Faith, Activity, and Nutrition: Dissemination in Underserved Communities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,807
- 试验地点
- 3
- 主要终点
- Adoption
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •Members (phase 1): under the age of 18
- •Members (phase 1): does not regularly attend church participating in the study
研究组 & 干预措施
Immediate intervention
Training of church committee followed by 12 months of technical assistance phone calls.
干预措施: Immediate Intervention (Behavioral)
Delayed intervention
20 churches are followed but receive no intervention.
结局指标
主要结局
Adoption
时间窗: 12 months
(# of eligible churches that are trained / # of eligible churches)\*100
Reach
时间窗: 12 months
(# of church members in trained churches / # of members of all eligible churches)\*100
Implementation fidelity
时间窗: 12 months
Composite score consisting of implementation of core elements of the intervention
Maintenance
时间窗: 24 months
organization maintenance of the intervention based on leader reports
次要结局
- fruit and vegetable intake(12 months)
- physical activity(12 months)
- Self-efficacy for physical activity(12 months)
- Self-efficacy for fruit and vegetable intake(12 months)
研究者
Sara Wilcox
Professor
University of South Carolina