Faith, Activity, and Nutrition: Dissemination in Underserved Communities

描述(由申请者提供)：在美国，缺乏运动和不良饮食是第二大可改变的死亡原因。这些行为中的种族差异和相关的健康后果构成了重大的公共卫生挑战。南加州大学中华人民共和国2014-2019年的具体目标建立在服务不足社区长期成功的应用研究和实践历史的基础上：1)扩大中心的基础设施；2)动员社区、州和地方卫生部门以及其他利益攸关方为我们的活动提供信息；3)实施一整套战略来传播中心的研究成果、产品和计划；4)通过培训和技术援助促进熟练社区成员和公共卫生专业人员的发展；5)评估中心的活动和成果；以及6)开展应用公共卫生预防研究项目。这些目标的实现将带来以下长期成果：1)更多地将研究转化为实践和政策；2)改进环境和全系统战略；3)广泛使用循证计划和政策；4)增强社区促进健康和疾病预防的能力；5)增加熟练的公共卫生专业人员和社区成员；6)扩大应用公共卫生研究的资源；以及7)增加对南加州大学中国研究和活动的认可和支持。南加州大学中华人民共和国的应用研究项目将研究以证据为基础的计划的传播和实施，该计划将显著增加南卡罗来纳州教会的体力活动和水果和蔬菜的摄入量(信仰、活动和营养；FAN)。在两个理论框架的指导下，应用研究项目的具体目标是：1)考察FAN在教会中的采用和覆盖范围以及与采用相关的组织因素；2)表征实施忠诚度和与实施相关的多层次因素；3)描述FAN的组织维护和与维护相关的因素；以及4)研究FAN的有效性。在第一阶段，我们将在非洲裔美国人居民比例较高的农村县随机选择教堂，接受社区卫生顾问的FAN培训(n=40)或作为延迟干预控制组的一部分(n=20)。这一阶段将使我们能够研究在一系列不同宗教派别中的传播和执行情况，并更好地了解地方联盟如何能够到达以信仰为基础的社区，作为干预的场所。在第二阶段，我们将与南加州的两个大型宗教派别合作，其中一个以非裔美国人为主，在全州范围内传播该计划。这一阶段将使我们能够确定计划传播、采用和实施中的关键考虑因素，并检查更广泛的地理传播的潜力。增加身体活动和水果和蔬菜的消费是疾控中心取得胜利的战斗以及国家慢性病预防和健康促进中心预防慢性病和促进健康的环境方法的重要目标。

DESCRIPTION (provided by applicant): Together, physical inactivity and poor diet make up the second leading modifiable cause of death in the US. Racial disparities in these behaviors and associated health outcomes present major public health challenges. The specific aims of the USC PRC for 2014-2019 build on a long and successful history of applied research and practice in underserved communities: 1) grow the Center infrastructure; 2) engage communities, state and local health departments, and other stakeholders to inform our activities; 3) implement an integrated set of strategies to disseminate Center research findings, products, and programs; 4) contribute to the development of skilled community members and public health professionals through training and technical assistance; 5) evaluate Center activities and outcomes; and 6) conduct an applied public health prevention research project. Achievement of these aims will lead to the following long-term outcomes: 1) increased translation of research into practice and policy; 2) improved environmental and system-wide strategies; 3) widespread use of evidence-based programs and policies; 4) enhanced community capacity for health promotion and disease prevention; 5) increased skilled public health professionals and community members; 6) expanded resources for applied public health research; and 7) increased recognition of and support for USC PRC research and activities. The USC PRC's applied research project will study the dissemination and implementation of an evidence-based program shown previously to significantly increase physical activity and fruit and vegetable intake in churches in South Carolina (Faith, Activity, and Nutrition; FAN). Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN. In Phase 1, we will randomize churches in a rural county with a high proportion of African American residents to receive training in FAN from a community health advisor (n=40) or to be part of a delayed intervention control group (n=20). This phase will allow us to study dissemination and implementation in a range of diverse religious denominations and gain greater understanding of how local coalitions can reach faith-based communities as settings for intervention. In Phase 2, we will work with two large faith denominations in SC, including one that is predominantly African American, to disseminate the program statewide. This phase will allow us to identify key considerations in program dissemination, adoption, and implementation and to examine the potential for broader geographic dissemination. Increasing physical activity and fruit and vegetable consumption are important goals of the CDC's Winnable Battles and the National Center for Chronic Disease Prevention and Health Promotion's environmental approach to preventing chronic disease and promoting health.