TY - JOUR
T1 - An Approach to Adapting a Community-Based Cancer Control Intervention to Organizational Context
AU - Knott, Cheryl L.
AU - Bowie, Janice
AU - Mullins, C. Daniel
AU - Santos, Sherie Lou Zara
AU - Slade, Jimmie
AU - Rosenberg, Elizabeth
AU - Woodard, Nathaniel
AU - Williams, Ralph
AU - Williams, Randi M.
N1 - Funding Information:
The team would like to acknowledge the work of Dr. Mary Ann Scheirer and Rev. Alma Savoy for their contributions to the development of the HEAL 2.0 intervention. This work was supported by the American Cancer Society under Grant RSG1602201CPPB; and the National Cancer Institute at the National Institutes of Health under Grant R01CA147313. None of the authors have any conflict of interest to report. clinicaltrials.gov identifier: NCT03178383 (registered 06/05/17).
Publisher Copyright:
© 2020 Society for Public Health Education.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - There has been increasing attention in implementation science to optimizing the fit of evidence-based interventions to the organizational settings where they are delivered. However, less is known about how to maximize intervention–context fit, particularly in community-based settings. We describe a new strategy to customize evidence-based health promotion interventions to community sites. Specifically, leaders in African American churches completed a memorandum of understanding where they were asked to identify two or more health promotion implementation strategies from a menu of 20 and select a planned implementation time frame for each. In a pilot phase with three churches, the menu-based strategy and protocols were successfully implemented and finalized in preparation for a subsequent randomized trial. The three pilot churches identified between two and nine strategies (e.g., form a health ministry, allocate space or budget for health activities, include health in church communications/sermons). The selected strategies varied widely, reinforcing the need for interventions that can be customized to fit the organizational context. Despite the challenges of integrating health promotion activities into non–health focused organizations, this approach has promise for fostering sustainable health activities in community settings.
AB - There has been increasing attention in implementation science to optimizing the fit of evidence-based interventions to the organizational settings where they are delivered. However, less is known about how to maximize intervention–context fit, particularly in community-based settings. We describe a new strategy to customize evidence-based health promotion interventions to community sites. Specifically, leaders in African American churches completed a memorandum of understanding where they were asked to identify two or more health promotion implementation strategies from a menu of 20 and select a planned implementation time frame for each. In a pilot phase with three churches, the menu-based strategy and protocols were successfully implemented and finalized in preparation for a subsequent randomized trial. The three pilot churches identified between two and nine strategies (e.g., form a health ministry, allocate space or budget for health activities, include health in church communications/sermons). The selected strategies varied widely, reinforcing the need for interventions that can be customized to fit the organizational context. Despite the challenges of integrating health promotion activities into non–health focused organizations, this approach has promise for fostering sustainable health activities in community settings.
KW - Black/African American
KW - community organization
KW - health promotion
KW - minority health
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U2 - 10.1177/1524839919898209
DO - 10.1177/1524839919898209
M3 - Comment/debate
C2 - 31959002
AN - SCOPUS:85078153362
SN - 1524-8399
VL - 21
SP - 168
EP - 171
JO - Health promotion practice
JF - Health promotion practice
IS - 2
ER -