Effectiveness of a Church-Based Program at Increasing Physical Activity and Healthy Dietary Habits in African Americans
A Partnership to Promote Physical Activity and Healthy Eating in AME Churches
調査の概要
詳細な説明
Many obesity-related diseases, including diabetes, cancer, and heart disease, occur more frequently in ethnic minorities than in Caucasians. African Americans have an extremely high church attendance rate, making church-based interventions a viable method to reach a wide audience and positively influence health habits and behaviors. The most effective way to prevent or reverse the effects of obesity is through weight loss, which can be accomplished by increasing physical activity and following a low fat and low sodium diet that emphasizes fruits, vegetables, and whole grains. Few programs have been developed that have specifically examined the effects of a church-based physical activity and dietary intervention. This study will encourage church leaders to assist in the development of a health promotion program that will incorporate the church's social, cultural, and policy influences. The purpose of the study is to evaluate the effectiveness of the intervention on increasing physical activity, improving blood pressure levels, and promoting healthy dietary habits among church members. The importance of pastor support and participation will be evaluated, and the results from this study may be used to develop additional church-based interventions across a larger geographic area.
In Year 1 of this 5-year study, representatives from the Palmetto Conference of the African Methodist Episcopal (AME) Church and three state universities in South Carolina will participate in monthly planning sessions to develop the intervention. Local health committees and church pastors and cooks will be trained to implement the program. The 18-month intervention will occur in three waves; where at least 60 churches will be randomly assigned to participate in either the immediate intervention or delayed intervention. The program will emphasize increased physical activity and the adaptation of a healthy diet that includes low fat and low sodium foods, fruits, vegetables, and whole grains. At baseline and Month 18, blood pressure will be measured, and physical activity levels and fruit and vegetable intake will be assessed for some church members. Additionally, throughout the study, some participants will wear an accelerometer, which is a small device that measures physical activity levels.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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South Carolina
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Lane、South Carolina、アメリカ、29564
- African Methodist Episcopal Churches in South Carolina
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Member of a church in the Palmetto Conference of the 7th Episcopal District of the AME Church
- Attends church services or events at least once per month
Exclusion Criteria:
- Planning to move in the 18 months following study entry
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:防止
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:Behavioral
Participants will take part in the Physical Activity and Dietary Health Promotion Program.
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Churches within the intervention group will receive a committee training and church cook training designed to teach them how to do a self-assessment of current practices and develop a plan for their program.
The intervention is based on the structural model of health behavior and targets opportunities, mass media (within the church), guidelines and policies, and church environment.
Intervention churches also receive monthly intervention mailings to support intervention implementation.
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介入なし:Delayed intervention
Participants are assigned to a delayed intervention group and serve as a no-intervention control group.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Blood pressure
時間枠:15 months
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Systolic and diastolic blood pressure
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15 months
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Physical activity (measured with the Community Healthy Activities Model Program For Seniors [CHAMPS] questionnaire)
時間枠:15 months
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Self-report measure of physical activity
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15 months
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Fruit and vegetable consumption (measured with NCI screener & 2-item measure)
時間枠:15 months
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self-report measure of physical activity
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15 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Physical activity (measured with an accelerometer)
時間枠:15 months
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Accelerometer measured physical activity
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15 months
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Fat consumption
時間枠:15 months
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Self-reported measure of practices associated with fat consumption
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15 months
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Fiber consumption
時間枠:15 months
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Self-reported measure of practices associated with fiberconsumption
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15 months
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協力者と研究者
捜査官
- 主任研究者:Sara Wilcox, PhD、University of South Carolina
出版物と役立つリンク
一般刊行物
- Kyryliuk R, Baruth M, Wilcox S. Predictors of Weight Loss for African-American Women in the Faith, Activity, and Nutrition (FAN) Study. J Phys Act Health. 2015 May;12(5):659-65. doi: 10.1123/jpah.2013-0220. Epub 2014 Jun 4.
- Saunders RP, Wilcox S, Baruth M, Dowda M. Process evaluation methods, implementation fidelity results and relationship to physical activity and healthy eating in the Faith, Activity, and Nutrition (FAN) study. Eval Program Plann. 2014 Apr;43:93-102. doi: 10.1016/j.evalprogplan.2013.11.003. Epub 2013 Dec 10.
- Wilcox S, Parrott A, Baruth M, Laken M, Condrasky M, Saunders R, Dowda M, Evans R, Addy C, Warren TY, Kinnard D, Zimmerman L. The Faith, Activity, and Nutrition program: a randomized controlled trial in African-American churches. Am J Prev Med. 2013 Feb;44(2):122-31. doi: 10.1016/j.amepre.2012.09.062. Erratum In: Am J Prev Med. 2013 Jun;44(6):694-5.
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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