Strategies to Engage Faith Based Communities for Health
Promotion Monday, October 29, 2018
3:00 PM – 4:00 PM
Leadership Summit for Healthy Communities Spartanburg SCEat Smart Move More SC
Vernon Kennedy Sr., MA, CSPS, ICPS, Executive Director
Objective
Participants will identify several key strategies to
engage the faith community in health promotion.
Relationship & Partnership
Key Relationships
• Organizational
• Community
• Leadership
Organizational
• Frequent interaction with the faith based community (established relationship)
• Health Education Focus- (Teen Summits, Health Fairs, Church Incentives, Drug prevention and treatment presentations, annual 5K Run/Walk, etc.)
Leadership
• Face of the organization
• Lead Person – (personality, approachable, compassion, patience, enthusiasm)
Community
• Respected for the work you do and how you keep the community informed
• Valued among other organizations –(partnerships, do and how you work with other organizations, participation in coalitions and groups)
From Relationships to Partnerships
• Formal
• Shared Effort (noncompromising activities and objectives)
• Shared Benefit (Win! Win!)
• Recognition & Consistent Communication
Faith Based Organization Spotlight
• Newspaper Articles• Email• Community Meetings• Faith Based Quarterly Health Ministry
Meetings • FAN Church Spotlights: http://prevention.sph.sc.edu/projects/fanumc.htm
All Aboard For a Healthy Fairfield
Faith Based Tobacco Prevention ● Healthy Eating & Active Living
In partnership with Fairfield Community Health PartnersFunded by the Healthy South Carolina Initiative
Reducing death and disability due to HSCI Goals
Tobacco Use Heart Disease and Stroke
Poor Nutrition Lack of Physical Activity
HSCI Collective SuccessDuring the grant period of May 2012 – September 2014
• 88 Faith Based Organizations (FBO) have participated in tobacco education training from 12 Countywide trainings;
• 64 Adopted a Model Tobacco-Free Policy;
• 58 FBOs hosted separate tobacco free education activities at their church;
• 862 Families adopted tobacco free policies for their home/vehicle;
• 57 Completed ALL Tobacco Education objectives earning $175;\
• 55 FBOs adopted a Healthy Living Policy;
• 1504 Faithful Families Interest Surveys were completed by FBO members representing 44FBOs;
• 44 FBOs completed ALL Health Ministry objectives earning $325; and 3390 members impacted from FBOs
What’s Next? •Continue Faith Based Quarterly meetings
•Current implementation the Duke Endowment
•Continue opportunities faith based organization for health promotion on Opioids Education and Overdose Prevention, Marijuana Education, SUB Recovery, etc.
www.fairfieldbhs.org
Sara Wilcox, PhDDepartment of Exercise Science & Prevention Research CenterArnold School of Public Health University of South Carolina
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Brief Overview of FAN
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“Beloved, I pray that you may prosper in all things and be in health, just as your
soul prospers.”III John 1:2
Promote Healthy Church EnvironmentFour Targets of FAN Increase opportunities
& programs Create healthy church
guidelines (policies) Engage, support pastor Get the message out
3Components of the Structural Model of Health Behavior, Cohen et al., 2000, Prev Med
What FAN Entails for Churches
1. Church creates FANcommittee
2. Committee attendsin-person training
• Active breaks• Healthy lunch & food demo• Resources
3. Church submits FANProgram Plan
4. Church holds kick-off event
5. Church committee meets regularly to plan
6. Church receives 12 brief monthly calls to support program implementation
• FAN coordinator: 8 calls• Pastor: 4 calls
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**USC PRC trained Community Health Advisors delivered all intervention components
Assessment & Planning Process Assess current
activities (for the 4 targets)
Select ways to add, enhance, expand
Interactive workbook with ideas & resources
Informs FAN Program Plan
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Phase 1 – Aims of Countywide Study Study reach, effectiveness,
adoption, implementation, and maintenance of FAN in Fairfield County churches RE-AIM Framework
Examine factors that influence adoption, reach, implementation, and maintenance of FAN Consolidated Framework for
Implementation Research
Fairfield County: • 23,363 residents• 59% African American• 15% with BA or higher• 21% below poverty level• Rural & medically
underserved
Adoption & Reach
All churches in Fairfield County were invited to participate
54/132 churches trained ---42% adoption
~3,527 regular attendees at these 54 churches --- direct reach
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Characteristics of Churches
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Adopting (n=55) Non-adopting (n=77) PChurch size
<25 members25-49 members50-74 members75+ members
12.740.023.623.6
23.933.814.128.2
.24
Predominant raceBlack/African AmerCaucasianMulti-racial
92.75.51.8
50.746.82.6
<.0001
DenominationBaptistNon-denom/indepAME/AME ZionPresbyterianPentecostalMethodistEpiscopal
45.520.014.65.57.35.51.8
36.423.43.916.77.82.66.5
.07
Earlier tobacco initiative 67.3 22.1 <.0001
Effectiveness
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PA (I vs C) HE (I vs C)Organizational Outcomes
Opportunitie ** *
Messages ** **
Pastor support ** **
Self-Efficacy * *
Health Behaviors ** (inactive) * (meeting recs)
* (F&V)
** = statistically significant difference; * = in the predicted direction, but not statistically significant
Church visits at 54 churches 8-12 months after early-intervention (I) churches were trained, but before delayed-intervention (C) churches were trained. Those in attendance completed anonymous surveys.
Implementation (based on 12-month FAN Coordinator interviews)
10Saunders et al., manuscript under review
Maintenance (based on 24-month FAN Coordinator interviews)
11Saunders et al., manuscript under review
Enablers & Barriers to ImplementationEnablers Internal & external
support Leadership Communication Healthy opportunities Champion
Barriers No barriers! (most
common response) Resistance to change Church characteristics
Facilities Member age / health
Lack of participation / motivation
Lack of time / priorities Lack of leadership Lack of internal support
12Based on Bernhart et al., under review
Enablers & Barriers to Maintenance
Enablers Internal and external
support Leadership Communication Creation of healthy
opportunities
Barriers Nothing or positive
response Resistance to change Lack of motivation Lack of leadership Conflicting priorities Church characteristics
(e.g., older members)
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What Contributed to Our Success?
Development of a strong partnership (USC, FBHS, FCCC, Pastor Advisors)
A very strong, known, and trusted point-of-contact (relationships) Ms. Cheryl Goodwin
Multiple avenues and contacts to reach out to all churches (lots of time!)
A flexible program developed with and for the faith community (FAN)
Thank you to…. PRC Faculty, Staff, and
Students Co-Is: Patricia Sharpe, Andrew
Kaczynski, Ruth Saunders, Marge Condrasky (Clemson)
Staff: Jessica Stucker, Deborah Kinnard, Brent Hutto, DantzWoodberry, Keith Painter, Maxine Mixon, Maz Aziz
PhD students: Caroline Dunn, John Bernhart, Danielle Schoffman
MS student: Nathan Peters Many undergraduate students,
practicum students, and BBIP rotation students!
All Participating Churches
Individuals & Groups in Fairfield County Fairfield Behavioral Health
Services (FBHS), especially Cheryl Goodwin
Fairfield Community Coordinating Council (FCCC) Members
Pastor Health Advisors: Rev. Henry Spann, Jr., Rev. Ricky Gibson
Community Health Advisors: Cheryl Goodwin, Bessie Gladden
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Questions?
Learn more & download FAN Church Spotlights:http://prevention.sph.sc.edu/projects/fanumc.htm