This study evaluates the efficacy of a stress-focused tailored weight loss intervention compared to a standard weight loss intervention on weight loss in severely obese (BMI \> 40.0) African American women.
Stress has been identified as a major barrier to engaging in healthy lifestyle behaviors (e.g. diet and exercise) among African American women. African American women consistently lose less weight than their Caucasian counterparts in weight loss interventions. One reason for this disparity may be due to the failure of most weight loss interventions to address stress management adequately or in a culturally competent way. The purpose of this study is to evaluate the efficacy of a stress-focused tailored weight loss intervention compared to a standard weight loss intervention on weight loss in severely obese (BMI \> 40.0) African American women. The stress-focused weight loss intervention will incorporate stress management content throughout the entire intervention and will include content that is culturally tailored. The standard weight loss intervention will cover stress management techniques during one of the 14 sessions and the material will be more generic in nature (e.g. not culturally tailored).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
14-session/6-month standard behavioral weight loss intervention
14-session/6-month tailored behavioral weight loss intervention
UNC Center for Health Promotion and Disease Prevention
Chapel Hill, North Carolina, United States
Weight
collect weight in pounds
Time frame: Change from Baseline to 6 Months
Physical Activity
participants will wear accelerometer for 1 week at each time point
Time frame: Change from Baseline to 6 Months
Psychosocial & Behavioral Measures
Participants will complete a survey that will assess varying psychosocial and behavioral measures including: (1) diet and exercise habits, (2) stress levels, (3) moods and (4) attitudes and beliefs regarding female stereotypes.
Time frame: Change from Baseline to 6 Months
Walkability
Stand Up and Go Test
Time frame: Change from Baseline to 6 Months
Aerobic Fitness
6 Minute Walk Test
Time frame: Change from Baseline to 6 Months
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