Featured Resource

  • Case Studies
  • Programs and Initiatives
  • Case Study: Do Your Thing

    Image: Local Leadership Group members with the group’s Foundational Charter to signal their commitment to work collaboratively to improve health and wellbeing outcomes.

    Do Your Thing is an initiative of the ‘Building a Healthy Bundaberg’ Alliance (BaHB) with the ambitious goal of reducing the rate of overweight and obesity in the Bundaberg region to below the national average by 2030. At its core, Do Your Thing aims to improve the way programs and services across nutrition, physical activity, mental health and social wellbeing sectors are coordinated, delivered, and communicated across the region.

    Health and Wellbeing Queensland is a lead organisation in BaHB, alongside the Bundaberg Regional Council and Sport and Recreation (Department of Tourism, Innovation and Sport), in partnership with several other peak health bodies, local community groups and research organisations. BaHB is committed to supporting people in the Bundaberg region to ‘do their thing’ and make healthy changes to their lives in ways that work for them.

    Background and context

    The Bundaberg region has seen significant investment in health and wellbeing facilities, programs, and activities, and has many existing high-quality service providers. However, the region continues to have higher rates of overweight and obesity than the state average despite having nutrition and physical activity levels that are similar to the state average.

    A key challenge for the BaHB initiative is to better connect the many and diverse stakeholders who have an interest in health and wellbeing and to better synchronise, organise, and support the efforts of existing services to provide a single, but powerful means of engaging the community.

    Figure 1: Age standardised rate of Diabetes and Heart, Stroke and Vascular Disease
    Figure 2: Estimated proportion of adult population with Overweight or Obese BMI

    Planning and implementation

    In 2020, the Alliance engaged Evidn, a behavioural science organisation, to apply its evidence-based Behavioural Systems Analysis to understand the systemic challenges underpinning overweight and obesity and to identify the conditions needed to implement a place-based health initiative.

    Between December 2020 and March 2021, Evidn consulted with 100 stakeholders from 33 organisations and analysed 200 papers, reports, and reviews. Findings highlighted the diversity of the Bundaberg community and outlined key factors that were acting as barriers against the implementation of a place-based initiative. Recommendations focused on ways to improve coordination, delivery and communication of programs, projects and services related to nutrition, physical activity, mental health and social wellbeing within the community. This included: (1) increasing consumers’ visibility of, and access to, an already high-quality collection of programs and services, (2) alongside collaboration between organisations and community groups, and (3) promoting a positive health and wellbeing identity for the region.

    To put these recommendations into practice, Evidn collaborated with the Alliance to establish a Local Leadership Group. The purpose of the group was to gather feedback from local groups, develop a monitoring evaluation and learning framework, and improve their own ways of workings, skills and communication activities. The Do Your Thing concept was developed as a galvanising tool to bring stakeholders together and build awareness of, and engagement with, available programs and services (e.g., Do Your Thing to build a healthy Bundaberg). Do Your Thing is ultimately a platform for collaboration, a platform for capacity building, a platform for communication, and most of all – a platform for change.

    Figure 3: Do Your Thing is a platform for collaboration, a platform for capacity building, a platform for communication, and most of all – a platform for change.

    Funding and Resources

    HWQld provided funding of $262,000 between December 2020 to June 2023 ($67,000 ex GST phase 1 and $195,000 ex GST phase 2) to deliver the behavioural science-based approach in Bundaberg. Health and Wellbeing Queensland and Bundaberg Regional Council have also provided funding for a student living stipend ($150,000 over 4 years) to support a PhD student to examine the effectiveness of investments in health as a driver of improvements in economic performance in regional communities in Queensland.

    Since launching the initiative in April 2022 the Local Leadership Group has met 6 times by the end of 2022. It currently has over 40 members representing 28 organisations. Local Leaders are working on over 50 projects and activities in their respective roles, with several opportunities for collaboration identified since the most recent meeting.

    Figure 4: The Local Leadership Group represent local organisations who meet regularly to implement Do Your Thing

    Monitoring, Evaluation and Learning

    The Monitoring and Evaluation Framework and Data Implementation Plan outline the approach and key indicators to evaluate Do Your Thing and measure health and wellbeing change metrics at different levels of the system. Data captured included primary measures of success (i.e. organisational behaviours), secondary measures of success (i.e. individuals and peer networks), and longer-term trends (i.e. community indicators).

    A baseline evaluation of Do Your Thing was completed in March 2022. It highlighted the complex and interrelated nature of obesity and other health-related issues.

    Results show that programs involved in Do Your Thing have engaged almost 20,000 community members through 500 events and activities involving 58 organisations or projects. Preliminary results demonstrate the importance of taking a broad and holistic approach towards improving health and wellbeing across the community and the need to capture data across multiple levels of the ‘system’ – beyond strict measures of nutrition, exercise, or Body Mass Index (BMI). Results also highlight that the full picture of health and wellbeing can be improved by increasing collaboration between organisations throughout the community, mapping available community resources, and identifying linkages across the system.

    498 Activities and events were held throughout April 2021 – March 2022 by programs and groups participating in Do Your Thing.
    19,661 Community members were engaged by programs participating in Do Your Thing
    58 Connections were made or leveraged by programs participating in Do Your Thing throughout April 2021 – March 2022

    Activities Held

    Program Participation

    Provider Engagement

    Figure 5: Aggregate satisfaction ratings of programs involved in Do Your Thing – across mental health, healthy eating, and physical activity. 

    Key insights

    1. Organisational Indicators

    There is an opportunity to improve coordination and joint decision-making between organisations. More work is needed to improve consumer awareness of health and wellbeing programs and services, and to positively recognise and promote health and wellbeing achievements in the community. There is considerable capacity already in the service system with strong professional knowledge and networks between participants involved in Do Your Thing.

    2 . Individual and peer network indicators

    Local programs and services provide valuable insights relating to a range of consumer health attitudes and behaviours. Evidn has secured several signed data sharing agreements and is waiting for additional data pertaining to individuals and peer networks to be integrated into the analysis for this section.

    3. Community Indicators

    The Bundaberg region’s average BMI has remained consistently higher than the state and national average – despite similar levels of nutrition and physical activity. There are also higher than average levels of chronic lifestyle diseases, rates of developmental vulnerability, unemployment, and economic disadvantage. Changes in community indicators are unlikely to be seen in the short term.

    4. Improving data collection and evaluation

    There is the opportunity to improve the frequency, timing, and volume of data sharing across the community over the course of the project. Data sharing agreements will help streamline and expedite follow-up data collection and provide further clarity into the usage, communication, and aggregation of data.

    Capacity and resourcing constraints with regard to organisations providing and aggregating data may be addressed through early engagement, allocating sufficient time, and helping with all forms of data collection, analysis, and aggregation.

    Members of the community have expressed their interest in the development of a centralised platform to house all projects, services, and information under the Do Your Thing banner to streamline service delivery and collaboration.

    Results from the Follow Up Evaluation completed in January 2023 show that Do Your Thing has had considerable success in the Bundaberg region across three levels of measurement including local measures of coordination, commitment, capacity building and communication across community groups and organisations; measures of individual engagement and satisfaction with programs and services and health and wellbeing; and longer-term population measures including obesity rates, health attitudes and behaviours.

    Next steps and implications for others 

    Discussions with project partners and Local Leaders are ongoing to support the long-term legacy of the initiative. Additionally, work is currently underway to adopt the Do Your Thing framework into a model that can be transferred and scaled to other regions across the state.

    Results from the baseline assessment will be contrasted to a second data collection point on completion of the Phase 2 project in December 2022. This follow-up comparison will chiefly measure changes across primary success indicators to determine the effectiveness of Do Your Thing behaviour change strategies.

    Further information

    Dr Crystal La Rue
    https://www.ourbundabergregion.com.au/do-your-thing
    Do Your Thing behavioural science strategy

    Related Resources

    Grow & Go Toolbox Helping Feed Under 5’s
    The Grow & Go Toolbox is a website for anyone caring for children under 5 who is looking for free, expert verified information on healthy eating. 
    A go-to resource for child and family wellbeing in Queensland 
    The Data Explorer is a go-to resource that presents a holistic picture of child and family wellbeing in Queensland.
    A Better Choice for Food and Drinks in Public Places
    A Better Choice is a policy initiative aimed at enhancing the availability, accessibility, and promotion of nutritious food and drink options for Queenslanders in key public settings.
    Healthier Food and Drinks in Queensland Healthcare Facilities
    Queensland Hospitals and Health Services play an important leadership role in supporting good nutrition for staff and visitors.
    The Actions Hub by The Obesity Collective
    The Actions Hub collates actions across a range of sectors to encourage a collaborative approach to obesity prevention.
    Case study: The Eat, Breathe, Move (EBM) program
    The Eat, Breathe, Move (EBM) program, aimed to promote physical activity by recognising the connection between metabolism, breathing and movement.
    Case Study: HockeyEd
    Through funding under the ActiveKIT program, Hockey Queensland launched a new and improved platform as part of their National Education Framework - HockeyEd.
    Case Study: Live Life, Get Active program
    Fraser Coast residents are fitter and happier thanks to the Live Life, Get Active program held in the region.
    Podsquad
    Podsquad is a free, play-based wellbeing program that supports children aged 5-12 years and their families through an engaging and interactive app.
    Healthier food and drinks in sport and recreation facilities
    A Better Choice aims to improve the availability of healthier food and beverage options within Queensland sports clubs and facilities.
    Healthier Tuckshop Support Program
    The Healthier Tuckshops program supports Queensland schools to serve healthy foods and drinks, in line with the State's Smart Choices strategy.
    My health for life
    My health for life is an free, evidence-based behaviour change initiative where health coaches help participants create healthier habits.
    Case studies: Healthier options in sport and recreation
    Case studies are a valuable resources to support sport and recreation clubs to implement healthier food and drink options.
    Clinicians Hub
    Resources and tools to support health professionals deliver preventative health care in their communities by engaging in conversations about positive behaviour change.
    Case Study: Do Your Thing
    Do Your Thing is an initiative of the ‘Building a Healthy Bundaberg’ Alliance (BaHB) with the ambitious goal of reducing the rate of overweight and obesity in the Bundaberg region to below the national average by 2030. 
    Supporting people from culturally and linguistically diverse communities to make healthy choices
    Teaching resources that support people from CALD communities to make healthy food choices and increase physical activity.
    Healthy New Communities Project
    Supporting people from culturally and linguistically diverse (CALD) communities remain active and navigate the Australian food system
    How supportive are workplace environments for sitting less and moving more?
    A descriptive study of Australian workplaces participating in the BeUpstanding program.
    Funding finder
    Innovative interactive map encourages region to get active 
    Queensland Health Services Planning Portal
    Interactive dashboards and reports for Queensland Hospital and Health Service regions.
    Street design manual: Walkable neighbourhoods
    Practical guide for the design and development of Queensland’s residential neighbourhoods.
    Building physical activity into urban planning and design
    A series of evidence-based resources produced by the Heart Foundation to support relevant built environment, government, and health professionals to make our cities and towns healthier places to live. 
    Global Observatory of Healthy and Sustainable Cities
    Global, multi-institutional, transdisciplinary initiative providing evidence-based spatial and urban policy indicators to advocate for and track progress towards healthy and sustainable cities for all.
    Transport Health Assessment Tool (THAT) 
    A freely accessible tool that measures and quantifies health benefits derived from replacing short car trips with walking and cycling.
    Get involved
    Get involved is a website providing details of current Queensland Government consultations that are open for public feedback
    National Obesity Strategy  
    A 10-year framework for action to prevent, reduce, and treat, overweight and obesity in Australia.
    National Preventive Health Strategy 2021–2030  
    The National Preventive Health Strategy provides the overarching, long-term approach to prevention in Australia by building systemic change to ensure the best outcomes for all Australians. Developed by the Australian Government, the strategy acknowledges that responsibility for creating positive change by 2030 is shared by, all governments, the non-government sector, research and academia, the private…