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Grant Details

Grant Number: 5R01CA079077-02 Interpret this number
Primary Investigator: Bowen, Deborah
Organization: Fred Hutchinson Cancer Research Center
Project Title: Motivating Dietary Changes in Churches
Fiscal Year: 1999


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.



Publications

Identifying the effects of environmental and policy change interventions on healthy eating.
Authors: Bowen D.J. , Barrington W.E. , Beresford S.A. .
Source: Annual Review Of Public Health, 2015-03-18 00:00:00.0; 36, p. 289-306.
PMID: 25785891
Related Citations

Effects Of A Multilevel Dietary Intervention In Religious Organizations
Authors: Bowen D.J. , Beresford S.A. , Christensen C.L. , Kuniyuki A.A. , McLerran D. , Feng Z. , Hart A. , Tinker L. , Campbell M. , Satia J. .
Source: American Journal Of Health Promotion : Ajhp, 2009 Sep-Oct; 24(1), p. 15-22.
PMID: 19750958
Related Citations

Process Evaluation Results From The Eating For A Healthy Life Study
Authors: Hart A. , Bowen D.J. , Christensen C.L. , Mafune R. , Campbell M.K. , Saleeba A. , Kuniyuki A. , Beresford S.A. .
Source: American Journal Of Health Promotion : Ajhp, 2009 May-Jun; 23(5), p. 324-7.
PMID: 19445435
Related Citations

Disseminating A Successful Dietary Intervention To Faith Communities: Feasibility Of Using Staff Contact And Encouragement To Increase Uptake
Authors: Hannon P.A. , Bowen D.J. , Christensen C.L. , Kuniyuki A. .
Source: Journal Of Nutrition Education And Behavior, 2008 May-Jun; 40(3), p. 175-80.
PMID: 18457786
Related Citations

The Relationship Between The Social Environment Within Religious Organizations And Intake Of Fat Versus Fruits And Vegetables
Authors: Hart A. , Bowen D.J. , Kuniyuki A. , Hannon P. , Campbell M.K. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2007 Jun; 34(3), p. 503-16.
PMID: 17456858
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Correlates Of Fat Intake Behaviors In Participants In The Eating For A Healthy Life Study
Authors: Hart A. , Tinker L. , Bowen D.J. , Longton G. , Beresford S.A. .
Source: Journal Of The American Dietetic Association, 2006 Oct; 106(10), p. 1605-13.
PMID: 17000193
Related Citations

Recruitment Of Religious Organisations Into A Community-based Health Promotion Programme
Authors: Christensen C.L. , Bowen D.J. , Hart A. , Kuniyuki A. , Saleeba A.E. , Campbell M.K. .
Source: Health & Social Care In The Community, 2005 Jul; 13(4), p. 313-22.
PMID: 15969702
Related Citations

Baseline Data And Design For A Randomized Intervention Study Of Dietary Change In Religious Organizations
Authors: Bowen D.J. , Beresford S.A. , Vu T. , Feng Z. , Tinker L. , Hart A. , Christensen C.L. , McLerran D. , Satia-Abouta J. , Campbell M. .
Source: Preventive Medicine, 2004 Sep; 39(3), p. 602-11.
PMID: 15313101
Related Citations

Is Religious Orientation Associated With Fat And Fruit/vegetable Intake?
Authors: Hart A. , Tinker L.F. , Bowen D.J. , Satia-Abouta J. , McLerran D. .
Source: Journal Of The American Dietetic Association, 2004 Aug; 104(8), p. 1292-6.
PMID: 15281051
Related Citations

The Feasibility Of Partnering With African-american Barbershops To Provide Prostate Cancer Education
Authors: Hart A. , Bowen D.J. .
Source: Ethnicity & Disease, 2004 Spring; 14(2), p. 269-73.
PMID: 15132213
Related Citations

Evaluation Of Strategies Used By Family Food Preparers To Influence Healthy Eating
Authors: Bourcier E. , Bowen D.J. , Meischke H. , Moinpour C. .
Source: Appetite, 2003 Dec; 41(3), p. 265-72.
PMID: 14637325
Related Citations

Correlations In Perceived Food Use Between The Family Food Preparer And Their Spouses And Children
Authors: Hannon P.A. , Bowen D.J. , Moinpour C.M. , McLerran D.F. .
Source: Appetite, 2003 Feb; 40(1), p. 77-83.
PMID: 12631508
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