Dissemination and Implementation of Faith, Activity, and Nutrition

NCT02868866 | Completed

• 1 other identifier: Pro00036222
• Study Type: interventional
• Target: 1,807
• Locations: 1 country
• Sites: 3

Brief Summary

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.

Conditions

Physical Activity, Healthy Eating

Keywords

physical activity; nutrition; fruits and vegetables; faith-based; churches

Outcome Measures

Primary Outcomes (4)

• Adoption

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

  12 months

• Reach

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

  12 months

• Implementation fidelity

  Composite score consisting of implementation of core elements of the intervention

  12 months

• Maintenance

  organization maintenance of the intervention based on leader reports

  24 months

Secondary Outcomes (4)

• physical activity

  12 months

• fruit and vegetable intake

  12 months

• Self-efficacy for physical activity

  12 months

• Self-efficacy for fruit and vegetable intake

  12 months

Other Outcomes (1)

• Church environment

  12 months

Study Arms (2)

Immediate intervention

EXPERIMENTAL

Training of church committee followed by 12 months of technical assistance phone calls.

Behavioral: Immediate Intervention

Delayed intervention

NO INTERVENTION

20 churches are followed but receive no intervention.

Interventions

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.

Also known as: Faith, Activity, and Nutrition

Immediate intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• University of South Carolina: lead

Study Sites (3)

Clemson University

Clemson, South Carolina, 29634, United States

Location

University of South Carolina

Columbia, South Carolina, 29208, United States

Location

Fairfield Behavioral Health Services

Winnsboro, South Carolina, 29180, United States

Location

Related Publications (3)

• Wilcox S, Day KR, Saunders RP, Jake-Schoffman DE, Kaczynski AT, Stucker J, Dunn CG, Bernhart JA. The Faith, Activity, and Nutrition (FAN) dissemination and implementation study: changes in and maintenance of organizational practices over 24 months in a statewide initiative. Int J Behav Nutr Phys Act. 2022 Mar 2;19(1):23. doi: 10.1186/s12966-022-01253-9.

  PMID: 35236373 DERIVED

• Wilcox S, Saunders RP, Jake-Schoffman D, Hutto B. The Faith, Activity, and Nutrition (FAN) Dissemination and Implementation Study: 24-Month Organizational Maintenance in a Countywide Initiative. Front Public Health. 2020 May 14;8:171. doi: 10.3389/fpubh.2020.00171. eCollection 2020.

  PMID: 32528919 DERIVED

• Wilcox S, Saunders RP, Kaczynski AT, Forthofer M, Sharpe PA, Goodwin C, Condrasky M, Kennedy VL Sr, Jake-Schoffman DE, Kinnard D, Hutto B. Faith, Activity, and Nutrition Randomized Dissemination and Implementation Study: Countywide Adoption, Reach, and Effectiveness. Am J Prev Med. 2018 Jun;54(6):776-785. doi: 10.1016/j.amepre.2018.02.018. Epub 2018 Apr 12.

  PMID: 29656913 DERIVED

MeSH Terms

Conditions

Motor Activity

Interventions

Exercise; Nutritional Status

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Health Status; Demography; Population Characteristics

Study Officials

• Sara J Wilcox, PhD

  University of South Carolina

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: July 12, 2016
• First Posted: August 16, 2016
• Study Start: January 1, 2015
• Primary Completion: September 1, 2019
• Study Completion: September 1, 2019
• Last Updated: April 28, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (3)