Statewide dissemination of a rural, non-chain restaurant intervention: adoption, implementation and maintenance

F. Nothwehr; H. Haines; M. Chrisman; U. Schultz

doi:10.1093/her/cyu008

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Statewide dissemination of a rural, non-chain restaurant intervention: adoption, implementation and maintenance

Journal article

Open access

Peer reviewed

Statewide dissemination of a rural, non-chain restaurant intervention: adoption, implementation and maintenance

F. Nothwehr, H. Haines, M. Chrisman and U. Schultz

Health education research, Vol.29(3), pp.433-441

06/01/2014

DOI: 10.1093/her/cyu008

PMCID: PMC4271112

PMID: 24650944

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Abstract

The obesity epidemic calls for greater dissemination of nutrition-related programs, yet there remain few studies of the dissemination process. This study, guided by elements of the RE-AIM model, describes the statewide dissemination of a simple, point-of-purchase restaurant intervention. Conducted in rural counties of the Midwest, United States, the study targeted randomly selected, non-chain, family-style restaurants. Owners were recruited through mail, then telephone follow-up. Data were collected through telephone at baseline, and 3, 6, 12 and 18 months post-adoption. Using mixed methods, measures captured the program adoption rate, characteristics of adopters and non-adopters, program implementation and maintenance issues, and owner and customer satisfaction. Analyses involved descriptive statistics and summaries of qualitative data. The program adoption rate was 28%. Adopters were similar to responding non-adopters demographically, but varied in attitudes. The majority of restaurants maintained the program for at least 12 months. Adopters and their customers expressed satisfaction with the program. With some adjustments, the RE-AIM model was helpful in guiding evaluation of this process. Results provide implications for future dissemination of this and other programs with regard to research procedures and potential barriers that may be encountered. Research on alternative strategies for widespread dissemination of such programs is needed in this and other settings.

Education & Educational Research

Life Sciences & Biomedicine

Public, Environmental & Occupational Health

Science & Technology

Social Sciences

Details

Title: Subtitle: Statewide dissemination of a rural, non-chain restaurant intervention: adoption, implementation and maintenance
Creators: F. Nothwehr - Texas Tech University
H. Haines - University of Iowa
M. Chrisman - 1Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IA 52242, USA and 2Department of Nutrition, Hospitality and Retailing, Texas Tech University, Lubbock, TX 79401, USA.
U. Schultz - University of Iowa
Resource Type: Journal article
Publication Details: Health education research, Vol.29(3), pp.433-441
DOI: 10.1093/her/cyu008
PMID: 24650944
PMCID: PMC4271112
NLM abbreviation: Health Educ Res
ISSN: 0268-1153
eISSN: 1465-3648
Publisher: Oxford Univ Press
Number of pages: 9
Grant note: P30CA086862 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) P30 CA086862 / NCI NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) U48DP001902 / NATIONAL CENTER FOR CHRONIC DISEASE PREV AND HEALTH PROMO; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA 1-U48DP001902-01 / NCCDPHP CDC HHS
Language: English
Date published: 06/01/2014
Academic Unit: Community and Behavioral Health
Record Identifier: 9984364436902771

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