North Carolina Black Churches United for Better Health Project
|Program Title||North Carolina Black Churches United for Better Health Project|
|Purpose||Designed to increase fruit and vegetable consumption. (1999)|
|Program Focus||Behavior Modification|
|Population Focus||Faith-based Groups|
|Age||Adults (40-65 years), Older Adults (65+ years), Young Adults (19-39 years)|
|Race/Ethnicity||Black, not of Hispanic or Latino origin|
|Funded by||NCI (Grant number(s): CA59746)|
About the Study
50 Black churches within 10 rural counties in eastern North Carolina were randomly assigned, by county, to receive either the intervention or delayed intervention. All active members (those attending at least once per month) were included in the study (N = 3,737). In the early implementation phase, intervention churches held kickoffs, and "5-a-Day Sundays". Each pastor selected a Nutrition Action Team, responsible for carrying out activities that addressed three types of factors: predisposing, enabling, and reinforcing.
- Predisposing activities were designed to raise awareness of the diet-cancer relationship, the 5-a-Day program, and to give individualized feedback to motivate participants to start changing behavior. Activities targeting primarily predisposing factors included tailored bulletins and printed materials.
- Enabling activities were designed to increase access to fruit and vegetables, to provide education and skills in preparing them, and to help overcome barriers to consumption. These activities included gardening, educational sessions, cookbook and recipe tasting, and serving fruits and vegetables at church functions.
- Reinforcing activities were designed to increase social and environmental support for eating more fruits and vegetables. These activities included community coalitions, the use of lay health advisors, pastor support, grocer-vendor involvement, and church-initiated activities.
- At 2-year follow-up, intervention participants consumed 0.85 more servings of fruits and vegetables per day than participants in the control group.
- At baseline, approximately 23% of both groups were consuming 5 servings of fruits and vegetables per day. At 2-year follow-up, 33% of participants in the intervention group met this guideline, compared to 21% of participants in the control group.
Campbell MK, Demark-Wahnefried W, Symons M, Kalsbeek WD, Dodds J, Cowan A, Jackson B, Motsinger B, Hoben K, Lashley J, Demissie S, McClelland JW. (1999). Fruit and Vegetable Consumption and Prevention of Cancer: The Black Churches United for Better Health Project. American Journal of Public Health, 89(9), 1390-1396.
Campbell MK, Motsinger BM, Ingram A, Jewell D, Makarushka C, Beatty B, Dodds J, McClelland J, Demissie S, Demark-Wahnefried W. (2000). The North Carolina Black Churches United for Better Health Project: Intervention and Process Evaluation. Health Education & Behavior, 27(2), 241-253.