Development, feasibility, acceptability and potential effectiveness of a healthy lifestyle programme delivered in churches in urban and rural South Africa

PloS One
Catherine Elizabeth DraperSally Wyke

Abstract

Rising levels of obesity in South Africa require innovation in community-level lifestyle change programmes. Our aim was to co-develop Impilo neZenkolo ('Health through Faith'), a healthy lifestyle programme for low-income, black South Africans delivered through churches, and evaluate its feasibility, acceptability and potential effectiveness. In the first phase we developed programme materials with church members. In the second phase we trained lay leaders to deliver the programme and assessed feasibility, acceptability (observation, focus groups and interviews) and potential effectiveness (pre and post measurement of weight, hip and waist circumferences, blood pressure, self-reported physical activity, dietary habits, health status, self-esteem, psychological distress). The study was conducted in four churches in urban and rural South Africa. The development workshops led to increased focus on positive benefits of participation, widening inclusion criteria to all adults and greater emphasis on Christian ethos. Challenges to feasibility included: recruitment of churches; scheduling of programme sessions (leading to one church not delivering the programme); attendance at the programme (63% attended more than half of the 12 weekl...Continue Reading

References

Oct 12, 2002·Obesity Research·Thandi PuoaneNolwazi Mbananga
Aug 7, 2004·International Journal of Methods in Psychiatric Research·Ronald C Kessler, T Bedirhan Ustün
Dec 13, 2006·Annual Review of Public Health·Marci Kramish CampbellMonica Baskin
Mar 28, 2009·Public Health Nutrition·Marjanne SenekalJohanna Nel
Jan 28, 2010·Journal of Physical Activity & Health·Fiona C BullTimothy Armstrong
Nov 26, 2010·Population Health Management·Rebecca J Mitchell, Paul Bates
Jun 18, 2011·American Journal of Public Health·Edison J TrickettJoseph E Trimble
Oct 14, 2011·Kidney International·William G CouserMarcello Tonelli
Nov 28, 2012·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·M F JanssenJan Busschbach
Dec 4, 2012·Lancet·Bongani M MayosiUNKNOWN Lancet South Africa team
Jun 5, 2013·Best Practice & Research. Clinical Endocrinology & Metabolism·Mary Forhan, Simone V Gill
Aug 21, 2013·Health Research Policy and Systems·Hyacinthe Tchewonpi KankeuDavid B Evans
Sep 10, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·K J LancasterA M Schoenthaler
Sep 30, 2014·The New England Journal of Medicine·Bongani M Mayosi, Solomon R Benatar
Aug 25, 2016·Workplace Health & Safety·Bonnie RogersBradley A Connor

❮ Previous
Next ❯

Software Mentioned

Stata13
InZ
NVivo
excel
FFIT
REDCap
SMART

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.