"A Growing Relationship": Cultivating Organizational Readiness to Influence Implementation of Policy, Systems, and Environmental (PSE) Change Programming in SNAP-Ed Funded School-Community Partnerships.

Objective: Provide a nuanced understanding of how Supplemental Nutrition Assistance Program-Education (SNAP-Ed) implementers decide what programming a school is ready to implement and the organizational factors that facilitate the initial implementation of programming in schools.

Design: Case studies conducted at schools during 2018-19.

Setting: Nineteen School District of Philadelphia schools receiving nutrition programming funded by SNAP-Ed.

Participants: Interviews were conducted with 119 school staff and SNAP-Ed implementers. A total of 138 hours of observations of SNAP-Ed programming were completed.

Phenomenon Of Interest: How do SNAP-Ed implementers decide what PSE programming a school is ready to implement? What organizational factors can be developed to facilitate the initial implementation of PSE programming in schools?

Analysis: Interview transcripts and observation notes were coded deductively and inductively on the basis of theories of organizational readiness for programming implementation.

Results: Supplemental Nutrition Assistance Program-Education implementers focused on schools' existing capacity when determining readiness for programming.

Conclusions And Implications: Findings suggest that if SNAP-Ed implementers only focus on a school's existing capacity when assessing its readiness for programming, the school might not receive the programming it needs. Findings suggest SNAP-Ed implementers could develop a school's readiness for programming by concentrating efforts on cultivating relationships, program-specific capacity, and motivation at schools. Findings have equity implications for partnerships in underresourced schools that may have limited existing capacity and consequentially could be denied vital programming.