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Pathways of influences leading to adoption of the Faith, Activity and Nutrition (FAN) program in a statewide initiative

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  • Hutto, Brent
  • Saunders, Ruth P.
  • Wilcox, Sara
  • Jake-Schoffman, Danielle E.
  • Bernhart, John A.
  • Dunn, Caroline G.
  • Kaczynski, Andrew T.
  • James, Katherine L.

Abstract

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.

Suggested Citation

  • Hutto, Brent & Saunders, Ruth P. & Wilcox, Sara & Jake-Schoffman, Danielle E. & Bernhart, John A. & Dunn, Caroline G. & Kaczynski, Andrew T. & James, Katherine L., 2021. "Pathways of influences leading to adoption of the Faith, Activity and Nutrition (FAN) program in a statewide initiative," Evaluation and Program Planning, Elsevier, vol. 87(C).
    • Handle: RePEc:eee:epplan:v:87:y:2021:i:c:s0149718921000367
    DOI: 10.1016/j.evalprogplan.2021.101941
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    References listed on IDEAS

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    1. Labbé, Delphine & Heider, Amy & Eisenberg, Yochai & Gould, Robert & Jones, Robin, 2024. "Reflection on the application of the Consolidated Framework for Implementation Research to a national policy to improve inclusion of people with disabilities," Evaluation and Program Planning, Elsevier, vol. 102(C).

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