A Church-Based Pilot Study Designed to Improve Dietary Quality for Rural, Lower Mississippi Delta, African American Adults
We piloted a 6-month, church-based, behavioral intervention, Delta Body and Soul (DBS), for African American (AA) adults in the Lower Mississippi Delta (LMD). DBS was designed to improve overall dietary quality in LMD AA adults. The intervention included six once monthly group-based educational sessions implemented by trained church members. Program implementation, session attendance, congregational feedback, and baseline and post-intervention, demographic, health, behavioral, and clinical parameters were assessed. Participants were predominately AA, female, and overweight or obese. Retention rate was 79 %. High adherence, defined as attendance at four or more educational sessions, was associated with dietary quality improvement and reduced blood glucose. Implementation of the DBS pilot intervention was feasible and may result in dietary quality and clinical improvements.
KeywordsDiet Mississippi African Americans Adult Church
The authors would like to thank Ms. Eunice Bray, one of the original principal investigators responsible for the study design, implementation, and data acquisition; Curtis Anderson, Emanuel Edmond, Alice Griggs, Amanda Cole, and Susie Gowdy for their assistance with study implementation and data collection; and the church leaders, committee members, and participants. This research was supported by Health Resources and Services Administration Grant No. 6 U1FRH07411 and United States Department of Agriculture, Agricultural Research Service project 6401-53000-001-00D.
- Behavioral Risk Factor Surveillance System Annual Prevalence Report, District Charts (2011). Mississippi State Department of Health. http://msdh.ms.gov/brfss/District%20Charts%202011.pdf. Accessed 15 July 2013.
- Campbell, M. K., Demark-Wahnefried, W., Symons, M., Kalsbeek, W. D., Dodds, J., Cowan, A., et al. (1999). Fruit and vegetable consumption and prevention of cancer: The Black Churches United for Better Health project. American Journal of Public Health, 89(9), 1390–1396.PubMedCentralPubMedCrossRefGoogle Scholar
- Carithers, T. C., Talegawkar, S. A., Rowser, M. L., Henry, O. R., Dubbert, P. M., Bogle, M. L., et al. (2009). Validity and calibration of food frequency questionnaires used with African-American adults in the Jackson Heart Study. Journal of the American Dietetic Association, 109(7), 1184–1193.PubMedCentralPubMedCrossRefGoogle Scholar
- Champagne, C. M., Casey, P. H., Connell, C. L., Stuff, J. E., Gossett, J. M., Harsha, D. W., et al. (2007). Poverty and food intake in rural America: Diet quality is lower in food insecure adults in the Mississippi Delta. Journal of the American Dietetic Association, 107(11), 1886–1894.PubMedCrossRefGoogle Scholar
- Faridi, Z., Shuval, K., Njike, V. Y., Katz, J. A., Jennings, G., Williams, M., et al. (2010). Partners reducing effects of diabetes (PREDICT): A diabetes prevention physical activity and dietary intervention through African-American churches. Health Education Research, 25(2), 306–315.PubMedCrossRefGoogle Scholar
- Kennedy, B. M., Paeratakul, S., Champagne, C. M., Ryan, D. H., Harsha, D. W., McGee, B., et al. (2005). A pilot church-based weight loss program for African-American adults using church members as health educators: A comparison of individual and group intervention. Ethnicity and Disease, 15(3), 373–378.PubMedGoogle Scholar
- McGee, B. B., Richardson, V., Johnson, G. S., Thornton, A., Johnson, C., Yadrick, K., et al. (2008). Perceptions of factors influencing healthful food consumption behavior in the Lower Mississippi Delta: Focus group findings. Journal of Nutrition Education and Behavior, 40(2), 102–109.PubMedCrossRefGoogle Scholar
- Talegawkar, S. A., Johnson, E. J., Carithers, T. C., Taylor, H. A., Bogle, M. L., & Tucker, K. L. (2008). Carotenoid intakes, assessed by food-frequency questionnaires (FFQs), are associated with serum carotenoid concentrations in the Jackson Heart Study: Validation of the Jackson Heart Study Delta NIRI Adult FFQs. Public Health Nutrition, 11(10), 989–997.PubMedCentralPubMedCrossRefGoogle Scholar
- Thomson, J. L., Tussing-Humphreys, L. M., Onufrak, S. J., Zoellner, J. M., Connell, C. L., Bogle, M. L., et al. (2011). A simulation study of the potential effects of healthy food and beverage substitutions on diet quality and total energy intake in Lower Mississippi Delta adults. Journal of Nutrition, 141(12), 2191–2197.PubMedCrossRefGoogle Scholar
- U.S. Department of Health and Human Services and U.S Department of Agriculture Dietary Guidelines for Americans. (2005). (6th ed.). Washington, DC: U.S Government Printing Office.Google Scholar