Minority Health Archive

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

DeHaven, Mark J. and Ramos-Roman, Maria A. and Gimpel, Nora and Carson, JoAnn and DeLemos, James and Pickens, Sue and Simmons, Chris and Powell-Wiley, Tiffany and Banks-Richard, Kamakki and Shuval, Kerem and Duval, Julie and Tong, Liyue and Hsieh, Natalie and Lee, Jenny J. (2011) 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. Contemporary Clinical Trials, 32 (5). pp. 630-640. ISSN 15517144

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Abstract

Introduction 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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: Community-based participatory research; Cardiovascular diseases; Health behavior; Risk factors; Health disparities
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease
Health > Public Health > Health Risk Factors
Research
Research > methodologies
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Depositing User: Users 141 not found.
Date Deposited: 16 Aug 2011 09:44
Last Modified: 16 Aug 2011 09:44
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/3054

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