Church leaders' barriers and facilitators before and after implementing a physical activity and nutrition intervention.

Faith-based health promotion programs have been effective in increasing healthy eating (HE) and physical activity (PA). Very few reports exist regarding church leaders' anticipated and experienced barriers and facilitators to program implementation. Pastors (n = 38, 70%) and program coordinators (n = 54, 100%) from churches (N = 54) who attended a program training answered open-ended questions about anticipated barriers and facilitators to implementing the HE and PA parts of the Faith, Activity, and Nutrition (FAN) program. Twelve months later, pastors (n = 49, 92%) and coordinators (n = 53, 98%) answered analogous questions about their experienced barriers and facilitators to implementing the HE and PA parts of the FAN program. Responses were coded using thematic analysis. Similar themes appeared at baseline and follow-up for anticipated and experienced barriers and facilitators. The most common barriers were no anticipated barriers, resistance to change, church characteristics, and lack of participation/motivation. The most common facilitators were internal support, leadership, and communication. Few differences were found between anticipated and experienced barriers and facilitators. Understanding these perspectives, particularly overcoming resistance to change and church characteristics through strong leadership and internal support from church leaders, will improve future program development, resources, and technical assistance in faith-based and non-faith-based communities alike.

CO(2), CO, and Hg emissions from the Truman Shepherd and Ruth Mullins coal fires, eastern Kentucky, USA.

Carbon dioxide (CO(2)), carbon monoxide (CO), and mercury (Hg) emissions were quantified for two eastern Kentucky coal-seam fires, the Truman Shepherd fire in Floyd County and the Ruth Mullins fire in Perry County. This study is one of the first to estimate gas emissions from coal fires using field measurements at gas vents. The Truman Shepherd fire emissions are nearly 1400t CO(2)/yr and 16kg Hg/yr resulting from a coal combustion rate of 450-550t/yr. The sum of CO(2) emissions from seven vents at the Ruth Mullins fire is 726+/-72t/yr, suggesting that the fire is consuming about 250-280t coal/yr. Total Ruth Mullins fire CO and Hg emissions are estimated at 21+/-1.8t/yr and >840+/-170g/yr, respectively. The CO(2) emissions are environmentally significant, but low compared to coal-fired power plants; for example, 3.9x10(6)t CO(2)/yr for a 514-MW boiler in Kentucky. Using simple calculations, CO(2) and Hg emissions from coal-fires in the U.S. are estimated at 1.4x10(7)-2.9x10(8)t/yr and 0.58-11.5t/yr, respectively. This initial work indicates that coal fires may be an important source of CO(2), CO, Hg and other atmospheric constituents.