Approval for the study was received from the university review board. Study activities took place at Black churches because the churches have a central role in the lives of many African American women and often sponsor cardiovascular screening
and health promotion activities (Butler-Ajibade, Booth, & Burwell, 2012).
The coinvestigator, an African American woman, contacted the pastors at four churches to explain the study. The pastors expressed support for the study and made introduc-
tions to women in church leadership. All participants provided written informed consent and completed a demographic questionnaire.