TY - JOUR
T1 - Process evaluation of Healthy Bodies, Healthy Souls
T2 - a church-based health intervention program in Baltimore City.
AU - Wang, H. Echo
AU - Lee, Matthew
AU - Hart, Adante
AU - Summers, Amber C.
AU - Anderson Steeves, Elizabeth
AU - Gittelsohn, Joel
N1 - Funding Information:
This work was supported by ADA (grant number: 7-08-CR-23) and the Center for a Livable Future at the Johns Hopkins Bloomberg School of Public Health. A.C.S. was supported by the Center for a Livable Future pre-doctoral fellowship and a CURE supplement to the Johns Hopkins Training Program in Cancer Epidemiology, Prevention and Control from the National Cancer Institute, National Institutes of Health [T32 CA009314] during this project.
PY - 2013/6
Y1 - 2013/6
N2 - Soaring obesity rates in the United States demand comprehensive health intervention strategies that simultaneously address dietary patterns, physical activity, psychosocial factors and the food environment. Healthy Bodies, Healthy Souls (HBHS) is a church-based, community-participatory, cluster-randomized health intervention trial conducted in Baltimore City to reduce diabetes risk among urban African Americans by promoting healthy dietary intake, increased physical activity and improvement to the church food environment. HBHS was organized into five 3-8-week phases: Healthy Beverages, Healthy Desserts, Healthy Cooking, Healthy Snacking and Eating Out and Physical Activity. A three-part process evaluation was adopted to evaluate implementation success: an in-church instrument to assess the reach, dose delivered and fidelity of interactive sessions; a post-intervention exposure survey to assess individual-level dose received in a sample of congregants and an evaluation form to assess the church food environment. Print materials were implemented with moderate to high fidelity and high dose. Program reach was low, which may reflect inaccuracies in church attendance rather than study implementation issues. Intervention components with the greatest dose received were giveaways (42.0-61.7%), followed by taste tests (48.7-53.7%) and posters (34.3-65.0%). The dose received of general program information was moderate to high. The results indicate successful implementation of the HBHS program.
AB - Soaring obesity rates in the United States demand comprehensive health intervention strategies that simultaneously address dietary patterns, physical activity, psychosocial factors and the food environment. Healthy Bodies, Healthy Souls (HBHS) is a church-based, community-participatory, cluster-randomized health intervention trial conducted in Baltimore City to reduce diabetes risk among urban African Americans by promoting healthy dietary intake, increased physical activity and improvement to the church food environment. HBHS was organized into five 3-8-week phases: Healthy Beverages, Healthy Desserts, Healthy Cooking, Healthy Snacking and Eating Out and Physical Activity. A three-part process evaluation was adopted to evaluate implementation success: an in-church instrument to assess the reach, dose delivered and fidelity of interactive sessions; a post-intervention exposure survey to assess individual-level dose received in a sample of congregants and an evaluation form to assess the church food environment. Print materials were implemented with moderate to high fidelity and high dose. Program reach was low, which may reflect inaccuracies in church attendance rather than study implementation issues. Intervention components with the greatest dose received were giveaways (42.0-61.7%), followed by taste tests (48.7-53.7%) and posters (34.3-65.0%). The dose received of general program information was moderate to high. The results indicate successful implementation of the HBHS program.
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U2 - 10.1093/her/cyt049
DO - 10.1093/her/cyt049
M3 - Article
C2 - 23525780
AN - SCOPUS:84892883977
VL - 28
SP - 392
EP - 404
JO - Health Education Research
JF - Health Education Research
SN - 0268-1153
IS - 3
ER -