Diet & Activity Community Trial: High-Risk Inflammation (CCTT)

• Change in C-Reactive Protein (CRP) levels from baseline to post intervention [ Time Frame: Baseline, Post Intervention (90) days) and 12 months beyond baseline ] [ Designated as safety issue: No ]
  Data are collected at three time points: baseline, 90 days from baseline, and 12 months (one year) from baseline. Evaluable data will be difference from 90 days from baseline or 12 months (one year) from baseline or both.
  
  

• Change in Interleukin 6 (IL6) values from baseline to either 90 days or 12 months or both. [ Time Frame: Baseline, Post intervention (90 days) and 12 months beyond baseline. ] [ Designated as safety issue: No ]
  As for the primary outcome measure, data are collected at three time points: baseline, 90 days from baseline, and 12 months (one year) from baseline. Evaluable data will be difference from 90 days from baseline or 12 months (one year) from baseline or both.
  
  
• Change in body mass index (BMI) values from baseline to either 90 days or 12 months or both. [ Time Frame: Baseline, Post intervention (90 days) and 12 months beyond baseline. ] [ Designated as safety issue: No ]
  As for the primary outcome measure, data are collected at three time points: baseline, 90 days from baseline, and 12 months (one year) from baseline. Evaluable data will be difference from 90 days from baseline or 12 months (one year) from baseline or both.
  
  
• Change in body fat mass (BFM) values from baseline to either 90 days or 12 months or both. [ Time Frame: Baseline, Post intervention (90 days) and 12 months beyond baseline. ] [ Designated as safety issue: No ]
  As for the primary outcome measure, data are collected at three time points: baseline, 90 days from baseline, and 12 months (one year) from baseline. Evaluable data will be difference from 90 days from baseline or 12 months (one year) from baseline or both.
  
  
• Change in waist-to-hip ratio(WHR) values from baseline to either 90 days or 12 months or both. [ Time Frame: Baseline, Post intervention (90 days) and 12 months beyond baseline. ] [ Designated as safety issue: No ]
  As for the primary outcome measure, data are collected at three time points: baseline, 90 days from baseline, and 12 months (one year) from baseline. Evaluable data will be difference from 90 days from baseline or 12 months (one year) from baseline or both.
  
  
• Change in mcp-1 values from baseline to either 90 days or 12 months or both. [ Time Frame: Baseline, Post intervention (90 days) and 12 months beyond baseline. ] [ Designated as safety issue: No ]
  As for the primary outcome measure, data are collected at three time points: baseline, 90 days from baseline, and 12 months (one year) from baseline. Evaluable data will be difference from 90 days from baseline or 12 months (one year) from baseline or both.
  
  

A diet and physical activity intervention was developed to provide knowledge and skills to facilitate health behavior change in African-American Baptist Church members in South Carolina and promote healthy lifestyles to reduce colon cancer disparities. The intervention entitled, "H.E.A.L.S. (Healthy Eating and Active Living in the Spirit)" was used to train church education teams to deliver church and community educational activities promoting a diet rich in fruits and vegetables and an active lifestyle. The training focused leadership and empowerment skills to enable church lay leaders to become Church Education Teams (CETs) . The educational activities made it easier for church and community members to eat more fruits and vegetables, reduce fat intake, increase physical activity, and increase dietary intake of anti-inflammatory foods associated with colon cancer risk.

This 12 week healthy eating and physical activity program is tailored to meet a church's needs and goals by:

1. providing cooking classes, recipes,
2. tips for increasing the level of physical activity in their daily routine

3. assistance tracking basic measurements like

   • Weight
   • Blood pressure,
   • Inflammation levels

Education Goals:

• Increase knowledge of health behavior and changes that can impact health status
• Increase confidence in sharing health information with church, family, and community members.
• Develop skills to facilitate behavior change
• Develop skills to overcome barriers to behavior change