Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Prev Chronic Dis. 2021 Jan 14;18:E05. doi: 10.5888/pcd18.200224.
Implementation research of health programs in faith-based organizations is lacking. The Faith, Activity, and Nutrition (FAN) program helps churches improve physical activity and fruit and vegetable behaviors of members. This study examined associations between implementation of FAN intervention components and church members' physical activity, fruit and vegetable behaviors, and self-efficacy for improving these behaviors. FAN was implemented in 35 churches in a southeastern US county. After attending in-person training, led by community health advisors, church committees received 12 months of telephone-delivered technical assistance to implement FAN according to 4 components: increasing opportunities, increasing guidelines and policies, increasing pastor support, and increasing messages for physical activity and healthy eating in their church. In this correlational study, FAN coordinators (n = 35) for each church reported baseline practices in 2015 and 12-month follow-up implementation of the 4 components for physical activity and healthy eating in 2016. Church members (n = 893) reported perceived implementation, physical activity and fruit and vegetable behaviors, and self-efficacy at 12-month follow-up in 2016. Independent variables were coordinator-reported baseline practices, baseline-adjusted 12-month implementation, and member-perceived 12-month implementation. Multilevel modeling examined associations between independent variables and member-reported 12-month physical activity and fruit and vegetable behaviors and self-efficacy. Coordinator-reported 12-month implementation of fruit and vegetable opportunities was associated with member fruit and vegetable consumption. Member perceptions at 12 months of church physical activity opportunities, pastor support, and messages were associated with higher self-efficacy for physical activity; pastor support and messages were positively associated with physical activity. Member perceptions at 12 months of fruit and vegetable opportunities, pastor support, and messages were associated with higher fruit and vegetable consumption and self-efficacy. Member-perceived implementation was more strongly associated with member behaviors than coordinator-reported implementation. Providing opportunities for healthy eating during already scheduled events may be an effective strategy for improving fruit and vegetable behavior.
信仰组织中健康项目的实施研究还很缺乏。信仰、活动和营养（FAN）计划帮助教堂提高成员的身体活动和水果及蔬菜的食用行为。本研究调查了 FAN 干预措施各组成部分的实施与教会成员的身体活动、水果和蔬菜的食用行为以及改善这些行为的自我效能之间的关联。FAN 在东南部美国一个县的 35 个教堂实施。在由社区健康顾问领导的现场培训后，教堂委员会接受了为期 12 个月的电话技术援助，根据以下四个组成部分实施 FAN：增加机会、增加准则和政策、增加牧师支持以及在教堂中增加关于身体活动和健康饮食的信息。在这项相关性研究中，每个教堂的 FAN 协调员（n = 35）报告了 2015 年的基线实践情况以及 2016 年四个组成部分在身体活动和健康饮食方面的 12 个月实施情况。教会成员（n = 893）在 2016 年报告了 12 个月的随访实施情况。自变量为协调员报告的基线实践情况、基线调整后的 12 个月实施情况以及成员感知的 12 个月实施情况。多水平模型检查了自变量与成员报告的 12 个月身体活动和水果及蔬菜食用行为和自我效能之间的关联。协调员报告的 12 个月水果和蔬菜机会的实施情况与成员的水果和蔬菜食用情况相关。成员在 12 个月时对教会身体活动机会、牧师支持和信息的看法与更高的身体活动自我效能相关；牧师支持和信息与身体活动呈正相关。成员在 12 个月时对水果和蔬菜机会、牧师支持和信息的看法与更高的水果和蔬菜食用量和自我效能相关。成员感知的实施情况与成员行为的相关性强于协调员报告的实施情况。在已经安排好的活动中为健康饮食提供机会可能是改善水果和蔬菜食用行为的有效策略。
