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- Title
Translation of a behavioral weight loss intervention for mid-life, low-income women in local health departments.
- Authors
Samuel‐Hodge, Carmen D.; Garcia, Beverly A.; Johnston, Larry F.; Gizlice, Ziya; Ni, Andy; Cai, Jianwen; Kraschnewski, Jennifer L.; Gustafson, Alison A.; Norwood, Arnita F.; Glasgow, Russell E.; Gold, Alison D.; Graham, John W.; Evenson, Kelly R.; Trost, Stewart; Keyserling, Thomas C.
- Abstract
Objective: To translate a behavioral weight loss intervention for mid-life, low-income women in real world settings. Design and Methods: In this pragmatic clinical trial, we randomly selected six North Carolina county health departments and trained their current staff to deliver a 16-session evidence-based behavioral weight loss intervention (special intervention, SI). SI weight loss outcomes were compared to a delayed intervention (DI) control group. Results: Of 432 women expressing interest, 189 completed baseline measures and were randomized within health departments to SI ( N = 126) or DI ( N = 63). At baseline, average age was 51 years, 53% were African American, mean weight was 100 kg, and BMI averaged 37 kg/m2. A total of 96 (76%) SI and 55 (87%) DI participants returned for 5-month follow-up measures. The crude weight change was −3.1 kg in the SI and −0.4 kg in the DI group, for a difference of 2.8 kg (95% CI 1.4 to 4.1, p = 0.0001). Diet quality and physical activity improved significantly more in the SI group, and estimated intervention costs were $327 per participant. Conclusion: This pragmatic short-term weight loss intervention targeted to low-income mid-life women yielded meaningful weight loss when translated to the county health department setting.
- Subjects
WEIGHT loss; POOR women; BODY mass index; HEALTH of African American women; DIET research; COUNTY health services; HEALTH
- Publication
Obesity (19307381), 2013, Vol 21, Issue 9, p1764
- ISSN
1930-7381
- Publication type
Article
- DOI
10.1002/oby.20317