Pope HC, Draper C, Younginer N, Whitt O, Paget C. Use of Decision Cases for Building SNAP-Ed Implementers' Capacities to Realize Policy, Systems, and Environmental Strategies.
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020;
52:512-521. [PMID:
31679966 DOI:
10.1016/j.jneb.2019.09.020]
[Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Revised: 09/24/2019] [Accepted: 09/25/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE
To develop and validate decision cases as a capacity-building training tool for implementing policy, systems, and environmental (PSE) change strategies.
DESIGN
Study phases were: (1) in-depth interviews conducted repeatedly over a year with Supplemental Nutrition Assistance Program Education (SNAP-Ed) partner sites and once with SNAP-Ed implementers to identify dilemmas when implementing PSE change strategies; (2) decision cases developed to highlight dilemmas; and (3) focus groups with SNAP-Ed implementers to determine decision case utility as a capacity-building training tool.
SETTING
A southeastern state.
PARTICIPANTS
SNAP-Ed partner sites and implementers; Focus group participants.
INTERVENTION
Decision cases.
ANALYSIS
To establish content validity, a thematic analysis of interviews identified common dilemmas when implementing PSE change strategies. SNAP-Ed implementers' focus groups provided feedback to determine the utility and validity of decision cases developed from the analysis.
RESULTS
Common dilemmas of implementation of PSE change strategies reported by SNAP-Ed partner sites (n = 20) and implementers (n = 8) were lack of site and educator readiness and capacity; communication breakdowns; and prioritization of nutrition education over PSE implementation. Focus group participants (n = 8) reviewed a case and discussion guide and recommended them as a capacity-building tool for training.
CONCLUSIONS AND IMPLICATIONS
Using decision cases could help build SNAP-Ed implementers' capacities to implement nutrition PSE change strategies and strengthen partnerships.
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