A Culturally Sensitive Church-Based Health-Smart Intervention for Increasing Health Literacy and Health-Promoting Behaviors among Black Adult Churchgoers

Carolyn, M. Tucker; Kang, Shuchang; Ukonu, Nwakaego; Linn, Gabriel S.; DiSangro, Courtney S.; Arthur, Tya M.; Ralston, Penny A.

doi:10.1353/hpu.2019.0009

Cited by 17 publications

(51 citation statements)

References 30 publications

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“…In African-American communities, the Black church is a powerful resource for health literacy initiatives. Using CBPR, Tucker et al ( 2019 ) trained church leaders and selected church goers from 21 Black churches to deliver a 6-week church-based health promotion intervention comprising individual coaching, group discussions, and physical activity. At post-test, this initiative significantly increased nutritional health literacy (measured using the Newest Vital Sign; mean difference = 1.20, p < .001) and health behaviors (e.g., nutrition and physical activity) in the intervention group (mean difference = 0.76, p < .001) ( Tucker et al, 2019 ).…”

Section: Health Literacy Strategiesmentioning

confidence: 99%

“…Using CBPR, Tucker et al ( 2019 ) trained church leaders and selected church goers from 21 Black churches to deliver a 6-week church-based health promotion intervention comprising individual coaching, group discussions, and physical activity. At post-test, this initiative significantly increased nutritional health literacy (measured using the Newest Vital Sign; mean difference = 1.20, p < .001) and health behaviors (e.g., nutrition and physical activity) in the intervention group (mean difference = 0.76, p < .001) ( Tucker et al, 2019 ). Similarly, Dulchavsky, Riffin, Johnson, Cogan, and Joseph ( 2014 ) installed health information touchscreen kiosks in four Black churches to improve health literacy and found self-reported changes in at least one behavior in more than 85% of users 1 to 2 years later.…”

Section: Health Literacy Strategiesmentioning

confidence: 99%

See 1 more Smart Citation

Health Literacy in African-American Communities: Barriers and Strategies

Muvuka¹,

Combs²,

Ayangeakaa³

et al. 2020

HLRP: Health Literacy Research and Practice

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Section: Health Literacy Strategiesmentioning

confidence: 99%

Section: Health Literacy Strategiesmentioning

confidence: 99%

Health Literacy in African-American Communities: Barriers and Strategies

Muvuka¹,

Combs²,

Ayangeakaa³

et al. 2020

HLRP: Health Literacy Research and Practice

View full text Add to dashboard Cite

“…Figure 2 describes the PRISMA flow diagram that identified 18 studies [55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72] published between 2006 and 2020. These included 15 observational or cross-sectional studies and 3 intervention studies.…”

Section: Resultsmentioning

confidence: 99%

“…These included 15 observational or cross-sectional studies and 3 intervention studies. Eleven studies were conducted in Florida, Indiana, Kansas, Louisiana, Maryland, New York, Tennessee, and Texas [58][59][60][61][62][63]65,[67][68][69][70]; four studies were conducted in the mid-Atlantic [66], Southeast [57], or the lower Mississippi Delta regions [71,72]; and three were national studies [55,56,64], two of which were administered via mail [55,64]. (e.g., making a grocery list and using coupons or other means of savings) [56,58,61,65,69] or extending the food safety of perishable items through refrigeration and being aware of the cost of organic foods [57].…”

Section: Resultsmentioning

confidence: 99%

“…Table 2 outlines the objectives, location, population, and outcomes measured and the major relevant findings for each of the 18 studies. Only three of the 18 studies [55,63,70] described using a conceptual or theoretically grounded framework to inform the study design and interpret the results. Grutzmacher et al, 2020 [59] noted the importance of using conceptual frameworks in future studies to ensure that similar domains are not conflated and to improve measurement.…”

Section: Overview Of Studies That Evaluated Food And/or Nutrition Literacy Of Us Adultsmentioning

confidence: 99%

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Applying a Multi-Dimensional Digital Food and Nutrition Literacy Model to Inform Research and Policies to Enable Adults in the U.S. Supplemental Nutrition Assistance Program to Make Healthy Purchases in the Online Food Retail Ecosystem

Stanley

Harrigan

Serrano

et al. 2021

IJERPH

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The United States (U.S.) Department of Agriculture (USDA)-administered Supplemental Nutrition Assistance Program (SNAP) made substantial changes in response to the coronavirus disease 2019 (COVID-19) pandemic. These changes highlight the need to identify the digital literacy skills and capacities of SNAP adults to purchase healthy groceries online. We conducted a scoping review of four electronic databases, Google and Google Scholar to identify studies that measured food and nutrition literacy outcomes for U.S. adults. We applied a multi-dimensional digital food and nutrition literacy (MDFNL) model to assess six literacy levels and components. Of 18 studies published from 2006–2021, all measured functional and interactive literacy but no study measured communicative, critical, translational, or digital literacy. Six studies examined SNAP or SNAP-Education outcomes. Adults with higher food or nutrition literacy scores had better cognitive, behavioral, food security and health outcomes. We suggest how these findings may inform research, policies, and actions to strengthen the multi-dimensional literacy skills of SNAP participants and SNAP-eligible adults to support healthy purchases in the online food retail ecosystem.

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Community health literacy outcome measurement practices: A scoping review of recent interventions

Sawyers

Anderson

Aslani

et al. 2022

Health Science Reports

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Introduction Evidence suggests that, while a preference for functional Health Literacy (HL) outcome measurement exists, researchers are converging towards more all‐encompassing instruments. While this claim is present in the HL field, minimal research has comprehensively explored the state of community HL measurement practices at the direct and proxy level. The almost exclusive focus on direct, as opposed to proxy, community HL measurement indicates a review of progress is needed. Objective To identify HL outcome measurement practices for community HL interventions at the direct and proxy level of measurement. Search Strategy Medline, PsycINFO, Web of Science, ERIC, Embase, Scopus, CINAHL, ProQuest Dissertations and Theses, Google Scholar and targeted websites were searched. Inclusion Criteria Studies were sampled from the general population, included HL as an outcome of interest, involved an intervention aiming to improve HL, were English‐text publications and were published ≥2010. Data Extraction and Synthesis Study author(s) and publication years, sample characteristics, intervention profiles and direct and proxy instrument and outcome measurement information were extracted. Full‐text review retrieved 25 eligible studies. Main Results In total, 21 unique direct and 38 unique proxy instruments were extracted. The majority of interventions assessed functional compared to communicative, critical, and other HL domains, with objective instruments more frequently used than subjective or combined objective‐subjective types, though more unique subjective HL instruments were extracted overall. The Test of Functional HL in Adults was the most popular instrument, and perceived health, knowledge, behaviors and health intentions were the most frequent proxy outcome measures, with only the Healthy Lifestyle Behavior Scale‐II and Patient Activation Measure used across multiple interventions. Discussion and Conclusions Direct HL outcome practices endured a unidimensional profile, despite previous suggestions of a convergence towards holistic instruments. This review provides the first overview of proxy HL measurement across community HL interventions, identifying substantial variation in proxy outcome practices. Patient or Public Contribution A University‐based senior librarian contributed to the development of the search strategy, and reviewed iterations of the strategy until refinement was complete. No further public or patient contribution was made given the review‐based nature of the research.

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A Culturally Sensitive Church-Based Health-Smart Intervention for Increasing Health Literacy and Health-Promoting Behaviors among Black Adult Churchgoers

Cited by 17 publications

References 30 publications

Health Literacy in African-American Communities: Barriers and Strategies

Health Literacy in African-American Communities: Barriers and Strategies

Applying a Multi-Dimensional Digital Food and Nutrition Literacy Model to Inform Research and Policies to Enable Adults in the U.S. Supplemental Nutrition Assistance Program to Make Healthy Purchases in the Online Food Retail Ecosystem

Community health literacy outcome measurement practices: A scoping review of recent interventions

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