{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T01:30:36Z","timestamp":1773883836427,"version":"3.50.1"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T00:00:00Z","timestamp":1674518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000124","name":"Office on Women\u2019s Health","doi-asserted-by":"crossref","award":["CCEWH111024"],"award-info":[{"award-number":["CCEWH111024"]}],"id":[{"id":"10.13039\/100000124","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Rural populations in the USA face higher rates of cardiovascular disease (CVD) incidence and mortality relative to non-rural and often lack access to health-promoting evidence-based interventions (EBIs) to support CVD prevention and management. Partnerships with faith organizations offer promise for translating preventative EBIs in rural communities; however, studies demonstrating effective translation of EBIs in these settings are limited.<\/jats:p><jats:p>We used the Consolidated Framework for Implementation Research (CFIR) and a multiple case study approach to understand the role of internal organizational context within 12 rural churches in the implementation of a 12-week CVD risk-reduction intervention followed by a 24-month maintenance program implemented in southernmost Illinois.<\/jats:p><jats:p>The study involved qualitative analysis of key informant interviews collected before (n = 26) and after (n = 15) the intervention and monthly implementation reports (n = 238) from participating churches using a deductive analysis approach based on the CFIR.<\/jats:p><jats:p>Internal context across participating churches varied around organizational climate and culture in four thematic areas: (i) religious basis for health promotion, (ii) history of health activities within the church, (iii) perceived need for the intervention, and (iv) church leader engagement.<\/jats:p><jats:p>Faith organizations may be ideal partners in rural health promotion research but may vary in their interest and capacity to collaborate. Identifying contextual factors within community organizations is a first step to facilitating rural, community-based EBI implementation and outcomes.<\/jats:p>","DOI":"10.1093\/tbm\/ibac110","type":"journal-article","created":{"date-parts":[[2023,1,25]],"date-time":"2023-01-25T05:34:37Z","timestamp":1674624877000},"page":"236-244","source":"Crossref","is-referenced-by-count":5,"title":["Application of the consolidated framework for implementation research to understand implementation context of a cardiovascular disease risk-reduction intervention in rural churches"],"prefix":"10.1093","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4469-7068","authenticated-orcid":false,"given":"Kristine","family":"Zimmermann","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Division of Health Research and Evaluation, University of Illinois College of Medicine Rockford , Rockford, IL , USA"},{"name":"Division of Community Health Sciences, School 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IL , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacie E","family":"Geller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medicine, University of Illinois , Chicago , USA"},{"name":"Center for Research on Women and Gender, College of Medicine, University of Illinois , Chicago , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,1,24]]},"reference":[{"issue":"4","key":"2023041606162420000_","first-page":"e38","article-title":"Heart disease and stroke statistics-2016 update: a report from the American Heart Association","volume":"133","author":"Mozaffarian","year":"2016","journal-title":"Circulation."},{"issue":"1","key":"2023041606162420000_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss6601a1","article-title":"Leading causes of death in nonmetropolitan and metropolitan areas\u2014United States, 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