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A mixed-methods feasibility study of Taste & See: A church-based programme to develop a healthy relationship with food.

Authors:
A mixed-methods feasibility study of Taste & See:
A church based programme to develop a healthy
relaonship with food.
Riya Patel, Dr Deborah Lyce, Dr Anne Coufopoulos, and Professor Andy Turner
Figure 1.
Theorecal underpinning of the course
Background:
Obesity treatment remains a high priority globally (1). Evidence suggests holisc approaches, which
include a religious element, are promising (2). Much of this is US research; mainly of a quantave
nature, qualitave research surrounding the acceptability of such intervenons is under-reported (3).
Holisc intervenons of this nature, have not yet been explored in the UK, however recent evidence
suggests there is a need in the UK among those aliated with the Chrisan and Catholic faiths (4).
Objecve: To conduct a pre-post mixed-methods feasibility study of a 12 week faith-based, healthy,
intuive-eang programme, within a UK church.
Eang freely
was a
challenge
There is
empowerment
and enjoyment
in freedom
Methods:
The intervenon incorporated principals of intuive eang and the Chrisan message of forgiveness and
freedom from guilt in order to address problemac eang idened by a diet weight-regain cycle
(Figure 1).
18 parcipants with BMI> 25kg/m2
Ethical approval was obtained from Coventry University Ethics commiee.
Physical, psychological and spiritual outcomes were measured at baseline, 12 weeks and 6 months.
Results were analysed using intenon to treat (ITT) analysis; baseline observaon carried forward
(BOCF) was used to input missing data.
Following programme compleon, qualitave data was collected through face to face semi-structured
interviews to assess parcipant acceptability of the intervenon. Quesons were centred around
idenfying the helpful and unhelpful elements of the intervenon, and parcipants’ thoughts on
acceptability of all the components.
Each interview was analysed separately, and coded deducvely at a semanc level.
Themes were peer-reviewed by two of the co-authors.
Qualitave Themes Around Parcipant Engagement
and Acceptability
Addressing
more than
a weight
problem
Journeying
towards a
healthier
relaonship
with food
Coping with
other group
members
Beginning to
use faith as a
resource
God and food
issues had been
kept separate.
Table 1. Repeated measures ANOVA displaying the main interacon between changes from baseline to 3
months and 6 months
Outcomes
Mean
Change at
3months
SE
95% CI for mean
dierence
Mean
change at 6
months
SE
95% CI for mean
dierence
Lower Upper
Weight (Kg) -1.6 0.6 -3.2 0.1 -0.10 0.6 -1.7 1.5
QOL VAS 11.7* 3.7 1.9 21.6 7.4 3.8 -2.5 17.4
Uncontrolled Eang -16.5* 3.7 -26.2 -6.7 -13.4* 4.5 -25.3 -1.4
Cognive Restrained Eang 11.1* 3.8 0.9 21.3 10.2 4.9 -2.7 23.1
Emoonal Eang -19.4* 3.8 -29.4 -9.5 -16.7* 3.6 -26.3 -7.1
Intuive Eang (IE) Total 0.6* 0.1 0.3 0.9 0.5* 0.1 0.2 0.8
Mental Well-being 6.7* 1.3 3.4 10.04 3.9* 1.5 0.01 7.8
Anxiety -4.1* 0.9 -6.5 -1.6 -1.6* 0.6 -3.2 -0.02
Depression -3* 0.9 -5.3 -0.7 -0.6 0.9 -2.9 1.8
Spiritual Well-being (SWB) 4.8 2.8 -2.6 12.1 2.9 2.2 -2.9 8.7
Religious Love 0.4 0.5 -0.9 1.7 0.2 0.2 -0.3 0.6
ATG Avoidance -0.4 0.2 -0.9 0.1 -0.1 0.2 -0.6 0.3
ATG Anxiety -0.4 0.3 -1.01 0.3 0.3 0.3 -0.6 1.1
Nutrional Intake: Energy
(Kcal)
-418 370 -1415 580 -112 71 -304 79
Quantave Results:
Results at three months showed signicant decreases in weight, anxiety, depression and avoidant
aachment to God.
There were also signicant increases in VAS quality of life, mental well-being, existenal well-being,
intuive eang, conversely there were also increases in TFEQ for cognive restraint, emoonal, and
uncontrollable eang behaviours.
Results at six months showed signicant increases in intuive eang, cognive restrained eang
behaviour, as well as signicant decreases in anxiety, emoonal and uncontrollable eang behaviours.
(See Table 1).
Conclusions:
The ndings of this study have idened that it is acceptable and feasible to
conduct a faith-based, healthy eang, weight management programme in a UK
church.
Results at 3 months and 6 months support a mainly posive associaon of
outcomes with this intervenon.
However uncertainty exists due to the small sample size.
A larger randomised controlled trial will be conducted to assess ecacy.
Parcipants found the holisc component of the programme, where they explored
the dierent types of eang styles (e.g., boredom eang, eang due to feelings of
loneliness, emoonal eang) and challenging these behaviours most important,
which may explain the increases in intuive eang, and decreases in emoonal,
and uncontrollable eang behaviours.
In addion to this, whilst parcipants’ expressed concerns about the freedom
component mainly relang to fears of weight gain because they were not
restricng nutrional intake, the quantave evidence revealed a dierent reality
which surprised most of the parcipants.
The freedom also helped parcipants’ experience release from negave emoons
associated with food and eang, which may explain increased scores in mental
well-being.
Parcipants’ idened that being in groups with individuals who had deeper
emoonal issues than themselves was at mes challenging and least helpful for
their own journeys, so this is something to address in the future revision.
References:
1. Health Survey for England 2011 (2012).
2. Lancaster, K. J., Carter-Edwards, L., Grilo, S., Shen, C., and Schoenthaler, A. M. (2014) ‘Obesity intervenons in African American faith based organizaons: a systemac review’. Obesity Reviews, 15 (S4), 159-176.
3. Timmons, S. M. (2015). Review and evaluaon of faith-based weight management intervenons that target African American women. Journal of Religion and Health, 54(2), 798-809.
4. Lyce, D. (2015) 'The Associaon of Religious Aliaon and Body Mass Index (BMI): An Analysis from the Health Survey for England'. Journal of Religion and Health, 54(6), 2249-2267.
Patelr34@uni.coventry.ac.uk @RiyaPatel91
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