Body, Soul and Spirit, an adaptation of two evidence-based interventions to promote physical activity and healthy eating among adults in churches in Lagos Nigeria: a three-arm cluster randomized controlled pilot trial

Table 1 Intervention components of the parent trials and adapted interventions

	Parent Trial		Adapted Intervention
Intervention Component	Body and Soul	Healthy Body Healthy Spirit	BSS (Arm 1)	BSS plus (Arm 2)	Control (Arm 3)
A cookbook with healthy eating recipes, cooking techniques, storage tips for fruits and vegetables (F&V), and health benefits of lowering fat/increasing F&V intake	✔	✔	✔	✔
An exercise manual with biblical themes and scripture woven throughout		✔	✔	✔
A workout audio CD containing local gospel music with biblical quotes and brief sound bites of pastor sermons spliced between songs		✔	✔	✔
Public screenings of “Forgotten Miracles,” a video that targets fruit and vegetable intake using both spiritual and secular motivational messages	✔	✔	✔	✔
Constitution of a project coordination committee	✔	✔	✔	✔
Conduct at least one health event*	✔		✔	✔
Motivational interviewing phone calls delivered to participants by trained volunteer peer counselors	✔	✔	✔	✔
Churches will agree to implement at least one policy change^#	✔		✔	✔
Faith-based text messages				✔
Distribution of information leaflets promoting physical activity and healthy food consumption			✔	✔	✔

*Examples of some of the events included in the parent trials were serving fruit and vegetables during the kick-off event, after church services, or at other church programs; sponsoring food demonstrations or taste tests; organizing tours of food markets for parishioners; inviting guest speakers; and having priest sermons related to health
^#Potential policy changes include establishing guidelines for the types of foods served at church functions, changing snacks served at youth camps, or creating a food pantry

ISSN: 2055-5784