Influence of organizational and social contexts on the implementation of culturally adapted hypertension control programs in Asian American-serving grocery stores, restaurants, and faith-based community sites: a qualitative study.
Culturally adapted
Hypertension
Implementation research
Nutrition education
Qualitative methods
Racial/ethnic minorities
Journal
Translational behavioral medicine
ISSN: 1613-9860
Titre abrégé: Transl Behav Med
Pays: England
ID NLM: 101554668
Informations de publication
Date de publication:
31 12 2020
31 12 2020
Historique:
pubmed:
2
7
2019
medline:
19
8
2021
entrez:
2
7
2019
Statut:
ppublish
Résumé
Hypertension affects a third of U.S. adults and is especially high among Asian American groups. The Racial and Ethnic Approaches to Community Health for Asian AmeRicans (REACH FAR) project delivers culturally adapted, evidence-based hypertension-related programs to Bangladeshi, Filipino, Korean, and Asian Indian communities in New York and New Jersey through 26 sites: ethnic grocery stores, restaurants, and Muslim, Christian, and Sikh faith-based organizations. Knowledge of the implementation mechanisms of culturally adapted programs is limited and is critical to inform the design and execution of such programs by and in community sites. We applied four categories of the Consolidated Framework for Implementation Research-intervention and individuals' characteristics, inner and outer setting-to analyze factors influencing implementation outcomes, that is, site leaders' perceptions about adopting, adapting, and sustaining REACH FAR. We conducted semistructured interviews with 15 leaders, coded them for implementation outcomes, and recoded them to identify contextual factors. Our findings show that REACH FAR resonated in sites where leaders perceived unhealthy diet and lifestyles in their communities (intervention characteristics), sites had historically engaged in health programs as a public-service mission (inner setting), and leaders identified with this mission (individuals' characteristics). Site leaders strived to adapt programs to respond to community preferences (outer setting) without compromising core objectives (inner setting). Leaders noted that program sustainability could be impeded by staff and volunteer turnover (inner setting) but enhanced by reinforcing programs through community networks (outer setting). The findings suggest that to facilitate implementation of culturally adapted health behavior programs through community sites, interventions should reinforce sites' organizational commitments and social ties.
Identifiants
pubmed: 31260065
pii: 5526191
doi: 10.1093/tbm/ibz106
pmc: PMC7796718
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1525-1537Subventions
Organisme : NIMHD NIH HHS
ID : P60 MD000538
Pays : United States
Organisme : NIMHD NIH HHS
ID : U54 MD000538
Pays : United States
Organisme : NCCDPHP CDC HHS
ID : U58 DP005621
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001445
Pays : United States
Informations de copyright
© Society of Behavioral Medicine 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Références
BMC Public Health. 2015 Sep 30;15:996
pubmed: 26423051
Transl Behav Med. 2017 Sep;7(3):444-466
pubmed: 28547738
Implement Sci. 2016 Jul 08;11(1):91
pubmed: 27391959
Health Promot Pract. 2013 Sep;14(5 Suppl):18S-28S
pubmed: 23667057
Am J Hypertens. 2015 May;28(5):631-9
pubmed: 25352230
Fam Pract. 2013 Aug;30(4):466-72
pubmed: 23629737
Public Health Nutr. 2016 Feb;19(2):348-55
pubmed: 25990446
Implement Sci. 2017 Feb 28;12(1):27
pubmed: 28241770
Ann Epidemiol. 2005 Apr;15(4):257-65
pubmed: 15780772
Int J Environ Res Public Health. 2015 Dec 22;13(1):ijerph13010016
pubmed: 26703646
Adm Policy Ment Health. 2011 Mar;38(2):65-76
pubmed: 20957426
Diabetes Care. 2011 Feb;34(2):353-7
pubmed: 21216863
J Transcult Nurs. 2009 Jan;20(1):93-104
pubmed: 18840884
Prev Chronic Dis. 2018 Sep 13;15:E112
pubmed: 30218554
Transl Behav Med. 2017 Sep;7(3):517-528
pubmed: 28733726
Ann Epidemiol. 2009 Oct;19(10):718-23
pubmed: 19560369
Am J Hypertens. 2015 Jun;28(6):699-716
pubmed: 25498998
J Immigr Minor Health. 2010 Oct;12(5):781-7
pubmed: 19225887
Am J Public Health. 2012 Mar;102(3):486-90
pubmed: 22390512
Ecol Food Nutr. 2017 Jan-Feb;56(1):17-30
pubmed: 27841664
Prev Chronic Dis. 2017 Apr 20;14:E33
pubmed: 28427484
Ethn Health. 2007 Jun;12(3):265-81
pubmed: 17454100
J Community Health. 2013 Oct;38(5):847-55
pubmed: 23553685
Am J Hypertens. 2016 Aug;29(8):941-7
pubmed: 26888778
J Clin Hypertens (Greenwich). 2012 May;14(5):336-43
pubmed: 22533661
Annu Rev Public Health. 2006;27:341-70
pubmed: 16533121
Implement Sci. 2007 Nov 30;2:40
pubmed: 18053122
Nutr Rev. 2017 Jun 1;75(6):391-404
pubmed: 28591786
Adv Data. 2008 Jan 22;(394):1-22
pubmed: 18271366
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
Circulation. 2013 Jan 1;127(1):e6-e245
pubmed: 23239837
Diabetes Care. 2009 Sep;32(9):1644-6
pubmed: 19509010
Am J Prev Med. 2013 Feb;44(2):122-31
pubmed: 23332327
Prev Chronic Dis. 2016 Oct 13;13:E144
pubmed: 27736054
J Am Coll Cardiol. 2012 Aug 14;60(7):599-606
pubmed: 22796254
Circulation. 2018 Mar 20;137(12):e67-e492
pubmed: 29386200
Annu Rev Public Health. 2009;30:175-201
pubmed: 19296775
J Health Care Poor Underserved. 2010 Nov;21(4):1354-81
pubmed: 21099084
Circ Res. 2018 Jan 19;122(2):213-230
pubmed: 29348251
Am J Public Health. 2012 Oct;102(10):e27-31
pubmed: 22897534
PLoS One. 2013 Oct 07;8(10):e73373
pubmed: 24116000
Transl Behav Med. 2018 Jul 17;8(4):575-584
pubmed: 30016518
J Immigr Minor Health. 2012 Oct;14(5):767-73
pubmed: 22116745
Prev Chronic Dis. 2012;9:E116
pubmed: 22721501
Br J Nutr. 2004 Mar;91(3):469-78
pubmed: 15005833
Transl Behav Med. 2017 Sep;7(3):435-443
pubmed: 28144833
BMC Public Health. 2018 Jun 20;18(1):773
pubmed: 29925352
PLoS One. 2014 Feb 18;9(2):e88495
pubmed: 24558396