Evidence map›Paper›PMID 41918127›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2026

Implementation of Change Club action plans to promote built environment change in rural communities.

Meredith L Graham, Emma C Lewis, Deyaun L Villarreal, Sara C Folta, Leah C Volpe, Galen D Eldridge, Karla L Hanson, Grace A Marshall, Jay E Maddock, Miriam E Nelson and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05002660 (Evaluation of a Civic Engagement Approach to Catalyze Built Environment Change and Promote Healthy Eating and Physical Activity Among Rural Residents), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT05002660 nacompletednot on this map

Evaluation of a Civic Engagement Approach to Catalyze Built Environment Change and Promote Healthy Eating and Physical Activity Among Rural Residents

TypeinterventionalSponsorTexas A&M UniversityRan2023 to 2026Enrolled2,420ConditionsHeart DiseasesArmsGroup 1 (Intervention), Group 2 (Control)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

11 authors.

Meredith L GrahamInstitute for Advancing Health Through Agriculture, Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA.
Emma C LewisInstitute for Advancing Health Through Agriculture, Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA.
Deyaun L VillarrealInstitute for Advancing Health Through Agriculture, Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA.
Sara C FoltaFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02155, USA.
Leah C VolpeDepartment of Public and Ecosystem Health, Cornell University, Ithaca, NY, 14853, USA.
Galen D EldridgeInstitute for Advancing Health Through Agriculture, Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA.
Karla L HansonDepartment of Public and Ecosystem Health, Cornell University, Ithaca, NY, 14853, USA.
Grace A MarshallDepartment of Public and Ecosystem Health, Cornell University, Ithaca, NY, 14853, USA.
Jay E MaddockSchool of Public Health, Texas A&M University, College Station, TX, 77843, USA.
Miriam E NelsonFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA, 02111, USA.
Rebecca A Seguin-FowlerInstitute for Advancing Health Through Agriculture, Texas A&M AgriLife Research, Norman E. Borlaug Building, 498 Olsen Blvd, College Station, College Station, TX , 77843, USA. r.seguin-fowler@ag.tamu.edu.

Funding

Evaluation of a Civic Engagement Approach to Catalyze Built Environment Changeand Promote Healthy Eating and Physical Activity Among Rural ResidentsR01CA230738 · NCI · TEXAS A&M AGRILIFE RESEARCH · PI SEGUIN-FOWLER, REBECCA ANNE · 2019 to 2024
$3.0M
NCI NIH HHS R01 CA230738
6 · The paper itself

Abstract

backgroundRural United States communities often experience disproportionate burdens of obesity, cardiovascular disease, diabetes, and premature mortality. Built environment constraints, including limited sidewalks, recreation facilities, and access to nutritious foods, may restrict opportunities for adoption and maintenance of healthy eating and physical activity behaviors. Civic engagement approaches empower residents to assess community needs, develop action plans, and implement policy, systems, and environmental (PSE) strategies. However, few randomized trials have examined implementation of PSE strategies and their impacts in rural adult populations. This study evaluated implementation of Cooperative Extension-led Change Club (CC) community project action plans aimed at facilitating PSE change in six rural and micropolitan Texas and New York intervention communities. Presently, we document implementation outcomes and identify factors that may have influenced implementation using the Consolidated Framework for Implementation Research (CFIR).

methodsCCs followed a 24-module curriculum facilitated by trained Extension educators. Approved action plans were provided with seed money to target diet and physical activity PSE changes. Implementation outcomes regarding the action plans were tracked through educator reports, interviews, and proposals. CFIR factors were assessed during the early stages of action plan implementation using interviews with educators and participant residents.

resultsAll six intervention communities implemented action plans, most of which had multiple components. Each prioritized environmental changes and most focused on addressing physical activity. Implementation timing and continuity varied, influenced by external factors such as weather and local approvals. CFIR analysis identified beliefs about feasibility, stakeholder engagement, and group decision-making as key factors influencing implementation.

conclusionsRural CCs successfully launched a variety of built environment initiatives. This implementation evaluation highlights pathways and barriers related to scaling rural civic engagement strategies.

trial registrationClinical Trial #NCT05002660 (August 2021).

Indexed as

Built EnvironmentExerciseHealth PromotionRural PopulationAdultDiet, HealthyFemaleHealth BehaviorHumansMaleNew YorkTexasBuilt environmentCFIRChange clubCivic engagementHealth promotionImplementation evaluationPSERCTRural

Identifiers

PMID41918127
PMCPMC13162460

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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.