Holly F Huye1, Carol L Connell2, LaShaundrea B Crook2, Kathy Yadrick2, Jamie Zoellner3. 1. Department of Nutrition and Food Systems, University of Southern Mississippi, Hattiesburg, MS. Electronic address: Holly.Huye@usm.edu. 2. Department of Nutrition and Food Systems, University of Southern Mississippi, Hattiesburg, MS. 3. Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA.
Abstract
OBJECTIVE: Identification of prominent themes to be considered when planning a nutrition intervention using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. DESIGN: Qualitative formative research. SETTING: Women's social and civic organizations in the Lower Mississippi Delta. PARTICIPANTS: Thirty-seven (5 white and 32 black) women with a college degree or higher. PHENOMENON OF INTEREST: Impact of dietary and contextual factors related to the Lower Mississippi Delta culture on intervention planning. ANALYSIS: Case analysis strategy using question-by-question coding. RESULTS: Major themes that emerged were "healthy eating focus" and "promoting a healthy lifestyle" when recruiting organizations (Reach); "positive health changes" as a result of the intervention (Effectiveness); "logistics: time commitment, location, and schedule" to initiate a program (Adoption); "expense of healthy foods" and "cooking and meal planning" as barriers to participation (Implementation); and "resources and training" and "motivation" as necessary for program continuation (Maintenance). The "health of the Delta" theme was found across all dimensions, which reflected participants' compassion for their community. CONCLUSIONS AND IMPLICATIONS: Results were used to develop an implementation plan promoting optimal reach, effectiveness, adoption, implementation, and maintenance of a nutrition intervention. This research emphasizes the benefits of formative research using a systematic process at organizational and individual levels.
OBJECTIVE: Identification of prominent themes to be considered when planning a nutrition intervention using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. DESIGN: Qualitative formative research. SETTING:Women's social and civic organizations in the Lower Mississippi Delta. PARTICIPANTS: Thirty-seven (5 white and 32 black) women with a college degree or higher. PHENOMENON OF INTEREST: Impact of dietary and contextual factors related to the Lower Mississippi Delta culture on intervention planning. ANALYSIS: Case analysis strategy using question-by-question coding. RESULTS: Major themes that emerged were "healthy eating focus" and "promoting a healthy lifestyle" when recruiting organizations (Reach); "positive health changes" as a result of the intervention (Effectiveness); "logistics: time commitment, location, and schedule" to initiate a program (Adoption); "expense of healthy foods" and "cooking and meal planning" as barriers to participation (Implementation); and "resources and training" and "motivation" as necessary for program continuation (Maintenance). The "health of the Delta" theme was found across all dimensions, which reflected participants' compassion for their community. CONCLUSIONS AND IMPLICATIONS: Results were used to develop an implementation plan promoting optimal reach, effectiveness, adoption, implementation, and maintenance of a nutrition intervention. This research emphasizes the benefits of formative research using a systematic process at organizational and individual levels.
Authors: Aminu Bello; Deenaz Zaidi; Branko Braam; Mark Courtney; Jodi Glassford; Kailash Jindal; Scott Klarenbach; Julia Kurzawa; Mohammed Osman; Nairne Scott-Douglas; Sue Szigety; Stephanie Thompson; Braden Manns; Brenda Hemmelgarn; Marcello Tonelli Journal: Can J Kidney Health Dis Date: 2019-09-30