A Mixed Method Evaluation of Practitioners' Perspectives on Implementation Strategies for Healthy Eating and Active Living Policy, Systems, and Environmental Changes.
Context: The National Cooperative Extension System is a leader in delivering healthy eating and active living (HEAL) policy, systems, and environmental (PSE) changes; however, these interventions are challenging, and technical assistance efforts often misalign with implementation science concepts. O...
| Published in: | Journal of Public Health Management & Practice Vol. 31; no. 3; pp. 447 - 459 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
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Lippincott Williams & Wilkins
May/Jun2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183978814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183978814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10784659 0O3 jtl: Journal of Public Health Management & Practice issn: 10784659 maglogo: N pubinfo: dt: May/Jun2025 vid: 31 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 183978814 183978814 183978814 10.1097/PHH.0000000000002103 183978814 ppf: 447 ppct: 12 formats: tig: atl: A Mixed Method Evaluation of Practitioners' Perspectives on Implementation Strategies for Healthy Eating and Active Living Policy, Systems, and Environmental Changes. aug: au: Houghtaling, Bailey Pradhananga, Nila Holston, Denise Cater, Melissa Balis, Laura affil: Author Affiliations: School of Nutrition and Food Sciences, Louisiana State University (LSU) & LSU Agricultural Center, Baton Rouge, Louisiana (Dr Houghtaling, Ms Pradhananga, and Dr Holston) sug: subj: Health Behavior Diet Methods Food Habits Nutrition Attitude of Health Personnel Program Implementation Public Health Human Multimethod Studies Surveys Interviews Perception Louisiana Quantitative Studies Health Care Delivery Health Promotion Funding Source ab: Context: The National Cooperative Extension System is a leader in delivering healthy eating and active living (HEAL) policy, systems, and environmental (PSE) changes; however, these interventions are challenging, and technical assistance efforts often misalign with implementation science concepts. Objective: The study objective was to understand the importance of implementation strategies and tailoring needs to support Louisiana Nutrition and Community Health (NCH) practitioners' delivery of rural HEAL PSE changes. Design: An explanatory sequential mixed method study design was used, including a survey to rank the importance of implementation strategies for HEAL PSE changes and a follow-up interview. A review of available implementation strategies (practice activities/resources) for Louisiana HEAL PSE changes was also conducted. Setting: This study occurred within Louisiana and focused on NCH practitioners' ongoing HEAL PSE change efforts throughout the state, with emphasis on rural community settings. Participants: All NCH practitioners were eligible to participate. "Practitioners" included Extension NCH administrators and agents/educators directly delivering HEAL PSE changes. Main Outcomes: The main quantitative outcome was the ranked importance of implementation strategies to support NCH practitioners' delivery of HEAL PSE changes. For explanatory interviews, perceptions of higher and lower ranked implementation strategies and tailoring opportunities were of interest. The alignment of available activities/resources with possible implementation strategies was also assessed. Results: Highly ranked implementation strategies focused on engaging dedicated community partners and community members and starting small to ensure success, generate buy-in, and demonstrate feasibility. Opportunities for capacity building in these areas were identified. A lower ranked implementation strategy, changing organizational structures, was considered less likely to occur but possibly necessary to improve job satisfaction, retention, and return on investment. Available activities/resources overlapped with a few available implementation strategies. Conclusions: This study identified opportunities to use implementation science concepts to improve program support for NCH practitioners delivering complex HEAL PSE changes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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