A Partnership to Promote Physical Activity and Healthy Eating in AME Churches

描述（由申请人提供）：基于三年的合作关系，AME教会的棕榈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。具体的研究目的是：(1)使用基于社区的参与性研究（CBPR）方法，让教会领袖参与开发一种结合体育活动（PA）和营养干预措施；(2)测试针对教会内部社会、文化和政策影响的18个月干预措施；(3)评估牧师对干预措施的支持和参与的作用；(4)在全州乃至更广泛地传播该计划。CBPR方法将指导所有研究活动。每个伙伴组织的代表将在第一年参加每月的计划会议。逻辑模型将用于建立关于规划范围、过程评估和项目管理的共识。从第二年开始，将进行两波干预。总共有13组教堂（其中60个教堂）将被随机分配到立即或延迟干预。为期18个月的干预，基于社会生态学和跨理论模型，将针对教堂内的社会，文化和政策环境，以支持增加PA和DASH饮食（低脂肪和钠，高f&v和谷物）。当地卫生委员会和主要的教会决策者（牧师和教会厨师）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局是血压（收缩压、舒张压）、PA（自我报告的分钟/周）；食品和饮料消费量（svgs/d）。次要结果是PA（加速度计分钟/周）、脂肪和纤维相关行为以及变化阶段。共从18个小教会招募15名参与者，从30个中等教会招募25名参与者，从12个大教会招募50名参与者进行测量（N = 1620）。加速度计读数将从子样本（N = 620）中收集，并进行综合工艺评价。宗教与大学的伙伴关系提供了一种以与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有很大潜力有助于消除健康差距，这是2010年健康人的目标。包括PA，使用CBPR方法，教会决策者的参与，以及关注教会的社会，文化和政策影响，使该项目具有创新性。

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.