Translating evidence-based behavioral weight loss into a multi-level, community intervention within a community-based participatory research framework: the Wellness Engagement (WE) Project.
Translating evidence-based behavioral weight loss into a multi-level, community intervention within a community-based participatory research framework: the Wellness Engagement (WE) Project.
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DOI：
10.1093/tbm/ibaa140
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发表时间：
2021-04
影响因子：
3.6
通讯作者：
J. LaRose;Autumn Lanoye;Dwala Ferrell;Juan Lu;M. Mosavel
中科院分区：
文献类型：
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作者：
J. LaRose;Autumn Lanoye;Dwala Ferrell;Juan Lu;M. Mosavel
美国黑人和来自经济弱势背景的个人患肥胖症的风险不成比例，但在行为减肥（BWL）试验中代表性不足，并且从传统计划中获益较少。健康参与（WE）项目寻求在CBPR框架内翻译基于证据的BWL，以促进资源不足，主要是黑人社区的多个影响领域的变化。本文的目的是描述我们所做的努力，将我们广泛的形成阶段的数据转化为非常适合满足彼得堡社区需求的编程。此外，我们还提供了可行性和可接受性试点工作的数据。形成性数据的收集使用了多种方法，包括社区范围内的调查，资产映射，家庭聊天，焦点小组，和关键线人访谈。与主要持份者和社区成员合作，对循证减肥方法进行了调整，以满足社区在内容和交付模式方面的需求。对材料进行了调整，以侧重于适合具体情况的小而现实的变化。行为小组、体验式营养和锻炼课程以及步行小组利用现有资产，并向所有社区成员开放。可行性和可接受性评级很有希望。此外，WE项目似乎有助于健康文化。CBPR可能是一种可行的方法，让资源不足的黑人社区参与行为体重管理;需要更大规模的实施和评估工作。
Black Americans and individuals from economically disadvantaged backgrounds are at disproportionate risk for obesity, yet are underrepresented in behavioral weight loss (BWL) trials and experience less benefit from traditional programs. The Wellness Engagement (WE) Project sought to translate evidence-based BWL within a CBPR framework to promote change across multiple domains of influence in an under-resourced, predominantly Black community. The purpose of this paper is to describe the efforts we undertook to translate data from our extensive formative phase into programming well suited to meet the needs of the Petersburg community. In addition, we present data from our pilot work on feasibility and acceptability. Formative data were collected using a variety of methods including a community-wide survey, asset mapping, house chats, focus groups, and key informant interviews. In collaboration with key stakeholders and community members, evidence-based approaches to weight loss were adapted to meet the needs of the community with respect to both content and delivery modality. Materials were adapted to focus on small, realistic changes appropriate for the specific context. Behavioral groups, experiential nutrition and exercise sessions, and walking groups leveraged existing assets and were open to all community members. Feasibility and acceptability ratings were promising. Furthermore, the WE Project appeared to contribute to a culture of wellness. CBPR might be a viable approach for engaging under-resourced Black communities in behavioral weight management; larger scale implementation and evaluation efforts are needed.