Furthermore, consider partnering with an FBO where the leaders are willing to engage in the modification of the intervention and remain active by participating in meetings to assess whether goals and objectives are being met. Our experiences illustrate that successful partnership and implementation is enhanced when health professionals approach a faith-based partnership with these components and processes in mind; a lack of preparation can impede study implementation, recruitment, and retention. To maintain trust and transparency throughout all study phases, involve partners in modifying the intervention to suit their special needs, have FBO leaders participate in study planning meetings, and encourage study staff to volunteer in FBO events unrelated to the study.
The ability to employ and train a member of the FBO to deliver the intervention not only promotes inclusion but also ensures that a voice from the FBO is always present. Dissemination of results to FBOs and the community at large will ensure sustainability. Our study had limitations. First, the lessons and methods presented here were discovered throughout study implementation, and thus we were unable to apply them to each FBO.
Second, the collaborating FBOs did not represent a wide range of religious backgrounds and consequently the findings may not be applicable to all denominations.
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Despite these limitations, the project illustrated that specific processes and characteristics can facilitate successful implementation of a behavioral health intervention. Community engagement is vital for successful uptake and sustainability of health interventions, and focusing on the approach and establishing strong partnerships from the beginning will help ensure that mutual objectives are met and sustained long-term. P60 MD This file is available for download as a Microsoft Word document. Click here to view.
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The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U. Prev Chronic Dis ; National Center for Biotechnology Information , U. Journal List Prev Chronic Dis v. Prev Chronic Dis. Published online Mar 7.
Jessica M. Charlson , MD, and Janey C.
Author information Copyright and License information Disclaimer. Author Affiliations: Erica G. Phillips-Caesar, Ginger J. Winston, Mary E. Charlson, Janey C. Corresponding author. Corresponding Author: Jessica M.cecozacons.tk
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Telephone: E-mail: moc. Copyright notice. This article has been cited by other articles in PMC. Abstract Background Faith-based organizations are recognized as an influential venue for behavioral health interventions. Methods Faith-based organizations were identified primarily through direct referrals.
Outcomes We identified processes that supported and impeded study recruitment and retention. Interpretation Behavioral health interventions implemented in faith-based organizations can reduce health disparities. Background The prevalence of overweight and obesity continues to be a public health problem in the United States 1 , 2. Open in a separate window. FBO screening We sought partnerships with FBOs who self-identified their membership as being primarily black or Latino adults, had varying membership size, and had internal and external FBO activities.
Establishing a memorandum of understanding Although we did not use a community-based participatory research approach in all facets of the study, we did incorporate several guiding principles Development and maintenance of FBO partnership Spiritual leaders, lay leaders, and study staff met at least quarterly to discuss ideas and strategies to enhance recruitment and retention. Assessment of approach On study completion, quantitative data such as attrition rates will be used to assess our recruitment and retention approaches. Acknowledgment of precontemplation Although pastoral support is instrumental in motivating members to take part in research, not all members will be moveable from a precontemplation phase.
Group orientation sessions During the last 20 years, retention rates for weight-loss trials have not improved substantially. Interpretation The aim of the SCALE intervention is to achieve weight loss by encouraging small behavioral changes among blacks and Latinos. Memorandum of Understanding. Footnotes The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U. References 1.
The continuing epidemics of obesity and diabetes in the United States. JAMA ; 10 — Prevalence and trends in obesity among US adults, — JAMA ; 3 —41 Wang Y, Beydoun MA. Epidemiol Rev ; 29 1 :6—28 Church-based health promotion interventions: evidence and lessons learned. Annu Rev Public Health ; 28 —34 A motivational interviewing intervention to increase fruit and vegetable intake through black churches: results of the Eat for Life trial. Am J Public Health ; 91 10 —93 A faith-based physical activity intervention for Latinos: outcomes and lessons.
Am J Health Promot ; 25 3 —71 Diabetes and obesity, Summary of Community Health Survey, Health disparities in New York City. Randomized controlled trials of positive affect and self-affirmation to facilitate healthy behaviors in patients with cardiopulmonary diseases: rationale, trial design, and methods.
Contemp Clin Trials ; 28 6 —62 Popielarz PA. Organizational constraints on personal network formation. Research in the Sociology of Organizations ; 16 —81 [ Google Scholar ]. Campbell DE. Acts of faith: churches and political engagement. Political Behavior ; 26 2 —80 Dougherty KD. How monochromatic is church membership? Racial-ethnic diversity in religious community. Sociol Relig ; 64 1 —85 Using community-based participatory research as a guiding framework for health disparities research centers.
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