Enhancing capacity in faith-based organizations to implement and sustain multilevel innovations to improve physical activity

增强信仰组织实施和维持多层次创新以改善身体活动的能力

• 批准号: 10636035
• 负责人: Elva M Arredondo
• 金额: $ 3.34万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10636035
• 关键词: Adult; Advocate; Award; Behavior; Cardiovascular Diseases; Chronic Disease; Collaborations; Communities; Community Health Aides; Data; Effectiveness; Funding; Grant; Guidelines; Health; Health Promotion; Hybrids; Individual; Intervention; Latina Population; Latino; Methods; Obesity; Organizational Change; Outcome; Parents; Personal Satisfaction; Physical activity; Practical Robust Implementation and Sustainability Model; Randomized; Reach Effectiveness Adoption Implementation and Maintenance; Research; Role; Testing; Training; base; community setting; design; effectiveness implementation trial; empowered; evidence base; exercise intervention; follow-up; implementation strategy; improved; innovation; member; organizational climate; prevent; programs; scale up; tailored messaging; uptake

Abstract of funded grant or project Despite the benefits of physical activity (PA) to prevent cardiovascular disease (CVD) and other chronic diseases, few adult Latinas meet PA guidelines. Given the central role of faith-based organizations (FBOs) within the Latino community and their commitment to the well-being of their members, FBOs are ideal settings for health promotion. Evidence-based approaches for increasing PA and reducing obesity such as Faith in Action exist, but few PA interventions go to scale. Implementation strategies that enhance the capacity of FBO leaders and community health workers (promotoras) to implement EBIs can facilitate their uptake. We propose to enhance Faith in Action with three organization-level strategies designed to increase program fit and effectiveness: 1) training FBO leaders in health promotion 2) tailoring messaging to enhance fit between Faith in Action and each unique FBO context, and 3) empowering promotoras to advocate for organizational change. Given the need to improve strategies to sustain health programs in community settings, we propose to test the influence of two additional sustainment strategies: 1) strengthening community collaborations and, 2) providing technical support. We will conduct a hybrid type II effectiveness-implementation trial using a clustered RCT design to test the impact of the proposed implementation strategies on organization-level change and individual behavior in diverse FBOs for a 12-month intervention and a 6-month follow-up. Thirty-two FBOs will be randomly assigned to a Standard EBI condition (Faith in Action as originally implemented), an Enhanced condition (Standard condition + organizational-level implementation strategies), or Enhanced + Sustainment condition (Enhanced implementation condition + sustainment strategies). We will collect quantitative and qualitative data at baseline, 6 months, 12 months, and 18 months post baseline. The proposed study aims to: 1) Test the short and long-term impacts of organization-level implementation strategies in 2 Enhanced conditions on organizational outcomes compared to the Standard EBI condition, 2) Examine individual reach and effectiveness among Latinas (n=812) in FBOs in the 2 Enhanced conditions compared to the Standard EBI condition. Secondary aims examine theoretical mechanisms of action (e.g., organizational climate) and the additional impact of two sustainment strategies. Informed by the Practical Robust Implementation and Sustainability Model (PRISM) and Reach Effectiveness- Adoption Implementation and Maintenance (RE-AIM) frameworks, the current study will use mixed methods to adapt Faith in Action to diverse FBOs. This research is innovative because it experimentally tests organization-level implementation strategies and their associated mechanism of action in Latino FBOs’ from diverse denominations. Our findings will impact the field by providing rigorously derived evidence for the scale-up of innovative EBIs in FBOs. If successful, findings from the current study will provide evidence of organizational-level strategies for uptake, sustainment, and generalizable implementation strategies for scale-up of PA interventions to increase PA and reduce chronic disease in FBOs across the US.

资助或项目摘要 尽管体力活动 (PA) 对预防心血管疾病 (CVD) 和其他疾病有好处 考虑到信仰的核心作用，很少有成年拉丁裔符合 PA 指南。 拉丁美洲社区内的组织（FBO）及其对拉丁美洲人福祉的承诺 FBO 是其成员的健康促进方法的理想场所。 增加体力活动和减少肥胖是存在的，例如“信仰行动”，但很少有体力活动干预措施能够用于 提高 FBO 领导者和社区健康能力的实施战略。 实施 EBI 的员工（promotoras）可以促进他们的吸收。 信念付诸行动，采用三项组织层面的战略，旨在提高计划的适应性和 有效性：1) 对 FBO 领导者进行健康促进培训 2) 定制信息以增强契合度 行动中的信念和每个独特的 FBO 背景之间的关系，以及 3) 赋予促销员权力 鉴于需要改进维持健康的策略，倡导组织变革。 在社区环境中的计划中，我们建议测试两个额外维持的影响 策略：1) 加强社区合作，2) 提供技术支持。 将使用集群 RCT 设计进行混合 II 型有效性实施试验 测试拟议实施战略对组织层面变革的影响， 对不同 FBO 中的个体行为进行 12 个月的干预和 6 个月的随访。 32 个 FBO 将被随机分配到标准 EBI 条件（“信仰行动”） 最初实施），增强条件（标准条件+组织级别 实施策略），或增强+维持条件（增强实施 条件+可持续性策略）我们将收集基线定量和定性数据， 基线后 6 个月、12 个月和 18 个月。拟议的研究旨在：1) 测试短期。 2 增强条件下组织层面实施战略的长期影响 与标准 EBI 条件相比的组织结果，2) 检查个人 比较两种增强条件下 FBO 中拉丁裔 (n=812) 的影响力和有效性 次要目标从理论上检验作用机制（例如， 组织氛围）以及两项可持续发展战略的额外影响。 实用的稳健实施和可持续性模型（PRISM）和达到有效性- 采用实施和维护（RE-AIM）框架，当前的研究将使用 使信仰行动适应不同 FBO 的混合方法 这项研究具有创新性，因为它。 通过实验测试组织级实施策略及其相关的 我们的研究结果将影响来自不同教派的拉丁裔 FBO 的行动机制。 为 FBO 中创新 EBI 的扩展提供严格的证据。 成功的话，当前研究的结果将提供组织层面的证据 吸收战略、可持续性战略以及扩大规模的普遍实施战略 PA 干预措施旨在增加美国 FBO 的 PA 并减少慢性病。