Evaluation of organizational capacity in the implementation of a church-based cancer education program.
Evaluation of organizational capacity in the implementation of a church-based cancer education program.
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DOI：
10.1007/s43477-021-00033-0
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发表时间：
2022-03
期刊：
影响因子：
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通讯作者：
Huq M
中科院分区：
文献类型：
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作者：
Knott CL;Miech EJ;Slade J;Woodard N;Robinson-Shaneman BJ;Huq M
实施评估越来越多地考虑当地情况的特征如何帮助确定实施结果。本研究的目的是在马里兰州 13 个非裔美国教会举办的一系列癌症教育研讨会的实施试验中，确定组织能力的哪些背景特征直接导致干预范围和实施天数的 RE-AIM 框架实施结果。我们使用符合分析的配置方法来识别组织能力的具体特征，这些特征将实施成功的教会与那些不太成功的教会区分开来。组织能力的各个方面（例如会众规模、人员配备/志愿者、卫生部经验）是从现有的教会组织健康促进能力衡量标准中得出的。导致更高干预范围的解决方案途径包括： 设立一个为期 1-4 年的卫生部；或成员少于 100 人；或过去 2 年内曾开展过 1-4 个不同主题的健康促进活动的中型教会。在更少的天数内实施干预的解决途径包括： 在过去 2 年内开展过 1-2 次健康促进活动；或拥有 1-5 名兼职员工和一名牧师，没有额外的外部雇佣；或拥有博士牧师且每周出席人数为 101-249 名成员的教会。研究结果可以为未来在基于信仰和其他资源有限的社区环境中实施循证健康促进干预措施的理论、研究和实践提供信息。研究结果支持组织能力在这些环境中的实施结果中发挥重要作用。
Implementation evaluations have increasingly taken into account how features of local context help determine implementation outcomes. The purpose of this study was to determine which contextual features of organizational capacity led directly to the RE-AIM Framework implementation outcomes of intervention reach and number of days taken to implement, in an implementation trial of a series of cancer education workshops conducted across 13 African American churches in Maryland. We used a configurational approach with Coincidence Analysis to identify specific features of organizational capacity that uniquely distinguished churches with implementation success from those that were less successful. Aspects of organizational capacity (e.g., congregation size, staffing/volunteers, health ministry experience) were drawn from an existing measure of church organizational capacity for health promotion. Solution pathways leading to higher intervention reach included: having a health ministry in place for 1–4 years; or having fewer than 100 members; or mid-size churches that had conducted health promotion activities in 1–4 different topics in the past 2 years. Solution pathways to implementing the intervention in fewer number of days included: having conducted 1–2 health promotion activities in the past 2 years; or having 1–5 part-time staff and a pastor without additional outside employment; or churches with a doctorally prepared pastor and a weekly attendance of 101–249 members. Study findings can inform future theory, research, and practice in implementation of evidence-based health promotion interventions delivered in faith-based and other limited-resource community settings. Findings support the important role of organizational capacity in implementation outcomes in these settings.