Understanding “Agency” in the Translation of a Health Promotion Program
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Health promotion interventions conducted under “ideal conditions” to prove their efficacy are often difficult to translate and disseminate for utilization in “real-world” settings. This article retrospectively integrates and analyzes the experience of three related projects. We investigate how the development and dissemination of a school-based nutrition and physical activity curriculum for American Indian elementary school children inspired the implementation of an across-the-lifespan train-the-trainer program that has trained more than 600 trainers in American Indian communities nationwide. This process provides an opportunity to explore how individuals in the community and the context in which the research was conducted affected project outcomes in ways which were not anticipated. Results challenge the use of “internal validity” as the primary measure of success in translation–dissemination–utilization research.
KeywordsAgency Validity Integration
Research referenced in this article was funded by grants #UO1 HL-50867, #UO1 HL50869, #UO1 HL-50905, #UO1 HL-50885, and #UO1 HL-50907 from the National Heart, Lung and Blood Institute, National Institutes of Health, and R06/CCR621570 from the Centers for Disease Control (CDC). This publication was also supported in part by cooperative agreements from CDC's Prevention Research Centers Program (PRC) at the University of New Mexico (U48/CCU610818-08 Special Interest Project #17-00). Its content is solely the responsibility of the authors and does not necessarily represent the official views of the CDC.
- Cunningham-Sabo, L.D. (2000). Nutrition education for Navajo elders: Use of diffusion of innovation attributes. Unpublished Doctoral Dissertation, University of New Mexico, Albuquerque, New Mexico.Google Scholar
- Giddens, A. (1984). The Constitution of Society. Berkeley: University of California Press.Google Scholar
- Hicks, S., Duran, B., Wallerstein, N., Avila, M., Belone, L., & Lucero, J. (2012). Evaluating community-based participatory research to improve community-partnered science and community health. Progress in Community Health Partnerships, 6, 289–299. doi: 10.1353/cpr.2012.0049.PubMedCentralCrossRefPubMedGoogle Scholar
- Meyer, A. L., & Gullotta, T. P. (Eds.). (2012). Physical activity across the lifespan (Vol. 12). New York: Springer.Google Scholar
- Steckler, A., Ethelbah, B., Martin, C. J., Stewart, D., Pardilla, M., & Gittelsohn, J. (2003). Pathways process evaluation results: A school-based prevention trial to promote healthful diet and physical activity in American Indian third, fourth, and fifth grade students. Preventive Medicine, 37, S80–S90.CrossRefPubMedGoogle Scholar
- Wallerstein, N., & Duran, B. (2010). Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity. American Journal of Public Health, 100, S40–S46. doi: 10.2105/AJPH.2009.184036.PubMedCentralCrossRefPubMedGoogle Scholar