Source: NORTH CAROLINA A&T STATE UNIV submitted to NRP
HEALTH PROMOTION OF OLDER AFRICAN AMERICAN ADULTS IN FAITH-BASED SETTINGS
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1006720
Grant No.
(N/A)
Cumulative Award Amt.
(N/A)
Proposal No.
(N/A)
Multistate No.
(N/A)
Project Start Date
Oct 1, 2015
Project End Date
Sep 30, 2019
Grant Year
(N/A)
Program Code
[(N/A)]- (N/A)
Recipient Organization
NORTH CAROLINA A&T STATE UNIV
1601 EAST MARKET STREET
GREENSBORO,NC 27411
Performing Department
Family and Consumer Sciences
Non Technical Summary
The situation is that adults are living longer nevertheless people of color and those impoverished are more likely to experience great chronic diseases and health issues due to racial and economic discrimination. Thus, the purpose is to bringing awareness of health disparities and social determinants of health which influence older African Americans in a faith-based setting to church leaders and individuals over the age of 63.
Animal Health Component
40%
Research Effort Categories
Basic
50%
Applied
40%
Developmental
10%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7036010308050%
7036099308050%
Goals / Objectives
The first goal of the project will be to improve the dietary intake and physical activity levels of individuals 63 years of age and older. A second goal will be to utilize a Community-Based Participatory Research Model to develop a partnership with thorough equitable engagement of diverse partners, including older adults and congregants of faith-based setting. The third goal will be to develop capacity building strategies aimed at enhancing the knowledge and skills of community members to successfully engage in health promotion.
Project Methods
Project will utilize a CBPR methodological approach in a faith-based setting to assess older adults health and well-being wants and needs. Also, focus groups, community forums, needs assessments, as well as educational programmatic efforts will be implemented.

Progress 10/01/15 to 09/30/19

Outputs
Target Audience:The target population included elderly African American adults over the age of 55 from a large church from a suburban community in Greensboro, North Carolina. Twenty (20) female participants from the (Healthy Eating Active Living) HEAL project are members of Mt. Zion Baptist Church, Greensboro, NC. The age range is 62 - 85. Most of the participants have formal education and are not identified as socially or economically challenged. Several of the HEAL participants have bachelor's and or other advanced degrees. Three of the participants hold leadership positions in the church as deacons, ministers or leaders of various ministries. All of the participants were recruited from the Senior Adult Ministry at MTZBC. Efforts: With the aid of the spiritual health liaison, the HEAL research team was able to organize, implement and assess age-appropriate and context specific programming for individuals over the age of 62. Through formal and informal workshops, assessment, seminars, etc. the social determinants of health were identified and assessed in the lives of the participants. All research activities were held either on the campus of MTZBC or NCAT. The HEAL Aging Curriculum is still being designed by the principal investigator Changes/Problems:This is the last year of the project and overall I felt we met the projects aim/goals/objectives. However, we (my research team) and (me desired more support and involvement from MTZBC. It is a very large church and the research team expected greater involvement. However, the low participate rate may have been due to the church have many activities which focused on health and well-being. What opportunities for training and professional development has the project provided?TRAINING ACTIVITIES: The principal investigator provided mentorship to high school student through a Research Apprentice Program (RAP) during the summer of 2019. The student was trained on qualitative and quantitative research methodologies and was guided to conduct literature review. The PI provided an overview of the project and the high school student developed a relationship with the Windsor Community Center (E. Gate City Blvd) where she provided a 6-day session of healthy eating and physical activity with children ages 6-12. PROFESSIONAL DEVELOPMENT: The PI is the 2020 conference planner for the Teaching Family Science an international organization of family science researcher, educators and practitioners. In June 2019 the TFS annual conference was in Lihue, HI and the PI gave a presentation/overview of the upcoming conference to be held in Asheville, NC, June 2020. In addition to the role as conference planner, the PI provided a research poster presentation on elderly later life interview - an assignment administered to undergraduate students. The presentation went well and was invited to be submitted as a manuscript in the TFS scholarly, peer-review journal. How have the results been disseminated to communities of interest?Results are being compiled to share with the ministers, clergy, and other church officials who were involved throughout the many aspects of the project. As well as with the participants at Piney Grove Baptist Church and the larger body at MTZBC. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Because this reporting period was an extension year, the PI along with the research assistants continued to clean and organize the data. This final report acknowledges accomplishments of the teach to identify (yet a few) social determinants of health among older adults.As a result of participating in the project, it was noted: CHANGE IN KNOWLEDGE Improved knowledge of healthy food and healthy behaviors Improved knowledge of physical activity Improved knowledge and awareness of gardening techniques Bridge gap related to food purchase and food preparation of healthy meals Continued appreciation of the relationship between spirituality and healthy eating Improved nutritional knowledge and behaviors Increased knowledge of in making better decisions making, life skills, and positive life choices among youth and adults. CHANGE IN ACTION: The older adult participants have made better and informed choices regarding exercise, nutritional health and spiritual health Ministers/clergy have adjusted/adopted a more health-centered approach to their sermons and daily teachings

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Sumanu, J.U., Colleran, H., and Williams-Wheeler, M. Comparing Nutrition Knowledge among Older African American Women in Faith Based Settings. Student poster presentation at the Association for Research Directors Biennial Symposium, Jacksonville, FL, April 2019.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Williams-Wheeler, M., Lee, S.J., Giddings, V.L., Elliott, G.H., Hargett, B. and Cook, S.W. My Faith Keeps Me Healthy: A Mixed Methods Approach to Conceptualizing Healthy Eating and Active Living Among the Elderly. Oral presentation at the Association for Research Directors Biennial Symposium, Jacksonville, FL, April 2019
  • Type: Conference Papers and Presentations Status: Other Year Published: 2019 Citation: Williams-Wheeler, M., House, S., McMillan, V., Guy, T. and Giddings, V.L. The Later Life Interview: Voices of the Elderly. Poster presented at the 2019 Teaching Family Science Association Conference, Lihue, HI, June 2019.


Progress 10/01/17 to 09/30/18

Outputs
Target Audience:The target population includes elderly African American adults over the age of 55 from a large church from a suburban community in Greensboro, North Carolina. Twenty (20) female participants from the HEAL project are members of Mt. Zion Baptist Church (MTZBC), Greensboro, NC. The age range is 62 - 85. Most of the participants have some formal education and are not identified as socially or economically challenged. Several of the HEAL participants have bachelor's and or other advanced degrees. Three of the participants hold office in the church as deacons, ministers or some other lead are church leaders. All of the participants were recruited from the Senior Adult Ministry at MTZBC. Changes/Problems:One major change in the project was the gardening/horticulture investigator left the University.Therefore, several of the gardening activities and the community/church vegetable market was unable to take place. What opportunities for training and professional development has the project provided?TRAINING ACTIVITIES: The principal investigator provided mentorship to Kaylen Todman a 2018 participant in the Summer Research Apprenticeship Program. The PI provided training in qualitative and quantitative research and how to conduct a literature review.The PI provided an overview of the project and Kaylen worked closely with the PI and Sawo Eesiah in the development of her final project. Summer 2018, Dr. Kenneth Grubar provided training to Sawo Eesiah in Excel coding, assessing and evaluation of nutrition assessments. PROFESSIONAL DEVELOPMENT: The PI enrolled in an online 8 weeks family life coaching certification course at NCSU.Becoming a certified family life coach will further enable to the PI assist older adults with making informed decisions regarding health and well-being. How have the results been disseminated to communities of interest?Research posters presentations and workshops were held to disseminate this information. For example, the PI participated in the College of Agriculture and Environmental Sciences, N.C. A and TAdvisory Board Research Presentation, August 2018. What do you plan to do during the next reporting period to accomplish the goals?This is the last year of the project. However, a few activities have been planned to wrap up the project. Spirituality module: continue to send out weekly spiritual/motivation quotes. In April plan a female ministers' focus group. Healthy Eating Module: Invite a Lifestyle Coach to conduct a workshop on food preparation and storage for older adults. Physical Activity Module: Dr. Elliott will lead a 4-6 week walking groups March and April 2019.

Impacts
What was accomplished under these goals? During this reporting period, the research team conducted several workshops and focus groups to identify the social determinants of health among older adults. The following objectives relate to CHANGE IN KNOWLEDGE of the participants: Improved knowledge of healthy food and healthy behaviors Improved knowledge of physical activity Improved knowledge and awareness of gardening techniques Bridge gap related to food purchase and food preparation of healthy meals Continued appreciation of the relationship between spirituality and healthy eating Improved nutritional knowledge and behaviors Increased knowledge of in making better decisions making, life skills, and positive life choices among youth and adults. CHANGE IN ACTION: The older adult participants have made better and informed choices regarding exercise, nutritional health and spiritual health Ministers/clergy have adjusted/adopted a more health-centered approach to their sermons and daily teachings

Publications

  • Type: Journal Articles Status: Under Review Year Published: 2018 Citation: Williams-Wheeler, M. Faulkner, P., and Huchette, O. (2018). Preparing Undergraduates to Educate Preschoolers on Healthy Eating Using an Edible Garden: An Interdisciplinary Approach. Family Science Review. (In Review)
  • Type: Journal Articles Status: Other Year Published: 2019 Citation: Williams-Wheeler, M., McMillan, V., Guy, T., and Free, T. Applying Bloomâ¿¿s taxonomy as a framework to assess an undergraduate gardening education for young children. (In progress)


Progress 10/01/16 to 09/30/17

Outputs
Target Audience:The target population includes elderly African American adults over the age of 55 from a large church setting in a suburban community in Greensboro, North Carolina. Participants were recruited from within a faith-based community. Twenty-five (25) individuals meeting the participation criteria have been invited to participate in the study. Church leaders were pivotal in the recruitment efforts of the project. A spiritual-health liaison who is a member of the church was identified to help serve as a bridge between project activities and participants. Changes/Problems:The research team decided last year to focus primarily on one church rather than working with two churches as originally planned. Therefore, the sample size is much smaller. However, there remains some variation within the group. What opportunities for training and professional development has the project provided?The principal investigator provided mentorship to Tina Meuangvong, a senior at Southern Guilford High School in the Sumner area of Guilford County, N.C., who was a participant in the Summer 2017 Research Apprenticeship Program. The PI provided training in qualitative and quantitative research and how to conduct a literature review. The PI provided an overview of the project and Tina worked closely with the PI and research assistants in the development of her final project. Tina presented findings at the closing RAP ceremony, July 2017. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?Spirituality module: Send out weekly spiritual/motivation quotes. In April 2018 plan to host a female ministers' focus group Healthy Eating Module: plan to host a cooking demonstration mid-February 2018on N.C. A&T campus Physical Activity Module: Begin 6-8 week swimming- and walking-groups late March early April. Resume walking groups in the late spring 2018 semester.

Impacts
What was accomplished under these goals? October 2016 - Principal Investigator and Spiritual Health Liaison gave a 45-minute presentation to participants,which included a PowerPoint presentation, an interactive activity, and dissemination of health and wellness materials. March 2017 - 8-week swimming moduleat N.C. A&T State University September 2017- started a walking group, butwhen the weather became a factor we decided to postpone until spring 2018. There was a "change in action" in participants' understandingof physical activity and recognizing the breadth and depth of maintaining physical activity over the age of 55.There was also a "change in action" in participants' preparation and consumption of more healthy foods.

Publications

  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2017 Citation: Meuangvong, T., Williams-Wheeler, M., Arrington, T. and Jackson, G. Physical Activity Patterns of Older African-American Adults. Poster presented at the Research Apprenticeship Program, N.C. A&T State University, July 2017, Greensboro, NC.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2017 Citation: Williams-Wheeler, M. Elliott, G.H., Free, T., Giddings, V.L. Promoting Health and Well-Being among Older African American Adults in a Faith-Based Setting. Poster presented at the Association of Research Directors Symposium, April 2017, Atlanta, GA.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2017 Citation: Cook, S., Williams-Wheeler, M., Cherry, C., Giddings, V.L. Assessing the Dietary Intake of Rural African American Families: A Case Study Approach. Poster presented at the Association of Research Directors Symposium, April 2017, Atlanta, GA.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2017 Citation: Williams-Wheeler, M., Arrington, T. and McMillan, V. (2017). Assessing Financial and Sociocultural Factors of Healthy Food Consumption Among Rural African American Families: A CBPR Approach. Poster presented at the North Carolina Association of Family and Consumer Sciences, March 2017, Charlotte, NC.


Progress 10/01/15 to 09/30/16

Outputs
Target Audience:The target population includes elderly African American adults over the age of 55 from a large church from a suburban community in Greensboro, NC. Participants were recruited from within a faith-based community. Twenty (25) individuals meeting the participation criteria have been invited to participate in the study. Church leaders were pivotal in the recruitment efforts of the project. A spiritual-health liaison was also identified who is a member of the church to help serve as a bridge between project activities and participants. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?As stated previous, ministry leaders and participants have begun to improve their knowledge and awareness of the interplay of spirituality, nutrition and physical activity. How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?In year two regarding the spiritual module, there will be a forum with church and community leaders as well as a focus group with ministers and clergy. Pertaining to the health eating module, workshops and trainings will be provided to the participants regarding the recommended dietary intake for older African Americans. In addition, healthy recipes for meals and snacks will be shared. Also in year two, researchers will begin implementing the physical activity component of the curriculum. Participants will engage in swimming, walking teams and line dancing.

Impacts
What was accomplished under these goals? The primary aim is to improve the programming efforts within this faith-based community for elderly congregants. In conjunction with the projects goals and objectives, the ministry leaders and participants have begun to improve their knowledge and awareness of the interplay of spirituality, nutrition and physical activity.

Publications