TY - JOUR
T1 - Using the RE-AIM framework to evaluate a physical activity intervention in Churches
AU - Bopp, Melissa
AU - Wilcox, Sara
AU - Laken, Marilyn
AU - Hooker, Steven P.
AU - Saunders, Ruth
AU - Parra-Medina, Deborah
AU - Butler, Kimberly
AU - McClorin, Lottie
N1 - Funding Information:
This project was supported by a grant from the Centers for Disease Control and Prevention, CCR421476-01. We 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 appreciate all the people who volunteered their time to attend the program training and to set up the physical activity programs in their churches. We also thank Thaje Anderson, Deborah Bryant, Kimberly Butler, Rickey Carter, Yvonne Derrick, Elizabeth Fallon, Julie Freelove-Charton, Jeanette Jordan, Kathleen O'Rourke, Sabrina Tindal, and Wei Wang for their assistance with multiple aspects of this project. Finally, we thank Dr. Barbara Ainsworth, who is now at Arizona State University, for her valuable assistance related to measuring physical activity.
PY - 2007
Y1 - 2007
N2 - Introduction: Health-e-AME was a 3-year intervention designed to promote physical activity at African Methodist Episcopal churches across South Carolina. It is based on a community-participation model designed to disseminate interventions through trained volunteer health directors. Methods: We used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate this intervention through interviews with 50 health directors. Results: Eighty percent of the churches that had a health director trained during the first year of the intervention and 52% of churches that had a health director trained during the second year adopted at least one component of the intervention. Lack of motivation or commitment from the congregation was the most common barrier to adoption. Intervention activities reached middle-aged women mainly. The intervention was moderately well implemented and adherence to its principles was adequate. Maintenance analyses showed that individual participants in the intervention's physical activity components continued their participation as long as the church offered them, but churches had difficulties continuing to offer physical activity sessions. The effectiveness analysis showed that the intervention produced promising, but not significant, trends in levels of physical activity. Conclusion: Our use of the RE-AIM framework to evaluate this intervention serves as a model for a comprehensive evaluation of the health effects of community programs to promote health.
AB - Introduction: Health-e-AME was a 3-year intervention designed to promote physical activity at African Methodist Episcopal churches across South Carolina. It is based on a community-participation model designed to disseminate interventions through trained volunteer health directors. Methods: We used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate this intervention through interviews with 50 health directors. Results: Eighty percent of the churches that had a health director trained during the first year of the intervention and 52% of churches that had a health director trained during the second year adopted at least one component of the intervention. Lack of motivation or commitment from the congregation was the most common barrier to adoption. Intervention activities reached middle-aged women mainly. The intervention was moderately well implemented and adherence to its principles was adequate. Maintenance analyses showed that individual participants in the intervention's physical activity components continued their participation as long as the church offered them, but churches had difficulties continuing to offer physical activity sessions. The effectiveness analysis showed that the intervention produced promising, but not significant, trends in levels of physical activity. Conclusion: Our use of the RE-AIM framework to evaluate this intervention serves as a model for a comprehensive evaluation of the health effects of community programs to promote health.
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M3 - Article
C2 - 17875262
AN - SCOPUS:84978435468
SN - 1545-1151
VL - 4
JO - Preventing Chronic Disease
JF - Preventing Chronic Disease
IS - 4
ER -