Evidence map›Paper›PMID 29656913›Full record

Trial reportAmerican journal of preventive medicine2018

Faith, Activity, and Nutrition Randomized Dissemination and Implementation Study: Countywide Adoption, Reach, and Effectiveness.

Sara Wilcox, Ruth P Saunders, Andrew T Kaczynski, Melinda Forthofer, Patricia A Sharpe, Cheryl Goodwin, Margaret Condrasky, Vernon L Kennedy, Danielle E Jake-Schoffman, Deborah Kinnard and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02868866 (Faith, Activity, and Nutrition), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 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.

NCT02868866 nacompletednot on this map

Faith, Activity, and Nutrition: Dissemination in Underserved Communities

TypeinterventionalSponsorUniversity of South CarolinaRan2015 to 2019Enrolled1,807ConditionsPhysical Activity, Healthy EatingArmsImmediate Intervention
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Rural physical activity interventions in the United States: a systematic review and RE-AIM evaluation.The international journal of behavioral nutrition and physical activity · 2019
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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.

Sara WilcoxPrevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina. Electronic address: wilcoxs@mailbox.sc.edu.
Ruth P SaundersPrevention 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.
Andrew T KaczynskiPrevention 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.
Melinda ForthoferDepartment of Public Health Sciences, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, North Carolina.
Patricia A SharpePrevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Cheryl GoodwinFairfield Behavioral Health Services, Winnsboro, South Carolina.
Margaret CondraskyDepartment of Food, Nutrition, and Packaging Sciences, Clemson University, Clemson, South Carolina.
Vernon L KennedyFairfield Behavioral Health Services, Winnsboro, South Carolina.
Danielle E Jake-SchoffmanDivision of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Deborah KinnardPrevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Brent HuttoPrevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.

Funding

Faith, Activity, and Nutrition: Dissemination in Underserved CommunitiesU48DP005000 · DP · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI WILCOX, SARA · 2014 to 2019
$5.9M
ACL HHS U48DP005000NCCDPHP CDC HHS U48 DP005000
6 · The paper itself

Abstract

introductionFaith-based organizations can contribute to improving population health, but few dissemination and implementation studies exist. This paper reports countywide adoption, reach, and effectiveness from the Faith, Activity, and Nutrition dissemination and implementation study.

designThis was a group-randomized trial. Data were collected in 2016. Statistical analyses were conducted in 2017. SETTING/

participantsChurches in a rural, medically underserved county in South Carolina were invited to enroll, and attendees of enrolled churches were invited to complete questionnaires (n=1,308 participated).

interventionChurches (n=59) were randomized to an intervention or control (delayed intervention) condition. Church committees attended training focused on creating opportunities, setting guidelines/policies, sharing messages, and engaging pastors for physical activity (PA) and healthy eating (HE). Churches also received 12 months of telephone-based technical assistance. Community health advisors provided the training and technical assistance. MAIN OUTCOMES MEASURES: The Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework guided measurement of adoption and reach. To assess effectiveness, church attendees completed post-test only questionnaires of perceptions of church environment, PA and fruit and vegetable (FV) self-efficacy, FV intake, and PA. Regression models controlled for church clustering and predominant race of congregation, as well as member age, gender, education, and self-reported cancer diagnosis.

resultsChurch adoption was 42% (55/132). Estimated reach was 3,527, representing 42% of regular church attendees and 15% of county residents. Intervention church attendees reported greater church-level PA opportunities, PA and HE messages, and PA and HE pastor support (p<0.0001), but not FV opportunities (p=0.07). PA self-efficacy (p=0.07) and FV self-efficacy (p=0.21) were not significantly higher in attendees of intervention versus control churches. The proportion of inactive attendees was lower in intervention versus control churches (p=0.02). The proportion meeting FV (p=0.27) and PA guidelines (p=0.32) did not differ by group.

conclusionsThis innovative dissemination and implementation study had high adoption and reach with favorable environmental impacts, positioning it for broader dissemination.

trial registrationThis study is registered at www.clinicaltrials.gov NCT02868866.

Indexed as

Health BehaviorNutritional StatusDietDiet, HealthyExerciseFaith-Based OrganizationsFemaleHumansMaleMiddle AgedRural PopulationSouth CarolinaSurveys and Questionnaires

Identifiers

PMID29656913
PMCPMC6203293

What OpenQuestion holds

Textmetadata
LicenceTDM
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.