-2194 m yielded living Mollusca, totalling 2276 individuals, 67 morphospecies and 163 distributional records. One hundred and fifteen empty shells were also collected and recorded in the dataset. Three morphospecies (one Bivalvia and two Gastropoda) were sampled exclusively as empty shells, yielding a total of 70 morphospecies and 2391 specimens represented in the dataset. All specimens were preserved in 96% undenatured ethanol and are stored as vouchers in the collections of the British Antarctic Survey (BAS), Cambridge, United Kingdom. The publication of this dataset aims at increasing the knowledge on the biodiversity, abundance and geographical and bathymetric distribution of larger-sized epi- and shallow infaunal Mollusca of the South Orkney Islands.

Working with stakeholders to translate health psychology research into practice: Reflections from evaluations of two national behaviour change programmes

Working with stakeholders to translate health psychology research into practice: Reflections from evaluations of two national behaviour change programmes

Preventing and combating domestic violence: the role of cultural and mental factors

The article analyzes the cultural and mental factors that influence the spread of the problem of domestic violence.
 It is motivated by the fact that the cultural and mental tradition of domestic violence is the background phenomenon that cannot be combated exclusively by legal means. The cultural-mental tradition of the domestic population is a complex socio-cultural phenomenon that reveals ideas, norms and values formed in society, which can contribute to the emergence and support of accidental violence in family relationships. This aspect has a significant impact on the dynamics and distribution of the domestic population in a certain cultural community.
 It is indicated that the domestic population violates the basic rights and freedoms of the individual, deepens social problems and negatively affects the physical and mental health of the victims. Manifestations of domestic violence directly violate the sphere of humanization of social reality, encroach on human rights due to the devaluation of the natural right to life, freedom and security of the individual, in particular, endangering the physical and emotional integrity of the victims.
 The article determines that the role of cultural and mental values of society is significant, especially in the context of public acceptance of domestic violence, ignoring the problem and not taking it seriously enough and treating it as an expected phenomenon.
 The author identifies the characteristics of the mental and cultural values of society that provoke the spread of domestic violence.
 Solving issues related to domestic violence requires an integrated approach, active participation of the community and authorities, as well as raising public awareness of the negative impact of this phenomenon on the individual, family and society as a whole. Therefore, it can be argued that the legal policy in the field of domestic population should be a complex system of legal and legal mechanisms to prevent and counteract this phenomenon. Transforming gender norms, overcoming negative family traditions through behavior change and communication-oriented programs can promote gender equality norms and prevent domestic violence.

Evaluating the Short-Term Costs and Benefits of a Nationwide Diabetes Prevention Programme in England: Retrospective Observational Study.

Prevention programmes typically incur short-term costs and uncertain long-term benefits. We use the National Health Service (NHS) England Diabetes Prevention Programme (NHS-DPP) to investigate whether behaviour change programmes may be cost-effective even within the short-term participation period. We analysed 384,611 referrals between June 2016 and March 2019. We estimated NHS costs using implementation costs and provider payments. We used linear regressions to relate utility changes to the number of sessions attended, based onresponses to the five-level EQ-5D (EQ-5D-5L) at baseline and final session for 18,959 participants. We then calculated the corresponding quality-adjusted life year (QALY) change for all 384,611 referrals by combining the estimated regression coefficients with the observed level of attendance, with individuals that did not attend any programme sessions being assumed to experience zero benefit. In secondary analysis, we added weight change, recorded for 18,105 participants to the regression and applied predicted values to all referrals with missing weight change values estimated using multiple imputation with chained equations. We then estimated the cost-per-QALY generated. Average cost per referral was £119 (standard deviation: £118; 2020 price year, UK £ Sterling). Each session attended was associated with a 0.0042 increase in utility (95% confidence interval (CI): 0.0025-0.0059). This generated 1,773 QALYs across all referrals (95% CI: 889-2,656). Cost-per-QALY was £24,929 (95% CI: £16,635-49,720) when implementation costs were excluded. Secondary analysis showed each session attended and kilogram of weight lost were associated with 0.0034 (95% CI: 0.0016-0.0051) and 0.0025 (95% CI: 0.0020-0.0031) increases in utility, respectively. These generated 1,542 QALYs, at a cost-per-QALY of £28,661 when implementation costs were excluded. Participants experienced small utility gains from session attendance and weight loss during their programme participation. These benefits alone made this low-cost behaviour change programme potentially cost-effective in the short-term.

Re-orientating agricultural research to address complex challenges: Legitimacy dynamics of a hybrid research organisation

Agricultural research organisations play a critical role in the agri-food system; not only through the provision of research and technologies, but also by brokering relationships with stakeholders throughout the research process to create impact. Yet over the past decade, as the focus has shifted towards such multi-actor innovation processes, the role and legitimacy of the agricultural research organisations world-wide has been challenged. Occupying an intermediary position in agricultural innovation systems means that agricultural research institute legitimacy is constantly under pressure from the rural community, academics, policy makers, industry, and general society as the institute attempts to be all things to all people. Here we present the outcomes of an organisational change programme within an applied agricultural research organisation, in response to a government-led agenda to increase impact for research users. By using institutional theory of hybrid organisation legitimacy, we shed light on the multiple institutional logics that co-exist within an agricultural research institute, and how these align with the external institutional environment. We show that with the introduction of a new multi-actor innovation logic, attempts were made to legitimise, externally and internally, knowledge co-production. Yet agricultural research organisations, and those who work within them, need dedicated time for learning and reflecting on the values, beliefs, and practices of the different actors in the innovation system, otherwise they only selectively adopt practices that maintain existing institutional logics. The main theoretical implications show how that change towards an impact culture is influenced by the existing logics, and how organisational legitimacy provides a framing for understanding the success (or otherwise) of introducing new modes of innovation in hybrid research organisations. Practically, space and resourcing are needed to experiment with new logics and deliberate strategies are required to increase the repertoire of research roles while maintaining internal and external legitimacy. The practical implications demonstrate the barriers and opportunities of re-orientating hybrid agricultural research institutes, agricultural innovation systems, and the roles of the researchers that work in them, to deliver to the complex societal challenges facing the agri-food sector.

Scale-up of the Australian Fans in Training (Aussie-FIT) men’s health behaviour change program: a protocol for a randomised controlled hybrid effectiveness–implementation trial

IntroductionImproving physical activity (PA) and healthy eating is critical for primary and secondary prevention of cardiovascular disease (CVD). Behaviour change programmes delivered in sporting clubs can engage men in health...

Individualised variable-interval risk-based screening in diabetic retinopathy: the ISDR research programme including RCT

Individualised variable-interval risk-based screening in diabetic retinopathy: the ISDR research programme including RCT

Adapting a men’s behaviour change program to online delivery using a developmental evaluation approach

Men’s behaviour change programs constitute an important family violence intervention strategy. In 2020, the COVID-19 pandemic and associated restrictions brought increased risk of family violence and service demand. When face-to-face groups became impossible under restrictive public health orders, the Men’s Behaviour Change Program provided by Relationships Australia Victoria was delivered using videoconferencing technology. We describe a developmental evaluation approach to the adaptation of the Men’s Behaviour Change Program to online delivery. Developmental evaluation can inform innovation in complex environments and emphasises learning and adaptation at program development phase. We demonstrate the application and utility of this approach to the rapid adaptation of social services for online delivery. Quantitative and qualitative data were collected from participants, facilitators and external observers and subjected to regular collaborative review to inform practice development. The results point to a steep learning curve, during which facilitators and observers identified practices to support effective online delivery of the Program. The evaluation indicated that, following adaptations, Program objectives were achievable using this method of delivery and positive dynamics remained possible in online groups. This finding is consistent with the current No to Violence position that online men’s behaviour change programs have an important and ongoing role in the specialist family violence services sector.