scholarly journals The church bridge project: Lessons learned from comparing the outcomes of an adapted church-based weight management intervention targeting african american adults

2020 ◽  
Vol 5 (2) ◽  
pp. 37
Author(s):  
Jennifer Lemacks ◽  
Laurie L. Abbott ◽  
Ashley N. Bryant ◽  
Hwanseok Choi ◽  
Penny A. Ralston
Keyword(s):  
Chronic Disease ◽  
African Americans ◽  
Weight Management ◽  
Lessons Learned ◽  
Attendance Rates ◽  
Middle Aged ◽  
Management Intervention ◽  
Assisted Delivery ◽  
Middle Aged Adult ◽  
Weight Management Intervention

Introduction: Church-based interventions improve weight-related outcomes among underserved populations. African Americans, particularly young to middle age adults, are seldom represented in the literature and are key health intervention targets to prevent obesity-related chronic disease. Thus, the objective of this study was to describe the lessons learned from comparing the intervention outcomes of a two-phase, weight management intervention targeting younger to middle aged adult African Americans in Mississippi.Methods: A weight management intervention was tested and data were collected over two phases using the Bridge2U platform. Descriptive methods examined retention and attendance rates, and anthropometric and demographic data; Wilcoxon signed-rank and Fisher’s exact tests examined group differences in pre and post outcomes.Results: Attendance rates were 39.9 and 55.4% for phases 1 and 2, respectively. Differences were noted between those who dropped out of the phase 1 intervention and those who remained. Weight loss was significant at 5.6 and 4.8% of baseline body weight for phases 1 and 2, respectively. Significant changes were also noted among other variables.Conclusions: Disease diagnosis, more intensive intervention format and technology-assisted delivery may be key factors for improved participation and engagement of young to middle aged African Americans in weight management interventions. This study provides future implications for weight management intervention and chronic disease prevention among young to middle aged adult African Americans in the Deep South. 

scholarly journals Impact of Weight Matters and Use of App-Based Technology on Changes in Eating Behavior in African Americans

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 183-183
Author(s):  
Krista Sowell ◽  
Cynthia Williams-Brown ◽  
Kiboum Kim ◽  
Gregory Henderson
Keyword(s):  
Chronic Disease ◽  
African Americans ◽  
Eating Behavior ◽  
Health Data ◽  
Behavior Changes ◽  
Management Intervention ◽  
Cognitive Restraint ◽  
Post Test ◽  
Uncontrolled Eating ◽  
Weight Management Intervention

Abstract Objectives Eating behavior changes are an essential component in long-term weight loss and key in reducing the risk of chronic disease. With increased access and use of app-based technology to monitor individual's health, the role of technology in eliciting eating behavior changes was investigated. Methods 498 African Americans were enrolled into Weight Matters, a culturally tailored, weight management intervention aimed at reducing risk factors of chronic disease in African Americans. Participants were randomized into a Tech group (N = 249, 89% female, 51.5 ± 13.4 yrs, BMI: 36.6 ± 8.3) that utilized app-based technology to track their fitness, diet, and health data and a Non-Tech group (N = 248, 88% female, 51.5 ± 12.5 yrs, BMI: 36.4 ± 7.7) that used paper-based tracking. The intervention consisted of bi-weekly educational sessions focused on health, fitness, and nutrition during an 18-week period with scheduled follow ups post-test and 12 months. In addition, participants received a one-year fitness membership. The Three Factor Eating Questionnaire (TFEQ-R18) was used to measure cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE) at enrollment, post-test, and 12 months. Results Repeated measures ANOVA was used to compare the changes in the construct scores of CR, UE, and EE within-subjects as well as between-subjects. There were no significant differences in mean scores of CR (F(2, 426) = .78, P = 0.46), UE (F(2, 426) = .28, P = 0.76), and EE (F(2, 426) = 1.07, P = 0.34) between Tech and Non-tech groups. For CR, the mean differences between enrollment and posttest (χ = −1.03, P < 0.001) as well as enrollment and 12-month follow-up (χ = −.86, P < 0.001) were statistically significant. There was a significant mean difference between the enrollment and 12-month (χ = 1.15, P < 0.001) for UE while the other two comparisons were not significant. There were no significant differences observed in EE throughout the study. Conclusions Improvements in cognitive restraint and uncontrolled eating were observed in participants enrolled in an 18-week weight management intervention and the effect persisted after 12 months. However, the use of app-based technology to monitor their fitness, diet, and health data did not impact eating behavior change. Funding Sources Supported by the Centers for Medicare & Medicaid Services (CMS) (DHHS Grant # 1102017000118).

scholarly journals Healthy eating and lifestyle in pregnancy (HELP): a cluster randomised trial to evaluate the effectiveness of a weight management intervention for pregnant women with obesity on weight at 12 months postpartum

2021 ◽  
Author(s):  
Sharon A. Simpson ◽  
Elinor Coulman ◽  
Dunla Gallagher ◽  
Karen Jewell ◽  
David Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Eating ◽  
Primary Outcome ◽  
Intervention Group ◽  
Control Group ◽  
Risky Drinking ◽  
Management Intervention ◽  
Cluster Randomised ◽  
Secondary Outcomes ◽  
Weight Management Intervention

Abstract Objective To assess whether a weight management intervention for pregnant women with obesity was effective in reducing body mass index (BMI) 12 months after giving birth. Methods Pragmatic, cluster randomised controlled trial (RCT) with embedded cost-effectiveness analysis. 598 women with a BMI of ≥30 kg/m2 (between 12 and 20 weeks gestation) were recruited from 20 secondary care maternity units in England and Wales. BMI at 12 months postpartum was the primary outcome. A range of clinical and behavioural secondary outcomes were examined. Interventions Women attending maternity units randomised to intervention were invited to a weekly weight management group, which combined expertise from a commercial weight loss programme with clinical advice from midwives. Both intervention and control participants received usual care and leaflets on diet and physical activity in pregnancy. Results Mean (SD) BMI at 12 months postpartum was 36.0 kg/m2 (5.2) in the control group, and 37.5 kg/m2 (6.7) in the intervention group. After adjustment for baseline BMI, the intervention effect was −0.02 (95% CI −0.04 to 0.01). The intervention group had an improved healthy eating score (3.08, 95% CI 0.16 to 6.00, p < 0.04), improved fibre score (3.22, 1.07 to 5.37, p < 0.01) and lower levels of risky drinking at 12 months postpartum compared to the control group (OR 0.45, 0.27 to 0.74, p < 0.002). The net incremental monetary benefit was not statistically significantly different between arms, although the probability of the intervention being cost-effective was above 60%, at policy-relevant thresholds. Conclusions There was no significant difference between groups on the primary outcome of BMI at 12 months. Analyses of secondary outcomes indicated improved healthy eating and lower levels of risky drinking. Trial registration: Current Controlled Trials ISRCTN25260464.

A pilot test of the GoWoman weight management intervention for women with mobility impairments in the online virtual world of Second Life®

2018 ◽  
Vol 41 (22) ◽  
pp. 2718-2729 ◽  
Author(s):  
Margaret A. Nosek ◽  
Susan Robinson-Whelen ◽  
Tracey A. Ledoux ◽  
Rosemary B. Hughes ◽  
Daniel P. O’Connor ◽  
...  
Keyword(s):  
Weight Management ◽  
Second Life ◽  
Virtual World ◽  
Pilot Test ◽  
Mobility Impairments ◽  
Management Intervention ◽  
Weight Management Intervention

Fidelity and acceptability of a family-focused technology-based telehealth nutrition intervention for child weight management

2019 ◽  
pp. 1357633X1986481 ◽  
Author(s):  
Li Kheng Chai ◽  
Clare E Collins ◽  
Chris May ◽  
Leanne J Brown ◽  
Amy Ashman ◽  
...  
Keyword(s):  
Weight Management ◽  
Process Evaluation ◽  
Child Nutrition ◽  
Eating Habits ◽  
Text Messages ◽  
Nutrition Intervention ◽  
Intervention Fidelity ◽  
Management Intervention ◽  
Evaluation Survey ◽  
Weight Management Intervention

Introduction Previous reviews of family-based interventions for childhood obesity treatment found that studies were of low methodological quality with inadequate details reported, especially related to intervention fidelity. The evaluation of fidelity is crucial to inform interpretation of the intervention outcomes. This study aimed to summarise intervention fidelity, participants’ acceptability and satisfaction with a 12-week family-focused technology-based child nutrition and weight management intervention. Methods Families with children aged 4–11 years participated in a telehealth intervention with complementary components: website, Facebook group and text messages. Intervention fidelity was reported using National Institutes of Health Treatment Fidelity Framework. Delivery was measured using a dietitian-reported evaluation survey. Google Analytics and Bitly platform were used to objectively track data on frequency and pattern of intervention use. Participants’ acceptability and satisfaction were measured using a process evaluation survey. Results Telehealth consultations delivered by trained dietitians had good adherence (≥83%) to the structured content. Process evaluation results indicated that parents ( n =  30; mean age 41 years, 97% were female, body mass index 30 kg/m2) found the intervention components easy to use/understand (87–100%), the programme had improved their family/child eating habits (93%), and they wanted to continue using telehealth and the website, as well as recommending it to other parents (90–91%). Discussion In summary, a family-focused technology-based child nutrition and weight management intervention using telehealth, website, Facebook and SMS can be delivered by trained dietitians with good fidelity and attain high acceptability and satisfaction among families with primary-school-aged children in New South Wales, Australia.

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