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International development work involves external partners bringing expertise, resources, and management for local interventions in LMICs, but there is often a gap in understandings of relevant local shared values. There is a widespread need to better design interventions which accommodate relevant elements of local culture, as emphasised by recent discussions in global health research regarding neo-colonialism. One recent innovation is the concept of producing 'cultural protocols' to precede and guide community engagement or intervention design, but without suggestions for generating them. This study explores and demonstrates the potential of an approach taken from another field, named WeValue InSitu, to generate local culturally-informed protocols. WeValue InSitu engages stakeholder groups in meaning-making processes which 'crystallize' their envelope of local shared values, making them communicable to outsiders.Our research context is understanding and reducing child stunting, including developing interventions, carried out at the Senegal and Indonesia sites of the UKRI GCRF Action Against Stunting Hub. Each national research team involves eight health disciplines from micro-nutrition to epigenetics, and extensive collection of samples and questionnaires. Local culturally-informed protocols would be generally valuable to pre-inform engagement and intervention designs. Here we explore generating them by immediately following the group WeValue InSitu crystallization process with specialised focus group discussions exploring: what local life practices potentially have significant influence on the environments affecting child stunting, and which cultural elements do they highlight as relevant. The discussions will be framed by the shared values, and reveal linkages to them. In this study, stakeholder groups like fathers, mothers, teachers, market traders, administrators, farmers and health workers were recruited, totalling 83 participants across 20 groups. Themes found relevant for a culturally-informed protocol for locally-acceptable food interventions included: specific gender roles; social hierarchies; health service access challenges; traditional beliefs around malnutrition; and attitudes to accepting outside help. The concept of a grounded culturally-informed protocol, and the use of WeValue InSitu to generate it, has thus been demonstrated here. Future work to scope out the advantages and limitations compared to deductive culture studies, and to using other formative research methods would now be useful., (© 2024. The Author(s).)

Objective: This work aims to demonstrate an original approach to identify links between locally situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned and/or relatively ineffective., Design: This case study investigates relevant contextual factors in two steps: by first facilitating local stakeholder groups ( n 11) to crystallise their shared-values-in-action using a specialised method from sustainability studies (WeValue_InSitu (WVIS)). Secondly , participants ( n 44) have focus group discussions (FGD) about everyday practices around child feeding/food systems, education and/or family life. Because the first step strongly grounds participants in local shared values, the FGD can reveal deep links between contextual factors and potential influences on stunting., Setting: Kaffrine, Senegal, an 'Action Against Stunting Hub' site. December 2020., Participants: Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health workers, farmers, market traders and public administrators., Results: Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants' non-access to quality produce; religious teachings and social structures affecting children's food environment., Conclusions: Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WVIS approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research.

Reduction of environmental problems needs durable transformative changes in behaviour, and developments in Transformative Learning are increasingly called for, to achieve them. Only recently has a method been demonstrated to routinely produce transformations in behaviour - a significant step forward - but they are not focused in specific thematic directions, and rarely environmental, which leaves the research need still unanswered. Here, we present an exploration of the use of that method (which involved values-crystallization of groups) with prior Nudging, with the aim of increasing the environmentally-themed transformed behaviours. The Nudging used was one open question about the environment in participants' current roles, plus a short questionnaire about current environmental behaviours, which also provided baseline data. Comparison with 3-4-days post-event interviews revealed most of the reported transformative behaviours were indeed environmental , such as waste sorting, water and electricity conservation, found retained via further 14-56-days post-event interviews. These results, from two separate groups of participants, suggest that the Nudging_Plus_Values-crystallization approach may be useful for pro-environmental practitioners in sustainability. Furthermore, the process involved of influencing choice spaces via Nudging, in values-crystallization events, deserves further studies to confirm causation and understand linkages between Nudging, reflection, values-crystallization, and Transformative Learning because it is likely that the process can be easily transferred to many different types of behaviour change programs, which will be of interest to a wide range of researchers and practitioners., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 Published by Elsevier Ltd.)