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Table 2 Scores for each item, by CFIR domain and construct, and associations with 24-month composite scores (N = 70 churches)

From: The Faith, Activity, and Nutrition (FAN) dissemination and implementation study: changes in and maintenance of organizational practices over 24 months in a statewide initiative

  

Physical Activity

Healthy Eating

CFIR DOMAIN, Construct, and Item

Time

Mean (SD) or %

aModel β

Mean (SD) or %

aModel β

INTERVENTION CHARACTERISTICS

Adaptability

-Can be adapted to fit church

PT

3.09 (0.42)

0.08

3.10 (0.43)

-0.02

 

12M

3.24 (0.50)

0.21*

3.40 (0.58)

0.29*

 

24M

2.96 (0.47)

0.32**

3.31 (0.67)

0.23*

Complexity

-Easy to use

PT

3.13 (0.38)

0.08

3.14 (0.49)

-0.11

 

12M

3.16 (0.48)

0.26*

3.39 (0.58)

0.21

 

24M

3.01 (0.40)

0.37***

3.35 (0.57)

0.10

-Clear and understandable

PT

3.32 (0.47)

0.12

3.40 (0.49)

-0.09

 

12M

3.30 (0.46)

0.23*

3.52 (0.50)

0.16

 

24M

3.19 (0.43)

0.28**

3.42 (0.50)

0.23*

Cost

-Expensive (reverse scored)

PT

2.92 (0.59)

0.04

2.85 (0.66)

0.04

 

12M

3.04 (0.48)

-0.02

2.60 (0.80)

0.07

 

24M

2.98 (0.50)

-0.02

2.82 (0.60)

0.08

-Great deal of time (reverse scored)

PT

2.76 (0.61)

0.04

2.69 (0.61)

0.16

 

12M

2.69 (0.66)

0.23*

2.85 (0.58)

0.09

 

24M

2.74 (0.59)

0.01

2.70 (0.65)

0.25*

Relative advantage

-More effective than other programs

12M

3.04 (0.56)

0.31**

3.04 (0.56)

0.40**

 

24M

2.79 (0.66)

0.36**

2.79 (0.66)

0.24*

INNER SETTING

Structural characteristics

-Presence of health ministry

BL

47.14

0.06

47.14

0.05

-500+ members

C

25.71

-0.18

25.71

-0.28*

-Predominantly African American

C

42.86

0.22*

42.86

0.21

-Pastor change in past year

C

34.29

-0.14

34.29

-0.12

-Tenure of pastor, years

BL

3.00 (3.40)

-0.08

3.00 (3.40)

0.00

bCulture

BL

3.45 (0.48)

0.13

3.45 (0.48)

0.00

cNetworks & Communications

-Composite

BL

3.26 (0.40)

0.16

3.26 (0.40)

0.09

-Little tension/conflict

BL

2.89 (0.55)

0.01

2.89 (0.55)

0.02

Implementation Climate

 Tension for change

  -New ideas readily accepted

BL

2.71 (0.60)

-0.01

2.71 (0.60)

0.03

  -Leaders like traditional ways (reverse scored)

BL

2.20 (0.67)

0.05

2.20 (0.67)

0.10

 Compatibility

  -Matches church priorities

PT

3.10 (0.61)

0.05

3.10 (0.61)

0.04

 

12M

2.94 (0.65)

0.18

2.94 (0.65)

0.21

 

24M

2.70 (0.61)

0.30**

2.70 (0.61)

0.18

  -Fits with way you work

PT

3.35 (0.48)

0.00

3.35 (0.48)

-0.15

 

12M

3.14 (0.50)

0.19

3.14 (0.50)

0.27*

 

24M

2.92 (0.47)

0.20

2.92 (0.47)

0.13

 Relative priority

  

  -Health ministry as important as spiritual ministry

12M

3.04 (0.73)

0.29**

3.04 (0.73)

0.31**

 

24M

3.01 (0.81)

0.23*

3.01 (0.81)

0.23*

 Organizational incentives/rewards

  -Recognized for implementation

12M

3.03 (0.58)

0.29**

3.17 (0.60)

0.17

 

24M

2.82 (0.67)

0.32**

2.90 (0.69)

0.30**

Readiness for implementation

     

-Received enough training

12M

3.13 (0.46)

0.16

3.24 (0.58)

0.18

 

24M

3.01 (0.56)

0.32**

3.13 (0.60)

0.05

-Pastor encouraged congregants to embrace

12M

3.15 (0.58)

0.28**

3.18 (0.67)

0.31**

 

24M

2.79 (0.69)

0.33**

2.91 (0.77)

0.49***

Congregant needs

-Well received by most congregants

12M

2.80 (0.72)

0.37***

2.97 (0.68)

0.22

 

24M

2.69 (0.68)

0.43***

2.92 (0.68)

0.25*

CHARACTERISTICS OF THE INDIVIDUAL (FAN Coordinator)

Beliefs about the intervention

     

-Valuable for church

PT

3.42 (0.50)

0.07

3.51 (0.50)

0.00

 

12M

3.48 (0.50)

0.22*

3.48 (0.50)

0.18

 

24M

3.20 (0.56)

0.34**

3.37 (0.52)

0.19

Self-efficacy

-Have skills to make changes

PT

3.09 (0.38)

-0.01

3.17 (0.41)

-0.29*

 

12M

3.10 (0.61)

0.37***

3.23 (0.52)

0.19

 

24M

2.97 (0.52)

0.32**

3.13 (0.54)

0.25*

-Confident can make (continue to make) changes

PT

3.06 (0.46)

0.21*

3.05 (0.51)

-0.14

 

12M

3.00 (0.55)

0.42***

3.11 (0.64)

0.30**

 

24M

2.79 (0.56)

0.34***

2.97 (0.68)

0.36**

Perceived benefits

-Church will benefit (has benefited) from changes

PT

3.43 (0.50)

0.00

3.61 (0.49)

-0.19

 

12M

3.00 (0.63)

0.33**

3.15 (0.59)

0.23*

 

24M

2.87 (0.60)

0.47***

2.98 (0.62)

0.45***

-Worthwhile for me if church makes (continues to make) changes

PT

3.42 (0.50)

-0.02

3.59 (0.52)

-0.09

 

12M

3.45 (0.50)

0.20

3.51 (0.53)

0.09

 

24M

3.37 (0.54)

0.17

3.38 (0.55)

0.22

Individual identification with organization

-Want to perform to best of ability

BL

3.64 (0.48)

0.10

3.64 (0.48)

0.00

-Feel strong sense of commitment

BL

3.74 (0.44)

0.10

3.74 (0.44)

-0.02

Other personal attributes

-Church membership >3 years

BL

90.00

0.17

90.00

0.01

-Led health promotion efforts

BL

55.71

0.07

55.71

-0.09

-Age, years

BL

57.40 (12.44)

0.00

57.40 (12.44)

0.08

-Some college

BL

90.00

-0.12

90.00

-0.11

-Women

BL

94.29

0.07

94.29

0.11

-Meets public health recommendations for target behavior (PA, HE)

PT

62.32

0.01

28.57

-0.08

 

12M

62.12

0.13

44.78

0.21

 

24M

57.35

0.01

33.33

0.12

-Self-rated health (5=excellent)

PT

3.66 (0.93)

0.04

3.66 (0.93)

0.02

 

12M

3.72 (0.87)

0.18

3.72 (0.87)

0.19

 

24M

3.68 (0.83)

0.05

3.68 (0.83)

0.02

-Body mass index, kg/m2

PT

28.04 (5.62)

0.13

28.04 (5.62)

0.24*

 

12M

28.20 (6.04)

0.13

28.20 (6.04)

0.25*

 

24M

28.38 (6.09)

0.12

28.38 (6.09)

0.26*

IMPLEMENTATION PROCESS

Engaging opinion leaders

     

-Leaders actively involved

12M

2.75 (0.68)

0.37***

2.89 (0.79)

0.38***

 

24M

2.69 (0.70)

0.40***

2.76 (0.67)

0.46***

Engaging champions

-At least one person is champion

12M

3.24 (0.55)

0.27*

3.32 (0.58)

0.17

 

24M

3.18 (0.64)

0.39***

3.16 (0.68)

0.28*

  1. *p < .05. **p < .01. ***p < .001
  2. Note: For time, C reported from church conference prior to starting study, BL baseline (pre-training), PT immediate post-training, 12 M 12 months, 24 M 24 months
  3. aβ represents the standardized regression coefficient for each CFIR item predicting 24-month PA and HE maintenance, adjusted for baseline practices
  4. bCulture score was an average of 2 items: pastor has a sense of personal responsibility for improving congregant health, pastor is open to changes in practices that impact congregants. Coefficient alpha = 0.74
  5. cComposite score for networks and communication was an average of 3 items: pastor and church leaders share information and knowledge, church leaders involve members in decision making, and pastor has good working relationships with other church leaders. Coefficient alpha = 0.69
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International Journal of Behavioral Nutrition and Physical Activity

ISSN: 1479-5868

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