SisterTalk at Home: Home-based Weight Loss for Arican American Women

SisterTalk at Home：非洲裔美国女性的家庭减肥

• 批准号: 7266097
• 负责人: THOMAS Mills LASATER
• 金额: $ 65.15万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7266097
• 关键词: African American; American; Attention; Behavior; Body Weight decreased; Church; Data; Diet; Effectiveness; Epidemic; Evaluation; Family; Fatty acid glycerol esters; Feedback; Health; Home environment; Hour; Institute of Medicine (U.S.); Intake; Intervention; Mails; Measures; Mediator of activation protein; Monitor; Neighborhoods; Obesity; Participant; Physical activity; Placebos; Preparation; Preventive; Process; Randomized; Reaction; Reporting; Self Efficacy; Self Management; Series; Social support; Solutions; Techniques; Testing; Therapeutic Intervention; Time; United States; Vegetables; Walking; Weight; Weight maintenance regimen; Woman; Working Women; base; comparison group; day; design; experience; food preparation; fruits and vegetables; nutrition; programs; size; skills; social; theories

DESCRIPTION (provided by applicant): Obesity is now considered epidemic in the United States and is a high priority for preventive and therapeutic interventions.1-2 Obesity and the resulting negative health effects are a particularly important problem for African American women. As called for by a recent Institute of Medicine report, more eco-social interventions at the neighborhood level are needed.3 This requires partnerships between traditional neighborhood organizations and experienced intervention developers with culturally appropriate programs.3 Local churches are the most important neighborhood organizations for African American (AA) women in terms of reach and family orientation.4-7 The current proposal builds upon an existing and demonstrably effective 12-hour video-based weight management program for Black women. Existing video footage will be adapted and new content added to develop a series of 36 half hour sessions and 6 boosters targeting nutrition, physical activity and self management techniques. The program will be designed as a church-based program with intervention materials delivered by mail directly to women at home. Churches will be randomly assigned to treatment or to attention placebo comparison groups. We will then conduct a field trial to compare participants receiving the church-based, home delivered program versus an attention placebo program in terms of changes in weight, dietary behavior, and physical activity. The study will test the following Specific Aims. SA. To determine if African American women who participate in a church-based (and home delivered) video weight control program versus an Attention Placebo Comparison will demonstrate more positive changes in weight of at least 5 pounds at 12 months and at least 2.5 pounds at 24 months. Secondarily, we expect to see positive changes in major mediators of weight including intake of fat (FHQ), servings of fruit and vegetables, portion size, increased time spent in physical activities [7 Day Recall (PAR), and increased walking (pedometers) (increasing monthly at least 400 steps per day per month). A secondary aim is to gather and analyze process evaluation data concerned with: 1) implementation process variables between and across churches; 2) the women's reaction to various components of the intervention; 3) the specific barriers and facilitators to dietary and physical activity changes encountered by these women; 4) solutions to barriers that work for these women; 5) motivational themes that are effective in both the short and long term; and 6) Sustainability of the intervention. We will also measure several key mediators from Social Action Theory (SAT). In addition to the diet and PA measures listed above. These will include self efficacy, use of self management skills, changes in food preparation skills, use of self monitoring feedback aids and social support.

描述（由申请人提供）：肥胖现在被认为是美国的流行病，是预防和治疗干预的重中之重。1-2肥胖及其对健康的负面影响对非裔美国妇女来说是一个特别重要的问题。正如医学研究所最近的一份报告所呼吁的那样，需要在社区一级进行更多的生态社会干预这需要传统的社区组织和有经验的干预开发者之间的合作，并制定适合文化的项目就接触范围和家庭取向而言，地方教会是非洲裔美国妇女最重要的社区组织