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CompletedNCT00379925Updated Apr 28, 2021

Effectiveness of a Church-Based Program at Increasing Physical Activity and Healthy Dietary Habits in African Americans

An interventional study of Physical Activity and Dietary Health Promotion Program in Obesity, sponsored by University of South Carolina. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-28.

Sponsored by University of South Carolina · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
1,600
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

Obese African Americans are at risk for diseases such as diabetes, cancer, and heart disease. Church-based interventions have the potential to positively influence the health habits and behaviors of a large percentage of African Americans. The purpose of this study is to evaluate the effectiveness of a church-based program that emphasizes increased physical activity and healthy dietary habits among members of predominately African American churches in South Carolina.

Read the detailed description

Many obesity-related diseases, including diabetes, cancer, and heart disease, occur more frequently in ethnic minorities than in Caucasians. African Americans have an extremely high church attendance rate, making church-based interventions a viable method to reach a wide audience and positively influence health habits and behaviors. The most effective way to prevent or reverse the effects of obesity is through weight loss, which can be accomplished by increasing physical activity and following a low fat and low sodium diet that emphasizes fruits, vegetables, and whole grains. Few programs have been developed that have specifically examined the effects of a church-based physical activity and dietary intervention. This study will encourage church leaders to assist in the development of a health promotion program that will incorporate the church's social, cultural, and policy influences. The purpose of the study is to evaluate the effectiveness of the intervention on increasing physical activity, improving blood pressure levels, and promoting healthy dietary habits among church members. The importance of pastor support and participation will be evaluated, and the results from this study may be used to develop additional church-based interventions across a larger geographic area.

In Year 1 of this 5-year study, representatives from the Palmetto Conference of the African Methodist Episcopal (AME) Church and three state universities in South Carolina will participate in monthly planning sessions to develop the intervention. Local health committees and church pastors and cooks will be trained to implement the program. The 18-month intervention will occur in three waves; where at least 60 churches will be randomly assigned to participate in either the immediate intervention or delayed intervention. The program will emphasize increased physical activity and the adaptation of a healthy diet that includes low fat and low sodium foods, fruits, vegetables, and whole grains. At baseline and Month 18, blood pressure will be measured, and physical activity levels and fruit and vegetable intake will be assessed for some church members. Additionally, throughout the study, some participants will wear an accelerometer, which is a small device that measures physical activity levels.

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Conditions studied

  • Obesity

Keywords

  • Physical Activity
  • Exercise
  • Dietary Habits
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In context

Lead sponsor

University of South Carolina is the lead sponsor of 191 studies on the registry; 41 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Member of a church in the Palmetto Conference of the 7th Episcopal District of the AME Church
  • Attends church services or events at least once per month

Exclusion criteria

Exclusion Criteria:

  • Planning to move in the 18 months following study entry
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,600 participants (actual)

Study arms

  • Experimental
    Behavioral

    Participants will take part in the Physical Activity and Dietary Health Promotion Program.

    Behavioral: Physical Activity and Dietary Health Promotion Program

  • No intervention
    Delayed intervention

    Participants are assigned to a delayed intervention group and serve as a no-intervention control group.

Interventions

  • BehavioralPhysical Activity and Dietary Health Promotion Program

    Churches within the intervention group will receive a committee training and church cook training designed to teach them how to do a self-assessment of current practices and develop a plan for their program. The intervention is based on the structural model of health behavior and targets opportunities, mass media (within the church), guidelines and policies, and church environment. Intervention churches also receive monthly intervention mailings to support intervention implementation.

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What researchers measure

Primary outcomes

  1. Blood pressure

    Systolic and diastolic blood pressure

    Time frame: 15 months

  2. Physical activity (measured with the Community Healthy Activities Model Program For Seniors [CHAMPS] questionnaire)

    Self-report measure of physical activity

    Time frame: 15 months

  3. Fruit and vegetable consumption (measured with NCI screener & 2-item measure)

    self-report measure of physical activity

    Time frame: 15 months

Secondary outcomes

  1. Physical activity (measured with an accelerometer)

    Accelerometer measured physical activity

    Time frame: 15 months

  2. Fat consumption

    Self-reported measure of practices associated with fat consumption

    Time frame: 15 months

  3. Fiber consumption

    Self-reported measure of practices associated with fiberconsumption

    Time frame: 15 months

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Study locations

1 site
  • African Methodist Episcopal Churches in South Carolina
    Lane, South Carolina 29564, United States
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References and documents

Publications

  • Kyryliuk R, Baruth M, Wilcox S. Predictors of Weight Loss for African-American Women in the Faith, Activity, and Nutrition (FAN) Study. J Phys Act Health. 2015 May;12(5):659-65. doi: 10.1123/jpah.2013-0220. Epub 2014 Jun 4. PubMed 24905567 ↗
  • Saunders RP, Wilcox S, Baruth M, Dowda M. Process evaluation methods, implementation fidelity results and relationship to physical activity and healthy eating in the Faith, Activity, and Nutrition (FAN) study. Eval Program Plann. 2014 Apr;43:93-102. doi: 10.1016/j.evalprogplan.2013.11.003. Epub 2013 Dec 10. PubMed 24394548 ↗
  • Wilcox S, Parrott A, Baruth M, Laken M, Condrasky M, Saunders R, Dowda M, Evans R, Addy C, Warren TY, Kinnard D, Zimmerman L. The Faith, Activity, and Nutrition program: a randomized controlled trial in African-American churches. Am J Prev Med. 2013 Feb;44(2):122-31. doi: 10.1016/j.amepre.2012.09.062. Erratum In: Am J Prev Med. 2013 Jun;44(6):694-5. PubMed 23332327 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00379925
Lead sponsor
University of South Carolina
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
Sara Wilcox (Professor, University of South Carolina) — Principal investigator
First posted
Sep 25, 2006
Start date
Jul 2006
Primary completion
Aug 2011
Completion
Aug 2011
Last update
Apr 28, 2021

Study contacts

Sara Wilcox, PhD
principal investigator · University of South Carolina

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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