Evidence map›Paper›PMID 40629915›Full record

Trial reportEthnicity & health2025

MOCHA Moving Forward: findings and lessons learned from implementing a community-based chronic disease prevention study with middle-aged black men.

Luis A Valdez, Jeffery Markham, Lamont Scott, Sharina Person, Jerrold Meyer, Dean Robinson, David R Buchanan

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Ethnicity & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Trial
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.

Luis A ValdezDepartment of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Jeffery MarkhamDepartment of Health Promotion and Policy, University of Massachusetts, Amherst, MA, USA.
Lamont ScottMen of Color Health Awareness (MOCHA) Project, Springfield, MA, USA.
Sharina PersonUniversity of Massachusetts Chan Medical School, Worcester, MA, USA.
Jerrold MeyerDepartment of Psychological and Brain Sciences, University of Massachusetts, Amherst, MA, USA.
Dean RobinsonDepartment of Political Science, University of Massachusetts, Amherst, MA, USA.
David R BuchananDepartment of Health Promotion and Policy, University of Massachusetts, Amherst, MA, USA.

Funding

MOCHA Moving Forward: a CBPR investigation of chronic disease prevention in older, low-income African-American menU01MD010618 · NIMHD · UNIVERSITY OF MASSACHUSETTS AMHERST · PI BUCHANAN, DAVID R., GRAHAM, LOUIS F · 2016 to 2018
$1.3M
MOCHA Moving Forward: a CBPR investigation of chronic disease prevention in older, low-income African-American menR01MD010618 · NIMHD · UNIVERSITY OF MASSACHUSETTS AMHERST · PI BUCHANAN, DAVID R., GUBRIUM, ALINE CAMILLE · 2019 to 2020
$1.1M
NIMHD NIH HHS R01 MD010618NIMHD NIH HHS U01 MD010618
6 · The paper itself

Abstract

objectivesBlack men in the U.S. experience disproportionately high rates of diabetes, cardiovascular disease, and prostate cancer - conditions closely linked to chronic stressors such as racial discrimination, economic precarity, and gender role strain. In response, the Men of Color Health Awareness (MOCHA) program was developed to promote the physical, mental, social, and spiritual well-being of men of color through culturally grounded discussions on structural violence, coping, and masculinity. This paper presents findings and key implementation lessons from the MOCHA Moving Forward study, which tested two intervention models: the original MOCHA program (MO) and MOCHA+, an enhanced version incorporating culturally adapted narrative dialogue.

designThis community-academic feasibility trial randomized 210 men aged 35-70 into MO or MOCHA+ groups. Both participated in a 10-week program focused on stress and chronic disease prevention.

resultsAmong participants who completed the program, statistically significant reductions were found in self-reported stress, BMI, anxiety, and depression in the MO group. When combining MO and MOCHA+ participants, reductions in stress and BMI remained significant. However, high attrition and loss to follow-up (final sample: 38) posed challenges to feasibility and scalability.

conclusionDespite retention challenges, findings suggest MOCHA is a promising intervention for stress and chronic disease risk reduction among men of color. The significant outcomes observed among completers highlight the program's potential and provide critical insights for improving the feasibility of future community-based interventions. Future research should explore scalable adaptations and further refine MOCHA's culturally tailored content to better support structurally marginalized populations.

Indexed as

Black or African AmericanHealth PromotionAdaptation, PsychologicalAdultAgedChronic DiseaseDepressionFeasibility StudiesHumansMaleMiddle AgedStress, PsychologicalUnited StatesWhiteBlack menchronic diseaseGender equalityGood health and wellbeinghealth inequitiesinterventionmen’s healthNo povertyReduced inequalitiesstress

Identifiers

PMID40629915
PMCPMC12376729

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Registered trials

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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.