An Approach to Adapting a Community-Based Cancer Control Intervention to Organizational Context.
Cheryl L HoltJanice BowieC Daniel MullinsSherie Lou Zara SantosJimmie SladeElizabeth RosenbergNathaniel WoodardRalph WilliamsRandi M WilliamsPublished in: Health promotion practice (2020)
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.
Keyphrases
- health promotion
- healthcare
- public health
- mental health
- primary care
- randomized controlled trial
- african american
- physical activity
- health information
- study protocol
- squamous cell carcinoma
- risk assessment
- quality improvement
- papillary thyroid
- mass spectrometry
- artificial intelligence
- young adults
- high resolution
- big data