Partnership for Congregational Wellness

描述(申请人提供)：在非裔美国人中，可以通过改善饮食和增加体力活动的行为干预来减少心肺疾病中的黑人和白人的健康差距。由于缺乏文化适应和对医学研究的不信任，非裔美国人从行为干预中受益减少。以教会为基础的干预措施有可能克服这些障碍，并在改善饮食和活动方面取得了成功。使用基于社区的参与性研究(CBPR)方法可能会增加教会领袖对干预的参与度，并产生更大的有效性。拉什神职人员健康伙伴关系是一个CBPR伙伴关系，它的最佳定位是为非裔美国人设计、实施和实现基于教会的行为干预的成功结果。这一伙伴关系是由社区发起的大学与社区之间的合作。它借鉴了一种创新的“培训培训者”模式，教会领袖首先改变生活方式，然后准备好在教会同龄人中示范和倡导这些改变。该项目的目的是评估社区需求，为会众制定干预措施，并在初步试点研究中进行测试。这些目标将通过以下目标实现：1)合作设计和进行需求评估，2)确定干预的目标条件，3)通过完善现有的神职人员/灵修领袖生活方式方案，制定适当的环境层面战略，并开发基于灵性的印刷材料，制定干预方法，4)制定数据收集和共享临时数据的协作监督计划，5)进行为期12个月的整群随机试点研究，其中6个教会被随机分配到干预或延迟干预控制部门，6)评估干预的可行性和可接受性，7)制定和实施传播计划，8)评估协作过程的有效性，以及9)获得后续试验所需的估计数，并准备赠款提案。 相关性(见说明)：为了减少黑人和白人的健康差距，需要针对文化定制的干预措施，以改善非裔美国人的饮食和增加体力活动。在这项拟议的研究中，由黑人牧师和研究人员组成的合作伙伴将合作开发和设计一种基于教会的行为干预试点，以改善非裔美国教会成员的生活方式行为。

DESCRIPTION (provided by applicant): Black-white health disparities in cardiopulmonary diseases can be reduced by behavioral interventions to improve diet and increase physical activity in African Americans. African Americans have experienced reduced benefit from behavioral interventions due to lack of cultural tailoring and mistrust of medical research. Church-based interventions have the potential to overcome these barriers and have had success in improving diet and activity. Using a community-based participatory research (CBPR) approach may increase engagement in intervention among church leaders and result in greater effectiveness. The Rush Clergy Health Partnership is a CBPR partnership which is optimally positioned to design, implement, and achieve successful results from a church-based behavioral intervention for African Americans. This Partnership is a university-community collaboration that was initiated by the community. It draws on an innovative "train the trainer" model where church leaders make lifestyle changes first and then are well-equipped to model and advocate for these changes in church peers. Aims of the project are to assess community needs, develop an intervention for the congregation, and test it in a preliminary pilot study. These goals will be accomplished through the following aims: 1) Collaboratively design and conduct a needs assessment, 2) identify the target condition of the intervention, 3) develop the intervention methodology by refining the existing Clergy/Lay Leader Lifestyle Programs, developing appropriate environmental-level strategies, and developing spiritually-based print materials, 4) develop a plan for collaborative oversight of data collection and sharing of interim data, 5) conduct a 12-month cluster randomized pilot study in which 6 churches are randomized to an intervention or a delayed intervention control arm, 6) assess the feasibility and acceptability of the intervention, 7) Develop and implement a dissemination plan, 8) evaluate the effectiveness of the collaboration process, and 9) Obtain estimates needed for subsequent trial and prepare grant proposal. RELEVANCE (See instructions): To reduce black-white health disparities, culturally-tailored interventions are needed to improve diet and increase physical activity in African Americans. In the proposed research, a partnership consisting of black pastors and researchers will collaboratively develop and design a pilot church-based behavioral intervention to improve lifestyle behaviors in African American church members.