Promoting Fruit and Vegetable Consumption Among Members of Black Churches, Michigan and North Carolina, 2008–2010
| Autor: | La Shell Johnson, Marlyn A Allicock, Lucia A. Leone, Ken Resnicow, Carol Carr, Andi Ni, Michael Pignone, Joan Walsh, Marci K. Campbell |
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| Rok vydání: | 2013 |
| Předmět: |
Counseling
Male Gerontology Program evaluation Health Knowledge Attitudes Practice Michigan Health Promotion Population health Motor Activity 03 medical and health sciences 0302 clinical medicine Vegetables North Carolina Humans Medicine 030212 general & internal medicine Motor activity Socioeconomics Original Research Consumption (economics) 030505 public health business.industry Health Policy Religion and Medicine Community Participation Public Health Environmental and Occupational Health food and beverages Middle Aged humanities Diet Black or African American Health promotion Fruit Fruits and vegetables Colonic Neoplasms Community setting Female Consumer participation 0305 other medical science business Program Evaluation |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| DOI: | 10.5888/pcd10.120161 |
| Popis: | Introduction Evidence-based health promotion programs that are disseminated in community settings can improve population health. However, little is known about how effective such programs are when they are implemented in communities. We examined community implementation of an evidence-based program, Body and Soul, to promote consumption of fruits and vegetables. Methods We randomly assigned 19 churches to 1 of 2 arms, a colon cancer screening intervention or Body and Soul. We conducted our study from 2008 through 2010. We used the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework to evaluate the program and collected data via participant surveys, on-site observations, and interviews with church coordinators and pastors. Results Members of 8 churches in Michigan and North Carolina participated in the Body and Soul program. Mean fruit and vegetable consumption increased from baseline (3.9 servings/d) to follow-up (+0.35, P = .04). The program reached 41.4% of the eligible congregation. Six of the 8 churches partially or fully completed at least 3 of the 4 program components. Six churches expressed intention to maintain the program. Church coordinators reported limited time and help to plan and implement activities, competing church events, and lack of motivation among congregation members as barriers to implementation. Conclusions The RE-AIM framework provided an effective approach to evaluating the dissemination of an evidence-based program to promote health. Stronger emphasis should be placed on providing technical assistance as a way to improve other community-based translational efforts. |
| Databáze: | OpenAIRE |
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