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Completed

NCT Number: NCT02868866

Dissemination and Implementation of Faith, Activity, and Nutrition

This dissemination and implementation study will examine the impact of the Faith, Activity, and Nutrition (FAN) program on both church practices and member behaviors in both a countywide (randomized trial) and statewide (quasi-experimental) study. Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN.

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Key information

Conditions

Physical Activity, Healthy Eating Behavior Motor Activity

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Clemson University, Clemson, South Carolina, United States

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About this study

The USC PRC's applied research project will study the dissemination and implementation of an evidence-based program shown previously to significantly increase physical activity and fruit and vegetable intake in churches in South Carolina (Faith, Activity, and Nutrition; FAN). Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN. In Phase 1, churches in a rural county with a high proportion of African American residents will be randomized to receive training in FAN from a community health advisor (n=40) or to be part of a delayed intervention control group (n=20). In Phase 2, a quasi-experimental study will be done with a large religious denomination in SC (churches are not randomized).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Phase 1 churches: church in Fairfield County, SC with at least 20 members who regularly attend worship service
  • Phase 2 churches: church in the SC Conference of the United Methodist Church
  • Members (phase 1): adult who regularly attends church participating in the study

Exclusion criteria

  • Members (phase 1): under the age of 18
  • Members (phase 1): does not regularly attend church participating in the study

Treatment and study plan

Immediate intervention

Behavioral

Committees from 40 churches will be trained in the Faith, Activity, and Nutrition program by Community Health Advisors. The training focuses on helping churches create healthier church environments for physical activity and healthy eating using Cohen's structural model of health behavior as a guide. Each church committee participates in a full-day training and submits a program plan and budget. Churches receive materials to support implementation of the program. After the full-day training, trained churches receive 12 monthly technical assistance calls to help them implement their program plan. The church coordinator receives 8 calls and the pastor receives 4 calls over the 12 months. In Phase 2, the intervention is open to any church in the SC Conference of the United Methodist Church.

Other names: Faith, Activity, and Nutrition

Primary outcomes

  1. Adoption

    Time frame: 12 months

    (# of eligible churches that are trained / # of eligible churches)*100

  2. Reach

    Time frame: 12 months

    (# of church members in trained churches / # of members of all eligible churches)*100

  3. Implementation fidelity

    Time frame: 12 months

    Composite score consisting of implementation of core elements of the intervention

  4. Maintenance

    Time frame: 24 months

    organization maintenance of the intervention based on leader reports

Secondary outcomes

  1. physical activity

    Time frame: 12 months

    Self-reported proportion of members meeting physical activity recommendations using (only for phase 1 of study)

  2. fruit and vegetable intake

    Time frame: 12 months

    Self-reported cups per day of fruits and vegetables (only for phase 1 of study)

  3. Self-efficacy for physical activity

    Time frame: 12 months

    Self-reported self-efficacy for physical activity (average of scale items) (only for phase 1 of study)

  4. Self-efficacy for fruit and vegetable intake

    Time frame: 12 months

    Self-reported self-efficacy for fruit and vegetable intake (average of scale items) (only for phase 1 of study)

Other outcomes

  1. Church environment

    Time frame: 12 months

    Church environmental factors that impede or promote physical activity and healthy eating, assessed through staff observations (only for phase 1 of study)

Sponsors and collaborators

Lead sponsor

University of South Carolina

Other

Registry information

Official study title

Faith, Activity, and Nutrition: Dissemination in Underserved Communities

Important dates

Study start
2015
Primary completion
2019
Study completion
2019
First posted
Aug 16, 2016
Registry last updated
Apr 28, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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