Evidence mapPaperPMID 31866211Full record

Trial reportAmerican journal of preventive medicine2020

Health for Hearts United Longitudinal Trial: Improving Dietary Behaviors in Older African Americans.

Penny A Ralston, Kandauda K A S Wickrama, Catherine C Coccia, Jennifer L Lemacks, Iris M Young-Clark, Jasminka Z Ilich

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Penny A RalstonCenter on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, Florida. Electronic address: pralston@fsu.edu.
Kandauda K A S WickramaDepartment of Human Development and Family Science, University of Georgia, Athens, Georgia.
Catherine C CocciaDepartment of Dietetics and Nutrition, Florida International University, Miami, Florida.
Jennifer L LemacksSchool of Kinesiology and Nutrition, University of Southern Mississippi, Hattiesburg, Mississippi.
Iris M Young-ClarkCenter on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, Florida.
Jasminka Z IlichCenter on Better Health and Life for Underserved Populations, Florida State University, Tallahassee, Florida; Institute for Successful Longevity, Florida State University, Tallahassee, Florida.
Florida State University · USFlorida International University · USUniversity of Georgia · USUniversity of Southern Mississippi · US

Funding

Mississippi INBREP20GM103476 · UNIVERSITY OF SOUTHERN MISSISSIPPI · 2025 to 2025
$4.1M
NIGMS NIH HHS P20 GM103476NIMHD NIH HHS R24 MD002807
6 · The paper itself

Abstract

introductionChurch-based interventions have been shown to improve the dietary health of underserved populations, yet few studies have examined sustainability of health behavior change over time. This paper examines dietary outcomes over a 24-month period (baseline and 6, 18, and 24 months) for fruit and vegetable and fat consumption behaviors of African-American participants in the Health for Hearts United church-based intervention in North Florida. STUDY

designThis quasi-experimental, longitudinal trial was conducted from 2009 to 2012. Data were analyzed in 2018. SETTING/

participantsSix churches in a 2-county area (3 treatment, 3 comparison) were selected for the study using community-based participatory research approaches. Participants were African-American adults (aged ≥45 years; n=211 at baseline) randomly selected from the churches, stratified by age and sex.

interventionHealth for Hearts United intervention was developed by the 3 treatment churches. The 18-month intervention was implemented in 3 6-month phases, framed around 3 conceptual components, which included 4 types of programs and 4 key messages.

main outcome measuresFruit and vegetable consumption was assessed using a single item (fruit and vegetable intake) and the National Cancer Institute Fruit and Vegetable Screener. Fat consumption was determined using a single item (fat intake) and the National Cancer Institute Fat Screener. Background characteristics included age, sex, educational level, and marital status.

resultsSignificant time effects only were found for daily fruit and vegetable intake (p<0.001), fat intake (p<0.001), and the Fat Screener (p<0.001) with dietary improvements in both treatment and comparison groups across the intervention phases. Fruit and Vegetable Screener results showed that time (p<0.001) and the interaction between time and treatment (p<0.01) were significant, with increases in fruit and vegetable consumption over time for both the treatment and comparison groups and with the increase differing between groups. Post hoc analysis revealed that the treatment group had greater increases in fruit and vegetable consumption than the comparison group between Phases 1 and 3 (p=0.03).

conclusionsDietary behaviors of mid-life and older African Americans can be improved and sustained over 24 months using a church-based heart health intervention, with similar improvements noted for both comparison and treatment participants.

trial registrationThis study is registered at www.clinicaltrials.govNCT03339050.

Indexed as

Black or African AmericanDiet, HealthyHealth BehaviorAgedAged, 80 and overCardiovascular DiseasesCommunity-Based Participatory ResearchFeeding BehaviorFemaleFloridaFruitHealth PromotionHumansMaleMiddle AgedVegetables

Identifiers

PMID31866211
PMCPMC7039745
OpenAlexW2996260311

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.