ABSTRACT
Faith-based health promotion programs have been effective in increasing healthy eating (HE) and physical activity (PA). Very few reports exist regarding church leaders' anticipated and experienced barriers and facilitators to program implementation. Pastors (n = 38, 70%) and program coordinators (n = 54, 100%) from churches (N = 54) who attended a program training answered open-ended questions about anticipated barriers and facilitators to implementing the HE and PA parts of the Faith, Activity, and Nutrition (FAN) program. Twelve months later, pastors (n = 49, 92%) and coordinators (n = 53, 98%) answered analogous questions about their experienced barriers and facilitators to implementing the HE and PA parts of the FAN program. Responses were coded using thematic analysis. Similar themes appeared at baseline and follow-up for anticipated and experienced barriers and facilitators. The most common barriers were no anticipated barriers, resistance to change, church characteristics, and lack of participation/motivation. The most common facilitators were internal support, leadership, and communication. Few differences were found between anticipated and experienced barriers and facilitators. Understanding these perspectives, particularly overcoming resistance to change and church characteristics through strong leadership and internal support from church leaders, will improve future program development, resources, and technical assistance in faith-based and non-faith-based communities alike.
Subject(s)
Diet, Healthy/methods , Exercise/physiology , Faith-Based Organizations/organization & administration , Health Promotion/organization & administration , Clergy , Communication , Humans , Leadership , Motivation , Nutritional Status , Program Evaluation , Qualitative ResearchABSTRACT
Two matched groups of depressed patients, one ECT responsive and one ECT non-responsive, were compared for clinical, historical and treatment variables. Three factors predicted good response: (1) duration of illness less than one year; (2) presence of a precipitating event; (3) presence of delusions. A trend suggested that concurrent physical debilitation was a negative indicator. Possible explanations for these findings were proposed.
Subject(s)
Depression/therapy , Electroconvulsive Therapy , Acute Disease , Adult , Antidepressive Agents, Tricyclic/therapeutic use , Delusions/therapy , Depression/drug therapy , Depression/etiology , Female , Humans , Life Change Events , Male , Prognosis , Time FactorsABSTRACT
Cultures of 68 samples of fresh pork sausage purchased locally were incubated at 37 and 43 C, with and without Tergitol No. 7 (sodium heptadecyl sulfate) added to the tetrathionate-Brilliant Green enrichment broth. The results indicated an advantage in incubating the tetrathionate broth at 43 C rather than 37 C in attempting to isolate salmonellae from pork sausage. Without Tergitol, more samples were positive at 43 C than at 37 C, but with Tergitol there was no difference. The higher temperature suppressed the competing gram-negative bacteria and permitted Salmonella to grow in relatively pure culture, thus providing an advantage for isolating and identifying the organisms. Tergitol dispersed and emulsified the fat which improved the isolation of Salmonella when the cultures were incubated at 37 C but not at 43 C. Brilliant Green-sulfadiazine agar was superior to bismuth sulfite agar for isolating salmonellae from tetrathionate broth cultures of fresh pork sausage.
