BACKGROUND A key intervention to address Black-White health disparities in cardiovascular disease (CVD) is to improve diet quality, especially vegetable consumption, among African Americans. However, effective and sustainable interventions are lacking for this population. OBJECTIVE Conduct a proof-of-concept study to measure the feasibility of implementing and rigorously assessing a novel, culturally tailored church-based intervention to improve vegetable consumption and total diet quality among African Americans. METHODS The study was designed and implemented by a community-based participatory research (CBPR) partnership between researchers, pastors, and church leaders. The Abundant Living in Vibrant Energy (ALIVE) intervention included a Bible study and small group-based nutrition education delivered by pastors and church members in 24 two-hour sessions over 9 months as well as church-wide activities. Overall, 206 people enrolled across five African American churches. RESULTS Participants attended 56% of sessions. The mean number of daily vegetable servings at baseline was 3.04; this increased by one serving at the 9-month follow-up (p < .001). Vegetable servings increased by more than one in 47% of participants. Total diet quality also increased (p < .01) and significant reductions were found in weight (-1.0 kg; p < .001), systolic blood pressure (-3.91 mm Hg; p = .002), and diastolic blood pressure (-2.18 mm Hg; p = .001). CONCLUSIONS The ALIVE intervention was flexibly adapted by a range of churches; successfully implemented by pastors, deacons, and church leaders; and rigorously evaluated across a range of church settings. Further study of this intervention is warranted given the evidence for potential efficacy and a high level of external validity.

中文翻译：

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ALIVE的结果：一种基于信仰的飞行员干预措施，旨在改善非裔美国教会成员的饮食。

背景技术解决非裔美国人中心血管疾病（CVD）中的黑白健康差异的关键干预措施是改善饮食质量，尤其是蔬菜消费。但是，该人群缺乏有效和可持续的干预措施。目的进行概念验证研究，以衡量实施和严格评估基于教会的新颖文化干预措施的可行性，以改善非裔美国人的蔬菜消费和总体饮食质量。方法该研究是由研究人员，牧师和教会领导者之间基于社区的参与性研究（CBPR）合作设计和实施的。充满活力的生活（ALIVE）干预包括在9个月内的24次两小时会议中，由牧师和教会成员进行的圣经研究和基于小组的营养教育，以及整个教会的活动。总体上，共有206人参加了五个非裔美国人的教堂。结果参与者参加了56％的会议。基线时平均每日蔬菜食用量为3.04；在为期9个月的随访中，这一数字增加了一份（p <.001）。在47％的参与者中，蔬菜份量增加了超过一倍。总饮食质量也有所提高（p <.01），体重（-1.0 kg; p <.001），收缩压（-3.91 mm Hg; p = .002）和舒张压（- 2.18毫米汞柱； p = 0.001）。结论ALIVE干预被一系列教堂灵活地采用。由牧师，执事和教会领袖成功实施；并在一系列教堂环境中进行了严格评估。鉴于可能的疗效和较高的外部有效性，有必要对这种干预措施进行进一步研究。