Partnership to Promote Physical Activity/Healthy Eating

描述(由申请人提供)：在为期3年的合作伙伴关系的基础上，AME教会的棕榈树会议和南卡罗来纳州的三所州立大学将合作进行这项研究。这项具体研究的目的是：(1)使用基于社区的参与性研究(CBPR)方法，让教会领袖参与制定综合的体力活动(PA)和营养干预；(2)测试针对教会内社会、文化和政策影响的18个月干预；(3)评估牧师对干预的支持和参与的作用；以及(4)在全州和更广泛的范围内传播该计划。CBPR方法将指导所有研究活动。每个合作组织的代表将在第一年参加每月的计划会议。逻辑模型将用于就计划的范围、过程评估和项目管理达成共识。从第二年开始，将进行两波干预。总共有13个教会集群(其中有60个教堂)将被随机分为立即干预或延迟干预。这项为期18个月的干预基于社会生态学和跨理论模型，将针对教会内的社会、文化和政策环境，以支持增加PA和DASH饮食(低脂肪和低钠、高F&V和谷物)。当地卫生委员会和主要教会决策者(牧师和教堂厨师)将接受培训，以实施该计划。在基线和18个月时测量的主要结果是血压(SBP、DBP)、PA(自我报告的分钟/周)和F&V消耗量(Svgs/d)。次要结果是PA(加速度计分钟/周)、与脂肪和纤维相关的行为以及改变的阶段。来自18个小教堂的15名参与者，30个中型教堂的25名参与者，以及12个大教堂的50名参与者将被招募进行测量(N=1620)。加速度计读数将从子样本(N=620)中收集，并将进行全面的工艺评估。信仰-大学伙伴关系提供了一种以文化和种族相关的方式传递健康促进信息的方式。这些伙伴关系产生的干预措施具有巨大潜力，有助于消除健康差距，这是2010年健康人的目标。PA的加入，CBPR方法的使用，教会决策者的参与，以及对教会的社会、文化和政策影响的关注，使这个项目具有创新性。

DESCRIPTION (provided by applicant): Building on a 3-yr partnership, the Palmetto Conference of the AME Church and three state Universities in South Carolina will partner for this study. The specific study aims are to: (1) use a community-based participatory research (CBPR) approach to engage church leaders in developing a combined physical activity (PA) and nutrition intervention, (2) test the 18-mo intervention that targets social, cultural, and policy influences within the church, (3) assess the role of pastor support of and participation in the intervention, and (4) disseminate the program across the state and more broadly. A CBPR approach will guide all study activities. Representatives from each partnering organization will participate in monthly planning meetings in year 1. The logic model will be used to build consensus about the scope of the program, process evaluation, and project management. Two waves of interventions will be conducted, beginning in year 2. In total, 13 clusters of churches (60 churches within them) will be randomized to an immediate or delayed intervention. The 18-month intervention, based on social ecology and the trans-theoretical model, will target the social, cultural, and policy environments within the church to support increased PA and the DASH diet (low fat and sodium, high F&Vs and grains). Local health committees and key church decision makers (pastors and church cooks) will be trained to implement the program. Primary outcomes, measured at baseline and 18- months, are blood pressure (SBP, DBP), PA (self-reported mins/wk); and F&V consumption (svgs/d). Secondary outcomes are PA (accelerometer mins/wk), fat and fiber-related behaviors, and stage of change. A total of 15 participants from 18 small churches, 25 participants from 30 medium churches, and 50 participants from 12 large churches will be recruited for measurements (N = 1620). Accelerometer readings will be collected from a sub-sample (N = 620), and a comprehensive process evaluation will be conducted. Faith-university partnerships provide a way to deliver health promotion messages in a culturally and ethnically relevant manner. Interventions that result from these partnerships have great potential to contribute to eliminating health disparities, a Healthy People 2010 objective. The inclusion of PA, use of a CBPR approach, engagement of church decision makers, and focus on the church's social, cultural, and policy influences make this project innovative.