We established an academic-community partnership and used a community-based participatory research (CBPR) approach to develop, implement and evaluate a behavioral intervention to increase fruit and vegetable intake and physical activity. Our novel interventions integrated disease (cancer and cardiovascular), behavioral (diet, physical activity), and psychological (risk comprehension, self-efficacy) foci Results from our randomized trial comparing the effects of integrated versus disease-specific risk education show that both approaches have considerable reach among community residents and beneficial effects on behavioral outcomes. Several important questions remain: Which strategies are most effective for disseminating interventions into real-world settings and what type of support is most likely to lead to implementation of these strategies? Our preliminary research suggests that community residents are interested in receiving the results of research conducted to improve health behaviors, but empirical data are not available on uptake of this type of community education strategy and its effects on beliefs about health promotion and disease prevention research and lifestyle behaviors. Therefore, in response to RFA number and title, we propose to evaluate the effects of alternate strategies for disseminating and implementing our risk education protocols among community-based organizations and residents as part of the following specific aims: 1) To determine if African American residents in the Philadelphia metropolitan area who receive targeted community-based dissemination strategies about research results report a) improved individual knowledge and/or adoption of positive health behaviors and b) increased levels of trust and/or willingness to participate in research. 2) To evaluate which of two implementation strategies (e.g., informational workshops alone or informational workshops accompanied by ongoing technical assistance) is more effective for increasing adoption of risk education programs among community-based organizations in the Philadelphia metropolitan area.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Resource-Related Research Projects (R24)
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Special Emphasis Panel (ZMD1-RN (01))
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Dankwa-Mullan, Irene
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University of Pennsylvania
Schools of Medicine
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Rice, LaShanta J; Hughes, Brenda; Briggs, Vanessa et al. (2016) Perceived Efficacy and Control for Neighborhood Change: the Cross-Cutting Role of Collective Efficacy. J Racial Ethn Health Disparities 3:667-675
Halbert, Chanita Hughes; Melvin, Cathy; Briggs, Vanessa et al. (2016) Neighborhood Satisfaction and Colorectal Cancer Screening in a Community Sample of African Americans. J Community Health 41:38-45
Melvin, Cathy L; Saef, Steven H; Pierce, Holly O et al. (2016) Health Information Exchange in the ED: What Do ED Clinicians Think? South Med J 109:419-26
Halbert, Chanita Hughes; Briggs, Vanessa; Bowman, Marjorie et al. (2014) Acceptance of a community-based navigator program for cancer control among urban African Americans. Health Educ Res 29:97-108
Halbert, Chanita Hughes; Bellamy, Scarlett; Briggs, Vanessa et al. (2014) Intervention completion rates among African Americans in a randomized effectiveness trial for diet and physical activity changes. Cancer Epidemiol Biomarkers Prev 23:1306-13
Halbert, Chanita Hughes; Bellamy, Scarlett; Briggs, Vanessa et al. (2014) Collective efficacy and obesity-related health behaviors in a community sample of African Americans. J Community Health 39:124-31
Weathers, Benita; Barg, Frances K; Bowman, Marjorie et al. (2011) Using a mixed-methods approach to identify health concerns in an African American community. Am J Public Health 101:2087-92
Halbert, Chanita Hughes; Kumanyika, Shiriki; Bowman, Marjorie et al. (2010) Participation rates and representativeness of African Americans recruited to a health promotion program. Health Educ Res 25:6-13
Halbert, Chanita Hughes; Bellamy, Scarlett; Bowman, Marjorie et al. (2010) Effects of integrated risk counseling for cancer and cardiovascular disease in African Americans. J Natl Med Assoc 102:396-402
Halbert, Chanita Hughes; Wetter, David W (2008) Introduction to the special section on cancer disparities. Cancer Epidemiol Biomarkers Prev 17:2906-7

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