Evaluating the dissemination of Body & Soul, an evidence-based fruit and vegetable intake intervention: challenges for dissemination and implementation research

Details

• Alternative Title:
  J Nutr Educ Behav
• Personal Author:
  Allicock, Marlyn ; Campbell, Marci K. ; Valle, Carmina G. ; Carr, Carol ; Resnicow, Ken ; Gizlice, Ziya
• Description:
  Objective
  
  To evaluate whether the evidence-based Body & Soul program, when disseminated and implemented without researcher or agency involvement and support, would achieve similar results to earlier efficacy and effectiveness trials.
  
  Design
  
  Prospective group randomized trial.
  
  Setting
  
  Churches with predominantly African American membership.
  
  Participants
  
  A total of 1033 members from the fifteen churches completed baseline surveys. Of these, 562 (54.4%) completed the follow-up survey six months later.
  
  Intervention
  
  Church-based nutrition program for African Americans that included pastoral involvement, educational activities, church environmental changes, and peer counseling.
  
  Main Outcome Measure
  
  Daily fruit and vegetable (FV) intake was assessed at pre- and post-test.
  
  Analysis
  
  Mixed-effects linear models.
  
  Results
  
  At posttest, there was no statistically significant difference in daily servings of FV between the early intervention group participants compared to control group participants (4.7 vs, 4.4, P=0.38). Process evaluation suggested that added resources such as technical assistance could improve program implementation.
  
  Conclusions and Implications
  
  The disseminated program may not produce improvements in FV intake equal to those in the earlier efficacy and effectiveness trials, primarily due to lack of program implementation. Program dissemination may not achieve public health impact unless support systems are strengthened for adequate implementation at the church level.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Black Or African American Female Fruit Health Promotion Humans Linear Models Male Middle Aged Nutritional Sciences Outcome And Process Assessment, Health Care Pastoral Care Program Evaluation Prospective Studies Vegetables Young Adult

  More +
• Source:
  J Nutr Educ Behav. 2011; 44(6):530-538
• Pubmed ID:
  22406012
• Pubmed Central ID:
  PMC3374882
• Document Type:
  Journal Article
• Funding:
  U01 CA114629-02/CA/NCI NIH HHS/United States ; U01 CA114629-03/CA/NCI NIH HHS/United States ; P50 CA058223/CA/NCI NIH HHS/United States ; U01 CA114629/CA/NCI NIH HHS/United States ; P30 DK056350/DK/NIDDK NIH HHS/United States ; 3-U48-DP000059-02S1/DP/NCCDPHP CDC HHS/United States ; U01 CA114629-01/CA/NCI NIH HHS/United States ; U48 DP000059/DP/NCCDPHP CDC HHS/United States
• Volume:
  44
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d1927f6148ed58f22a9f83cefaa4adba5ca0007acb0eb1b85dbc20663dedb121
• Download URL:
  https://stacks.cdc.gov/view/cdc/33383/cdc_33383_DS1.pdf
• File Type:
  [PDF - 307.66 KB ]