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Table 2 Proposed implementation strategies for faith-based health promotion programs

From: Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Implementation strategy—
ERIC [55] strategy
Barriers to implementation Facilitators to implementation Mechanisms of action
(1) Health behavior change trainingtraining and education Pastors lack self-efficacy for PA Pastors influence churchgoers’ behaviors Pastors’ increased self-efficacy for PA; pastors role model healthy behaviors, including PA
(1) Health behavior change training—education Pastors lack knowledge in promoting PA Pastors provide individual-level counseling to members Pastors encourage churchgoers to be active and healthy (e.g., praise those who meet PA goals)
(1) Health behavior change training—motivate change Churches can support culture of overeating and unhealthy behaviors Pastors influence church culture and norms Pastors implement policies that promote health (e.g., healthy tips in church bulletins); establish a health ministry
(2) Tailored messaging—tailor strategies Programs typically come from within the church Churches implement programs that are aligned with their mission Pastors consider the program to be relevant (e.g., social justice) to them and the church
(3) Foster community collaboration—develop partnerships Churches lack sufficient space and personnel for programming Local organizations with capacity for PA programming Stronger collaborations with local organizations (e.g., joint projects, sharing resources/staff)
(4) Gain denominational supportinvolve executive leadership Denominational support is needed for a program to succeed Denominational support can lead to wider scale-up Denominational leadership (e.g., Diocese) encourages pastors to promote PA in churches