title: The GoodNEWS (Genes, Nutrition, Exercise, Wellness, and Spiritual Growth) Trial: a community-based participatory research (CBPR) trial with African-American church congregations for reducing cardiovascular disease risk factors--recruitment, measurement, and randomization.
abstract: BACKGROUND
  Although cardiovascular diseases (CVD) are the leading cause of death among Americans, significant disparities persist in CVD prevalence, morbidity, and mortality based on race and ethnicity. However, few studies have examined risk factor reduction among the poor and ethnic minorities.
  
  
  METHODS
  Community-based participatory research (CBPR) study using a cluster randomized design--African-American church congregations are the units of randomization and individuals within the congregations are the units of analysis. Outcome variables include dietary change (Diet History Questionnaire), level of physical activity (7-Day Physical Activity Recall), lipoprotein levels, blood pressure, fasting glucose, and hemoglobin A1c.
  
  
  RESULTS
  Eighteen (18) church congregations were randomized to either a health maintenance intervention or a control condition. Complete data were obtained on 392 African-American individuals, 18 to 70 years of age, predominantly employed women with more than a high school diploma. Treatment and intervention groups were similar at baseline on saturated fat intake, metabolic equivalent of tasks (METS) per day, and other risk factors for CVD.
  
  
  CONCLUSIONS
  The GoodNEWS trial successfully recruited and evaluated CVD-related risk among African-American participants using a CBPR approach. Several logistical challenges resulted in extending the recruitment, preliminary training, and measurement periods. The challenges were overcome with the assistance of a local community consultant and a professional event planner. Our experience supports the need for incorporating non-traditional community-based staff into the design and operational plan of CBPR trials.
authors.affiliation: Texas Prevention Institute, University of North Texas Health Science Center at Fort Worth, 855 Montgomery Street, Fort Worth, Texas 76107, USA. Mark.DeHaven@unthsc.edu
authors.forename: Mark J
authors.initials: MJ
authors.lastname: DeHaven
authors.forename: Maria A
authors.initials: MA
authors.lastname: Ramos-Roman
authors.forename: Nora
authors.initials: N
authors.lastname: Gimpel
authors.forename: JoAnn
authors.initials: J
authors.lastname: Carson
authors.forename: James
authors.initials: J
authors.lastname: DeLemos
authors.forename: Sue
authors.initials: S
authors.lastname: Pickens
authors.forename: Chris
authors.initials: C
authors.lastname: Simmons
authors.forename: Tiffany
authors.initials: T
authors.lastname: Powell-Wiley
authors.forename: Kamakki
authors.initials: K
authors.lastname: Banks-Richard
authors.forename: Kerem
authors.initials: K
authors.lastname: Shuval
authors.forename: Julie
authors.initials: J
authors.lastname: Duvahl
authors.forename: Julie
authors.initials: J
authors.lastname: Duval
authors.forename: Liyue
authors.initials: L
authors.lastname: Tong
authors.forename: Natalie
authors.initials: N
authors.lastname: Hsieh
authors.forename: Jenny J
authors.initials: JJ
authors.lastname: Lee
mesh_terms: D001741:Black or African American; D002318:Cardiovascular Diseases / Q000208:ethnology* / Q000517:prevention & control*; D055812:Community-Based Participatory Research; D004032:Diet; D015930:Diet Records; D005260:Female; D006442:Glycated Hemoglobin; D054624:Health Status Disparities; D006801:Humans; D008019:Life Style; D008297:Male; D011939:Mental Recall; D009043:Motor Activity; D009749:Nutrition Surveys; D018579:Patient Selection; D012067:Religion; D012107:Research Design; D012307:Risk Factors; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires; D014481:United States
chemical_list: D006442:Glycated Hemoglobin