Chronic Disease Prevention
Conditions
Keywords
community-engaged research, health equity, health disparities, implementation science, faith-based organizations
Brief summary
The goal of the EPICC observational study is to learn about capacity to implement evidence-based health promotion programs (EBPs) in congregations that are offered semi-structured technical assistance (TA). Congregational teams will complete an implementation capacity assessment survey before the TA is offered and 10 months later, after TA has been provided for up to 10 months. Participating congregations will be a convenience sample of congregations in Davidson County, TN that serve primarily African American communities.
Detailed description
The recruitment process is designed to provide a team of 3-5 volunteers from 40 congregations with information about five EBPs identified by the research team from which they are to choose one. The team completes one EPICC Survey for their congregation. The team is then offered up to 10 months of TA with the expectation that 2-3 months will be used for planning to launch the EBP, with 4-6 months for implementation. Each congregation will be asked to recruit a minimum of 8-10 members of the congregation to complete a brief report of health behaviors prior to launching of the EBP and repeating that report 6 months later to assess the impact of the EBP on their health behaviors.
Interventions
BEHAVIORALTechnical assistance is designed to integrate Expert Recommendations for Implementing Change (ERIC) strategies, and Getting To Outcomes-TA.
The TA is tailored to each congregation using the results of the implementation capacity survey completed by the congregation's team and materials from the EB Program selected by the congregation. The TA teams of two research staff are being trained and coached by Dr. Abe Wandersman, lead developer of Getting To Outcomes-TA (GTO-TA). TA sessions are audio-recorded and will be evaluated for fidelity to GTO-TA, and use of specific ERIC strategies.
Sponsors
National Institutes of Health (NIH)
Tennessee State University
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Adult (18 years and older) participants in the behavioral intervention (implemented health promotion program) in a congregation in Davidson County that has completed enrollment in the EPICC Project.
Exclusion criteria
* Individuals who are not enrolled in a health promotion program implemented in an EPICC congregation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Engaging Partners in Caring Communities (EPICC) Survey | Congregational teams complete the EPICC Survey at baseline and again 6-10 months later. | The EPICC Survey was developed using the Consolidated Framework for Implementation Research (CFIR) and building on other surveys for measuring congregational readiness for health promotion. It consists of |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| My Own Health Report | My Own Health Report will be completed when the congregation launches their health promotion program and again 6 months later. | This is a brief self-reported screening of health-related behavior that will be completed in REDCap. It includes items related to frequency of consumption of fruits, vegetables, and sugary beverages, strenuous exercise, stress, tobacco and alcohol use over the previous 7 days. There are also items about transportation access, housing and food security. Each congregation will be asked to recruit 8-10 individuals who intend to participate in some aspect of the EB Program being implemented by the church. These individuals will be guided to create a unique ID number they can remember so that their reports are anonymous. |
Countries
United States
Outcome results
None listed