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.

获资助拨款或项目摘要 尽管身体活动（PA）可以预防心血管疾病（CVD）和其他疾病， 慢性疾病，很少有成年拉丁美洲人符合PA指南。鉴于宗教信仰的核心作用， 拉丁美洲社区内的组织（FBO）及其对福利的承诺 他们的成员，FBO是促进健康的理想场所。循证方法 增加PA和减少肥胖，如信仰行动存在，但很少有PA干预去 规模增强FBO领导人和社区健康能力的实施战略 工人（promotoras）实施EBI可以促进他们的吸收。我们建议加强 信念行动，三个组织层面的战略，旨在提高计划的适应性， 有效性：1）在健康促进方面培训FBO领导人2）定制信息，以增强适应性 之间的信念在行动和每个独特的FBO的情况下，和3）授权promotoras， 倡导组织变革。鉴于需要改进战略以维持健康 计划在社区设置，我们建议测试的影响，两个额外的维持 战略：1）加强社区合作; 2）提供技术支持。我们 将使用聚类RCT设计进行混合II型有效性-实施试验， 测试拟议执行战略对组织一级变革的影响， 不同FBO的个体行为进行12个月的干预和6个月的随访。 32名FBO将被随机分配到标准EBI条件下（信念行动， 最初实施）、增强条件（标准条件+组织级 实施战略）或增强+维持条件（增强实施 条件+维持战略）。我们将在基线时收集定量和定性数据， 基线后6个月、12个月和18个月。本研究的目的是：1）测试短 组织一级执行战略的长期影响 与标准EBI条件相比，组织成果，2）检查个人 在2种增强条件下，比较了拉丁裔（n=812）在FBO中的覆盖范围和有效性 符合标准EBI条件。次要目标检查理论作用机制（例如， 组织气候）以及两项维持战略的额外影响。通知 实用稳健实施和可持续性模型（PRISM）和覆盖有效性- 采用实施和维护（RE-AIM）框架，目前的研究将使用 混合的方法，以适应不同的FBO的行动信念。这项研究是创新的，因为它 实验性地测试组织级的实施策略及其相关的 不同教派的拉丁裔FBO的行动机制。我们的发现将影响 通过为FBO中创新EBI的规模扩大提供严格推导的证据，如果 成功的，从目前的研究结果将提供证据，组织层面的 采用、维持和推广执行战略， PA干预措施，以增加PA和减少美国各地FBO的慢性病。