Prevention Research Center, University of South Carolina.
Department of Exercise Science.
Health Educ Res. 2019 Apr 1;34(2):188-199. doi: 10.1093/her/cyy051.
Faith-based health promotion programs have been effective in increasing healthy eating (HE) and physical activity (PA). Very few reports exist regarding church leaders' anticipated and experienced barriers and facilitators to program implementation. Pastors (n = 38, 70%) and program coordinators (n = 54, 100%) from churches (N = 54) who attended a program training answered open-ended questions about anticipated barriers and facilitators to implementing the HE and PA parts of the Faith, Activity, and Nutrition (FAN) program. Twelve months later, pastors (n = 49, 92%) and coordinators (n = 53, 98%) answered analogous questions about their experienced barriers and facilitators to implementing the HE and PA parts of the FAN program. Responses were coded using thematic analysis. Similar themes appeared at baseline and follow-up for anticipated and experienced barriers and facilitators. The most common barriers were no anticipated barriers, resistance to change, church characteristics, and lack of participation/motivation. The most common facilitators were internal support, leadership, and communication. Few differences were found between anticipated and experienced barriers and facilitators. Understanding these perspectives, particularly overcoming resistance to change and church characteristics through strong leadership and internal support from church leaders, will improve future program development, resources, and technical assistance in faith-based and non-faith-based communities alike.
基于信仰的健康促进项目已被证明能有效促进健康饮食（HE）和身体活动（PA）。然而，关于教会领袖在实施项目过程中预期的和实际面临的障碍以及促进因素的报告却很少。参加过一个项目培训的 38 名牧师（占 70%）和 54 名项目协调员（占 100%）回答了有关实施信仰、活动和营养（FAN）项目的 HE 和 PA 部分的预期障碍和促进因素的开放性问题。12 个月后，49 名牧师（占 92%）和 53 名协调员（占 98%）回答了类似的关于实施 FAN 项目的 HE 和 PA 部分的实际障碍和促进因素的问题。使用主题分析对回答进行了编码。预期和实际的障碍和促进因素的主题在基线和随访时都很相似。最常见的障碍是没有预期的障碍、对变革的抵制、教会的特点以及缺乏参与/动力。最常见的促进因素是内部支持、领导力和沟通。预期和实际的障碍和促进因素之间的差异很小。了解这些观点，特别是通过教会领袖的强有力的领导和内部支持克服对变革和教会特点的抵制，将改善未来在信仰和非信仰社区中开展项目的发展、资源和技术援助。
