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Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program.

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Engaging church leaders is key for implementing health programs like Faith in Action. Addressing barriers and using strategies like staff training can improve program success and scale-up.

Keywords:
CommunityDisseminationEvidence-based interventionsFaith-basedHealth promotionImplementation strategiesLatinos/HispanicsPhysical activityQualitativeScale-up

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Area of Science:

  • Implementation science
  • Community-based participatory research
  • Health promotion

Background:

  • Community engagement is vital for implementing evidence-based health interventions.
  • Harnessing community leader insights improves intervention success and sustainability.
  • Faith in Action (Fe en Acción) is a promotora-led physical activity program for churchgoing Latina women.

Purpose of the Study:

  • To explore barriers and facilitators to implementing the Faith in Action program.
  • To identify strategies for scaling up and disseminating faith-based health promotion programs.

Main Methods:

  • In-depth interviews with 22 pastors and church staff in San Diego County, California.
  • Semi-structured interview guide based on the Consolidated Framework for Implementation Research (CFIR).
  • Iterative-deductive team approach for transcript analysis.

Main Results:

  • Barriers and facilitators identified within CFIR domains: individual characteristics, inner setting (church culture, resources), and outer setting (leadership buy-in).
  • Key barriers included lack of self-efficacy, competing priorities, and limited resources.
  • Promising strategies for scale-up include staff training, tailored messaging, community collaborations, and denominational support.

Conclusions:

  • Churches are valuable partners in health promotion, but implementation requires understanding specific barriers.
  • Targeted implementation strategies at individual and organizational levels can enhance program adoption and dissemination.
  • Addressing identified barriers is crucial for successful scale-up of faith-based health initiatives.