Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29946
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dc.contributor.authorDraper, Catherine Een_UK
dc.contributor.authorTomaz, Simone Aen_UK
dc.contributor.authorZihindula, Ganzamunguen_UK
dc.contributor.authorBunn, Christopheren_UK
dc.contributor.authorGray, Cindy Men_UK
dc.contributor.authorHunt, Kateen_UK
dc.contributor.authorMicklesfield, Lisa Ken_UK
dc.contributor.authorWyke, Sallyen_UK
dc.date.accessioned2019-08-02T00:00:40Z-
dc.date.available2019-08-02T00:00:40Z-
dc.date.issued2019-07-31en_UK
dc.identifier.othere0219787en_UK
dc.identifier.urihttp://hdl.handle.net/1893/29946-
dc.description.abstractRising levels of obesity in South Africa require innovation in community-level lifestyle change programmes. Our aim was to co-develop Impilo neZenkolo (‘Health through Faith’), a healthy lifestyle programme for low-income, black South Africans delivered through churches, and evaluate its feasibility, acceptability and potential effectiveness. In the first phase we developed programme materials with church members. In the second phase we trained lay leaders to deliver the programme and assessed feasibility, acceptability (observation, focus groups and interviews) and potential effectiveness (pre and post measurement of weight, hip and waist circumferences, blood pressure, self-reported physical activity, dietary habits, health status, self-esteem, psychological distress). The study was conducted in four churches in urban and rural South Africa. The development workshops led to increased focus on positive benefits of participation, widening inclusion criteria to all adults and greater emphasis on Christian ethos. Challenges to feasibility included: recruitment of churches; scheduling of programme sessions (leading to one church not delivering the programme); attendance at the programme (63% attended more than half of the 12 weekly sessions); and poor programme fidelity (in particular in teaching behaviour change techniques). Aspects of the programme were acceptable, particularly the way in which the programme was aligned with a Christian ethos. There was some indication that amongst the 42/68 (62%) for whom we were obtained pre- and post-programme measurements the programme has potential to support weight loss. We conclude that a healthy lifestyle programme for low-income, black South Africans, delivered through churches, may be viable with extensive re-development of delivery strategies. These include finding external funding for the programme, endorsement from national level denominational organisations and the professionalization of programme leadership, including paid rather than volunteer leaders to ensure sufficient time can be spent in training.en_UK
dc.language.isoenen_UK
dc.publisherPublic Library of Scienceen_UK
dc.relationDraper CE, Tomaz SA, Zihindula G, Bunn C, Gray CM, Hunt K, Micklesfield LK & Wyke S (2019) Development, feasibility, acceptability and potential effectiveness of a healthy lifestyle programme delivered in churches in urban and rural South Africa. PLoS ONE, 14 (4), Art. No.: e0219787. https://doi.org/10.1371/journal.pone.0219787en_UK
dc.rights© 2019 Draper et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.titleDevelopment, feasibility, acceptability and potential effectiveness of a healthy lifestyle programme delivered in churches in urban and rural South Africaen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1371/journal.pone.0219787en_UK
dc.identifier.pmid31365557en_UK
dc.citation.jtitlePLoS ONEen_UK
dc.citation.issn1932-6203en_UK
dc.citation.volume14en_UK
dc.citation.issue4en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderMedical Research Councilen_UK
dc.citation.date31/07/2019en_UK
dc.contributor.affiliationUniversity of the Witwatersranden_UK
dc.contributor.affiliationUniversity of the Witwatersranden_UK
dc.contributor.affiliationUniversity of KwaZulu-Natalen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of the Witwatersranden_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.identifier.isiWOS:000484983600018en_UK
dc.identifier.scopusid2-s2.0-85070099843en_UK
dc.identifier.wtid1404279en_UK
dc.contributor.orcid0000-0002-5873-3632en_UK
dc.date.accepted2019-07-01en_UK
dcterms.dateAccepted2019-07-01en_UK
dc.date.filedepositdate2019-08-01en_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorDraper, Catherine E|en_UK
local.rioxx.authorTomaz, Simone A|en_UK
local.rioxx.authorZihindula, Ganzamungu|en_UK
local.rioxx.authorBunn, Christopher|en_UK
local.rioxx.authorGray, Cindy M|en_UK
local.rioxx.authorHunt, Kate|0000-0002-5873-3632en_UK
local.rioxx.authorMicklesfield, Lisa K|en_UK
local.rioxx.authorWyke, Sally|en_UK
local.rioxx.projectProject ID unknown|Medical Research Council|http://dx.doi.org/10.13039/501100000265en_UK
local.rioxx.freetoreaddate2019-08-01en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2019-08-01|en_UK
local.rioxx.filenamejournal.pone.0219787.pdfen_UK
local.rioxx.filecount1en_UK
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