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

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
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
There is
and enjoyment
in freedom
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
more than
a weight
towards a
with food
Coping with
other group
Beginning to
use faith as a
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
Change at
95% CI for mean
change at 6
95% CI for mean
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
-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).
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
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
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.
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. @RiyaPatel91
ResearchGate has not been able to resolve any citations for this publication.
African Americans, especially women, have higher obesity rates than the general US population. Because of the importance of faith to many African Americans, faith-based organizations (FBOs) may be effective venues for delivering health messages and promoting adoption of healthy behaviours. This article systematically reviews interventions targeting weight and related behaviours in faith settings. We searched literature published through July 2012 for interventions in FBOs targeting weight loss, diet and/or physical activity (PA) in African Americans. Of 27 relevant articles identified, 12 were randomized controlled trials; seven of these reported a statistically significant change in an outcome. Four of the five quasi-experimental and single-group design studies reported a statistically significant outcome. All 10 pilot studies reported improvement in at least one outcome, but most did not have a comparison group. Overall, 70% of interventions reported success in reducing weight, 60% reported increased fruit and vegetable intake and 38% reported increased PA. These results suggest that interventions in African American FBOs can successfully improve weight and related behaviours. However, not all of the findings about the success of certain approaches were as expected. This review identifies gaps in knowledge and recommends more rigorous studies be conducted to strengthen the comparative methodology and evidence.
This integrative review was conducted to present results of the use of recommended criteria to evaluate faith-based weight management interventions (WMIs) that target African American women. This group experiences the highest prevalence of adult obesity in the US when compared to other ethnic groups. "Best practice" WMIs can help to alleviate obesity. Faith-based interventions hold promise for helping to address the problem of obesity in African American women since a significant portion of these persons views the church as a trusted entity that advocates for their well-being. No systematic evaluation of faith-based WMIs has been reported even though there is an ongoing plea for the need for better evaluation of health interventions that prioritizes comprehensive description of their attributes (e.g., linkage to theory, interventionists' background, and dosage) to enable replication and a broader assessment of their validity to include appropriateness and feasibility). Critique criteria were applied to faith-based WMIs (n = 5) that target African American women. Findings highlighted the need for increased disclosure about the (1) interventionists' background, (2) intervention's location within the church setting, and (3) nature of any "pre-intervention" treatment. The review also indicated the need for interventions that are (1) designed from robust research methodologies (effectiveness) that include randomization of both church setting and participants, (2) deemed appropriate from the perspective of African American women targeted, and (3) are financially feasible-without steep participant incentives/implementation costs that compromise internal validity and any positive outcomes generated.