Action Through Churches in Time to Save Lives (ACTS) of Wellness was a cluster randomized controlled trial developed to promote colorectal cancer screening and physical activity (PA) within urban African American churches. Churches were recruited from North Carolina (n = 12) and Michigan (n = 7) and were randomized to intervention (n = 10) or…

More than 60% of cancer-related deaths in the United States are attributable to tobacco use, poor nutrition, and physical inactivity, and these risk factors tend to cluster together. Thus, strategies for cancer risk reduction would benefit from addressing multiple health risk behaviors. We adapted an evidence-based intervention grounded in social…

This study tested the effects of two theory-based interventions to increase fruit and vegetable intake. Hypothesized intervention mediators included self-efficacy (SE), social support (SS), autonomous motivation (AM), and controlled motivation (CM). At baseline, 1,021 African American adults were recruited from 16 churches randomized to one…

This study examines the efficacy of targeted versus standard care smoking cessation materials among urban African American smokers. Five hundred smokers (250 to each group) are randomized to receive a culturally targeted or standard care videotape and print guide. Both groups receive 8 weeks of nicotine patches and reminder telephone calls at…

The Harlem Health Connection is a three-year project to develop and test smoking control interventions for African Americans, primarily those in Harlem (New York). Surveys of people from public housing, health care institutions, and churches found the highest smoking rates in public housing residents and people attending health care institutions.…

A school-based cholesterol-reduction intervention for primary grade students in New York City public schools offered a workshop to teach those with high total serum cholesterol values to identify negative health consequences of high-fat diets. Results indicate that school-site cholesterol reduction interventions for high-risk individuals are…

Evaluated an intervention, conducted through black churches, to increase fruit and vegetable intake. Churches received either standard intervention; culturally sensitive, multicomponent self-help with one telephone cue call; or culturally sensitive multicomponent self-help with one cue call and three counseling calls (with motivational…

Highlights the school health coordinator as an essential, unifying element in the eight-component model of the comprehensive school health program, with responsibilities including administration, integration of personnel and programs, evaluation, and direct intervention. The number of program elements is reduced to five by transferring staff…

Assessed the impact of school organizational characteristics on outcomes of a teacher health behavior change program. Organizational, dietary, and psychologic data from intervention and control schools indicated that teachers at intervention schools with high organizational climate, organizational health, and job satisfaction reported better…