Partnering with African American churches to achieve better health: Lessons learned during the Black Churches United for Better Health 5 A Day project

African Americans (AAs) are at increased risk for many diseases, including cancer, but health promotion efforts often fail to reach them. Effective pa rtnerships can be established with African American churches to deliver hea lth-based interventions. In an NCI-funded study aimed at increasing fruit a nd vegetable consumption among rural AAs, investigators at three academic i nstitutions and the North Carolina State Health Department partnered succes sfully with 50 churches to promote dietary change. This study adds to the i ncreasing body of research in support of the African American church as an able partner in delivering health-based interventions. In conducting interv entions and research through this channel, the health professional should g ain support from regional secular associations; respect the power of the pa stor; incorporate the strengths of the congregation; respect the mission of the church; establish open communication and develop trust; provide ample support and training to assure fidelity to interventions and integrity of d ata; and be patient and persevere.