Institutional members access full text with Ovid®

Research to Reality: A Process Evaluation of a Mini-Grants Program to Disseminate Evidence-Based Nutrition Programs to Rural Churches and Worksites

Honeycutt, Sally MPH; Carvalho, Michelle MPH; Glanz, Karen PhD, MPH; Daniel, Sandra D. PhD, RN; Kegler, Michelle C. DrPH, MPH

Journal of Public Health Management & Practice: September/October 2012 - Volume 18 - Issue 5 - p 431–439
doi: 10.1097/PHH.0b013e31822d4c69
Original Articles

Objectives: To describe a project that used mini-grants plus technical assistance to disseminate evidence-based programs, to understand how the project worked in different settings, and to generate recommendations for future programming and evaluation.

Design: Process evaluation using program records, activity forms completed by grantees, interviews, and focus groups.

Setting: Churches and worksites in rural, southwest Georgia.

Participants: Site coordinators (n = 10), organizational leaders (n = 7), and project committee members (n = 25) involved in program implementation at 7 funded organizations.

Intervention: The Emory Cancer Prevention and Control Research Network solicited applications from churches and worksites to implement one of 2 evidence-based nutrition programs: Body & Soul for churches and Treatwell 5-a-Day for worksites. Successful applicants (n = 7) received funding and technical assistance from Emory and agreed to conduct all required elements of the evidence-based program.

Main Outcome Measures: We assessed adoption, reach, implementation, and maintenance of specific programs and their core elements, as well as contextual influences and the resources required to implement the mini-grants program.

Results: Four of the 7 funded organizations conducted all programmatic core elements; all 7 sites conducted at least 6 of 8 core elements, including at least 1 food-related policy or environmental change as a result of the program. Program reach varied widely across sites and core elements. All site coordinators stated that they intend to continue at least some of the activities conducted under the project. Sites reported that contextual factors such as the program's fit with the organization's mission, leadership support, and leadership or staffing transitions influenced program implementation. Over 18 months, Emory staff spent 47.7 hours providing technical assistance to grantees.

Conclusions: A mini-grants and technical assistance model has the potential to be an effective mechanism for disseminating evidence-based programs to community organizations, and further study of this method is warranted.

The aim of this study is to describe a project that used mini-grants plus technical assistance to disseminate evidence-based programs, to understand how the project worked in different settings, and to generate recommendations for future programming and evaluation.

Emory Prevention Research Center, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia (Sally Honeycutt, Michelle Carvalho, Michelle C. Kegler); Perelman School of Medicine and School of Nursing, University of Pennsylvania, Philadelphia (Karen Glanz); and School of Nursing, Georgia Southwestern State University, Americus, Georgia (Sandra Daniel).

Correspondence: Sally Honeycutt, MPH, Emory Prevention Research Center, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518, Clifton Rd, NE, Atlanta, GA 30322 (shoneyc@emory.edu).

This research was supported by Cooperative Agreement Number 5U48/DP000043 S1 from the Centers for Disease Control and Prevention and the National Cancer Institute.

The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the National Cancer Institute.

The authors thank the members of the Emory Prevention Research Center's Community Advisory Board for their many contributions to this project. They also thank the churches and worksites that participated in the “Nutrition Programs that Work” mini-grants project.

Disclosure: The authors declare no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.