Improving multiple behaviors for colorectal cancer prevention among african american church members.
The WATCH (Wellness for African Americans Through Churches) Project was a randomized trial comparing the effectiveness of 2 strategies to promote colorectal cancer preventive behaviors among 587 African American members of 12 rural North Carolina churches. Using a 2 X 2 factorial research design, the authors compared a tailored print and video (TPV) intervention, consisting of 4 individually tailored newsletters and targeted videotapes, with a lay health advisor (LHA) intervention. Results showed that the TPV intervention significantly improved (p <.05) fruit and vegetable consumption (0.6 servings) and recreational physical activity (2.5 metabolic task equivalents per hour) and, among those 50 and older (n = 287), achieved a 15% increase in fecal occult blood testing screening (p =.08). The LHA intervention did not prove effective, possibly because of suboptimal reach and diffusion.
Campbell
Marci Kramish
MK
Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. marci_campbell@unc.edu
James
Aimee
A
Hudson
Marlyn A
MA
Carr
Carol
C
Jackson
Ethel
E
Oakes
Veronica
V
Demissie
Seleshi
S
Farrell
David
D
Tessaro
Irene
I
D000328:Adult; D044383:Black People / Q000523:psychology*; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D012068:Religion and Medicine; D012069:Religion and Psychology; D016896:Treatment Outcome; D001741:Black or African American