Hunger Solutions Institute, Auburn University, 334B Spidle Hall, Auburn, AL 36849. Email:
Alabama High Obesity Program, Alabama Cooperative Extension System, Auburn University, Auburn, Alabama.
Prev Chronic Dis. 2019 Aug 29;16:E117. doi: 10.5888/pcd16.190057.
Recent shifts in public health approaches to reduce and prevent chronic disease encourage interventions to include multiple levels of the social ecological model. The objective of this 1-group pretest-posttest study was to determine differences in faith community policies and environments; interpersonal support; and individual behavior before and after Live Well Faith Communities, a 9-week, faith-based health promotion initiative. The study included a convenience sample of faith communities and participants. Validated instruments assessed faith communities' policies and environments and participants' interpersonal and individual practices and behaviors. Seventy-two small-group sessions with 737 adults were implemented in 14 faith communities. Faith communities adopted policies requiring healthy options for meals and snacks and implemented environmental changes to promote healthy eating and physical activity. Participants reported significant improvements in healthy eating encouragement, shopping practices, and vegetable consumption. Multilevel interventions prompt community organizations to become healthier places and individuals to adopt healthy lifestyles.
最近，公共卫生方法的转变旨在减少和预防慢性病，鼓励采取干预措施，将社会生态模式的多个层面包括在内。本 1 组预-后测试研究的目的是确定 Live Well Faith Communities（一项为期 9 周的基于信仰的健康促进计划）前后，信仰社区的政策和环境、人际支持以及个人行为方面的差异。该研究包括了信仰社区和参与者的便利样本。经过验证的工具评估了信仰社区的政策和环境，以及参与者的人际和个人实践和行为。在 14 个信仰社区中实施了 72 次 737 名成年人的小组会议。信仰社区通过了要求提供健康餐饮选择和实施环境变化的政策，以促进健康饮食和身体活动。参与者报告在鼓励健康饮食、购物习惯和蔬菜消费方面有显著改善。多层次的干预措施促使社区组织变得更加健康，个人也能采纳健康的生活方式。
