학술논문
Evidence‐based intervention program for reducing obesity among African‐American women in Southern California.
Document Type
Article
Source
Subject
*PREVENTION of obesity
*HEALTH education
*HEALTH Belief Model
*EVALUATION of human services programs
*FOCUS groups
*HEALTH services accessibility
*ANALYSIS of variance
*BLACK people
*MOTIVATION (Psychology)
*RESEARCH methodology
*TIME
*SPORTS
*SELF-efficacy
*CONCEPTUAL structures
*PHYSICAL activity
*PRE-tests & post-tests
*FOOD preferences
*HEALTH literacy
*T-test (Statistics)
*WEIGHT loss
*COMMUNITY-based social services
*TIME series analysis
*HEALTH behavior
*WAIST circumference
*EXERCISE
*DESCRIPTIVE statistics
*QUESTIONNAIRES
*HEALTH attitudes
*BODY mass index
*NATURAL foods
*DATA analysis software
*GROUP process
*WOMEN'S health
*EDUCATIONAL outcomes
*HEALTH promotion
*CHOLESTEROL
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Language
ISSN
0737-1209
Abstract
Objective: This study evaluated the effectiveness of group motivational education and empowerment program using evidence‐based approaches for obesity and weight loss management for African‐American Women. Design: This study employed a quasi‐experimental time series design based on the theoretical frameworks of the Empowerment and Health Belief models. Sample: Twenty‐eight African‐American Women were recruited into culturally appropriate and responsive weight‐loss management program. Measurements: The weight management programs consisted of nutrition education, physical activities, and focus‐group sessions. Measurements included analysis of blood samples for cholesterol, waistline, body mass index, and exercise time. Statistical analysis compared program outcomes at baseline and 3‐month intervals for 1 year. Intervention: Participants were educated on healthy food choices and physical activities based on National Institutes of Health's food guidelines. Results: The results showed that 90% of participants lost 20 pounds or more and 82% had 6 inches or more waist circumference reductions. Additionally, cholesterol reductions and improved nutrition knowledge and exercises were significant. Conclusions: We developed an evidence‐based and culturally appropriate intervention for weight‐loss management among African‐American women. Acceptance of personal responsibility to modify behaviors, knowledge of good nutrition, and engagement in physical activities were positive and effective health behavioral changes in promoting health and weight‐loss management for this population. [ABSTRACT FROM AUTHOR]