Determinants of Implementation Effectiveness in a Physical Activity Program for Church-Going Latinas

Beard, Megan Q.; Chuang, Emmeline; Haughton, Jessica; Arredondo, Elva M.

doi:10.1097/fch.0000000000000122

Cited by 15 publications

(14 citation statements)

References 29 publications

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“…37 Midway through the implementation of Faith in Action, we collected data examining implementation outcomes of a subset of churches participating in the PA intervention. 38 The findings suggest that pastor support, innovation-values fit, and resource availability were factors that impacted implementation effectiveness (average 6-month participation rates in PA classes at each church). In addition, churches with lower parishioner engagement had low support from church staff and leaders, while churches with higher parishioner engagement reported high pastor support, high innovation-values fit, medium to high recourse availability, and medium to high parishioner engagement.…”

Section: Introductionmentioning

confidence: 89%

“…In addition, churches with lower parishioner engagement had low support from church staff and leaders, while churches with higher parishioner engagement reported high pastor support, high innovation-values fit, medium to high recourse availability, and medium to high parishioner engagement. 38 While these findings shed light on the organizational-level factors affecting implementation of Faith in Action, more targeted studies are needed to identify determinants that impact implementation and implementation strategies that target these determinants among a broader range of religious denominations for wider scale-up and dissemination.…”

Section: Introductionmentioning

confidence: 99%

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Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Haughton

Takemoto

Schneider

et al. 2020

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Background: Community engagement is critical to the acceleration of evidence-based interventions into community settings. Harnessing the knowledge and opinions of community leaders increases the likelihood of successful implementation, scale up, and sustainment of evidence-based interventions. Faith in Action (Fe en Acción) is an evidence-based promotora-led physical activity program designed to increase moderate-to-vigorous physical activity among churchgoing Latina women.Methods: We conducted in-depth interviews using a semi-structured interview guide based on the Consolidated Framework for Implementation Research (CFIR) at various Catholic and Protestant churches with large Latino membership in San Diego County, California to explore barriers and facilitators to implementation of Faith in Action and identify promising implementation strategies for program scale-up and dissemination. We interviewed 22 pastors and church staff and analyzed transcripts using an iterative-deductive team approach. Results: Pastors and church staff described barriers and facilitators to implementation within three domains of CFIR: characteristics of individuals (lack of self-efficacy for and knowledge of physical activity; influence on churchgoers’ behaviors), inner setting (church culture and norms, alignment with mission and values, competing priorities, lack of resources), and outer setting (need for buy-in from senior leadership). From the interviews, we identified four promising implementation strategies for the scale-up of faith-based health promotion programs: 1) health behavior change training for pastors and staff; 2) tailored messaging; 3) developing community collaborations; and 4) gaining denominational support.Conclusions: While churches can serve as valuable partners in health promotion, specific barriers and facilitators to implementation must be recognized and understood. Addressing these barriers through targeted implementation strategies at the adopter and organizational level can facilitate improved program implementation and lead the way for scale-up and dissemination.

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Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Haughton

Takemoto

Schneider

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…27 Midway through the implementation of Faith in Action, we collected data examining implementation outcomes of a subset of churches participating in the physical activity intervention. 28 The findings suggest that pastor support, innovation-values fit, and resource availability were factors that impacted implementation effectiveness (average 6-month participation rates in PA classes at each church). In addition, churches with lower parishioner engagement had low support from church staff and leaders while churches with higher parishioner engagement reported high pastor support, high innovation-values fit, medium to high recourse availability, and medium to high parishioner engagement.…”

Section: Introductionmentioning

confidence: 89%

“…In addition, churches with lower parishioner engagement had low support from church staff and leaders while churches with higher parishioner engagement reported high pastor support, high innovation-values fit, medium to high recourse availability, and medium to high parishioner engagement. 28 While these findings shed light on the organizational-level factors affecting implementation of Faith in Action, more targeted studies are needed identify determinants that impact implementation and implementation strategies that target these determinants among a wider range of religious denominations for wider scale-up and dissemination.…”

Section: Introductionmentioning

confidence: 99%

Engaging stakeholders to identify implementation strategies for a faith-based physical activity program

Haughton

Takemoto

Schneider

et al. 2020

Preprint

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Background: Stakeholder engagement is critical to the acceleration of evidence-based interventions into community settings. Harnessing the knowledge and opinions of community stakeholders increases the likelihood of successful implementation, scale up, and sustainment of evidence-based interventions. Faith in Action ( Fe en Acción ) is an evidence-based promotora -led physical activity program designed to increase moderate-to-vigorous physical activity among churchgoing Latina women.Methods: We conducted in-depth interviews using a semi-structured interview guide based on the Consolidated Framework for Implementation Research (CFIR) at various Catholic and Protestant churches with large Latino membership in San Diego County, California to explore barriers and facilitators to implementation of a Faith in Action and to identify promising implementation strategies for program scale-up and dissemination. We interviewed 22 pastors and church staff and analyzed transcripts using an iterative-deductive team approach.Results: Stakeholders described barriers and facilitators to implementation within three domains of CFIR: characteristics of individuals (lack of self-efficacy for and knowledge of PA; influence on churchgoers’ behaviors), inner setting (church culture and norms, alignment with mission and values, competing priorities, lack of resources), and outer setting (need for buy-in from senior leadership). From the interviews, we identified four promising implementation strategies for the scale-up of faith-based health promotion programs: 1) health behavior change training for pastors and staff; 2) tailored messaging; 3) developing community collaborations; and 4) gaining denominational support.Conclusions: While churches can serve as valuable partners in health promotion, specific barriers and facilitators to implementation must be recognized and understood. Addressing these barriers through targeted implementation strategies at the adopter and organizational level can facilitate improved program implementation and lead the way for scale-up and dissemination.

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“…In addition, we examined three factors related to faith organizational implementation readiness [21]. These were: "leadership engagement," including championing of Faith and Diabetes activities by ministers and other faith organization administrators [30,31]; "available resources" for DSME implementation, including money, time, facility space, and training and ongoing coaching [31][32][33]; and "other activities" complementing or competing with Faith and Diabetes as a relative priority within faith organizations [34]. For instance, participants in prior peer-led DSME have reported missing classes because of competing work and domestic obligations [35,36].…”

Section: Conceptual Modelmentioning

confidence: 99%

Wellness project implementation within Houston’s Faith and Diabetes initiative: a mixed methods study

2020

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Background: Faith-based health promotion has shown promise for supporting healthy lifestyles, but has limited evidence of reaching scale or sustainability. In one recent such effort, volunteers from a diverse range of faith organizations were trained as peer educators to implement diabetes self-management education (DSME) classes within their communities. The purpose of this study was to identify factors associated with provision of these classes within six months of peer-educator training. Methods: This study used the Consolidated Framework for Implementation Research (CFIR) to identify patterns from interviews, observations, attendance records, and organizational background information. Two research team members thematically coded interview transcripts and observation memos to identify patterns distinguishing faith organizations that did, versus did not, conduct DSME classes within six months of peer-educator training. Bivariate statistics were also used to identify faith organizational characteristics associated with DSME class completion within this time frame. Results: Volunteers from 24 faith organizations received peer-educator training. Of these, 15 led a DSME class within six months, graduating a total of 132 participants. Thematic analyses yielded two challenges experienced disproportionately by organizations unable to complete DSME within six months: [1] Their peer educators experienced DSME as complex, despite substantial planning efforts at simplification, and [2] the process of engaging peer educators and leadership within their organizations was often more difficult than anticipated, despite initial communication by Faith and Diabetes organizers intended to secure informed commitments by both groups. Many peer educators were overwhelmed by training content, the responsibility required to start and sustain DSME classes, and other time commitments. Other priorities competed for time in participants' lives and on organizational calendars, and scheduling processes could be slow. In an apparent dynamic of "crowding out," coordination was particularly difficult in larger organizations, which were less likely than smaller organizations to complete DSME classes despite their more substantial resources.

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Determinants of Implementation Effectiveness in a Physical Activity Program for Church-Going Latinas

Cited by 15 publications

References 29 publications

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Engaging stakeholders to identify implementation strategies for a faith-based physical activity program

Wellness project implementation within Houston’s Faith and Diabetes initiative: a mixed methods study

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