Dissemination and Implementation of Faith, Activity, and Nutrition

Sponsor

University of South Carolina (Other)

Overall Status

Completed

CT.gov ID

NCT02868866

Collaborator

(none)

1,807

Enrollment

Locations

Arms

Actual Duration (Months)

602.3

Patients Per Site

10.8

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This dissemination and implementation study will examine the impact of the Faith, Activity, and Nutrition (FAN) program on both church practices and member behaviors in both a countywide (randomized trial) and statewide (quasi-experimental) study. Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN.

Condition or Disease	Intervention/Treatment	Phase
Physical Activity, Healthy Eating	Behavioral: Immediate Intervention	N/A

Detailed Description

The USC PRC's applied research project will study the dissemination and implementation of an evidence-based program shown previously to significantly increase physical activity and fruit and vegetable intake in churches in South Carolina (Faith, Activity, and Nutrition; FAN). Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN. In Phase 1, churches in a rural county with a high proportion of African American residents will be randomized to receive training in FAN from a community health advisor (n=40) or to be part of a delayed intervention control group (n=20). In Phase 2, a quasi-experimental study will be done with a large religious denomination in SC (churches are not randomized).

Study Design

Study Type:

Interventional

Actual Enrollment :

1807 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Prevention

Official Title:

Faith, Activity, and Nutrition: Dissemination in Underserved Communities

Actual Study Start Date :

Jan 1, 2015

Actual Primary Completion Date :

Sep 1, 2019

Actual Study Completion Date :

Sep 1, 2019

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Immediate intervention Training of church committee followed by 12 months of technical assistance phone calls.	Behavioral: Immediate Intervention Committees from 40 churches will be trained in the Faith, Activity, and Nutrition program by Community Health Advisors. The training focuses on helping churches create healthier church environments for physical activity and healthy eating using Cohen's structural model of health behavior as a guide. Each church committee participates in a full-day training and submits a program plan and budget. Churches receive materials to support implementation of the program. After the full-day training, trained churches receive 12 monthly technical assistance calls to help them implement their program plan. The church coordinator receives 8 calls and the pastor receives 4 calls over the 12 months. In Phase 2, the intervention is open to any church in the SC Conference of the United Methodist Church. Other Names: Faith, Activity, and Nutrition
No Intervention: Delayed intervention 20 churches are followed but receive no intervention.

Arm

Intervention/Treatment

Experimental: Immediate intervention

Training of church committee followed by 12 months of technical assistance phone calls.

Behavioral: Immediate Intervention

Committees from 40 churches will be trained in the Faith, Activity, and Nutrition program by Community Health Advisors. The training focuses on helping churches create healthier church environments for physical activity and healthy eating using Cohen's structural model of health behavior as a guide. Each church committee participates in a full-day training and submits a program plan and budget. Churches receive materials to support implementation of the program. After the full-day training, trained churches receive 12 monthly technical assistance calls to help them implement their program plan. The church coordinator receives 8 calls and the pastor receives 4 calls over the 12 months. In Phase 2, the intervention is open to any church in the SC Conference of the United Methodist Church.

Other Names:

Faith, Activity, and Nutrition

No Intervention: Delayed intervention

20 churches are followed but receive no intervention.

Outcome Measures

Primary Outcome Measures

Adoption [12 months]
(# of eligible churches that are trained / # of eligible churches)*100
Reach [12 months]
(# of church members in trained churches / # of members of all eligible churches)*100
Implementation fidelity [12 months]
Composite score consisting of implementation of core elements of the intervention
Maintenance [24 months]
organization maintenance of the intervention based on leader reports

Secondary Outcome Measures

physical activity [12 months]
Self-reported proportion of members meeting physical activity recommendations using (only for phase 1 of study)
fruit and vegetable intake [12 months]
Self-reported cups per day of fruits and vegetables (only for phase 1 of study)
Self-efficacy for physical activity [12 months]
Self-reported self-efficacy for physical activity (average of scale items) (only for phase 1 of study)
Self-efficacy for fruit and vegetable intake [12 months]
Self-reported self-efficacy for fruit and vegetable intake (average of scale items) (only for phase 1 of study)

Other Outcome Measures

Church environment [12 months]
Church environmental factors that impede or promote physical activity and healthy eating, assessed through staff observations (only for phase 1 of study)

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Phase 1 churches: church in Fairfield County, SC with at least 20 members who regularly attend worship service
Phase 2 churches: church in the SC Conference of the United Methodist Church
Members (phase 1): adult who regularly attends church participating in the study

Exclusion Criteria:

Members (phase 1): under the age of 18
Members (phase 1): does not regularly attend church participating in the study

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Clemson University	Clemson	South Carolina	United States	29634
2	University of South Carolina	Columbia	South Carolina	United States	29208
3	Fairfield Behavioral Health Services	Winnsboro	South Carolina	United States	29180