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The North Carolina Black Churches United for Better Health Project: Intervention and Process Evaluation
Marci Kramish Campbell, PhD, RD
Department of Nutrition, University of North Carolina, Chapel Hill
Brenda McAdams Motsinger, MS, RD
Department of Health and Human Resources, Raleigh, North Carolina
Allyson Ingram, MPH, RD
Wake County Health Department, Raleigh, North Carolina
David Jewell, MS
Department of Nutrition, University of North Carolina, Chapel Hill, North Carolina
Christina Makarushka, MPH
Center for Urban and Regional Studies, University of North Carolina, Chapel Hill
Brenda Beatty, MPH, RD
Line-berger Cancer Center, University of North Carolina, Chapel Hill
Janice Dodds, DrPH, RD
Department of Nutrition, University of North Carolina, Chapel Hill
Jacquelyn McClelland, PhD
Department of Family and Consumer Sciences/North Carolina Cooperative Extension Service, North Carolina State University, Raleigh
Seleshi Demissie, MSc
Department of Biostatistics, University of North Carolina, Chapel Hill
Wendy Demark-Wahnefried, PhD, RD
Department of Surgery, Duke University Medical Center, Durham, North Carolina
The North Carolina Black Churches United for Better Health project was a 4-year intervention trial that successfully increased fruit and vegetable (F&V) consumption among rural African American adults, for cancer and chronic disease prevention. The multicomponent intervention was based on an ecological model of change. A process evaluation that included participant surveys, church reports, and qualitative interviews was conducted to assess exposure to, and relative impact of, interventions. Participants were 1,198 members of 24 intervention churches who responded to the 2-year follow-up survey. In addition, reports and interviews were obtained from 23 and 22 churches, respectively. Serving more F&V at church functions was the most frequently reported activity and had the highest perceived impact, followed by the personalized tailored bulletins, pastor sermons, and printed materials. Women, older individuals, and members of smaller churches reported higher impact of certain activities. Exposure to interventions was associated with greater F&V intake. A major limitation was reliance on church volunteers to collect process data.
Health Education & Behavior, Vol. 27, No. 2,
241-253 (2000)
DOI: 10.1177/109019810002700210
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