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Pathways of influences leading to adoption of the Faith, Activity and Nutrition (FAN) program in a statewide initiative
Evaluation and Program Planning ( IF 1.886 ) Pub Date : 2021-03-16 , DOI: 10.1016/j.evalprogplan.2021.101941
Brent Hutto 1 , Ruth P Saunders 2 , Sara Wilcox 3 , Danielle E Jake-Schoffman 4 , John A Bernhart 2 , Caroline G Dunn 5 , Andrew T Kaczynski 2 , Katherine L James 6
Affiliation  

RE-AIM (Reach, effectiveness, Adoption, Implementation, Maintenance) and CFIR (Consolidated Framework for Implementation Research) are complementary frameworks guiding research on dissemination and implementation of evidence-based interventions and factors influencing this process. Faith, Activity, and Nutrition (FAN) is an evidence-based program that increased physical activity and fruit and vegetable intake in faith-based settings. The aims of this adoption study were to quantify state-wide church level adoption rates and congregant reach of FAN in accordance with RE-AIM guidelines, and to explore the association of CFIR-derived constructs of the church inner setting and pastor characteristics with FAN adoption. Church recruitment was documented, and data were collected via telephone-administered surveys from 93 pastors in adopting churches and 60 pastors in non-adopting churches. Qualitative Comparative Analysis (QCA) identified combinations of CFIR-derived church and pastor characteristics sufficient for FAN adoption. As defined by RE-AIM, church-level FAN adoption was 11.7 % and congregant-level reach was 20.0 %. Fourteen pathways to adoption were identified; seven of these featured the presence of a culture of concern for congregant health along with openness to new ideas. Results suggest early assessment of these two CFIR-derived inner setting constructs may help identify faith-based organizations predisposed to undertake a comprehensive, environmental intervention to promote congregant health.



中文翻译:

在全州倡议中采用信仰、活动和营养 (FAN) 计划的影响途径

RE-AIM(范围、有效性、采用、实施、维护)和 CFIR(实施研究综合框架)是互补的框架,指导研究传播和实施循证干预措施和影响这一过程的因素。信仰、活动和营养(FAN) 是一项循证计划,可在基于信仰的环境中增加身体活动和水果和蔬菜的摄入量。这项收养研究的目的是根据 RE-AIM 指南量化全州教会级别的收养率和 FAN 的会众范围,并探索 CFIR 衍生的教会内部环境和牧师特征结构与 FAN 收养之间的关联. 记录了教会招募情况,并通过电话调查收集了 93 名收养教会的牧师和 60 名非收养教会的牧师。定性比较分析 (QCA) 确定了 CFIR 衍生的教会和牧师特征的组合足以让 FAN 采用​​。根据 RE-AIM 的定义,教会级别的 FAN 采用​​率为 11.7%,而会众级别的覆盖率为 20.0%。确定了 14 条采用途径;其中七个体现了关注会众健康的文化以及对新思想的开放态度。结果表明,对这两种源自 CFIR 的内部环境结构的早期评估可能有助于确定倾向于进行全面的环境干预以促进会众健康的基于信仰的组织。

更新日期:2021-03-24
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