title: Factors Facilitating the Implementation of Church-Based Heart Health Promotion Programs for Older Adults: A Qualitative Study Guided by the Precede-Proceed Model.
abstract: OBJECTIVE
  To describe the factors facilitating the implementation of heart health promotion programs for older adults in Anglican, United, and Catholic churches.
  
  
  METHODS
  The study used qualitative methods comprising semistructured interviews and focus groups.
  
  
  METHODS
  The interviews and focus groups were conducted in Anglican, Catholic, and United churches located in the Canadian cities of Toronto and Hamilton, Ontario.
  
  
  METHODS
  Twelve ordained pastors and 21 older parishioners who attended church regularly and who had no health conditions were recruited to best explain how churches could be suitable locations for health promotion activities targeting older adults.
  
  
  METHODS
  Twelve semistructured interviews with the pastors and three focus groups with the 21 parishioners were undertaken. A component of the Precede-Proceed model (a model for planning health education and health promotion programs and policies) was applied to the findings after direct content analysis of the data.
  
  
  RESULTS
  Participants identified pastor leadership, funding for a parish nurse, community-focused interventions, secured infrastructure, and social support from congregation members as pertinent factors required for implementing health promotion programs in Anglican, United, and Catholic churches.
  
  
  CONCLUSIONS
  The findings have particular relevance for health promotion and public health because they suggest factors that would be necessary to design church-based heart health promotion programs for older adults at risk of chronic diseases.
authors.forename: Ananya Tina
authors.initials: AT
authors.lastname: Banerjee
authors.forename: R
authors.initials: R
authors.lastname: Kin
authors.forename: Patricia H
authors.initials: PH
authors.lastname: Strachan
authors.forename: Michael H
authors.initials: MH
authors.lastname: Boyle
authors.forename: Sonia S
authors.initials: SS
authors.lastname: Anand
authors.forename: Mark
authors.initials: M
authors.lastname: Oremus
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D002835:Christianity; D005260:Female; D017144:Focus Groups; D006266:Health Education; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D016730:Program Development / Q000379:methods*; D036301:Qualitative Research
keywords: Churches; Coronary Heart Disease; Health Promotion; Health focus: fitness/physical activity, nutrition, spiritual health; Manuscript format: research; Older Adults; Outcome measure: behavioral; Prevention Research; Qualitative Research; Research purpose: program evaluation, descriptive; Setting: local community; Strategy: education, skill building/behavior change; Study design: qualitative; Target population age: adults, seniors; Target population circumstances: all education levels, all income levels, and all U.S. and Canadian locations