Prevention Research Center and Department of Exercise Science, University of South Carolina, Columbia, SC, 29208, USA.
Prevention Research Center, University of South Carolina, Columbia, SC, 29208, USA.
BMC Public Health. 2024 Sep 4;24(1):2401. doi: 10.1186/s12889-024-19832-9.
Organizational adoption is a key but understudied step in translating evidence-based interventions into practice. The purpose of this study was to report recruitment strategies and factors associated with church enrollment and intervention adoption in a national implementation study of the Faith, Activity, and Nutrition (FAN) program.
We worked with partners using multiple strategies to disseminate intervention availability. Interested churches completed an online form. To enroll, the church coordinator (FAN coordinator) and pastor completed baseline surveys and then received intervention online training access. We compared enrolled vs. non-enrolled churches on how they heard about the study and church characteristics. We compared intervention-adopting vs. non-adopting churches on Consolidated Framework for Implementation Research (CFIR) constructs using Fisher's exact tests, χ, or independent sample t-tests and reported differences where p < 0.10, d≥|0.35|, or the difference in percentage points was ≥ 10.
We received 226 interest forms; 107 churches enrolled, and 85 churches adopted the intervention. Faith-based sources were the most, and paid media the least, effective in reaching churches, which were largely from the southeast with a Methodist or Baptist tradition (no differences by enrollment status). Enrolled churches were less likely to have 500 + worshipers and more likely to have attended a study information session than non-enrolled churches. Church (CFIR inner setting) and FAN coordinator characteristics, but not intervention characteristics, were related to intervention adoption.
Partnerships, relationships, and "face time" are important for enrolling churches in evidence-based interventions. Church and church coordinator characteristics are related to intervention adoption. Further work on adoption conceptualization and operationalization is needed.
组织采用是将循证干预措施转化为实践的关键但研究不足的步骤。本研究的目的是报告在一项针对信仰、活动和营养（FAN）计划的全国实施研究中，招募策略以及与教会参与和干预措施采用相关的因素。
我们与合作伙伴合作，使用多种策略来传播干预措施的可用性。有兴趣的教会填写在线表格。要注册，教会协调员（FAN 协调员）和牧师完成基线调查，然后获得干预措施的在线培训访问。我们比较了已注册和未注册的教会在了解研究和教会特征方面的差异。我们使用 Fisher 精确检验、χ 或独立样本 t 检验比较了采用和未采用干预措施的教会在实施研究综合框架（CFIR）结构上的差异，并报告了 p<0.10、d≥|0.35|或差异百分比≥10 的差异。
我们收到了 226 份意向书；107 家教会注册，85 家教会采用了干预措施。基于信仰的资源是最有效的，付费媒体是最无效的，主要来自东南部，有卫斯理公会或浸礼会传统（注册状态无差异）。注册教会的礼拜人数少于 500 人，更有可能参加研究信息会议，而非注册教会。教会（CFIR 内部环境）和 FAN 协调员的特征，但不是干预措施的特征，与干预措施的采用有关。
伙伴关系、关系和“面对面时间”对于招募教会参与循证干预措施非常重要。教会和教会协调员的特征与干预措施的采用有关。需要进一步开展关于采用概念化和操作化的工作。
