Allen Jennifer D, Shelton Rachel C, Kephart Lindsay, Jandorf Lina, Folta Sara C, Knott Cheryl L
Department of Community Health, Tufts University, 574 Boston Avenue, Medford, MA 02155 USA.
Department of Socio-medical Sciences, Columbia University Mailman School of Public Health, New York, NY 10032 USA.
Implement Sci Commun. 2020 Jul 6;1:62. doi: 10.1186/s43058-020-00052-2. eCollection 2020.
Faith-based organizations (FBOs) can be effective partners in the implementation of health interventions to reach underserved audiences. However, little is known about the capacity they have or need to engage in these efforts. We examined inner-setting organizational characteristics hypothesized to be important for program implementation by the Consolidated Framework for Implementation Research (CFIR).
This cross-sectional study involved 34 churches with predominantly Latino congregations in Massachusetts. FBO leaders completed a survey assessing inner-setting CFIR organizational characteristics, including organizational readiness, implementation climate, organizational culture, and innovation "fit" with organizational mission.
There was limited variability in CFIR organizational characteristics, with scores on a scale from 1 to 5 skewed toward higher values, ranging from 3.27 (SD 0.94) for implementation climate to 4.58 (SD 0.54). Twenty-one percent of the FBOs had offered health programs in the prior year.
FBOs had high scores on most of the organizational factors hypothesized to be important for the implementation of health programs, although relatively few FBOs offered them. While this suggests that FBOs have favorable characteristics for health programming, prospective studies are needed to understand relative salience of inner-setting organizational characteristics versus factors external to the organization (e.g., policies, incentives), as well as the potential direction of relationships between internal organizational characteristics and health program offerings.
Clinical trials identifier number NCT01740219 (clinicaltrials.gov).
基于信仰的组织（FBOs）可以成为实施健康干预措施以覆盖服务不足人群的有效合作伙伴。然而，对于它们参与这些工作的能力或所需能力却知之甚少。我们研究了内部环境组织特征，这些特征被假设为实施研究综合框架（CFIR）对项目实施很重要的因素。
这项横断面研究涉及马萨诸塞州34个主要为拉丁裔会众的教堂。FBOs的领导者完成了一项调查，评估CFIR内部环境组织特征，包括组织准备情况、实施氛围、组织文化以及与组织使命的创新“契合度”。
CFIR组织特征的变异性有限，1至5分的得分偏向较高值，实施氛围的得分范围为3.27（标准差0.94）至4.58（标准差0.54）。21%的FBOs在前一年提供了健康项目。
FBOs在大多数被假设对健康项目实施很重要的组织因素上得分较高，尽管提供此类项目的FBOs相对较少。虽然这表明FBOs具有开展健康项目的有利特征，但需要进行前瞻性研究以了解内部环境组织特征与组织外部因素（如政策、激励措施）的相对重要性，以及内部组织特征与健康项目提供之间关系的潜在方向。
临床试验标识符编号NCT01740219（clinicaltrials.gov）。
