Evidence map›Paper›PMID 28118823›Full record

ArticleBMC public health2017

Improving heart health among Black/African American women using civic engagement: a pilot study.

Alison G M Brown, Linda B Hudson, Kenneth Chui, Nesly Metayer, Namibia Lebron-Torres, Rebecca A Seguin, Sara C Folta

2 registry-linked trialsAbstract read
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02173366 nacompletednot on this map

Preliminary Investigation of Civic Engagement as a Novel Approach to Behavior Change and Body Weight Improvement in African American Females

TypeinterventionalSponsorTufts UniversityRan2013 to 2017Enrolled26ConditionsObesity, Cardiovascular DiseaseArmsChange Club Intervention
NCT07053644 narecruitingnot on this mapstarted 2025, after this paper: background citation

Community-derived Multilevel-Multicomponent Nutrition Intervention to Reduce Food Access Disparities -FRESH-EATS

TypeinterventionalSponsorUniversity of South FloridaRan2025 to 2026Enrolled48ConditionsDietary Behaviors, Obesity and OverweightArmsFRESH-EATS, Lagged Intervention Control Group
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Implementation of Change Club action plans to promote built environment change in rural communities.The international journal of behavioral nutrition and physical activity · 2026
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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

7 authors.

Alison G M BrownTufts University Friedman School of Nutrition Science and Policy, Boston, MA, USA. alison.brown@tufts.edu.
Linda B HudsonDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
Kenneth ChuiDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
Nesly MetayerMoakley Center for Public Management, Suffolk University, Boston, MA, USA.
Namibia Lebron-TorresTufts University Friedman School of Nutrition Science and Policy, Boston, MA, USA.
Rebecca A SeguinCornell University College of Human Ecology, Ithaca, NY, USA.
Sara C FoltaTufts University Friedman School of Nutrition Science and Policy, Boston, MA, USA.

Funding

Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
NCATS NIH HHS UL1 TR001064
6 · The paper itself

Abstract

backgroundDespite increased risk for cardiovascular disease (CVD) and related conditions, evaluations of health interventions indicate that Black/African American women are less likely to benefit than their white counterparts and are not as likely to engage in behaviors that reduce CVD risk. The purpose of this study was to test the feasibility and effectiveness of civic engagement as an intervention strategy to address heart health in Black/African American women.

methodsUsing a quasi-experimental pre-post study design, civic engagement was tested by convening a convenience sample of self-identified Black/African American women, ages 30-70 years, English-speaking, and BMI ≥25.0 (n = 28) into "Change Clubs" in four churches. Feasibility was examined through adherence, satisfaction, retention, and ability of Change Clubs to meet at least 50% of self-identified action steps for community change. Effectiveness data included: dietary intake, measures of physical activity, cardiorespiratory fitness, blood pressure, and anthropometrics. Psychosocial factors hypothesized to serve as the mechanisms by which civic engagement enacts behavior change were also assessed.

resultsAt baseline, the study sample (n = 28) had a mean age of 50.5 y; 53.6% had an associate degree or higher; 60.7% had an income of $35,000 or higher; and 57.4% were employed full time. At the conclusion of the study, all participants were satisfied with the progress of their Change Club and with the overall experience and Change Clubs met their self-identified action steps for community change. The intervention had a significant effect on finish time on the cardiorespiratory fitness test (p < 0.001) and systolic blood pressure (p < 0.001).

conclusionsStudy results suggest feasibility and evidence of preliminary effectiveness of using a civic engagement approach to address behavior change in a way that is appealing and acceptable to Black/African American women.

trial registrationNCT02173366.

Indexed as

Health BehaviorAdultAgedBlack or African AmericanBostonCardiovascular DiseasesCommunity ParticipationExerciseFeasibility StudiesFemaleHealth PromotionHumansMiddle AgedNon-Randomized Controlled Trials as TopicPilot ProjectsBlacks/African AmericansCardiovascular diseaseHealth disparitiesLifestyle behaviors Socioecological model

Identifiers

PMID28118823
PMCPMC5259944

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.