Wilcox Sara, Laken Marilyn, Bopp Melissa, Gethers Octavia, Huang Peng, McClorin Lottie, Parrott Allen W, Swinton Rosetta, Yancey Antronette
Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29208, USA.
Am J Prev Med. 2007 Feb;32(2):131-8. doi: 10.1016/j.amepre.2006.10.009.
Faith-based interventions using a community-based participatory approach hold promise for eliminating ethnic health disparities. This study evaluated the effects of a volunteer-led statewide program to increase physical activity among members of African-American churches.
African Methodist Episcopal churches within six regions (Conferences) were randomly assigned to receive training in the program immediately or 1 year later. A cohort of 20 randomly selected churches and 571 members within them took part in telephone surveys at baseline (May-September 2003) and 1 year (May-August 2004) and 2 years later (June-September 2005). Primary outcomes were physical activity participation, meeting physical activity recommendations, and stage of readiness for physical activity change. Statistical analyses were completed in April 2006.
Volunteers (N=889) from 303 churches were trained. Among survey respondents, physical activity did not increase significantly over time, although 67% were aware of the program. Program awareness was significantly related to all three physical activity outcomes and to fruit and vegetable consumption. Pastoral support was significantly associated with physical activity.
Although this intervention reached a large number of churches and created awareness of intervention components, no effects on physical activity behaviors were found. Potential reasons for the lack of significant effects are discussed.
采用基于社区参与方法的宗教信仰干预措施有望消除种族健康差异。本研究评估了一项由志愿者主导的全州范围项目对非裔美国人教会成员增加身体活动的影响。
六个地区（会议区）内的非洲卫理公会教堂被随机分配，立即或在1年后接受该项目的培训。一组由20个随机选取的教堂及其571名成员组成，在基线期（2003年5月至9月）、1年后（2004年5月至8月）和2年后（2005年6月至9月）参与电话调查。主要结果是身体活动参与情况、达到身体活动建议标准情况以及身体活动改变的准备阶段。统计分析于2006年4月完成。
来自303个教堂的889名志愿者接受了培训。在调查对象中，尽管67%的人知晓该项目，但随着时间推移身体活动并未显著增加。项目知晓度与所有三项身体活动结果以及水果和蔬菜摄入量显著相关。牧师的支持与身体活动显著相关。
尽管这项干预措施覆盖了大量教堂并提高了对干预内容的知晓度，但未发现对身体活动行为有影响。文中讨论了缺乏显著效果的潜在原因。
