Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA; Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, 29208, USA.
Eval Program Plann. 2021 Aug;87:101941. doi: 10.1016/j.evalprogplan.2021.101941. Epub 2021 Mar 16.
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.
RE-AIM（涵盖范围、效果、采用、实施、维持）和 CFIR（实施研究综合框架）是指导基于证据的干预措施传播和实施以及影响这一过程的因素的研究的互补框架。信仰、活动和营养（FAN）是一个基于证据的项目，旨在增加信仰环境中的身体活动和水果及蔬菜摄入量。这项采用研究的目的是根据 RE-AIM 指南量化全州范围内教会层面的采用率和 FAN 在会众中的覆盖范围，并探讨 CFIR 衍生的教会内部环境和牧师特征与 FAN 采用的关联。记录了教会的招募情况，并通过电话调查从采用 FAN 的教会的 93 名牧师和不采用 FAN 的教会的 60 名牧师收集数据。定性比较分析（QCA）确定了足以采用 FAN 的 CFIR 衍生教会和牧师特征的组合。根据 RE-AIM 的定义，教会层面的 FAN 采用率为 11.7%，会众层面的覆盖率为 20.0%。确定了 14 条采用途径；其中 7 条途径的特点是存在关注会众健康的文化以及对新想法的开放态度。结果表明，早期评估这两个 CFIR 衍生的内部环境结构可能有助于确定有倾向的信仰组织，以便开展全面的、促进会众健康的环境干预措施。
