Table 2.

Proposed implementation strategies for faith-based health promotion programs

Implementation strategy— ERIC [55] strategy	Barriers to implementation	Facilitators to implementation	Mechanisms of action
(1) Health behavior change training—training and education	Pastors lack self-efficacy for PA	Pastors influence churchgoers’ behaviors	Pastors’ increased self-efficacy for PA; pastors role model healthy behaviors, including PA
(1) Health behavior change training—education	Pastors lack knowledge in promoting PA	Pastors provide individual-level counseling to members	Pastors encourage churchgoers to be active and healthy (e.g., praise those who meet PA goals)
(1) Health behavior change training—motivate change	Churches can support culture of overeating and unhealthy behaviors	Pastors influence church culture and norms	Pastors implement policies that promote health (e.g., healthy tips in church bulletins); establish a health ministry
(2) Tailored messaging—tailor strategies	Programs typically come from within the church	Churches implement programs that are aligned with their mission	Pastors consider the program to be relevant (e.g., social justice) to them and the church
(3) Foster community collaboration—develop partnerships	Churches lack sufficient space and personnel for programming	Local organizations with capacity for PA programming	Stronger collaborations with local organizations (e.g., joint projects, sharing resources/staff)
(4) Gain denominational support—involve executive leadership	Denominational support is needed for a program to succeed	Denominational support can lead to wider scale-up	Denominational leadership (e.g., Diocese) encourages pastors to promote PA in churches