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Process evaluation methods, implementation fidelity results and relationship to physical activity and healthy eating in the Faith, Activity, and Nutrition (FAN) study

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  • Saunders, Ruth P.
  • Wilcox, Sara
  • Baruth, Meghan
  • Dowda, Marsha

Abstract

Faith, Activity and Nutrition (FAN), a community-based participatory research project in African American churches, aimed to increase congregant physical activity and healthy eating. The Health-Promoting Church framework, developed collaboratively with faith-based partners, guided the intervention and a comprehensive process evaluation. The Health-Promoting Church components related to healthy eating and physical activity were getting the message out, opportunities, pastor support, and organizational policy. There was no evidence for sequential mediation for any of the healthy eating components. These results illustrate the complexity of systems change within organizational settings and the importance of conducting process evaluation. The FAN intervention resulted in increased implementation for all physical activity and most healthy eating components. Mediation analyses revealed no direct association between implementation and increased physical activity; rather, sequential mediation analysis showed that implementation of physical activity messages was associated with improved self-efficacy at the church level, which was associated with increased physical activity.

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  • Saunders, Ruth P. & Wilcox, Sara & Baruth, Meghan & Dowda, Marsha, 2014. "Process evaluation methods, implementation fidelity results and relationship to physical activity and healthy eating in the Faith, Activity, and Nutrition (FAN) study," Evaluation and Program Planning, Elsevier, vol. 43(C), pages 93-102.
  • Handle: RePEc:eee:epplan:v:43:y:2014:i:c:p:93-102
    DOI: 10.1016/j.evalprogplan.2013.11.003
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    References listed on IDEAS

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    Cited by:

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    2. Harmon, Brook E. & San Diego, Emily Rose N. & Pichon, Latrice C. & Powell, Terrinieka W. & Rugless, Fedoria & West, Nathan T. & Minor, Lottie & McNeal, Sterling & McCann, Lauren & Hales, Lauren S. & D, 2022. "Congregational health needs by key demographic variables: Findings from a congregational health needs assessment tool," Evaluation and Program Planning, Elsevier, vol. 94(C).
    3. Egan, Cate A. & Webster, Collin & Weaver, R. Glenn & Brian, Ali & Stodden, David & Russ, Laura & Nesbitt, Danielle & Vazou, Spyridoula, 2018. "Partnerships for Active Children in Elementary Schools (PACES): First year process evaluation," Evaluation and Program Planning, Elsevier, vol. 67(C), pages 61-69.
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