Church-based obesity treatment for African-American women improves adherence

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, USA.
Ethnicity & disease (Impact Factor: 1). 02/2005; 15(2):246-55.
Source: PubMed


This study compared adherence to Behavioral Choice Treatment (BCT), a 12-week obesity treatment program that promotes weight loss and exercise, among 22 Caucasian-American and 10 African-American overweight women in a university setting to 10 African-American overweight women in a church setting. Behavioral Choice Treatment (BCT) promotes moderate behavior change that can be comfortably and therefore permanently maintained. Participants obtained feedback from computerized eating diaries and kept exercise logs. Results indicated that both university groups exhibited comparable eating pathology at pre- and post-treatment and comparable weight loss, despite the African-American sample attending fewer sessions. The African-American church group exhibited less disordered eating attitudes, less interpersonal distrust (eg, reluctance to form close relationships or sense of alienation) at pre-treatment, and experienced significantly greater weight loss than either university group. All groups lost weight and maintained these losses at 12-month follow-up. Preliminary results suggest treatment setting may play an important role in treatment adherence and sample characteristics.

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    • "African American women who participated in a weight loss intervention in a church setting reported less disordered eating attitudes and less personal distrust at baseline and higher weight loss at follow-up than African American and white women who participated in the same intervention in a university setting (Sbrocco et al., 2005). Focus group data found that African American women were more likely than African American men to recognize the relationship between spirituality and health, suggesting that African American women may be more amenable to a church-based health promotion program (Bopp et al., 2007). "
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    ABSTRACT: The church is a focal point for health education efforts in minority communities due to its status as one of the most prominent and stable institutions. This paper highlights an approach for identifying health programming targets in minority churches. Twenty-four churches participated in a one-year Health Ministry Institute (HMI), designed to help churches develop sustainable ministries for health promotion. HMI attendees were instructed on conducting a Congregational Health Assessment (CHA) to identify prevalent health conditions and related behaviors in their churches. Churches collected CHAs over a one-month period. Data were analyzed and results were discussed during a HMI session and used to prioritize health-related issues that could be addressed at individual churches. Seventeen churches (71%) returned surveys (n=887; 70% female; 73% African American). Prevalent health conditions, participation in health-promoting behaviors, interest in learning to live healthy, and interest in health ministry activities were identified using the CHA. The CHA shows promise for health assessment, and can be used to identify health issues that are of interest and relevance to church congregants and leaders. The CHA may assist churches with implementing effective and sustainable programs to address the identified health issues.
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    • "From the time of slavery through the civil rights movement of the 1950's and 1960's to the local organizing of the 1990's, the church has been a central institution in the African-American community (Markens, Fox, Taub, & Gilbert, 2002). African-American churches in the South now provide a wide range of prevention and treatment-oriented programs that contribute to the psychological and physical well-being of their congregants (Blank, Mahmood, Fox, & Guterbock, 2002; Sbrocco, et al., 2005). Thus, church-based diabetes self-management programs may be an effective resource for African Americans. "
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    ABSTRACT: Inadequate knowledge of the influence of lifestyle on clinical outcomes contributes to the difficulties many African Americans experience with type 2 diabetes mellitus (T2DM). This pilot study examined a 12-week church-based culturally targeted diabetes self-management education (DSME) intervention for middle-aged and older African Americans with T2DM. Quantitative data were collected at baseline and at 12 weeks and included questionnaires and anthropometric measures. There were significant increases in medication adherence (p = .006), healthy eating (p = .009), and foot care adherence (p = .003). The intervention had a clinically significant effect on systolic blood pressure, blood lipids, physical activity, and waist circumference. Church-based culturally targeted DSME interventions may result in improved outcomes for African-American adults with T2DM. The authors discuss the value of community-based interventions that target behavioural changes in populations of chronically ill patients, particularly those who historically have been disenfranchised and/or underserved.
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    • "All of the faith-based health promotion studies (n = 19) employed convenience sampling procedures. Samples tended to be comprised largely of mid-life Black women reporting an annual income of less than $40,000 from both rural and urban areas (see Table 1) (Barnhart et al. 1998; Campbell et al. 1999; Kennedy et al. 2005; Kumanyika and Charleston 1992; McNabb et al. 1997; Oexmann et al. 2001; Resnicow et al. 2001; Sbrocco et al. 2005; Smith and Merritt 1997; Turner et al. 1995; Wiist and Flack 1990; Yanek et al. 2001; Young and Stewart 2006). The fairly homogeneous composition of the samples indicates the reported intervention findings (see Table 2) may have limited generalizability and thus may not be representative of the greater Black American community. "
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