Journal
HEALTH PROMOTION PRACTICE
Volume 21, Issue 2, Pages 168-171Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1524839919898209
Keywords
community organization; health promotion; Black; African American; minority health
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Funding
- American Cancer Society [RSG1602201CPPB]
- National Cancer Institute at the National Institutes of Health [R01CA147313]
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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.
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