An Approach to Adapting a Community-Based Cancer Control Intervention to Organizational Context.
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.
['Knott|Cheryl L|CL|0000-0002-2261-7875', 'Bowie|Janice|J|', 'Mullins|C Daniel|CD|', 'Santos|Sherie Lou Zara|SLZ|', 'Slade|Jimmie|J|', 'Rosenberg|Elizabeth|E|', 'Woodard|Nathaniel|N|', 'Williams|Ralph|R|', 'Williams|Randi M|RM|']
D001741:African Americans D006293:Health Promotion D006801:Humans
health promotion Black/African American community organization minority health