TY - JOUR
T1 - Translation of a behavioral weight loss intervention for mid-life, low-income women in local health departments
AU - Samuel-Hodge, Carmen D.
AU - Garcia, Beverly A.
AU - Johnston, Larry F.
AU - Gizlice, Ziya
AU - Ni, Andy
AU - Cai, Jianwen
AU - Kraschnewski, Jennifer L.
AU - Gustafson, Alison A.
AU - Norwood, Arnita F.
AU - Glasgow, Russell E.
AU - Gold, Alison D.
AU - Graham, John W.
AU - Evenson, Kelly R.
AU - Trost, Stewart
AU - Keyserling, Thomas C.
PY - 2013/9
Y1 - 2013/9
N2 - 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.
AB - 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.
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U2 - 10.1002/oby.20317
DO - 10.1002/oby.20317
M3 - Article
C2 - 23408464
AN - SCOPUS:84884902978
SN - 1930-7381
VL - 21
SP - 1764
EP - 1773
JO - Obesity
JF - Obesity
IS - 9
ER -
