Online Program

CBPR: Evaluation of Faith-Based Health Promotion Interventions

Tuesday, November 3, 2015

Meghan Slining, PhD, MPH, Health Sciences Department, Furman University, Greenville, SC
Carmel Price, PhD, Department of Behavioral Sciences, University of Michigan-Dearborn, Dearborn
Lynette Gibson, PhD, RN, Mary Black School of Nursing, University of South Carolina Upstate, Greenville, SC
Alicia Powers, PhD, Health Sciences Department, Furman University, Greenville, SC
Catherine Thurston, Health Sciences Department, Furman University, Greenville, SC
Faith-based organizations are increasingly common settings in which to conduct health promotion programs. Although growing evidence supports the efficacy of faith-based health interventions, less is known about the effectiveness of such interventions under real-world conditions. LiveWell Greenville’s (LWG) At Worship project utilizes a community-based participatory research (CBPR) framework to support faith communities in policy and environmental changes aimed at helping members achieve a healthier lifestyle.

Between August of 2013 and June of 2015, seven congregations (590 respondents) will have completed a 1-year congregation-led health promotion intervention. Congregations utilize baseline survey results on congregants’ health beliefs, practices and conditions to develop tailored health promotion programs with guidance from LWG technical staff. Baseline and follow-up surveys are administered during the primary weekly service for each congregation. Analyses include chi-square tests and t-tests to evaluate changes in individual health beliefs, practices and conditions.

Respondents were primarily African American, female and over 45 years old. Preliminary analyses with a sample of 173 respondents from two congregations found significant changes (p<0.05) in nutrition and physical activity behaviors and reported health conditions. Specifically, respondents reported increased motivation for exercise and regular participation in physical activity (dance class, gym and home exercise), decreased regular offerings of fried foods, chips, baked goods, sweets and sodas at church events, and decreased diagnosis of high blood pressure. Final analyses will include follow-up data from the remaining five congregations.

Preliminary results suggest that tailoring a faith-based health promotion intervention is acceptable, feasible and effective in improving nutrition and physical activity behaviors.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the steps taken in the development and implementation of a congregation-led health promotion intervention. Identify clinical and behavioral changes between baseline and 1-year follow-up. Identify challenges, opportunities and lessons learned across the intervention.

Keyword(s): Faith Community, Community-Based Research (CBPR)

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a nutrition epidemiologist with a focus on obesity. I have published over 25 manuscripts examining determinants and consequences of weight status. Among my scientific interests is the prevention of overweight/obesity in vulnerable populations.
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.