Time needed for relationship building was a barrier to
the implementation of strategic planning with knowledge
translation. Limited resources and trained personnel are
challenged when staff-intensive methods such as individualized
consultation are implemented within larger numbers
of community programs.24 Local staff turnover, too,
is a concern with intensive consultativemethods. Addressing
high smoking prevalence in low-income urban and
rural communities also presents a challenge.25,26 Bringing
together all stakeholders to gain sufficient information,
understanding, and technology may overcome the challenges.
25 Measuring the improvement or effectiveness of
strategic planning can be difficult.17 Moreover, context has
the ability to shape or sink innovation