Body and Soul - A dietary intervention conducted through African-American churches

Body and Soul - A dietary intervention conducted through African-American churches
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DOI:
10.1016/j.amepre.2004.04.009
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发表时间:
2004-08-01
影响因子:
5.5
通讯作者:
Stables, G
Stables, G
中科院分区:
医学2区
文献类型:
--
作者:
Resnicow, K;Campbell, MK;Stables, G

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目的:身体与灵魂是两所研究型大学、一个国家志愿机构(美国癌症协会)和美国国立卫生研究院之间的一项合作努力,目的是在现实条件下传播和评估先前开发的饮食干预措施对非洲裔美国人的影响。方法:《身体与灵魂》是根据在非裔美国人教堂进行的两次成功的基于研究的干预来构建的。从先前的干预措施中被认为是必要的成分被组合起来,然后在一个集群随机有效性试验中进行测试。主要结果是在基线和6个月的随访中通过两种食物频率问卷测量水果和蔬菜摄入量。结果:在6个月的随访中,干预参与者的水果和蔬菜(F&V)摄入量明显高于对照组。2项和17项F&V频率测量的测试后差异分别为0.7和1.4份。在脂肪摄入量、吃F&V的动机、社会支持和吃F&V的功效方面也观察到统计学上显著的积极变化。结论:结果表明,由社区志愿者和健康相关志愿机构合作提供的基于研究的干预措施可以在现实条件下有效实施。(C) 2004美国预防医学杂志。
Objectives: Body and Soul was a collaborative effort among two research universities, a national voluntary agency (American Cancer Society), and the National Institutes of Health to disseminate and evaluate under real-world conditions the impact of previously developed dietary interventions for African Americans.Methods: Body and Soul was constructed from two successful research-based interventions conducted in African-American churches. Components deemed essential from the prior interventions were combined, and then tested in a cluster randomized-effectiveness trial. The primary outcome was fruit and vegetable intake measured with two types of food frequency questionnaires at baseline and 6-month follow-up.Results: At the 6-month follow-tip, intervention participants showed significantly greater fruit and vegetable (F&V) intake relative to controls. Post-test differences were 0.7 and 1.4 servings for the 2-item and 17-item F&V frequency measures, respectively. Statistically significant positive changes in fat intake, motivation to eat F&V, social support, and efficacy to eat F&V were also observed.Conclusions: The results suggest that research-based interventions, delivered collaboratively by community volunteers and a health-related voluntary agency, can be effectively implemented under real-world conditions. (C) 2004 American journal of Preventive Medicine.