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Grant Details

Grant Number: 5R01CA079077-04 Interpret this number
Primary Investigator: Bowen, Deborah
Organization: Fred Hutchinson Cancer Research Center
Project Title: Motivating Dietary Changes in Churches
Fiscal Year: 2001
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Abstract

We know how to change the dietary habits of motivated individuals. The results of our past randomized intervention trials indicate that if people are ready and motivated to change dietary behaviors, the likelihood of success is very high. We know far less about how to change the dietary habits of individuals who are not yet motivated to attempt changes. We hypothesize that two finding from our own and others' research will increase motivation for dietary change: the relationship of social support to health behaviors, and the effects of messages specifically designed to motivate individuals to change. This proposal will rigorously test an intervention package, based on our previous experience, designed to change dietary practices (lowering fat, increasing fruit and vegetable consumption) among lower socioeconomic (SES) families in religious organizations. We selected religious organizations because of the important role they play in the lives of their members and because of the social and supportive messages that can be delivered by them. The intervention package will deliver social support and motivating messages, as well as materials and skill-building opportunities for dietary change. Forty religious organizations will be randomized to intervention or comparison status. The 18-month intervention package, based on a merger of Social Learning Theory and Trans-theoretical Model of Behavior Change, will consist of material adapted from interventions of proven efficacy that present strategies for changing current behavior, messages that influence motivations and beliefs, and organization-wide interventions that affect environmental variables. We will base evaluation upon a randomly selected cohort from each religious organization's mailing list. Dietary habits will be assessed at baseline and 6 and 18 months follow-up, using a modified version of the Fat and Fiber Behavior Questionnaire, with a subset selected to receive 24-hour recalls. The intervention process will be measured and used as a mediator of dietary change in all intervention organizations. The primary outcome will be the difference in change in fat scores between intervention and comparison religious organizations.

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Publications

Effects of a multilevel dietary intervention in religious organizations.
Authors: Bowen DJ, Beresford SA, Christensen CL, Kuniyuki AA, McLerran D, Feng Z, Hart A Jr, Tinker L, Campbell M, Satia J
Source: Am J Health Promot, 2009 Sep-Oct;24(1), p. 15-22.
PMID: 19750958
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Process evaluation results from the Eating for a Healthy Life study.
Authors: Hart A Jr, Bowen DJ, Christensen CL, Mafune R, Campbell MK, Saleeba A, Kuniyuki A, Beresford SA
Source: Am J Health Promot, 2009 May-Jun;23(5), p. 324-7.
PMID: 19445435
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Disseminating a successful dietary intervention to faith communities: feasibility of using staff contact and encouragement to increase uptake.
Authors: Hannon PA, Bowen DJ, Christensen CL, Kuniyuki A
Source: J Nutr Educ Behav, 2008 May-Jun;40(3), p. 175-80.
PMID: 18457786
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Correlates of fat intake behaviors in participants in the eating for a healthy life study.
Authors: Hart A Jr, Tinker L, Bowen DJ, Longton G, Beresford SA
Source: J Am Diet Assoc, 2006 Oct;106(10), p. 1605-13.
PMID: 17000193
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Recruitment of religious organisations into a community-based health promotion programme.
Authors: Christensen CL, Bowen DJ, Hart A Jr, Kuniyuki A, Saleeba AE, Campbell MK
Source: Health Soc Care Community, 2005 Jul;13(4), p. 313-22.
PMID: 15969702
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Baseline data and design for a randomized intervention study of dietary change in religious organizations.
Authors: Bowen DJ, Beresford SA, Vu T, Feng Z, Tinker L, Hart A Jr, Christensen CL, McLerran D, Satia-Abouta J, Campbell M
Source: Prev Med, 2004 Sep;39(3), p. 602-11.
PMID: 15313101
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Is religious orientation associated with fat and fruit/vegetable intake?
Authors: Hart A Jr, Tinker LF, Bowen DJ, Satia-Abouta J, McLerran D
Source: J Am Diet Assoc, 2004 Aug;104(8), p. 1292-6.
PMID: 15281051
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The feasibility of partnering with African-American barbershops to provide prostate cancer education.
Authors: Hart A Jr, Bowen DJ
Source: Ethn Dis, 2004 Spring;14(2), p. 269-73.
PMID: 15132213
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Evaluation of strategies used by family food preparers to influence healthy eating.
Authors: Bourcier E, Bowen DJ, Meischke H, Moinpour C
Source: Appetite, 2003 Dec;41(3), p. 265-72.
PMID: 14637325
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Correlations in perceived food use between the family food preparer and their spouses and children.
Authors: Hannon PA, Bowen DJ, Moinpour CM, McLerran DF
Source: Appetite, 2003 Feb;40(1), p. 77-83.
PMID: 12631508
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