Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Implementation Science
Published in: Implementation Science 1/2014

Open Access 01-12-2014 | Research

Translating evidence-based interventions for implementation: Experiences from Project HEAL in African American churches

Authors: Cheryl L Holt, Erin K Tagai, Mary Ann Scheirer, Sherie Lou Z Santos, Janice Bowie, Muhiuddin Haider, Jimmie L Slade, Min Qi Wang, Tony Whitehead

Published in: Implementation Science | Issue 1/2014

Login to get access

Abstract

Background

Community-based approaches have been increasing in the effort to raise awareness and early detection for cancer and other chronic disease. However, many times, such interventions are tested in randomized trials, become evidence-based, and then fail to reach further use in the community. Project HEAL (Health through Early Awareness and Learning) is an implementation trial that aims to compare two strategies of implementing evidence-based cancer communication interventions in African American faith-based organizations.

Method

This article describes the community-engaged process of transforming three evidence-based cancer communication interventions into a coherent, branded strategy for training community health advisors with two delivery mechanisms. Peer community health advisors receive training through either a traditional classroom approach (with high technical assistance/support) or a web-based training portal (with low technical assistance/support).

Results

We describe the process, outline the intervention components, report on the pilot test, and conclude with lessons learned from each of these phases. Though the pilot phase showed feasibility, it resulted in modifications to data collection protocols and team and community member roles and expectations.

Conclusions

Project HEAL offers a promising strategy to implement evidence-based interventions in community settings through the use of technology. There could be wider implications for chronic disease prevention and control.
Appendix
Available only for authorised users
Literature
1.
2.
Campbell MK, Hudson MA, Resnicow K, Blakeney N, Paxton A, Baskin M: Church-based health promotion interventions: evidence and lessons learned. Annu Rev Publ Health. 2007, 28: 213-234. 10.1146/annurev.publhealth.28.021406.144016.CrossRef
3.
Husaini BA, Reece MC, Emerson JS, Scales S, Hull PC, Levine RS: A church-based program on prostate cancer screening for African American men: reducing health disparities. Ethnic Dis. 2008, 18 (2): S2-S179. 184
4.
Zahuranec DB, Morgenstern LB, Garcia NM, Conley KM, Lisabeth LD, Rank GS, Smith MA, Meurer WJ, Resnicow K, Brown DL: Stroke health and risk education (SHARE) pilot project: feasibility and need for church-based stroke health promotion in a bi-ethnic community. Stroke. 2008, 39: 1583-1585. 10.1161/STROKEAHA.107.503557.CrossRefPubMed
5.
Sauaia A, Sung-joon M, Byers T, Lack D, Apodaca C, Osuna D, Stowe A, McGinnis GF, Latts L: Church-based breast cancer screening education: impact of two approaches on Latinas enrolled in public and private health insurance plans. Prev Chronic Dis. 2007, 4: A99-PubMedPubMedCentral
6.
Darnell JS, Chang CH, Calhoun EA: Knowledge about breast cancer and participation in a faith-based breast cancer program and other predictors of mammography screening among African American women and Latinas. Health Promot Pract. 2006, 7 (Suppl 3): 201S-212S.CrossRefPubMed
7.
Glasgow RE, Marcus AC, Bull SS, Wilson KM: Disseminating effective cancer screening interventions. Cancer. 2004, 101 (Suppl 5): 1239-1250.CrossRefPubMed
8.
Kerner JF: Integrating research, practice, and policy: what we see depends on where we stand. J Public Health Manag and Pract. 2008, 14: 193-198. 10.1097/01.PHH.0000311899.11197.db.CrossRef
9.
10.
Weiner BJ, Lewis MA, Linnan LA: Using organization theory to understand the determinants of effective implementation of worksite health promotion programs. Health Educ Res. 2009, 24: 292-305.CrossRefPubMed
11.
Ammerman A: Process evaluation of the church-based PRAISE! Project: partnership to reach African Americans to increase smart eating. 2002, San Francisco: John Wiley & Sons, Inc, 1
12.
Kerner JF, Guirguis-Blake J, Hennessey KD, Brounstein PJ, Vinson C, Schwartz RH, Myers BA, Briss P: Translating research into improved outcomes in comprehensive cancer control. Cancer Cause Control. 2005, 16 (Suppl 1): 27-40.CrossRef
13.
Witmer A, Seifer SD, Finocchio L, Leslie J, O’Neil EH: Community health workers: integral members of the health care work force. Am J Public Health. 1995, 85: 1055-1058. 10.2105/AJPH.85.8_Pt_1.1055.CrossRefPubMedPubMedCentral
14.
U.S. Department of Health and Human Services: Community health advisors: models, research, and practice, selected annotations-United States. Volume 1. 1994, Atlanta; U.S: Department of Health and Human Services
15.
U.S. Department of Health and Human Services: Community health advisors: programs in the United States, health promotion and disease prevention. 1994, Atlanta; U.S: Department of Health and Human Services
16.
Fendall R: We expect too much from community health workers. World Health Forum. 1984, 5: 300-303.
17.
Walt G: Community health workers in national programmes. Just another pair of hands?. 1990, Philadelphia: Open University Press
18.
Indian Health Service: Alaska community health aide program description. 1991, Washington: Government Printing Office
19.
Giblin PT: Effective utilization and evaluation of indigenous health care workers. Public Health Rep. 1989, 104: 361-368.PubMedPubMedCentral
20.
Richter RW, Bengen B, Alsup PA, Bruun B, Kilcoyne MM, Challenor BD: The community health worker: a resource for improved health care delivery. Am J Public Health. 1974, 64: 1056-1061. 10.2105/AJPH.64.11.1056.CrossRefPubMedPubMedCentral
21.
Yu MY, Song L, Seetoo A, Cai C, Smith G, Oakley D: Culturally competent training program: a key to training lay health advisors for promoting breast cancer screening. Health Educ Behav. 2007, 2007 (34): 928-941.
22.
Maxwell AE, Danao LL, Cayetano RT, Crespi CM, Bastani R: Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening. J Comm Health. 2012, 37: 1218-1225. 10.1007/s10900-012-9557-9.CrossRef
23.
Navarro AM, Raman R, McNicholas LJ, Loza O: Diffusion of cancer education information through a Latino community health advisor program. Prev Med. 2007, 45: 135-138. 10.1016/j.ypmed.2007.05.017.CrossRefPubMedPubMedCentral
24.
Lisovicz N, Johnson RE, Higginbotham J, Downey JA, Hardy CM, Fouad MN, Hinton AW, Partridge EE: The deep South network for cancer control: building a community infrastructure to reduce cancer health disparities. Cancer. 2006, 107 (Suppl 8): 1971-1979.CrossRefPubMed
25.
Holt CL, Klem PR: As you go, spread the word: spiritually based breast cancer education for African American women. Gynecol Oncol. 2005, 99 (Suppl 1): S141-S142.CrossRefPubMed
26.
Holt CL, Wynn TA, Litaker MS, Southward P, Jeames S, Schulz E: A comparison of a spiritually-based and a non-spiritually based educational intervention for informed decision making for prostate cancer screening among church-attending African American men. Urol Nurs. 2009, 29: 249-258.PubMedPubMedCentral
27.
Holt CL, Litaker MS, Scarinci IC, Debnam KJ, McDavid C, McNeal SF, Eloubeidi MA, Crowther M, Bolland J, Martin MY: Spiritually-based intervention to increase colorectal cancer screening among African Americans: screening and theory-based outcomes from a randomized trial. Health Educ Behav. 2013, 40: 458-468. 10.1177/1090198112459651.CrossRefPubMed
28.
Eng TR: eHealth research and evaluation: challenges and opportunities. J Health Commun. 2002, 7: 267-272. 10.1080/10810730290001747.CrossRefPubMed
29.
Strecher V: Internet methods for delivering behavioral and health-related interventions (eHealth). Annu Rev Clin Psychol. 2007, 3: 53-76. 10.1146/annurev.clinpsy.3.022806.091428.CrossRefPubMed
30.
31.
32.
Brownstein JN, Mirambeau AM, Roland KB: News from the CDC: using web-based training to translate evidence on the value of community health workers into public action. Transl Behav Med. 2013, 3: 229-230. 10.1007/s13142-013-0204-5.CrossRefPubMedPubMedCentral
33.
34.
Griffiths F, Lindenmeyer A, Powell J, Lowe P, Thorogood M: Why are health care interventions delivered over the internet? a systematic review of the published literature. J Med Internet Res. 2006, 8: e10-10.2196/jmir.8.2.e10.CrossRefPubMedPubMedCentral
35.
Rosenstock IM, Strecher VJ, Becker MH: Social learning theory and the health belief model. Health Educ Behav. 1988, 15: 175-183. 10.1177/109019818801500203.CrossRef
36.
37.
Greenhalgh T, Robert G, MacFarlane F, Bate P, Kyriakidou O: Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004, 82: 581-629. 10.1111/j.0887-378X.2004.00325.x.CrossRefPubMedPubMedCentral
38.
Glasgow RE, Vogt TM, Boles SM: Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999, 89: 1322-1327. 10.2105/AJPH.89.9.1322.CrossRefPubMedPubMedCentral
39.
Arvey SR, Fernandez ME, LaRue DM, Bartholomew LK: When promotoras and technology meet: a qualitative analysis of promotoras’ use of small media to increase cancer screening among South Texas Latinos. Health Educ Behav. 2012, 39: 352-363. 10.1177/1090198111418110.CrossRefPubMed
40.
Campbell MK, Resnicow K, Carr C, Wang T, Williams A: Process evaluation of an effective church-based diet intervention: body & soul. Health Educ Behav. 2007, 34: 864-880.CrossRefPubMed
41.
Allicock M, Campbell MK, Valle CG, Carr C, Resnicow K, Gizlice Z: Evaluating the dissemination of body & soul, an evidence-based fruit and vegetable intake intervention: challenges for dissemination and implementation research. J Nutr Educ Behav. 2012, 44: 530-538. 10.1016/j.jneb.2011.09.002.CrossRefPubMedPubMedCentral
42.
Baruth M, Wilcox S, Laken M, Bopp M, Saunders R: Implementation of a faith-based physical activity intervention: insights from church health directors. J Community Health. 2008, 33: 304-312. 10.1007/s10900-008-9098-4.CrossRefPubMed
Metadata
Title
Translating evidence-based interventions for implementation: Experiences from Project HEAL in African American churches
Authors
Cheryl L Holt
Erin K Tagai
Mary Ann Scheirer
Sherie Lou Z Santos
Janice Bowie
Muhiuddin Haider
Jimmie L Slade
Min Qi Wang
Tony Whitehead
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2014
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/1748-5908-9-66

Other articles of this Issue 1/2014

Implementation Science 1/2014 Go to the issue

Research

Organizational readiness for implementing change: a psychometric assessment of a new measure

Research

Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: a scoping systematic review

Study protocol

Expanded Quality Management Using Information Power (EQUIP): protocol for a quasi-experimental study to improve maternal and newborn health in Tanzania and Uganda

Reviewer acknowledgement

Annual acknowledgement of manuscript reviewers

Research

Improving the organization of palliative care: identification of barriers and facilitators in five European countries

Study protocol

De-implementation of inappropriately tight control (of hypoglycemia) for health: protocol with an example of a research grant application