The WORD (Wholeness, Oneness, Righteousness, Deliverance): design of a randomized controlled trial testing the effectiveness of an evidence-based weight loss and maintenance intervention translated for a faith-based, rural, African American population using a community-based participatory approach.
The WORD (Wholeness, Oneness, Righteousness, Deliverance): design of a randomized controlled trial testing the effectiveness of an evidence-based weight loss and maintenance intervention translated for a faith-based, rural, African American population using a community-based participatory approach.
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DOI：
10.1016/j.cct.2014.11.009
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发表时间：
2015-01
影响因子：
2.2
通讯作者：
Harris K
中科院分区：
文献类型：
--
作者：
Yeary KH;Cornell CE;Prewitt E;Bursac Z;Tilford JM;Turner J;Eddings K;Love S;Whittington E;Harris K
除非保持减肥，否则减肥对肥胖相关风险因素的积极影响会减弱。然而，很少有工作集中在以证据为基础的减肥干预措施的翻译上，目的是在服务不足的人群中维持减肥。采用基于社区的参与式方法（CBPR），结合非洲裔美国人农村社区以信仰为基础的强大社会基础设施特征，是维持非洲裔美国人体重减轻的一种有希望的方法，非洲裔美国人在肥胖流行中承担着不成比例的负担。在社区-学术合作伙伴关系的领导下，The WORD旨在改变饮食和体育活动行为，以实现和保持农村有信仰的非洲裔美国成年人的减肥效果。WORD是一项随机对照试验，有450名参与者分布在30个教堂。所有教堂都将接受16次核心减肥干预。一半的教堂将被随机分配到额外的12节维护部分。WORD是糖尿病预防计划的文化改编，由训练有素的教会成员带领小组。参与者将在基线、6个月、12个月和18个月时进行评估。将包括详细的成本效益和过程评价。世界卫生组织的目标是维持非洲裔美国农村人的减肥。采用CBPR方法和非裔美国人社区以信仰为基础的社会基础设施的参与将最大限度地提高干预的可持续性。该试验的独特之处包括关注减肥维持，以及在转化基于证据的肥胖干预措施中使用基于信仰的CBPR方法。
The positive effects of weight loss on obesity-related risk factors diminish unless weight loss is maintained. Yet little work has focused on the translation of evidence-based weight loss interventions with the aim of sustaining weight loss in underserved populations. Using a community-based participatory approach (CBPR) that engages the strong faith-based social infrastructure characteristic of rural African American communities is a promising way to sustain weight loss in African Americans, who bear a disproportionate burden of the obesity epidemic. Led by a collaborative community-academic partnership, The WORD aims to change dietary and physical activity behaviors to produce and maintain weight loss in rural, African American adults of faith. The WORD is a randomized controlled trial with 450 participants nested within 30 churches. All churches will receive a 16-session core weight loss intervention. Half of the churches will be randomized to receive an additional 12-session maintenance component. The WORD is a cultural adaptation of the Diabetes Prevention Program, whereby small groups will be led by trained church members. Participants will be assessed at baseline, 6, 12, and 18 months. A detailed cost-effectiveness and process evaluation will be included. The WORD aims to sustain weight loss in rural African Americans. The utilization of a CBPR approach and the engagement of the faith-based social infrastructure of African American communities will maximize the intervention's sustainability. Unique aspects of this trial include the focus on weight loss maintenance and the use of a faith-based CBPR approach in translating evidence-based obesity interventions.
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影响因子：
120.7
作者：
Fontaine, KR;Redden, DT;Allison, DB
通讯作者：
Allison, DB
影响因子：
2.6
作者：
Idler, EL;Musick, MA;Williams, DR
通讯作者：
Williams, DR
影响因子：
4.2
作者：
Jeffery, RW;Drewnowski, A;Hill, DR
通讯作者：
Hill, DR
影响因子：
6.9
作者：
Krukowski, Rebecca A.;Tilford, J. Mick;West, Delia S.
通讯作者：
West, Delia S.
影响因子：
4.2
作者：
Kim, Karen Hye-Cheon;Linnan, Laura;Wiesen, Christopher
通讯作者：
Wiesen, Christopher