Dissemination and Implementation of Faith, Activity, and Nutrition
- Conditions
- Physical Activity, Healthy Eating
- Interventions
- Behavioral: Immediate Intervention
- Registration Number
- NCT02868866
- Lead Sponsor
- University of South Carolina
- Brief Summary
This dissemination and implementation study will examine the impact of the Faith, Activity, and Nutrition (FAN) program on both church practices and member behaviors in both a countywide (randomized trial) and statewide (quasi-experimental) study. Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN.
- Detailed Description
The USC PRC's applied research project will study the dissemination and implementation of an evidence-based program shown previously to significantly increase physical activity and fruit and vegetable intake in churches in South Carolina (Faith, Activity, and Nutrition; FAN). Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN. In Phase 1, churches in a rural county with a high proportion of African American residents will be randomized to receive training in FAN from a community health advisor (n=40) or to be part of a delayed intervention control group (n=20). In Phase 2, a quasi-experimental study will be done with a large religious denomination in SC (churches are not randomized).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1807
- Phase 1 churches: church in Fairfield County, SC with at least 20 members who regularly attend worship service
- Phase 2 churches: church in the SC Conference of the United Methodist Church
- Members (phase 1): adult who regularly attends church participating in the study
- Members (phase 1): under the age of 18
- Members (phase 1): does not regularly attend church participating in the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Immediate intervention Immediate Intervention Training of church committee followed by 12 months of technical assistance phone calls.
- Primary Outcome Measures
Name Time Method Adoption 12 months (# of eligible churches that are trained / # of eligible churches)\*100
Reach 12 months (# of church members in trained churches / # of members of all eligible churches)\*100
Implementation fidelity 12 months Composite score consisting of implementation of core elements of the intervention
Maintenance 24 months organization maintenance of the intervention based on leader reports
- Secondary Outcome Measures
Name Time Method physical activity 12 months Self-reported proportion of members meeting physical activity recommendations using (only for phase 1 of study)
fruit and vegetable intake 12 months Self-reported cups per day of fruits and vegetables (only for phase 1 of study)
Self-efficacy for physical activity 12 months Self-reported self-efficacy for physical activity (average of scale items) (only for phase 1 of study)
Self-efficacy for fruit and vegetable intake 12 months Self-reported self-efficacy for fruit and vegetable intake (average of scale items) (only for phase 1 of study)
Trial Locations
- Locations (3)
Clemson University
🇺🇸Clemson, South Carolina, United States
Fairfield Behavioral Health Services
🇺🇸Winnsboro, South Carolina, United States
University of South Carolina
🇺🇸Columbia, South Carolina, United States