Predictors of implementation in the Faith, Activity, and Nutrition dissemination and implementation study: application of the Consolidated Framework for Implementation Research (CFIR) in a statewide initiative

被引：15

作者：

Wilcox, Sara ^{[1
,2
]}

Jake-Schoffman, Danielle E. ^{[3
]}

Saunders, Ruth P. ^{[1
]}

Kinnard, Deborah ^{[1
]}

Kaczynski, Andrew T. ^{[1
,4
]}

Hutto, Brent ^{[1
]}

James, Katherine L. ^{[5
]}

机构：

[1] Univ South Carolina, Arnold Sch Publ Hlth, Prevent Res Ctr, Columbia, SC 29208 USA

[2] Univ South Carolina, Arnold Sch Publ Hlth, Dept Exercise Sci, Columbia, SC 29208 USA

[3] Univ Florida, Dept Hlth Educ & Behav, Coll Hlth & Human Performance, Gainesville, FL 32611 USA

[4] Univ South Carolina, Arnold Sch Publ Hlth, Dept Hlth Promot Educ & Behav, Columbia, SC 29208 USA

[5] South Carolina Conf United Methodist Church, Columbia, SC 29203 USA

来源：

TRANSLATIONAL BEHAVIORAL MEDICINE | 2021年 / 11卷 / 02期

关键词：

Faith-based; Churches; Physical activity; Nutrition; Implementation; Dissemination; PHYSICAL-ACTIVITY; CHURCH; INTERVENTIONS; PARTNERSHIPS; CONSTRUCTS; PROGRAM; SCIENCE;

D O I：

10.1093/tbm/ibaa025

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Faith-based organizations, with broad reach and trust, are well-positioned to promote health. The purpose of the study was to examine 12-month implementation and its predictors in the statewide Faith, Activity, and Nutrition (FAN) dissemination and implementation (D&I) study. Churches (n = 93; 42% predominantly African American) in the [South Carolina] Conference of the United Methodist Church trained by Community Health Advisors participated in the study. Church FAN coordinators (n = 92) completed implementation surveys regarding opportunities, policies, messages, and pastor support for physical activity (PA) and healthy eating (HE) at baseline and 12 months. FAN coordinators and pastors (n = 93) completed CFIR-based measures at baseline, immediate post-training, and 12 months. Repeated measures ANOVAs tested change in PA and HE implementation composite scores; Cohen's d indicated magnitude of change. Mixed model linear regression tested whether CFIR items predicted 12-month implementation, controlling for baseline implementation. PA (d = 1.42) and HE (d = 2.05) implementation increased significantly over time. PA and HE implementation were significantly greater in predominantly African American (versus White) congregations, and HE implementation was greater in churches with <500 members. FAN coordinators' ratings of the inner setting (networks/communication, culture, tension for change, organizational rewards, readiness, and congregant needs) and implementation process (engaging opinion leaders and champions) domains were most predictive of implementation outcomes. Few pastor ratings related to implementation outcomes. This study identified constructs, guided by CFIR, that may be important for understanding PA and HE implementation in churches. Future studies will need to test them for replication. Greater changes in implementation outcomes among African American churches underscores the potential of promoting health equity through this setting.

引用

页码：419 / 429

页数：11

共 37 条

[1] Evaluating the Dissemination of Body & Soul, an Evidence-based Fruit and Vegetable Intake Intervention: Challenges for Dissemination and Implementation Research [J].