Isabel C Scarinci1, Artisha Moore2, Theresa Wynn-Wallace2, Andrea Cherrington2, Mona Fouad2, Yufeng Li2. 1. Division of Preventive Medicine, University of Alabama at Birmingham, 1717 11th Avenue South, MT 609, Birmingham, AL 35205, USA. Electronic address: scarinci@uab.edu. 2. Division of Preventive Medicine, University of Alabama at Birmingham, 1717 11th Avenue South, MT 609, Birmingham, AL 35205, USA.
Abstract
OBJECTIVE: We examined the efficacy of a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American (AA) women between the ages of 45-65 years, residing in rural Alabama. METHODS: We conducted a group randomized controlled trial with counties as the unit of randomization that evaluated two interventions based on health priorities identified by the community: (1) promotion of healthy eating and physical activity; and (2) promotion of breast and cervical cancer screening. A total of 6 counties with 565 participants were enrolled in the study between November 2009 and October 2011. RESULTS: The overall retention rate at 24-month follow-up was 54.7%. Higher retention rate was observed in the "healthy lifestyle" arm (63.1%) as compared to the "screening" arm (45.3%). Participants in the "healthy lifestyle" arm showed significant positive changes compared to the "screening" arm at 12-month follow-up with regard to decrease in fried food consumption and an increase in both fruit/vegetable intake and physical activity. At 24-month follow-up, these positive changes were maintained with healthy eating behaviors, but not engagement in physical activity. CONCLUSIONS: A culturally relevant intervention, developed in collaboration with the target audience, can improve (and maintain) healthy eating among AA women living in rural areas.
RCT Entities:
OBJECTIVE: We examined the efficacy of a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American (AA) women between the ages of 45-65 years, residing in rural Alabama. METHODS: We conducted a group randomized controlled trial with counties as the unit of randomization that evaluated two interventions based on health priorities identified by the community: (1) promotion of healthy eating and physical activity; and (2) promotion of breast and cervical cancer screening. A total of 6 counties with 565 participants were enrolled in the study between November 2009 and October 2011. RESULTS: The overall retention rate at 24-month follow-up was 54.7%. Higher retention rate was observed in the "healthy lifestyle" arm (63.1%) as compared to the "screening" arm (45.3%). Participants in the "healthy lifestyle" arm showed significant positive changes compared to the "screening" arm at 12-month follow-up with regard to decrease in fried food consumption and an increase in both fruit/vegetable intake and physical activity. At 24-month follow-up, these positive changes were maintained with healthy eating behaviors, but not engagement in physical activity. CONCLUSIONS: A culturally relevant intervention, developed in collaboration with the target audience, can improve (and maintain) healthy eating among AA women living in rural areas.
Authors: Theresa Ann Wynn; Rhoda E Johnson; Mona Fouad; Cheryl Holt; Isabel Scarinci; Christine Nagy; Edward Partridge; Mark B Dignan; Sharina Person; Groesbeck Parham Journal: J Health Care Poor Underserved Date: 2006-05
Authors: T C Keyserling; A S Ammerman; J R Atwood; J D Hosking; C Krasny; H Zayed; B H Worthy Journal: Public Health Nurs Date: 1999-06 Impact factor: 1.462
Authors: Tiffany L Gary; Kesha Baptiste-Roberts; Edward W Gregg; Desmond E Williams; Gloria L A Beckles; Edgar J Miller; Michael M Engelgau Journal: J Natl Med Assoc Date: 2004-12 Impact factor: 1.798
Authors: Carolyn M Tucker; Tasia M Smith; Guillermo M Wippold; Nicole E Whitehead; Tara A Morrissette; Jaime L Williams; Nwakaego A Ukonu; Tya M Arthur; Yvette M Sealy; Benjamin S Crosier Journal: Am J Lifestyle Med Date: 2016-01-22
Authors: Rebecca A Seguin-Fowler; David Strogatz; Meredith L Graham; Galen D Eldridge; Grace A Marshall; Sara C Folta; Kristin Pullyblank; Miriam E Nelson; Lynn Paul Journal: Am J Prev Med Date: 2020-05-07 Impact factor: 5.043
Authors: Melicia C Whitt-Glover; Moses V Goldmon; Ziya Gizlice; Marie Sillice; Lyndsey Hornbuckle; Daniel P Heil Journal: Ethn Dis Date: 2017-12-07 Impact factor: 1.847