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Implementation of a Faith-Based Physical Activity Intervention: Insights from Church Health Directors

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Abstract

Churches are becoming increasingly popular settings for conducting health promotion programs. Retrospective interviews were conducted with 19 health directors from churches taking part in the evaluation of a large-scale faith-based physical activity initiative. This paper first describes program implementation, church leadership support, and changes in church leadership, and then relates these variables to program outcomes (percentage of participants meeting physical activity recommendations). Finally, barriers and successes to program implementation are reported. The most commonly reported intervention activities implemented by churches were bulletin boards related to healthy eating and physical activity (79%) followed by bulletin inserts (69%), walking programs (58%), chair exercises (48%), praise aerobics (27%), a 10-min exercise CD (26%), and an 8 week behavior change class (26%). Significant increases in physical activity were associated with churches which had ever implemented the behavior change class at the 1-year follow-up. According to health directors, pastors sometimes to often spoke about physical activity and diet from the pulpit but rarely to sometimes took part in program activities. They also reported that pastors spouses’ never to rarely spoke about physical activity and diet from the pulpit, and rarely to sometimes took part in program activities. About 68% of the churches had at least one change in pastor over the 3-year study. A majority of these variables, however, were not related to changes in physical activity. Potential reasons for these lack of associations are discussed.

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Acknowledgements

This project was supported by a grant from the U.S. Centers for Disease Control and Prevention, CCR421476-01. We wish to thank Bishop Henry Allen Belin, Jr. (retired), Right Rev. Preston W. Williams II, and the Presiding Elders, Pastors and Health Directors of the 7th Episcopal District of the AME Church for their support and assistance with this project. We are very appreciative to all of the individuals who volunteered their time to attend the program training and implement the physical activity programs in their churches. We thank the AME members who completed the telephone interviews. We also wish to thank Lottie McClorin (now Anderson) and Kimberly Butler for their assistance with completing the health director interviews.

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Authors and Affiliations

  1. Department of Exercise Science, Arnold School of Public Health, University of South Carolina, 921 Assembly Street, Columbia, SC, 29208, USA

    Meghan Baruth & Sara Wilcox

  2. Medical University of South Carolina, 159.5 Rutledge Ave, P.O. Box 250218, Charleston, SC, 29425, USA

    Marilyn Laken

  3. Department of Kinesiology, Kansas State University, 1A Natatorium, Manhattan, KS, 66506, USA

    Melissa Bopp

  4. Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 800 Sumter Street, Columbia, SC, 29208, USA

    Ruth Saunders

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  1. Meghan Baruth
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  2. Sara Wilcox
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  3. Marilyn Laken
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  4. Melissa Bopp
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  5. Ruth Saunders
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Correspondence to Meghan Baruth.

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Baruth, M., Wilcox, S., Laken, M. et al. Implementation of a Faith-Based Physical Activity Intervention: Insights from Church Health Directors. J Community Health 33, 304–312 (2008). https://doi.org/10.1007/s10900-008-9098-4

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