249631 An exemplar of community based participatory research: The living well by faith health and wellness program for african americans

Tuesday, November 1, 2011

Gaye Woods, MBA, CPT , Dept. of Preventive Medicine/AMC Cancer Research, University of Colorado Cancer Center, Aurora, CO
Arnold Levinson, PhD , University of Colorado Cancer Center, Colorado School of Public Health, Aurora, CO
Grant Jones , Center for African American Health, Denver, CO
Ralph Kennedy, MSW, CCRP , Center for African American Health, Denver, CO
Lucille Johnson, MA , Center for African American Health, Denver, CO
Zung Vu Tran, PhD , Department of Biostatistics and Informatics Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO
Tondeleyo Gonzalez, RN, BSN, MA , AMC Cancer Research, University of Colorado Cancer Center, Baltimore, MD
Alfred Marcus, PhD , University of Colorado Downtown and Health Sciences Center, Aurora, CO
Background: Using Community Based Participatory Research as a guiding framework, a faith-based diet, nutrition and physical activity intervention for African Americans was implemented and evaluated as a small scale randomized trial.

Methods: Five churches were recruited (intervention = 3, control = 2) resulting in an enrolled sample of 106 (intervention = 74, control= 32) men and women. The control group received a minimal intervention consisting of one educational workshop. Based on recommendations obtained from church members as part of four CBPR community summits, the Living Well By Faith intervention group received a more intensive 8-week program. Classes were held twice a week and included educational workshops, as well as exercise sessions. Both interventions were delivered at participating churches. Assessments for program evaluation occurred at baseline and 2-month follow-up. These included weight, blood pressure, resting heart rate, percent body fat, and physical fitness using the step test.

Results: The sample was predominantly African American, female and well educated. At baseline, no significant differences between intervention and control groups were found for any of the primary endpoints. At 2 months follow up, the intervention group, compared to the control group, showed significant decreases in weight (p<0.02), BMI (p<0.05), systolic blood pressure (p<0.10), and % body fat (p<0.03), with a significant increase in physical fitness (p<0.02).

Conclusion: This study provides an exemplar of CBPR research. Despite the fact that the intervention was only of 2 months duration, significant short-term effects were found.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
1. Explain how CBPR was operationalized using community summits. 2. Describe how an intervention of short duration can produce short-term improvements in weight, % body fat, and physical fitness. 3. Evaluate how conducting CBPR research in partnership with Faith-Based environments provides an excellent model for promoting healthy communities. 4. Design Model: Influencing Changes in Chronic Disease Management through multi-component behavioral programs 5. Discuss the limitations of the LWBF study and the need for more research

Keywords: African American, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the Program Manager (and intervention - design/developer) for the Living Well By Faith pilot study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.