Leaders' Experiences in Planning,Implementing, and Evaluating Complex Public Health Nutrition Interventions |
| |
Authors: | Heena Dinesh Shah Jaime Adler Judith Ottoson Karen Webb Wendi Gosliner |
| |
Institution: | 1. Nutrition Policy Institute, University of California Agriculture and Natural Resources, Berkeley, CA;2. American Cancer Society;3. San Francisco State University, San Francisco, CA |
| |
Abstract: | ObjectiveTo explore California local health department leaders’ experiences planning, implementing, and evaluating nutrition promotion and obesity prevention programs for low-income families.DesignQualitative, cross-sectional study using semi-structured in-depth interviews and panel interviews conducted in 2015–2016.SettingCalifornia local health departments (LHDs) funded by the California Department of Public Health to implement Supplemental Nutrition Assistance Program–Education (SNAP-Ed).ParticipantsThe authors recruited SNAP-Ed leaders from all 58 California LHDs implementing SNAP-Ed. Leaders from 49 LHDs participated: 36 in hour-long, in-depth interviews and 13 in 1 of 3 90-minute group panel interviews.Phenomenon of InterestProcesses, facilitators, and barriers connected to delivering SNAP-Ed reported by leaders in planning, implementing, and evaluating local programs.AnalysisInterviews were transcribed, coded, and analyzed using Dedoose software.ResultsLeaders grappled with introducing, implementing, and integrating policy, systems, and environmental change interventions (PSEs). Information used to make planning decisions varied widely across LHDs. Partnership with nontraditional organizations was described as a resource- intensive, nonlinear process with recognized potential for benefit. Rural programs reported specific and different experiences compared with their urban counterparts.Conclusions and ImplicationsImplementing new, complex interventions to improve diet and activity environments and behaviors is both exciting and challenging for local leaders. They expressed a desire for additional resources and capacity building to facilitate success, particularly related to policy, systems, and environmental change programs. Attention to the specific needs of rural counties is needed. |
| |
Keywords: | Address for correspondence: Heena Dinesh Shah DrPH Nutrition Policy Institute University of California Agriculture and Natural Resources 2115 Milvia St Berkeley CA 94704 PSE food assistance government programs nutrition policy organizational decision-making public health practice |
本文献已被 ScienceDirect 等数据库收录! |
|