Abstract
Health promotion interventions in African American communities are frequently delivered in church settings. The Men’s Prostate Awareness Church Training (M-PACT) intervention aimed to increase informed decision making for prostate cancer screening among African American men through their churches. Given the significant proportion and role of women in African American churches, the M-PACT study examined whether including women in the intervention approach would have an effect on study outcomes compared with a men-only approach. The current analysis discusses the men’s participation rates in the M-PACT intervention, which consisted of a series of 4 bimonthly men’s health workshops in 18 African American churches. Data suggest that once enrolled, retention rates for men ranged from 62 to 69 % over the workshop series. Among the men who were encouraged to invite women in their lives (e.g., wife/partner, sister, daughter, friend) to the workshops with them, less than half did so (46 %), suggesting under-implementation of this “health partner” approach. Finally, men’s participation in the mixed-sex workshops were half the rate as compared to the men-only workshops. We describe recruitment techniques, lessons learned, and possible reasons for the observed study group differences in participation, in order to inform future interventions to reach men of color with health information.
Similar content being viewed by others
References
Bopp, M., & Fallon, E. (2013). Health and wellness programming in faith-based organizations: A description of a nationwide sample. Health Promotion Practice, 14(1), 122–131. doi:10.1177/1524839912446478.
Hatch, J. W., Cunningham, A. C., Woods, W., & Snipes, F. C. (1986). The fitness through churches project: Description of a community-based cardiovascular health promotion intervention. Hygie, 5(3), 9–12.
Patton, J., Thompson, C., Ewing, A., Hawes, S., Moore, E., Williams, E., et al. (2010). Taking it to the pews: A CBPR-guided HIV awareness and screening project with Black churches. AIDS Education and Prevention, 22(3), 218–237.
Stillman, F. A., Bone, L. R., Rand, C., & Levine, D. M. (1993). Heart, body, and soul: A church-based smoking cessation program for urban African Americans. Preventive Medicine, 22, 335–349.
Smith, E. D. (1989). The role of Black churches in supporting compliance with antihypertension regimens. Public Health Nursing, 6, 212–217.
Turner, L. W., Sutherland, M., Harris, G., & Barber, M. (1995). Cardiovascular health promotion in North Florida African-American churches. Journal of Health Values, 19(2), 3–9.
Griffith, D., Pichon, L., Campbell, B., & Allen, J. (2010). YOUR blessed health: A faith-based CBPR approach to addressing HIV/AIDS among African Americans. AIDS Education and Prevention, 22(3), 203–217.
MacMaster, S., Jones, J., Rasch, R., Crawford, S., Thompson, S., & Sanders, E. (2007). Evaluation of a faith-based culturally relevant program for Africa American substance users at risk for HIV in the southern United States. Research on Social Work Practice, 17(2), 229–238. doi:10.1177/1049731506296826.
Resnicow, K., Campbell, M., Carr, C., McCarty, F., Wang, T., & Periasamy, S. (2004). Body and soul: A dietary intervention conducted through African-American churches. American Journal of Preventive Medicine, 27, 97–105.
Campbell, M., Motsinger, B., Ingram, A., et al. (2000). The North Carolina Black churches united for better health project: Intervention and process evaluation. Health Education and Behavior, 27, 241–253.
Lincoln, C., & Mamiya, L. (1990). The Black church in the African American experience. Durham, NC: Duke University Press.
Darnell, J., Chang, C. H., & Calhoun, E. (2006). Knowledge about breast cancer and participation in a faith-based breast cancer program and other predictors of mammography screening among African American women and Latinas. Health Promotion Practice, 7(3), 201S–212S.
Blocker, D. E., Smith, R. L., Thomas, K. B., et al. (2006). Knowledge, beliefs and barriers associated with prostate cancer prevention and screening behaviors among African-American men. Journal of the National Medical Association, 98(8), 1286–1295.
Holt, C. L., Litaker, M. S., Jeames, S., Wynn, T. A., Southward, P., & Schulz, E. (2009). A comparison of a spiritually based and non-spiritually based educational intervention for informed decision making for prostate cancer screening among church-attending African-American men. Urologic Nursing, 29, 249–258.
Drake, B., Shelton, R., Gilligan, T., & Allen, J. (2010). A church-based intervention to promote informed decision making for prostate cancer screening among African-American men. Journal of the National Medical Association, 102(3), 164–171.
Harvey, I., & Alston, R. (2011). Understanding preventive behaviors among mid-Western African-American men: A pilot qualitative study of prostate cancer screening. JMH, 8(2), 140–151.
McCaughan, E. (2007). Information-seeking behavior of men newly diagnosed with cancer: A qualitative study. Journal of Clinical Nursing. doi:10.1111/j.1365-2702.2006.01785.x.
Hooker, S., Wilcox, S., Burroughs, E., Rheaume, C., & Courtenay, W. (2012). The potential influence of masculine identity on health-improving behavior in midlife and older African American men. JMH, 9(2), 79–88.
Burkitt, G. (1999). Strategies for dealing with men in general practice. Australian Family Physician, 28(8), 773–774.
Chapple, A., & Ziebland, S. (2002). Prostate cancer: Embodied experience and perceptions of masculinity. Sociology of Health & Illness, 24, 820–841.
Courtenay, W. H. (2000). Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Social Science and Medicine, 50(10), 1385–1401.
Courtenay, W. H. (2002). Behavioral factors associated with disease, injury, and death among men: Evidence and implications for prevention. International Journal of Men’s Health, 1(3), 281–342.
Purcell, H. (1995). Time to reverse the descent of man. The Lancet, 346, 240.
Schofield, T., Connell, R. W., Walker, L., Wood, J. F., & Butland, D. L. (2000). Understanding men’s health and illness: A gender-relations approach to policy, research, and practice. Journal of American College Health, 48(6), 247–256.
Seymour-Smith, S., Wetherell, M., & Phoenix, A. (2002). ‘My wife ordered me to come!’: A discursive analysis of doctor’ and nurses’ accounts of men’s use of general practitioners. Journal of Health Psychology, 7(3), 253–267.
Smith, A., Mischewski, A., & Gifford, S. (1999). ‘They just treat you as a number’: Aspects of men’s experience in a Melbourne sexual health service. Venereology, 12, 15–19.
Tudiver, F., & Talbot, Y. (1999). Why don’t men seek help? Family physicians’ perpectives on help-seeking behavior in men. The Journal of Family Practice, 48(1), 47–52.
Leone, J. (2012). Concepts in male health: Perspectives across the lifespan. San Francisco, CA: Jossey-Bass.
Ford, M., Havstad, S., & Tilley, B. (2003). Recruiting older African American men to a cancer screening trial (The AAMEN project). The Gerontologist, 43(1), 27–35.
Feltwell, A., & Rees, C. (2004). The information-seeking behaviours of partners of men with prostate cancer: A qualitative pilot study. Patient Education and Counseling, 54(2), 179–185.
Denner, B. (2000). MAN model: Health promotion. Australian Journal of Primary Health, 6, 230–240.
Jernigan, J. C., Trauth, J. M., Neal-Ferguson, D., & Cartier-Ulrich, C. (2001). Factors that influence cancer screening in older African American men and women: Focus group findings. Family and Community Health, 24(3), 27–33.
Odedina, F. T., Scrivens, J., Emanuel, A., La-Rose-Pierre, M., Brown, J., & Nash, R. (2004). A focus group study of factors influencing African-American men’s prostate cancer screening behavior. Journal of the National Medical Association, 96(6), 780–788.
Echlin, K. N., & Rees, C. E. (2002). Information needs and information-seeking behaviors of men with prostate cancer and their partners: A review of the literature. Cancer Nursing, 25(1), 35–41.
Heyman, E. N., & Rosner, T. T. (1996). Prostate cancer: An intimate view from patients and wives. Urologic Nursing, 16, 37–44.
Lavery, J. F., & Clarke, V. A. (1994). Prostate cancer: Patients’ and spouses’ coping and marital adjustment. Pyschology, Health, and Medicine, 4, 289–302.
Krol, Y., van Dam, F. S., Horenblas, S., Meinhardt, W., & Muller, M. J. (2000). Information needs of men with prostate cancer and their partners. Nederlands Tijdschrift voor Geneeskunde, 144(9), 431–437.
Ford, M. E., Vernon, S. W., Havstad, S. L., Thomas, S. A., & Davis, S. D. (2006). Factors influencing behavioral intention regarding prostate cancer screening among older African-American men. Journal of the National Medical Association, 98(4), 505–514.
Papatsoris, A. G., & Anagnostopoulos, F. (2008). Men’s behavior towards prostate cancer screening. Postgraduate Medicine, 84, 57–59.
Volk, R., Cantor, S., Cass, A., Spann, S., Weller, S., & Krahn, M. (2004). Preferences of husbands and wives for outcomes of prostate cancer screening and treatment. Journal of General Internal Medicine, 19(4), 339–348.
Thrasher, J. F., Campbell, M. K., & Oates, V. (2004). Behavior-specific social support for healthy behaviors among African American church members: Applying optimal matching theory. Health Education and Behavior, 31(2), 193–205.
Meiser, B., Cowan, R., Costello, A., Giles, G. G., Lindeman, G. J., & Gaff, C. L. (2007). Prostate cancer screening in men with a family history of prostate cancer: The role of partners in influencing men’s screening uptake. Urology, 70(4), 738–742.
Miller, S. M. (1992). Individual differences in the coping process: What to know and when to know it. In B. N. Carpenter (Ed.), Personal coping theory, research and application (pp. 77–91). Westport, CT: Praeger Publishers.
Miller, S. M. (1995). Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease: Implications for cancer screening and management. Cancer, 76, 167–177.
Miller, S. M., & Mangan, C. E. (1983). Interacting effects of information and coping style in adapting to gynaecologic stress. Journal of Personality and Social Pyschology, 41, 223–226.
Holt, C., Wynn, T., Southward, P., Litaker, M., Jeames, S., & Schulz, E. (2009). Development of a spiritually based education intervention to increase informed decision making for prostate cancer screening among church-attending African American men. Journal of Health Communication, 14(6), 590–604. doi:10.1080/10810730903120534.
Holt, C., Wynn, T. A., Debnam, K., et al. (2010). Cancer awareness in alternative settings: Lessons learned and evaluation of the barbershop men’s health project. Journal of Health Disparities Research and Practice, 4(2), 100–110.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175–183. doi:10.1177/109019818801500203.
Saunders, D. R., Holt, C. L., Whitehead, T. L., et al. (2013). Development of the Men’s prostate awareness church training: Church-based workshops for African American men. Family and Community Health, 36(3), 224–235. doi:10.1097/FCH.0b013e318292eb40.
Le, D., Holt, C. L., Saunders, D. R., et al. (in press). Feasibility and acceptability of SMS text messaging in a prostate cancer educational intervention for African American men. Health Informatics Journal.
Lefler, L. (2009). Ten commandments of faith-based recruitment. Research in Gerontological Nursing, 2(4), 243–249.
Reed, P., Foley, K., Hatch, J., & Mutran, E. (2003). Recruitment of older African Americans for survey research: A process evaluation of the community and church-based strategy in the Durham Elders Project. The Gerontologist, 43(1), 52–61.
Stoy, D., Curtis, C., Dameworth, K., et al. (1995). The successful recruitment of elderly Black subjects in a clinical trial: The Crisp experience. Journal of the National Medical Association, 87(4), 280–287.
Carter, V. L., Tippett, F., Anderson, D. L., & Tameru, B. (2010). Increasing prostate cancer screening among African American men. Journal of Health Care for the Poor and Underserved, 21(3 Suppl), 91–106. doi:10.1353/hpu.0.0366.
Pietromonco, P. R., Uchino, B., & Dunkel-Schetter, C. (2013). Close relationship processes and health: Implications of attachment theory for health and disease. Health Psychology, 32, 499–513. doi:10.1037/a0029349.
Acknowledgments
This work was supported by a grant from the American Cancer Society (RGST-10-113-01-CPPB). Many thanks to our community partners: Access to Wholistic and Productive Living Institute, Inc., and Community Ministry of Prince George’s County for their active role in church recruitment, training lay educators, and guidance in customizing the intervention to faith based communities in Prince George’s County, Maryland. We thank Andrew Perrin for his assistance with data entry and table preparation. Most of all, we acknowledge all the churches, community health advisors, and volunteers that participated and supported this research project to educate men about prostate cancer and early detection.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
This study was approved by the University of Maryland Institutional Review Board (12-0095).
The clinical trials.gov registration number for this study is NCT021317.
Rights and permissions
About this article
Cite this article
Saunders, D.R., Holt, C.L., Le, D. et al. Recruitment and Participation of African American Men in Church-Based Health Promotion Workshops. J Community Health 40, 1300–1310 (2015). https://doi.org/10.1007/s10900-015-0054-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10900-015-0054-9