Pastors' perceptions of faith-based cancer prevention/early detection programs in Virginia: a mixed methods study

Area of Science:

• Public Health
• Cancer Prevention
• Implementation Science

Background:

• Churches are potential partners for cancer prevention and early detection interventions.
• Limited research exists on pastors' perspectives regarding these programs.

Purpose of the Study:

• To assess pastors' views on offering cancer prevention and early detection programs in churches.
• To identify factors influencing the perceived importance and feasibility of these programs.

Main Methods:

• Mixed methods study involving surveys (n=213) and interviews (n=17) with pastors.
• Utilized the Consolidated Framework for Implementation Research (CFIR) for study design.
• Convergent parallel analysis used for data triangulation.

Main Results:

• Physical activity and healthy eating programs were most commonly offered.
• Pastors reported low perceived importance (mean=2.38/4) but moderate-to-high perceived feasibility (mean=3.11/4).
• Internal support, church characteristics, and pastor health interest influenced perceived importance; resource limitations impeded feasibility.

Conclusions:

• Churches show potential for cancer intervention delivery, but perceived importance and resource availability are critical factors.
• Public health partnerships can address resource limitations and enhance program sustainability.
• Collaboration can improve cancer screening and early detection efforts within faith communities.