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Grant Details

Grant Number: 5R01HL064959-04 Interpret this number
Primary Investigator: Resnicow, Ken
Organization: Emory University
Project Title: Health Promotion Through Black Churches
Fiscal Year: 2002


Abstract

DESCRIPTION (adapted from investigator's abstract): This is a randomized controlled trial among African Americans (AA) of the effectiveness of a culturally sensitive self-help nutrition and physical activity intervention, implemented with and without ongoing counseling for maintenance of target health behaviors by the method of Motivational Interviewing. Conducted with the approval and assistance of Atlanta Black churches, the trial is designed with three experimental conditions: Group 1 (Comparison=C) will receive a standardized nutrition and exercise intervention (i.e., commercially available nutrition and exercise videos, audio cassette walking program, and print materials); Group 2 (Tx1) will receive a culturally sensitive self-help intervention that includes nutrition and exercise components. The nutrition component will consist mainly of a the Eat For Life video and cookbook (developed by the investigators for a related ongoing trial with the input of the AA community in Atlanta), a video and audiotape set promoting exercise ("Walk With God" to be developed along religious themes and pretested in AA focus groups in a fashion similar to the Eat for Life), a quarterly newsletter and other culturally sensitive nutrition and exercise materials. Group 3 (Tx2) will receive the same intervention as Group 2, plus 4 telephone counseling calls based on Motivational Interviewing. The exercise component of the intervention will emphasize walking. Churches, rather than individuals, will be assigned to conditions, and churches will be the unit of analysis. Fifteen churches will participate in this study and will be matched in triplets based on denomination, size and income prior to randomization. To maximize use of personnel and resources and allow for refinement of our recruitment procedures, the interventions will be implemented in several partially overlapping cycles over the 2-year intervention phase. A total of 950 subjects will participate in the study (approx. 60/church). All participants will be recruited at health fairs conducted in participating churches. The goals of the interventions and primary outcomes for the study are: a) to increase fruit and vegetable consumption by serving-a-day in Group Tx1 vs C and in Tx2 vs Tx1; b) increase physical activity by 20 minutes per week in Group Tx1 vs C and in Tx2 vs Tx1. Dietary outcomes will be assessed with food frequency questionnaires plus 24-hour recalls in a 50 percent subsample. Physical activity will be assessed with a seven-day recall as well as cardiovascular fitness (cycle ergometer) in a 20 percent subsample. Recruitment and retention of participants will be maximized by several strategies including incentives for each church, and the use of church liaisons to assist in participant recruitment and tracking.



Publications

Vitalum study design: RCT evaluating the efficacy of tailored print communication and telephone motivational interviewing on multiple health behaviors.
Authors: van Keulen H.M. , Mesters I. , Brug J. , Ausems M. , Campbell M. , Resnicow K. , Zwietering P.J. , van Breukelen G. , van Mechelen W. , Severens J.L. , et al. .
Source: BMC public health, 2008-06-19; 8, p. 216.
EPub date: 2008-06-19.
PMID: 18565222
Related Citations

Social desirability trait influences on self-reported dietary measures among diverse participants in a multicenter multiple risk factor trial.
Authors: Hebert J.R. , Hurley T.G. , Peterson K.E. , Resnicow K. , Thompson F.E. , Yaroch A.L. , Ehlers M. , Midthune D. , Williams G.C. , Greene G.W. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 226S-234S.
PMID: 18156429
Related Citations

Accuracy and precision of two short screeners to assess change in fruit and vegetable consumption among diverse populations participating in health promotion intervention trials.
Authors: Peterson K.E. , Hebert J.R. , Hurley T.G. , Resnicow K. , Thompson F.E. , Greene G.W. , Shaikh A.R. , Yaroch A.L. , Williams G.C. , Salkeld J. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 218S-225S.
PMID: 18156428
Related Citations

Performance of a short percentage energy from fat tool in measuring change in dietary intervention studies.
Authors: Williams G.C. , Hurley T.G. , Thompson F.E. , Midthune D. , Yaroch A.L. , Resnicow K. , Toobert D.J. , Greene G.W. , Peterson K. , Nebeling L. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 212S-217S.
PMID: 18156427
Related Citations

Use of signal detection methodology to identify subgroups of dietary supplement use in diverse populations.
Authors: Davis R.E. , Resnicow K. , Atienza A.A. , Peterson K.E. , Domas A. , Hunt A. , Hurley T.G. , Yaroch A.L. , Greene G.W. , Goldman Sher T. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 205S-211S.
PMID: 18156426
Related Citations

Correspondence of the NCI Fruit and Vegetable Screener to repeat 24-H recalls and serum carotenoids in behavioral intervention trials.
Authors: Greene G.W. , Resnicow K. , Thompson F.E. , Peterson K.E. , Hurley T.G. , Hebert J.R. , Toobert D.J. , Williams G.C. , Elliot D.L. , Goldman Sher T. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 200S-204S.
PMID: 18156425
Related Citations

Evaluation of a short dietary assessment instrument for percentage energy from fat in an intervention study.
Authors: Thompson F.E. , Midthune D. , Williams G.C. , Yaroch A.L. , Hurley T.G. , Resnicow K. , Hebert J.R. , Toobert D.J. , Greene G.W. , Peterson K. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 193S-199S.
PMID: 18156424
Related Citations

Baseline design elements and sample characteristics for seven sites participating in the Nutrition Working Group of the Behavior Change Consortium.
Authors: Yaroch A.L. , Nebeling L. , Thompson F.E. , Hurley T.G. , Hebert J.R. , Toobert D.J. , Resnicow K. , Greene G.W. , Williams G.C. , Elliot D.L. , et al. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 185S-192S.
PMID: 18156423
Related Citations

The examination of two short dietary assessment methods, within the context of multiple behavioral change interventions in adult populations. Introduction.
Authors: Beresford S.A. , Klesges L.M. , Rockett H.R. .
Source: The Journal of nutrition, 2008 Jan; 138(1), p. 183S-184S.
PMID: 18156422
Related Citations

A qualitative study of a nutrition working group.
Authors: Greene G.W. , Nebeling L.C. , Greaney M.L. , Lindsay A.C. , Hardwick C.K. , Toobert D.J. , Resnicow K. , Williams G.C. , Elliot D.L. , Goldman Sher T. , et al. .
Source: Health promotion practice, 2007 Jul; 8(3), p. 299-306.
EPub date: 2007-05-23.
PMID: 17522413
Related Citations

Validity of a modified CHAMPS physical activity questionnaire among African-Americans.
Authors: Resnicow K. , McCarty F. , Blissett D. , Wang T. , Heitzler C. , Lee R.E. .
Source: Medicine and science in sports and exercise, 2003 Sep; 35(9), p. 1537-45.
PMID: 12972874
Related Citations

Healthy Body/Healthy Spirit: a church-based nutrition and physical activity intervention.
Authors: Resnicow K. , Jackson A. , Braithwaite R. , DiIorio C. , Blisset D. , Rahotep S. , Periasamy S. .
Source: Health education research, 2002 Oct; 17(5), p. 562-73.
PMID: 12408201
Related Citations

Motivational interviewing in health promotion: it sounds like something is changing.
Authors: Resnicow K. , DiIorio C. , Soet J.E. , Ernst D. , Borrelli B. , Hecht J. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2002 Sep; 21(5), p. 444-51.
PMID: 12211511
Related Citations

Conducting health interventions in black churches: a model for building effective partnerships.
Authors: Baskin M.L. , Resnicow K. , Campbell M.K. .
Source: Ethnicity & disease, 2001 Fall; 11(4), p. 823-33.
PMID: 11763307
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