A Qualitative Inquiry Into the Community and Programmatic Dimensions Associated With Successful Implementation of Church-Based Diabetes Prevention Programs

Atkinson, Mark J.; Boltri, John M.; Davis-Smith, Monique; Seale, J. Paul; Shellenberger, Sylvia; Gonsalves, Daniela

doi:10.1097/01.phh.0000349741.26985.16

Cited by 12 publications

(21 citation statements)

References 24 publications

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“…Discussions with both leadership and faith community members might clarify direction for an FBO. Some programs have addressed this [3]. Several of the FBOs surveyed were not able to respond to the question of wanting to establish a health ministry or vaccination site clinic due to the fact that decisions regarding the congregation were made by a board and not solely the leader of that particular FBO.…”

Section: Discussionmentioning

confidence: 99%

Resources and Interest Among Faith Based Organizations for Influenza Vaccination Programs

Bond

Jones

Ompad

et al. 2012

J Immigrant Minority Health

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In the United States, annual influenza vaccination rates are suboptimal and are well below the national health objectives. Project VIVA mobilized community members and organizations to implement an influenza vaccination program in Harlem by administering vaccines in “non-traditional” venues, such as community-based organizations, pharmacies, and faith-based organizations (FBOs). FBOs have been recognized as important venues for health promotion initiatives within medically underserved communities. However, data regarding the extent of resources and interest in health promotion programs among FBOs are sparse. We conducted a telephone survey among 115 FBOs in three New York City neighborhoods with histories of low influenza immunization rates to identify the congregation’s health concerns, interest in serving as a community-based venue for influenza vaccinations, and existing resources for health programming. Twenty-six percent of the FBOs had an established health ministry, while 45% expressed interest in developing one. Seven percent included nurses among their health activities and 16.5% had contact with the local health department. Most FBOs expressed interest in common health promotions programs; 60% expressed interest in providing on-site influenza vaccination programs within their organization. Health programs within FBOs can be a point of access that may improve the health of their congregants as well as the larger community.

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Section: Discussionmentioning

confidence: 99%

Resources and Interest Among Faith Based Organizations for Influenza Vaccination Programs

Bond

Jones

Ompad

et al. 2012

J Immigrant Minority Health

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“…Pastor involvement also has been highlighted as a predictor of program success, especially as it relates to nutrition and health promotion (Bopp & Fallon, 2011; Demark-Wahnefried et al, 2000; Peterson, Atwood, & Yates, 2002). Congregation members identify their pastor as someone who can support their health efforts (Bopp et al, 2007; Torrence, Phillips, & Guidry, 2005) and stronger pastoral support within diet and physical activity interventions may lead to better behavioral outcomes (Atkinson et al, 2009; Resnicow et al, 2004; Wilcox et al, 2007a, 2007b). However, mixed results from behavioral intervention studies indicate aspects of pastoral support, such as messages from the pulpit and participation in the program, may be low (Baruth et al, 2008; Carroll, 2006).…”

Section: Introductionmentioning

confidence: 99%

Intersection of identities. Food, role, and the African–American pastor

et al. 2013

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African–American pastors can foster health-related innovations as gatekeepers and advocates within their churches. Personal experiences with food and health likely influence their support of such programs. Identities or meanings attached to societal roles have been shown to motivate individuals’ attitudes and behaviors. Understanding role and eating identities of African–American pastors may have important implications for participation in faith-based health promotion programs. This study aimed to describe the eating and pastoral identities of African–American pastors, explore intersections between these identities, and highlight implications for nutrition programs. In-depth interviews with 30 African–American pastors were audio-recorded and transcribed verbatim. Data were analyzed using theory-guided and grounded-theory approaches. Pastors described affinity across one or more dimensions including healthy, picky, meat, and over-eater identities. In describing themselves as pastors, the dimensions pastor’s heart, teacher, motivator, and role model emerged. Pastors who described themselves as healthy eaters were more likely to see themselves as role models. Pastors with healthier eating identities and more complex pastoral identities described greater support for health programming while unhealthy, picky, and over-eaters did not. These findings provide guidance for understanding eating and role identities among pastors and should be considered when designing and implementing faith-based programs.

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“…The predetermined questions were intended as a discussion guide [20] and also to probe for a better understanding of the study subjects' responses. Community, network, and organization/participants were the three categories for the transcripts of the informants' interviews.…”

Section: Methodsmentioning

confidence: 99%

Partnership disengagement from primary community care networks (PCCNs): A qualitative study for a national demonstration project

Liau

Lin

et al. 2010

BMC Health Serv Res

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BackgroundThe Primary Community Care Network (PCCN) Demonstration Project, launched by the Bureau of National Health Insurance (BNHI) in 2003, is still in progress. Partnership structures in PCCNs represent both contractual clinic-to-clinic and clinic-to-hospital member relationships of organizational aspects. The partnership structures are the formal relationships between individuals and the total network. Their organizational design aims to ensure effective communication, coordination, and integration across the total network. Previous studies have focused largely on how contractual integration among the partnerships works and on its effects. Few studies, however, have tried to understand partnership disengagement in PCCNs. This study explores why some partnerships in PCCNs disengage.MethodsThis study used a qualitative methodology with semi-structured questions for in-depth interviews. The semi-structured questions were pre-designed to explore the factors driving partnership disengagement. Thirty-seven clinic members who had withdrawn from their PCCNs were identified from the 2003-2005 Taiwan Primary Community Care Network Lists.ResultsOrganization/participant factors (extra working time spend and facility competency), network factors (partner collaboration), and community factors (health policy design incompatibility, patient-physician relationship, and effectiveness) are reasons for clinic physicians to withdraw or change their partnerships within the PCCNs.ConclusionsTo strengthen partnership relationships, several suggestions are made, including to establish clinic and hospital member relationships, and to reduce administrative work. In addition, both educating the public about the concept of family doctors and ensuring well-organized national health policies could help health care providers improve the integration processes.

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A Qualitative Inquiry Into the Community and Programmatic Dimensions Associated With Successful Implementation of Church-Based Diabetes Prevention Programs

Abstract: Implementation of a CBDPP depends on the endorsement by the church leadership, congregational awareness of the program objectives, and active community and program support of CBDPP participants. These occur through a variety of formal and informal channels within the church community.

Cited by 12 publications

References 24 publications

Resources and Interest Among Faith Based Organizations for Influenza Vaccination Programs

Resources and Interest Among Faith Based Organizations for Influenza Vaccination Programs

Intersection of identities. Food, role, and the African–American pastor

Partnership disengagement from primary community care networks (PCCNs): A qualitative study for a national demonstration project

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