Improving multiple behaviors for colorectal cancer prevention among African American church members

Marci Kramish Campbell, Aimee James, Marlyn A. Hudson, Carol Carr, Ethel Jackson, Veronica Oates, Seleshi Demissie, Irene Tessaro, David Farrell

Research output: Contribution to journalArticle

182 Scopus citations

Abstract

The WATCH (Wellness for African Americans Through Churches) Project was a randomized trial comparing the effectiveness of 2 strategies to promote colorectal cancer preventive behaviors among 587 African American members of 12 rural North Carolina churches. Using a 2 × 2 factorial research design, the authors compared a tailored print and video (TPV) intervention, consisting of 4 individually tailored newsletters and targeted videotapes, with a lay health advisor (LHA) intervention. Results showed that the TPV intervention significantly improved (p < .05) fruit and vegetable consumption (0.6 servings) and recreational physical activity (2.5 metabolic task equivalents per hour) and, among those 50 and older (n = 287), achieved a 15% increase in fecal occult blood testing screening (p = .08). The LHA intervention did not prove effective, possibly because of suboptimal reach and diffusion.

Original languageEnglish
Pages (from-to)492-502
Number of pages11
JournalHealth Psychology
Volume23
Issue number5
DOIs
StatePublished - Sep 1 2004
Externally publishedYes

Keywords

  • African Americans
  • Behavioral research
  • Colorectal cancer
  • Dietary habits
  • Intervention studies
  • Physical activity

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  • Cite this

    Campbell, M. K., James, A., Hudson, M. A., Carr, C., Jackson, E., Oates, V., Demissie, S., Tessaro, I., & Farrell, D. (2004). Improving multiple behaviors for colorectal cancer prevention among African American church members. Health Psychology, 23(5), 492-502. https://doi.org/10.1037/0278-6133.23.5.492