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Constructs from the Consolidated Framework for Implementation Research associated with church enrollment and intervention adoption in a national implementation study of a faith-based organizational change intervention.
Wilcox, Sara; Saunders, Ruth P; Kaczynski, Andrew T; Rudisill, A Caroline; Stucker, Jessica; Kinnard, Deborah; McKeever, Brooke W; Day, Kelsey R; Parker-Brown, Jasmin; Kim, Ye Sil.
Afiliación
  • Wilcox S; Prevention Research Center and Department of Exercise Science, University of South Carolina, Columbia, SC, 29208, USA. wilcoxs@mailbox.sc.edu.
  • Saunders RP; Prevention Research Center, University of South Carolina, Columbia, SC, 29208, USA.
  • Kaczynski AT; Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, 29208, USA.
  • Rudisill AC; Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, 29208, USA.
  • Stucker J; Prevention Research Center, University of South Carolina, Columbia, SC, 29208, USA.
  • Kinnard D; Prevention Research Center, University of South Carolina, Columbia, SC, 29208, USA.
  • McKeever BW; Department of Advertising and Public Relations, University of Alabama, Tuscaloosa, AL, 35487, USA.
  • Day KR; University of Virginia School of Medicine, Charlottesville, VA, 22903, USA.
  • Parker-Brown J; Prevention Research Center and Department of Exercise Science, University of South Carolina, Columbia, SC, 29208, USA.
  • Kim YS; Prevention Research Center, University of South Carolina, Columbia, SC, 29208, USA.
BMC Public Health ; 24(1): 2401, 2024 Sep 04.
Article en En | MEDLINE | ID: mdl-39232686
ABSTRACT

BACKGROUND:

Organizational adoption is a key but understudied step in translating evidence-based interventions into practice. The purpose of this study was to report recruitment strategies and factors associated with church enrollment and intervention adoption in a national implementation study of the Faith, Activity, and Nutrition (FAN) program.

METHODS:

We worked with partners using multiple strategies to disseminate intervention availability. Interested churches completed an online form. To enroll, the church coordinator (FAN coordinator) and pastor completed baseline surveys and then received intervention online training access. We compared enrolled vs. non-enrolled churches on how they heard about the study and church characteristics. We compared intervention-adopting vs. non-adopting churches on Consolidated Framework for Implementation Research (CFIR) constructs using Fisher's exact tests, χ2, or independent sample t-tests and reported differences where p < 0.10, d≥|0.35|, or the difference in percentage points was ≥ 10.

RESULTS:

We received 226 interest forms; 107 churches enrolled, and 85 churches adopted the intervention. Faith-based sources were the most, and paid media the least, effective in reaching churches, which were largely from the southeast with a Methodist or Baptist tradition (no differences by enrollment status). Enrolled churches were less likely to have 500 + worshipers and more likely to have attended a study information session than non-enrolled churches. Church (CFIR inner setting) and FAN coordinator characteristics, but not intervention characteristics, were related to intervention adoption.

CONCLUSION:

Partnerships, relationships, and "face time" are important for enrolling churches in evidence-based interventions. Church and church coordinator characteristics are related to intervention adoption. Further work on adoption conceptualization and operationalization is needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Innovación Organizacional / Organizaciones Religiosas Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Innovación Organizacional / Organizaciones Religiosas Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido