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FBOs are actively engaged with communities
Some faith communities and FBOs represent
those with a higher burden of disease
The Public Health Outcomes Framework gives
a clear mandate for voluntary groups
The contribution of FBOs in the Public Health
agenda had yet to be explored
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Strand 1. Interventions within faith settings
targeting behaviour-modifiable diseases in
high-risk groups.
Strand 2. Faith groups confer “substantial
and distinctive social capital”, affecting
physical and mental health and improving
wellbeing.
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Most published literature on behavioural
interventions in Black American US churches
(4 reviews covering 43 studies)
Smaller body of literature from UK, individual
recent studies
Many examples of projects; less evaluated
Dehaven et al 2005.
Reductions in cholesterol , BP,
weight,. Increased use of
mammography & self exam.
Campbell et al 2007.
Increase in: fruit and
Vegetable consumption,
physical activity, smoking
cessation, cancer screening.
Thompson et al 2009.
Reduction in BP, weight and
BMI
Newlin et al 2012.
Increased fruit and vegetable
intake.
Primary prevention, cardio
vascular health, cancer
awareness, mental health
Church-based health
promotion programs; primary
prevention, smoking
cessation, breast cancer
awareness
Weight management (diet,
exercise or both) in Black
American church-goers
Diabetes education with Black
Americans.
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‘Faith-based’ vs ‘faith-placed’
Formative research / cultural competence
Integration of beliefs
Evaluation!
Leaving something behind
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Ainsworth et al. 2012. ‘Smoke-free homes’
initiative
Bush et al. 2005. Strong capacity-building,
participatory approach
Maynard et al. 2009, DEAL (DiEt and Active
Living) qualitative study
Rao et al. 2012. Screening for CVD risk
factors
Bravis et al. 2009. Diabetes education
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Pilot cluster RCT
Intervention with and by religious teachers
In 14 Islamic religious settings
50 households
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Based in 2 large Hindu temples in Brent
Used members of faith community in medical
profession (Royal Free and HEART UK)
Faith leaders and faith media encouraged
participation
Screened for CVD risk factors – 434 people
screened
Plans for follow-up of at-risk individuals
Qualitative research ongoing
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Strand 1. Interventions within faith settings
targeting behaviour-modifiable diseases in
high-risk groups.
Strand 2. Faith groups confer “substantial
and distinctive social capital”, affecting
physical and mental health and improving
wellbeing.
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Volunteering is healthy
Stronger networks are healthy
FBOs provide opportunity for both
Mechanism is a combination of
 More healthy behaviours
 More social support
 Increased sense of coherence
Culture of
volunteering;
some ‘can do’
motivated
individuals
Culture and
belief system
of care, esp. to
marginalised
Buildings in
accessible
locations
Faith
Assets for
Health
Longevity in
community,
‘stay put’
factor
‘Substantial
and distinctive’
social capital
Skills and
expertise
developed over
time
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Poverty and debt
Homelessness
Family
The elderly, dementia and mental health
All reflected in Public Health Outcomes
Framework
‘Extended family’
Friendship
Belonging
Linking capital
Vital
Statutory
sssffdd
Services
Opportunities
Hope
Community
Practical support
‘Often the mothers have been asylum seekers,
impoverished emotionally and economically, and
with psychiatric diagnoses of post-traumatic stress
disorder. They have also been suicidal at times and
isolated. The combination of psychotherapy
treatment from our service and support in the
community from Open Doors has enabled these
mothers to transform a breakdown into a
breakthrough and enabled the relationships with
their babies to flourish.’
Dr Amanda Jones, PPIMHs, North East London
Foundation Trust
Meet Marcia and Beata
For FBOs
 Review assets
 Develop
relationships with
statutory providers
 Recognise unique
expertise
 Evaluate
For Public health
 Familiarise with
FBOs
 See the ‘value
added’ and
financial factor
 Collaborate with
FBOs
 Leave something
behind