Campbell Marci Kramish, Resnicow Ken, Carr Carol, Wang Terry, Williams Alexis
Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill 27599-7461, USA.
Health Educ Behav. 2007 Dec;34(6):864-80. doi: 10.1177/1090198106292020. Epub 2006 Dec 15.
Body & Soul has demonstrated effectiveness as a dietary intervention among African American church members. The process evaluation assessed relationships between program exposure and implementation factors and study outcomes and characterized factors important for adoption, implementation, and maintenance. Data sources included participant surveys and qualitative interviews with program staff, church liaisons, and volunteer advisors who conducted motivational interviewing (MI) calls. Outcomes included changes in dietary intake and psychosocial variables. Process variables included program exposure, participation, and dose and perceptions about MI calls. Results showed that attendance at project events, receiving educational materials, and self-reported quality of the MI calls were associated with significantly (p < .05) greater fruit and vegetable intake, decreased fat consumption, and other secondary outcomes. Interviews indicated implementation and sustainability issues and needs including more training to enhance MI implementation as well as ongoing support and resources. The results have implications for future dissemination efforts of Body & Soul.
“身心兼修”项目已证明作为一种饮食干预措施，对非裔美国教会成员是有效的。过程评估考察了项目接触与实施因素和研究结果之间的关系，并确定了对采用、实施和维持该项目至关重要的因素。数据来源包括参与者调查，以及对项目工作人员、教会联络人以及进行动机性访谈（MI）电话沟通的志愿者顾问的定性访谈。结果包括饮食摄入量和心理社会变量的变化。过程变量包括项目接触、参与情况、剂量以及对MI电话沟通的看法。结果显示，参加项目活动、收到教育材料以及自我报告的MI电话沟通质量与水果和蔬菜摄入量显著增加（p < .05）、脂肪消耗量减少以及其他次要结果相关。访谈指出了实施和可持续性方面的问题与需求，包括需要更多培训以加强MI的实施，以及持续的支持和资源。这些结果对“身心兼修”项目未来的推广工作具有启示意义。
