Together, physical inactivity and poor diet make up the second leading modifiable cause of death in the US. Racial disparities in these behaviors and associated health outcomes present major public health challenges.
The specific aims of the USC PRC for 2014-2019 build on a long and successful history of applied research and practice in underserved communities: 1) grow the Center infrastructure; 2) engage communities, state and local health departments, and other stakeholders to inform our activities; 3) implement an integrated set of strategies to disseminate Center research findings, products, and programs; 4) contribute to the development of skilled community members and public health professionals through training and technical assistance; 5) evaluate Center activities and outcomes; and 6) conduct an applied public health prevention research project. Achievement of these aims will lead to the following long-term outcomes: 1) increased translation of research into practice and policy; 2) improved environmental and system-wide strategies; 3) widespread use of evidence-based programs and policies; 4) enhanced community capacity for health promotion and disease prevention; 5) increased skilled public health professionals and community members; 6) expanded resources for applied public health research; and 7) increased recognition of and support for USC PRC research and activities. The USC PRC's applied research project will study the dissemination and implementation of an evidence-based program shown previously to significantly increase physical activity and fruit and vegetable intake in churches in South Carolina (Faith, Activity, and Nutrition; FAN). Guided by two theoretical frameworks, the specific aims of the applied research project are to: 1) examine the adoption and reach of FAN in churches and organizational factors associated with adoption; 2) characterize implementation fidelity and multilevel factors associated with implementation; 3) describe organizational maintenance of FAN and factors associated with maintenance; and 4) study the effectiveness of FAN. In Phase 1, we will randomize churches in a rural county with a high proportion of African American residents to receive training in FAN from a community health advisor (n=40) or to be part of a delayed intervention control group (n=20). This phase will allow us to study dissemination and implementation in a range of diverse religious denominations and gain greater understanding of how local coalitions can reach faith-based communities as settings for intervention. In Phase 2, we will work with two large faith denominations in SC, including one that is predominantly African American, to disseminate the program statewide. This phase will allow us to identify key considerations in program dissemination, adoption, and implementation and to examine the potential for broader geographic dissemination. Increasing physical activity and fruit and vegetable consumption are important goals of the CDC's Winnable Battles and the National Center for Chronic Disease Prevention and Health Promotion's environmental approach to preventing chronic disease and promoting health.

Public Health Relevance

Physical inactivity and poor diet contribute to the leading causes of death in the US, and racial disparities are marked in these behaviors and associated outcomes. This proposal seeks to address these major public health problems by creating a Center infrastructure that engages communities, health departments, and key stakeholders; disseminates findings, products, and programs; contributes to the development of skilled community members and public health professionals; and evaluates its efforts. The proposed innovative and integrated applied research project will contribute to research and practice regarding how to disseminate and implement evidence-based programs into faith settings.

Agency
National Institute of Health (NIH)
Institute
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Type
Health Promotion and Disease Prevention Research Centers (U48)
Project #
5U48DP005000-02
Application #
8853791
Study Section
Special Emphasis Panel (ZDP1)
Program Officer
Brown, Michael
Project Start
2014-09-30
Project End
2019-09-29
Budget Start
2015-09-30
Budget End
2016-09-29
Support Year
2
Fiscal Year
2015
Total Cost
Indirect Cost
Name
University of South Carolina at Columbia
Department
Other Health Professions
Type
Schools of Public Health
DUNS #
041387846
City
Columbia
State
SC
Country
United States
Zip Code
29208
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Choi, Seul Ki; Seel, Jessica S; Steck, Susan E et al. (2018) Talking About Your Prostate: Perspectives from Providers and Community Members. J Cancer Educ 33:1052-1060
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Baruth, Meghan; Wilcox, Sara; Jake-Schoffman, Danielle E et al. (2018) Effects of a Self-Directed Nutrition Intervention Among Adults With Chronic Health Conditions. Health Educ Behav 45:61-67
Kaczynski, Andrew T; Jake-Schoffman, Danielle E; Peters, Nathan A et al. (2018) Development and Testing of the Church Environment Audit Tool. Am J Health Behav 42:17-26
Adams, Swann Arp; Rohweder, Catherine L; Leeman, Jennifer et al. (2018) Use of Evidence-Based Interventions and Implementation Strategies to Increase Colorectal Cancer Screening in Federally Qualified Health Centers. J Community Health :
Sharpe, Patricia A; Wilcox, Sara; Kinnard, Deborah et al. (2018) Community Health Advisors' Participation in a Dissemination and Implementation Study of an Evidence-Based Physical Activity and Healthy Eating Program in a Faith-Based Setting. J Community Health 43:694-704
Choi, Seul Ki; Rose, India D; Friedman, Daniela B (2018) How Is Literacy Being Defined and Measured in Dementia Research? A Scoping Review. Gerontol Geriatr Med 4:2333721418812246
Wilcox, Sara; Saunders, Ruth P; Kaczynski, Andrew T et al. (2018) Faith, Activity, and Nutrition Randomized Dissemination and Implementation Study: Countywide Adoption, Reach, and Effectiveness. Am J Prev Med 54:776-785
Kannaley, Kristie; Mehta, Shreya; Yelton, Brooks et al. (2018) Thematic analysis of blog narratives written by people with Alzheimer's disease and other dementias and care partners. Dementia (London) :1471301218768162

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