Development and validation of an instrument to assess institutionalization of health promotion in faith-based organizations |
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| Affiliation: | 1. University of Maryland, School of Public Health, Department of Behavioral and Community Health, College Park, MD, United States;2. University of Maryland, School of Public Health, Department of Epidemiology and Biostatistics, United States;3. Community Ministry of Prince George’s County, Upper Marlboro, MD, United States;1. Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, United States;2. Baylor University, College of Health and Human Sciences, Department of Health, Human Performance, and Recreation, One Bear Place #97343, Waco, TX 76798, United States;3. Baylor University, Division of Student Life, One Bear Place #97016, Waco, TX 76798, United States;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. Claremont Graduate University, United States;2. California State University, Los Angeles, United States;1. Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada;2. Department of Geography & Tourism Studies, Brock University, 1812 Sir Isaac Brock Way St. Catharines, Ontario, Canada;1. School of Social Sciences, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;2. School of Business, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;3. School of Allied Health, Australian Catholic University, 25A Barker Rd., Strathfield, NSW, Australia |
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| Abstract: | Institutionalization of health promotion interventions occurs when the organization makes changes to support the program as a component of its routine operations. To date there has not been a way to systematically measure institutionalization of health promotion interventions outside of healthcare settings. The purpose of the present study was to develop and evaluate the initial psychometric properties of an instrument to assess institutionalization (i.e., integration) of health activities into faith-based organizations (i.e., churches). This process was informed by previous institutionalization models led by a team of experts and a community-based advisory panel. We recruited African American church leaders (N = 91) to complete a 22-item instrument. An exploratory factor analysis revealed four factors: 1) Organizational Structures (e.g., existing health ministry, health team), 2) Organizational Processes (e.g., records on health activities; instituted health policy), 3) Organizational Resources (e.g., health promotion budget; space for health activities), and 4) Organizational Communication (e.g., health content in church bulletins, discussion of health within sermons) that explained 62.3 % of the variance. The measure, the Faith-Based Organization Health Integration Inventory (FBO-HII), had excellent internal consistency reliability (α = .89) including the subscales (α = .90, .82, .81, and .87). This measure has promising initial psychometric properties for assessing institutionalization of health promotion interventions in faith-based settings. |
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| Keywords: | Adaptation Institutionalization Implementation Sustainability Faith-based organizations Community-based organizations Health promotion African Americans |
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