Implementation of a faith-based physical activity intervention: Insights from church health directors
Implementation of a faith-based physical activity intervention: Insights from church health directors
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DOI：
10.1007/s10900-008-9098-4
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发表时间：
2008-10-01
影响因子：
5.9
通讯作者：
Saunders, Ruth
中科院分区：
文献类型：
--
作者：
Baruth, Meghan;Wilcox, Sara;Saunders, Ruth
教堂正在成为开展健康促进计划的越来越受欢迎的场所。对来自教会的19名卫生主管进行了回溯性访谈，他们参与了一项大规模基于信仰的体育活动倡议的评估。本文首先描述了计划实施、教会领导支持和教会领导的变化，然后将这些变量与计划结果(符合体力活动建议的参与者的百分比)联系起来。最后，报告了项目实施的障碍和成功之处。教会实施的最常见的干预活动是与健康饮食和体育活动有关的公告栏(79%)，其次是公告插页(69%)、步行计划(58%)、椅子锻炼(48%)、表扬有氧运动(27%)、10分钟锻炼CD(26%)和8周的行为改变班(26%)。体力活动的显著增加与教会曾经在一年的随访中实施过行为改变课程有关。根据卫生主任的说法，牧师有时会经常在讲坛上谈论身体活动和饮食，但很少到有时会参加计划活动。他们还报告说，牧师配偶从不在讲坛上谈论身体活动和饮食，也很少参加计划活动。在这项为期三年的研究中，约68%的教堂至少更换了一次牧师。然而，这些变量中的大多数与体力活动的变化无关。讨论了这些缺乏关联性的潜在原因。
Churches are becoming increasingly popular settings for conducting health promotion programs. Retrospective interviews were conducted with 19 health directors from churches taking part in the evaluation of a large-scale faith-based physical activity initiative. This paper first describes program implementation, church leadership support, and changes in church leadership, and then relates these variables to program outcomes (percentage of participants meeting physical activity recommendations). Finally, barriers and successes to program implementation are reported. The most commonly reported intervention activities implemented by churches were bulletin boards related to healthy eating and physical activity (79%) followed by bulletin inserts (69%), walking programs (58%), chair exercises (48%), praise aerobics (27%), a 10-min exercise CD (26%), and an 8 week behavior change class (26%). Significant increases in physical activity were associated with churches which had ever implemented the behavior change class at the 1-year follow-up. According to health directors, pastors sometimes to often spoke about physical activity and diet from the pulpit but rarely to sometimes took part in program activities. They also reported that pastors spouses' never to rarely spoke about physical activity and diet from the pulpit, and rarely to sometimes took part in program activities. About 68% of the churches had at least one change in pastor over the 3-year study. A majority of these variables, however, were not related to changes in physical activity. Potential reasons for these lack of associations are discussed.