The North Carolina Black Churches United for Better Health Project: intervention and process evaluation.


Journal Article

The North Carolina Black Churches United for Better Health project was a 4-year intervention trial that successfully increased fruit and vegetable (F&V) consumption among rural African American adults, for cancer and chronic disease prevention. The multicomponent intervention was based on an ecological model of change. A process evaluation that included participant surveys, church reports, and qualitative interviews was conducted to assess exposure to, and relative impact of, interventions. Participants were 1,198 members of 24 intervention churches who responded to the 2-year follow-up survey. In addition, reports and interviews were obtained from 23 and 22 churches, respectively. Serving more F&V at church functions was the most frequently reported activity and had the highest perceived impact, followed by the personalized tailored bulletins, pastor sermons, and printed materials. Women, older individuals, and members of smaller churches reported higher impact of certain activities. Exposure to interventions was associated with greater F&V intake. A major limitation was reliance on church volunteers to collect process data.

Full Text

Cited Authors

  • Campbell, MK; Motsinger, BM; Ingram, A; Jewell, D; Makarushka, C; Beatty, B; Dodds, J; McClelland, J; Demissie, S; Demark-Wahnefried, W

Published Date

  • April 2000

Published In

Volume / Issue

  • 27 / 2

Start / End Page

  • 241 - 253

PubMed ID

  • 10768805

Pubmed Central ID

  • 10768805

Electronic International Standard Serial Number (EISSN)

  • 1552-6127

International Standard Serial Number (ISSN)

  • 1090-1981

Digital Object Identifier (DOI)

  • 10.1177/109019810002700210


  • eng