title: Improving multiple behaviors for colorectal cancer prevention among african american church members.
abstract: 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.
authors.affiliation: Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. marci_campbell@unc.edu
authors.forename: Marci Kramish
authors.initials: MK
authors.lastname: Campbell
authors.forename: Aimee
authors.initials: A
authors.lastname: James
authors.forename: Marlyn A
authors.initials: MA
authors.lastname: Hudson
authors.forename: Carol
authors.initials: C
authors.lastname: Carr
authors.forename: Ethel
authors.initials: E
authors.lastname: Jackson
authors.forename: Veronica
authors.initials: V
authors.lastname: Oakes
authors.forename: Seleshi
authors.initials: S
authors.lastname: Demissie
authors.forename: David
authors.initials: D
authors.lastname: Farrell
authors.forename: Irene
authors.initials: I
authors.lastname: Tessaro
mesh_terms: 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