Grant Number:	1R01CA079469-01A2 Interpret this number
Primary Investigator:	Winett, Richard
Organization:	Virginia Polytechnic Inst And St Univ
Project Title:	Cancer Prevention Program in Rural Churches
Fiscal Year:	2000

DESCRIPTION (adapted from investigator's abstract): The aim of this revised application is to develop and evaluate a theory-based intervention delivered in rural churches serving people of diverse socioeconomic levels. The purpose of the intervention is to initiate and maintain changes in nutrition, activity and exercise patterns to meet cancer risk reduction guidelines. The intervention will uniquely combine individual, self-regulatory behavior change procedures with supportive social and environmental components identified as essential for maintaining behavior change by social cognitive theory (SCT; Bandura, 1997). Individual behavior and family-focused change procedures involve tailored information, formulating and evaluating individual behavior change goals, and structuring guided master experiences provided through an electronically mediated health behavior intervention. Supportive components include advocacy and modeling by religious leaders, lay health advisors, and respected members of congregations. In addition, collective goal-setting, feedback, and structured, collective church-based mastery experiences for initiating and sustaining health behavior change will follow an approach based on SCT and used in other community risk reduction interventions. The four- year period of the project will allow ample time to carefully tailor program content and develop software allowing programs to be highly salient with easy access at home or at church. A pilot test, and a large field experiment involving approximately 3000 people (20 percent African American) from moderately large (400 - 800 members) rural churches are planned. A mixed model of covariance will be used with churches as the unit of randomization. A treatment involving the complete SCT-based intervention will be compared to a treatment only involving the instructional programs, and a control condition. Major outcome measures include percent calories from fat, dietary fiber, servings of fruits and vegetables, caloric expenditure in activity, V02Max, and body composition. Measures of SCT determinants will address the theoretical underpinnings of the intervention, and process measures will assess fidelity, dose, and contamination issues.




Developing a new treatment paradigm for disease prevention and healthy aging.
Authors: Winett R.A. , Davy B.M. , Marinik E. , Savla J. , Winett S.G. , Phillips S.M. , Lutes L.D. .
Source: Translational Behavioral Medicine, 2014 Mar; 4(1), p. 117-23.
PMID: 24653782
Related Citations

Aging and the social cognitive determinants of physical activity behavior and behavior change: evidence from the guide to health trial.
Authors: Anderson-Bill E.S. , Winett R.A. , Wojcik J.R. , Williams D.M. .
Source: Journal Of Aging Research, 2011; 2011, p. 505928.
PMID: 21629762
Related Citations

Social cognitive mediators of change in a group randomized nutrition and physical activity intervention: social support, self-efficacy, outcome expectations and self-regulation in the guide-to-health trial.
Authors: Anderson E.S. , Winett R.A. , Wojcik J.R. , Williams D.M. .
Source: Journal Of Health Psychology, 2010 Jan; 15(1), p. 21-32.
PMID: 20064881
Related Citations

Self-regulation, self-efficacy, outcome expectations, and social support: social cognitive theory and nutrition behavior.
Authors: Anderson E.S. , Winett R.A. , Wojcik J.R. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2007 Nov-Dec; 34(3), p. 304-12.
PMID: 18020940
Related Citations

Guide to health: nutrition and physical activity outcomes of a group-randomized trial of an Internet-based intervention in churches.
Authors: Winett R.A. , Anderson E.S. , Wojcik J.R. , Winett S.G. , Bowden T. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2007 Jun; 33(3), p. 251-61.
PMID: 17600452
Related Citations

Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study.
Authors: Anderson E.S. , Wojcik J.R. , Winett R.A. , Williams D.M. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2006 Jul; 25(4), p. 510-20.
PMID: 16846326
Related Citations

Long-term weight gain prevention: a theoretically based Internet approach.
Authors: Winett R.A. , Tate D.F. , Anderson E.S. , Wojcik J.R. , Winett S.G. .
Source: Preventive Medicine, 2005 Aug; 41(2), p. 629-41.
PMID: 15917062
Related Citations

A review of the outcome expectancy construct in physical activity research.
Authors: Williams D.M. , Anderson E.S. , Winett R.A. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2005 Feb; 29(1), p. 70-9.
PMID: 15677303
Related Citations