Document Detail

The Faith, Activity, and Nutrition program: a randomized controlled trial in African-American churches.
MedLine Citation:
PMID:  23332327     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Faith-based interventions hold promise for promoting health in ethnic minority populations. To date, however, few of these interventions have used a community-based participatory research (CBPR) approach, have targeted both physical activity and healthy eating, and have focused on structural changes in the church.
PURPOSE: To report the results of a group randomized CBPR intervention targeting physical activity and healthy eating in African-American churches.
DESIGN: Group RCT. Data were collected from 2007 to 2011. Statistical analyses were conducted in 2012.
SETTING/PARTICIPANTS: Seventy-four African Methodist Episcopal (AME) churches in South Carolina and 1257 members within them participated in the study.
INTERVENTION: Churches were randomized to an immediate (intervention) or delayed (control) 15-month intervention that targeted organizational and environmental changes consistent with the structural ecologic model. A CBPR approach guided intervention development. Intervention churches attended a full-day committee training and a full-day cook training. They also received a stipend and 15 months of mailings and technical assistance calls to support intervention implementation.
MAIN OUTCOME MEASURES: Primary outcomes were self-reported moderate- to vigorous-intensity physical activity (MVPA), self-reported fruit and vegetable consumption, and measured blood pressure. Secondary outcomes were self-reported fat- and fiber-related behaviors. Measurements were taken at baseline and 15 months. Intent-to-treat repeated measures ANOVA tested group X time interactions, controlling for church clustering, wave, and size, and participant age, gender, and education. Post hoc ANCOVAs were conducted with measurement completers.
RESULTS: There was a significant effect favoring the intervention group in self-reported leisure-time MVPA (d=0.18, p=0.02), but no effect for other outcomes. ANCOVA analyses showed an intervention effect for self-reported leisure-time MVPA (d=0.17, p=0.03) and self-reported fruit and vegetable consumption (d=0.17, p=0.03). Trainings were evaluated very positively (training evaluation item means of 4.2-4.8 on a 5-point scale).
CONCLUSIONS: This faith-based structural intervention using a CBPR framework showed small but significant increases in self-reported leisure-time MVPA. This program has potential for broad-based dissemination and reach.
TRIAL REGISTRATION: This study is registered at NCT00379925.
Sara Wilcox; Allen Parrott; Meghan Baruth; Marilyn Laken; Margaret Condrasky; Ruth Saunders; Marsha Dowda; Rebecca Evans; Cheryl Addy; Tatiana Y Warren; Deborah Kinnard; Lakisha Zimmerman
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  American journal of preventive medicine     Volume:  44     ISSN:  1873-2607     ISO Abbreviation:  Am J Prev Med     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-21     Completed Date:  2013-06-27     Revised Date:  2014-11-09    
Medline Journal Info:
Nlm Unique ID:  8704773     Medline TA:  Am J Prev Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  122-31     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
African Americans*
Analysis of Variance
Community-Based Participatory Research*
Diet / ethnology
Food Habits / ethnology
Health Behavior / ethnology*
Health Promotion / methods*
Leisure Activities
Middle Aged
Motor Activity
South Carolina
Grant Support
Erratum In:
Am J Prev Med. 2013 Jun;44(6):694-5

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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