Community and Organizational Readiness to Adopt a Physical Activity Intervention in Micropolitan Settings

被引:0
作者
Gauthreaux, Nicole [1 ]
Bucklin, Rebecca [1 ]
Correa, Anna [1 ]
Steere, Eliza [1 ]
Pham, Hanh [2 ]
Afifi, Rima A. [1 ]
Askelson, Natoshia M. [1 ]
机构
[1] Univ Iowa Coll Publ Hlth, Dept Community & Behav Hlth, Iowa City, IA 52242 USA
[2] Univ Iowa Coll Publ Hlth, Dept Biostat, Iowa City, IA USA
关键词
physical activity/exercise; community assessment; community intervention; rural health; health promotion; HEALTH; ADULTS;
D O I
10.1177/15248399231221728
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Assessing community and organizational readiness is key to successfully implementing programs. The purpose of this study was to assess the baseline readiness of micropolitan communities to adopt an evidence-based physical activity (PA) intervention by exploring three dimensions: (1) attitudes and current efforts toward prevention, (2) community and organizational climate that facilitates (or impedes) change, and (3) capacity to implement change.Method Data were collected from community leaders in 14 communities through an online survey in June 2021 (n = 149). Data were analyzed in aggregate using descriptive statistics for multiple-choice responses and content analysis for open ended responses. One-way repeated analyses of variance were used to compare mean score differences.Results In reference to their attitudes prior to the pandemic, respondents said that addressing PA was "somewhat a priority" in their professional positions (M = 2.01, SD = 0.94), their organizations (M = 2.08, SD = 0.91), and their communities (M = 2.28, SD = 0.88). Current PA efforts included statewide initiatives, community sponsored events/clubs, and youth sports leagues. The community climate included both PA facilitators (mainly outdoor PA resources) and barriers (cost, lack of social services, and an unsupportive PA environment). Individual-level capacity (M = 2.94; SD = 1.21) to adopt a PA program was regarded lower than the community's capacity (M = 3.95; SD = 0.82), and perceptions of capacity at the community level improved even more if technical assistance (M = 3.96; SD = 0.84) or financial support (M = 4.12; SD = 0.80) were provided.Conclusion Readiness varied by dimension, suggesting the need for tailored implementation supports including technical assistance and financial support.
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页数:10
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共 33 条
  • [1] Reimagining Rural: Shifting Paradigms About Health and Well-Being in the Rural United States
    Afifi, R. A.
    Parker, E. A.
    Dino, G.
    Hall, D. M.
    Ulin, B.
    [J]. ANNUAL REVIEW OF PUBLIC HEALTH, 2022, 43 : 135 - 154
  • [2] [Anonymous], 2011, Principles of Community Engagement, V2nd
  • [3] [Anonymous], 2014, Community readiness handbook for community change
  • [4] Local Health Departments' Capacity for Workplace Health Promotion Programs to Prevent Chronic Disease: Comparison of Rural, Micropolitan, and Urban Contexts
    Brown, Meagan C.
    Kava, Christine
    Bekemeier, Betty
    Ornelas, India J.
    Harris, Jeffrey R.
    Chan, Kwun C. G.
    Robertson, Meg
    Hannon, Peggy A.
    [J]. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE, 2021, 27 (05) : E183 - E188
  • [5] Making the Blue Zones: Neoliberalism and nudges in public health promotion
    Carter, Eric D.
    [J]. SOCIAL SCIENCE & MEDICINE, 2015, 133 : 374 - 382
  • [6] Castañeda SF, 2012, PROG COMM HLTH PARTN, V6, P219, DOI 10.1353/cpr.2012.0016
  • [7] Centers for Disease Control and Prevention, 2019, BEH RISK FACT SURV S
  • [8] Centers for Disease Control and Prevention, 2022, Parks, recreation, and green spaces
  • [9] Community readiness as a multidimensional construct
    Chilenski, Sarah M.
    Greenberg, Mark T.
    Feinberg, Mark E.
    [J]. JOURNAL OF COMMUNITY PSYCHOLOGY, 2007, 35 (03) : 347 - 365
  • [10] Cordes SM., 2015, Micropolitan America: A New and Critical Part of the Nation's Geography