Online Program

Results from the goodnews (Genes, Nutrition, Exercise, Wellness, and Spiritual Growth) faith and health program for reducing the risk of cardiovascular disease in African-American congregations

Tuesday, November 5, 2013 : 8:30 a.m. - 8:50 a.m.

Mark J. DeHaven, PhD, Texas Prevention Institute (TPI), University of North Texas Health Science Center, Fort Worth, TX
Jenny Lee, PhD, MPH, CHES, Department of Family Medicine, University of North Texas Health Science Center, Fort Worth, TX
PURPOSE: Significant disparities persist in the prevalence, morbidity, and mortality associated with cardiovascular diseases (CVD) and major risk factors based on race and ethnicity; the NIH supports risk factor reduction as the most desirable strategy for reducing CVD morbidity and mortality in high-risk populations. METHODS: The GoodNEWS Program is a community-based participatory research (CBPR) project among twenty – eight (28) African-American congregations in Dallas, Texas. The partnership has existed for more than ten (10) years with significant community input and engagement. We recently completed a 3-year randomized NHLBI-funded study, testing the effectiveness of our CBPR partnership on changing eating behavior and increasing physical activity. RESULTS: Baseline data from October 2008 (N=392) indicate that most GoodNEWS participants are overweight (18.7%) or obese (67.3%), and almost one-half (48.3%) have metabolic syndrome. Participants have substantially higher levels of diagnosed disease compared to CDC national averages for African-American: heart disease (9.3% vs. 6.1%), diabetes (15.3% vs. 11.8%), high cholesterol (36.3% vs. 14.5%), and high blood pressure (47.5% vs. 31.6%). Eating a diet high in saturated fat was related to being overweight or obese (p<.0001), and being overweight or obese was associated with diabetes (p<.01) and hypertension (p<.0001). At follow-up the intervention group had significant reductions in food energy intake (kcal) at 18 months (p=.01) and 36 months (p=.003). A sustained caloric reduction of -520 kcal at 36 months is very promising. CONCLUSION: The GoodNEWS program demonstrates that a strong community partnership can contribute to reducing CVD risk among African-American adults in the community-congregation setting.

Learning Areas:

Chronic disease management and prevention

Learning Objectives:
Describe a community-based participatory research approach to reducing cardiovascular risk in the African-American faith setting.

Keyword(s): Community-Based Partnership, Adult Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a full tenured professor and have been principal investigator on numerous NIH grants.
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.