Evidence map›Paper›PMID 26515276›Full record

Trial reportHealth education & behavior : the official publication of the Society for Public Health Education2016

Cluster Randomized Trial of a Church-Based Peer Counselor and Tailored Newsletter Intervention to Promote Colorectal Cancer Screening and Physical Activity Among Older African Americans.

Lucia A Leone, Marlyn Allicock, Michael P Pignone, Joan F Walsh, La-Shell Johnson, Janelle Armstrong-Brown, Carol C Carr, Aisha Langford, Andy Ni, Ken Resnicow and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Health education & behavior : the official publication of the Society for Public Health Education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  13. Barriers and facilitators to the engagement of physical activity among Black and African American cancer survivors during and after treatments.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Lucia A LeoneUniversity of North Carolina at Chapel Hill, NC, USA University at Buffalo, Buffalo, NY, USA lucialeo@buffalo.edu.
Marlyn AllicockUniversity of North Carolina at Chapel Hill, NC, USA University of Texas, Dallas, TX, USA.
Michael P PignoneUniversity of North Carolina at Chapel Hill, NC, USA.
Joan F WalshUniversity of North Carolina at Chapel Hill, NC, USA.
La-Shell JohnsonUniversity of North Carolina at Chapel Hill, NC, USA.
Janelle Armstrong-BrownRTI International, Research Triangle Park, NC, USA.
Carol C CarrUniversity of North Carolina at Chapel Hill, NC, USA.
Aisha LangfordNew York University, New York, NY, USA.
Andy NiUniversity of North Carolina at Chapel Hill, NC, USA.
Ken ResnicowUniversity of Michigan, Ann Arbor, MI, USA.
Marci K CampbellUniversity of North Carolina at Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USNew York University · USRTI International · USUniversity of Michigan–Ann Arbor · US

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
Cancer Health Disparities Training ProgramT32CA128582 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN, TATE, DEBORAH F. · 2009 to 2023
$3.4M
NCI NIH HHS T32 CA128582NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

Action Through Churches in Time to Save Lives (ACTS) of Wellness was a cluster randomized controlled trial developed to promote colorectal cancer screening and physical activity (PA) within urban African American churches. Churches were recruited from North Carolina (n = 12) and Michigan (n = 7) and were randomized to intervention (n = 10) or comparison (n = 9). Intervention participants received three mailed tailored newsletters addressing colorectal cancer screening and PA behaviors over approximately 6 months. Individuals who were not up-to-date for screening at baseline could also receive motivational calls from a peer counselor. The main outcomes were up-to-date colorectal cancer screening and Metabolic Equivalency Task (MET)-hours/week of moderate-vigorous PA. Multivariate analyses examined changes in the main outcomes controlling for church cluster, gender, marital status, weight, and baseline values. Baseline screening was high in both intervention (75.9%, n = 374) and comparison groups (73.7%, n = 338). Screening increased at follow-up: +6.4 and +4.7 percentage points for intervention and comparison, respectively (p = .25). Baseline MET-hours/week of PA was 7.8 (95% confidence interval [6.8, 8.7]) for intervention and 8.7 (95% confidence interval [7.6, 9.8]) for the comparison group. There were no significant changes (p = .15) in PA for intervention (-0.30 MET-hours/week) compared with the comparison (-0.05 MET-hours/week). Among intervention participants, PA increased more for those who participated in church exercise programs, and screening improved more for those who spoke with a peer counselor or recalled the newsletters. Overall, the intervention did not improve PA or screening in an urban church population. These findings support previous research indicating that structured PA opportunities are necessary to promote change in PA and churches need more support to initiate effective peer counselor programs.

Indexed as

Health Knowledge, Attitudes, PracticeReligion and MedicineAgedBlack or African AmericanColonoscopyColorectal NeoplasmsCounselingEarly Detection of CancerExerciseFemaleHealth PromotionHumansMaleMichiganMiddle AgedMultivariate AnalysisAfrican Americanchurch-basedcolorectal cancer screeningpeer counselingphysical activitytailored health messages

Identifiers

PMID26515276
PMCPMC5963515
OpenAlexW2310415517

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.