Adoption, reach, and implementation of a cancer education intervention in African American churches

Santos, Sherie Lou Z.; Tagai, Erin K.; Scheirer, Mary Ann; Bowie, Janice V.; Haider, Muhiuddin; Slade, Jimmie; Wang, Min Qi; Holt, Cheryl L.

doi:10.1186/s13012-017-0566-z

Cited by 46 publications

(41 citation statements)

References 26 publications

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“…Various studies have shown the usefulness of training community health advisors to provide psychosocial support and act as a liaison between clinicians and individuals they seek to serve [25][26][27]. By sharing similar cultural, social and economic characteristics as the populations of interest, they are more inclined to connect and understand the subtle distinctions that influence health behaviors [26].…”

Section: Discussionmentioning

confidence: 99%

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Hall¹,

Guidry²,

Jones³

2017

AJHR

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Among women globally, breast cancer is the most frequently diagnosed malignancy and the leading cause of cancer mortality. Moreover, for racial/ethnic minorities and those of low socioeconomic status (SES), these groups experience a poorer quality of life and diminished survival. This is due, in part, to underutilization of mammography screening and a lack of adherence to subsequent follow-up guidelines. The purpose of this study is to gain insight on perceptions of and interest in mobile mammography unit (MMU) utilization among African American (AA) women, primarily of low SES; as well as obtain strategies for effective information dissemination. Researchers partnered with local grocery stores, community centers, churches, shopping centers and hair salons to act as recruitment sites. Each establishment was within a 10 mile radius of the multi-service center being used to conduct the focus groups. Participant eligibility included: (a) the individual must be female, (b) between 35 and 65 years of age, (c) a current resident of Harris County, Texas, (d) self-identified as AA and (e) had no previous cancer history. Sixty-one AA women participated across six focus groups. The focus groups revealed that participants perceived the availability of MMUs as an effective strategy to increase guideline adherence. In addition, all participants stated MMUs would be of interest to women in their communities. Various suggestions to strengthen engagement were conveyed by participants as well. Specifically, offering services during non-traditional hours and in highly accessible locations; and partnering with community venues and incorporating principles of social support were conveyed.

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Section: Discussionmentioning

confidence: 99%

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Hall¹,

Guidry²,

Jones³

2017

AJHR

View full text Add to dashboard Cite

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“…While churches are promising venues for health promotion programs, [39][40][41][42] including PA interventions, 8,11,[43][44][45][46] the lack of understanding of organizational context and determinants for implementation and sustainment limit dissemination capability for these programs. Few faith-based health promotion studies have been taken to scale and 47,48 most have targeted African-American populations; 47,49,50 and only a few have targeted PA as a main outcome, with limited effectiveness. 8,45 Webb and colleagues explored faith leaders' perceptions of health and wellness; however, their sample was entirely Caucasian and majority Methodist, and did not focus on the implementation of a particular program.…”

Section: Introductionmentioning

confidence: 99%

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

Haughton

Takemoto

Schneider

et al. 2020

Preprint

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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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“…While churches are promising venues for health promotion programs, 29−32 including PA interventions, 8,11,33−36 the lack of understanding of organizational context and determinants for implementation and sustainment limit dissemination capability for these programs. Few faith-based health promotion studies have been taken to scale and 37,38 most have targeted African-American populations; 37,39,40 and only a few have targeted PA as a main outcome, with limited effectiveness. 8,35 Webb and colleagues explored faith leaders' perceptions of health and wellness; however, their sample was entirely Caucasian and majority Methodist, and did not focus on the implementation of a particular program.…”

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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Adoption, reach, and implementation of a cancer education intervention in African American churches

Cited by 46 publications

References 26 publications

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

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

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