Understanding Racial and Ethnic Differences in Weight Loss Maintenance and Regain
了解减肥维持和恢复方面的种族和民族差异
基本信息
- 批准号:8682612
- 负责人:
- 金额:$ 7.35万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2014
- 资助国家:美国
- 起止时间:2014-04-01 至 2016-03-31
- 项目状态:已结题
- 来源:
- 关键词:AdultAfrican AmericanAttitudeBehaviorBehavior TherapyBehavioralBeliefBiologicalBody WeightBody Weight decreasedCategoriesCharacteristicsChronicClinicalCognitiveComplexCultural CharacteristicsDevelopmentEducationEnvironmental Risk FactorEquilibriumEthnic OriginFamilyFutureGoalsGrantHypertensionIncomeIndividualInterventionInvestigationLearningMaintenanceMapsMethodologyMethodsNational Institute of Diabetes and Digestive and Kidney DiseasesNon-Insulin-Dependent Diabetes MellitusObesityOutcomeOverweightParticipantPatternPopulationProcessRaceRandomized Controlled TrialsRecruitment ActivityReplacement ArthroplastyReportingResearchResearch MethodologySamplingSocial supportSorting - Cell MovementSpecific qualifier valueTechniquesTreatment outcomeVisualWeightWorkbaseexperienceimprovedinnovationnovelpreventprogramspublic health relevanceracial and ethnicracial/ethnic differencereinforcerresponsesocialsocial cognitive theorysuccesstheoriestreatment responseweight loss interventionweight maintenance
项目摘要
PROJECT SUMMARY
Weight loss interventions can produce clinically meaningful weight reductions, although most individuals
experience significant weight regain following treatment. While the biological, behavioral, and environmental
factors influencing long-term weight loss maintenance (WLM) are complex, it is clear that behaviors and
reinforcers facilitating WLM differ greatly from those required for initial weight loss. However, we currently lack
a well-specified conceptual framework that integrates and organizes behavioral, environmental, social, and
cultural factors related to WLM. Additionally, weight loss treatment outcomes differ for African Americans and
Whites, with African Americans losing less weight initially and Whites experiencing greater long-term weight
regain. However, the reasons for these racial/ethnic differences in treatment response are unclear. Therefore,
the goal of this project is to improve our understanding of factors associated with WLM and weight regain for
African Americans and Whites who previously achieved clinically meaningful weight loss (i.e., >5% weight
reduction). By utilizing validated methods novel to the investigation of WLM, including the nominal group
technique (NGT), card-sorting tasks, and cognitive mapping, we will examine factors associated with
successful WLM as well as weight regain among African Americans and Whites. By recruiting from several
ongoing weight loss studies, including the PI's current K23 randomized controlled trial of a WLM program, we
will have access to sufficient numbers of individuals who previously achieved weight loss. In particular, we will
target four groups of participants: 1) African American weight loss maintainers, 2) African American weight
regainers, 3) White weight loss maintainers, and 4) White weight regainers. Through the NGT, African
American and White weight loss maintainers and regainers will generate comprehensive and potentially
culturally-specific lists of facilitators and barriers to WLM (Aim #1). These facilitators and barriers will then be
prioritized and organized into meaningful categories by participants through card-sorting tasks, which will be
included in cluster analytic methods and cognitive mapping to develop conceptual frameworks of WLM for
African Americans and Whites (Aim #2). Findings from this study will help us understand differences in
response to weight loss and WLM treatments and guide the future development of culturally-tailored WLM
interventions.
项目摘要
减肥干预可以产生临床意义上的体重减轻,虽然大多数人
治疗后体重明显反弹。而生物、行为和环境
影响长期减肥维持(WLM)的因素是复杂的,很明显,
促进WLM的减脂剂与初始减肥所需的减脂剂有很大不同。然而,目前缺乏
一个明确的概念框架,整合和组织行为,环境,社会,
与WLM相关的文化因素。此外,非裔美国人的减肥治疗结果不同,
白人,非洲裔美国人最初体重减轻较少,白人长期体重增加
恢复。然而,治疗反应中这些人种/种族差异的原因尚不清楚。因此,我们认为,
这个项目的目标是提高我们对WLM和体重恢复相关因素的理解,
非裔美国人和白人谁以前取得了临床意义的体重减轻(即,>5%重量
减少)。通过使用经验证的WLM研究新方法,包括标称组
技术(NGT)、卡片分类任务和认知映射,我们将检查与之相关的因素
成功的WLM以及非洲裔美国人和白人的体重反弹。通过从几个
正在进行的减肥研究,包括PI目前的K23随机对照试验的WLM计划,我们
将有足够数量的人谁以前实现减肥。特别是要
针对四组参与者:1)非裔美国人减肥维持者,2)非裔美国人体重
恢复者,3)白色体重减轻维持者,和4)白色体重恢复者。通过NGT,非洲
美国和白色减肥维持者和恢复者将产生全面的和潜在的
WLM的促进者和障碍的特定文化清单(目标#1)。这些促进因素和障碍将被
通过卡片分类任务,由参与者进行优先排序并组织成有意义的类别,
包括在聚类分析方法和认知映射中,以制定WLM的概念框架,
非裔美国人和白人(目标#2)。这项研究的结果将有助于我们了解
对减肥和WLM治疗的反应,并指导未来文化定制WLM的发展
干预措施。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('Gareth R Dutton', 18)}}的其他基金
ENRICH ALABAMA: Improving cardiovascular health of women and children through a novel home visiting intervention
ENRICH ALABAMA:通过新颖的家访干预措施改善妇女和儿童的心血管健康
- 批准号:
10618316 - 财政年份:2022
- 资助金额:
$ 7.35万 - 项目类别:
ENRICH ALABAMA: Improving cardiovascular health of women and children through a novel home visiting intervention
ENRICH ALABAMA:通过新颖的家访干预措施改善妇女和儿童的心血管健康
- 批准号:
10426961 - 财政年份:2022
- 资助金额:
$ 7.35万 - 项目类别:
Use of home-delivered meals to reduce excessive gestational weight gain for high-risk women
使用送餐上门来减少高危女性妊娠期体重过度增加
- 批准号:
10626837 - 财政年份:2022
- 资助金额:
$ 7.35万 - 项目类别:
Daily Self-Weighing for Obesity Management in Primary Care
初级保健中肥胖管理的每日自我称重
- 批准号:
10378652 - 财政年份:2019
- 资助金额:
$ 7.35万 - 项目类别:
Daily Self-Weighing for Obesity Management in Primary Care
初级保健中肥胖管理的每日自我称重
- 批准号:
9764700 - 财政年份:2019
- 资助金额:
$ 7.35万 - 项目类别:
Daily Self-Weighing for Obesity Management in Primary Care
初级保健中肥胖管理的每日自我称重
- 批准号:
10602476 - 财政年份:2019
- 资助金额:
$ 7.35万 - 项目类别:
Primary Care Obesity Management in the Southeast_PROMISE
东南部的初级保健肥胖管理_PROMISE
- 批准号:
9247183 - 财政年份:2016
- 资助金额:
$ 7.35万 - 项目类别:
Primary Care Obesity Management in the Southeast_PROMISE
东南部的初级保健肥胖管理_PROMISE
- 批准号:
9896812 - 财政年份:2016
- 资助金额:
$ 7.35万 - 项目类别:
Understanding Racial and Ethnic Differences in Weight Loss Maintenance and Regain
了解减肥维持和恢复方面的种族和民族差异
- 批准号:
9129333 - 财政年份:2014
- 资助金额:
$ 7.35万 - 项目类别:
Understanding Racial and Ethnic Differences in Weight Loss Maintenance and Regain
了解减肥维持和恢复方面的种族和民族差异
- 批准号:
8812810 - 财政年份:2014
- 资助金额:
$ 7.35万 - 项目类别:
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