Author: Jamie Sue BodenlosPublisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Impact of a Stage-matched Weight Loss Intervention on Stage of Change Progression in Predominantly African-American Female Primary Care Patients
Author: Jamie Sue BodenlosEffects of a Primary Care Weight Management Intervention on Physical Activity in Low-income African American Women
Author: Gareth R. DuttonHandbook of Obesity Treatment, Second Edition
Author: Thomas A. WaddenPublisher: Guilford Publications
ISBN: 1462535569
Category : Psychology
Languages : en
Pages : 737
Book Description
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
Perspective of Obese Minority Women on Weight Issues Within a Primary Care Setting
Author: Shani Adia Stewart HIgginsPublisher:
ISBN:
Category : African American women
Languages : en
Pages : 200
Book Description
Because obesity and obesity-related illnesses are highly prevalent in minority women, chances of physicians treating minority women for obesity and obesity-related illnesses increases as well. Many studies have exposed some of the attitudes and barriers toward weight counseling from physicians to their patients and patients' perspective of their physicians' attitudes and treatment of their weight. However, many of these studies have not used many minority women; therefore diminishing the generalizability of their results. The purpose of this study is to obtain the patient's perspective through focus groups in obese minority women and identify patterns in which the relationship between the patient and their physicians can either hinder or help their progress in weight loss. Participants were recruited from a general internal medicine outpatient clinic at Truman Medical Center. A total of three focus groups of African American women (N=10) were conducted. Although participants felt their doctors understood their feelings about their weight, it was stated that a physician's negative attitude and lack of understanding would hinder motivation for weight loss. A majority of participants noted their physicians initiated discussions of weight loss after co-morbid health conditions were diagnosed. Moreover, specific weight loss counseling was considered insufficient; participants wanted specific weight loss counseling that would include addressing barriers to weight loss. Participants preferred more realistic eating behaviors in the form of controlled portions and increased physical activity as their primary weight loss method. Incorporation of social support was considered a major facilitator of weight loss by increasing motivation. Many of the findings obtained from this study affirm much of the existing literature on weight loss/management preferences and experiences in African American women, as well as on the current practices of the physician to support weight loss. This study highlighted some of the women's beliefs, preferences, and cultural influences, particularly with regard to their collaborative role in the physician/patient relationship concerning weight management care. Recommendations on how to understand the role of cultural influences while incorporating culturally sensitive patient care toward weight loss/management is discussed.
Stages of Change and Weight Loss in Rural African-American Women
Author: Dawn Marie SaadyProject LIFE
Author: LaKeesha N. LeonardPublisher:
ISBN:
Category : African Americans
Languages : en
Pages : 129
Book Description
Preventable chronic diseases, as well as mortality from these diseases, are experienced at a much higher rate among African American women than their racial counterparts. Eight-two percent of African American women are overweight or obese and are less likely to be physically active than other Americans. Similar to many Americans, African American women are failing to consume the recommended amount of fruits and vegetables. The purpose of this study was to assess the effectiveness of Project LIFE (Lifestyle Improvement through Faith and Empowerment), a culturally tailored, faith based intervention designed to increase physical activity (PA) and improve nutrition among African American women. It was hypothesized that Project LIFE would lead to increases in PA and healthy dietary change among African American women, as well as weight loss among overweight or obese African American women compared to a waitlist control group. This study was designed based on the theoretical framework of the Transtheoretical Model (TTM). The participants were thirty-nine African American women recruited for a quasi-experimental Pretest-Posttest Waitlist Control Group Design (Thomas & Nelson, 2001) consisting of two groups measured at baseline, 10 weeks, and 14 weeks. The main outcome variables of interest were: (a) minutes of PA, (b) dietary habits, (c) weight, (d) body mass index (BMI), (e) body fat percentage, (f) waist-to-hip ratio, (g) aerobic fitness, and (h) muscular strength. Primary sources of data were questionnaires and anthropometric measures. General linear model ANOVA was used to assess between-group and within-group differences across three different time points (1 = baseline, 2 = 10 weeks, 3 = 14 weeks). Means and standard deviations were used to compare differences and effect sizes were calculated, whenever statistical significance was found, to determine magnitude of the impact of the intervention. The alpha level was set a priori at p
Six-month Follow-up of a Primary Care Managed Weight Loss Program for Overweight and Obese African-American Women
Author: Lee A. MarshAfrican American Weight Loss Experiences from the Perspective of Past Treatment Participants
Author: Delia Louise SudlerPublisher:
ISBN:
Category : African Americans
Languages : en
Pages : 48
Book Description
Compared to other racial-ethnic groups, African Americans are disproportionately impacted by the obesity epidemic, with this population presenting the highest rates of obesity. Additionally, behavioral weight loss interventions produce significantly lower weight losses among African American participants (Cox et al., 2013). The current study collected qualitative data from African American participants who completed a clinical trial, Project ENACT, which compared standard and acceptance-based behavioral weight loss treatments (Butryn et al., 2017). Focus groups were utilized to address three main aims: 1) identify the emotional, mental and environmental influences that African American participants perceived to be most important for their weight control; 2) identify the extent to which African American participants identify unique racial-ethnic and cultural factors as influences on their weight control; 3) explore how perceived treatment value, effectiveness and areas for improvement may differ in participants who did versus those who did not receive acceptance-based skills training. Four focus groups were conducted with African American men and women (n =24) who had completed the ENACT program. Major themes from participant responses map onto the following categories: universal barriers to health; general facilitation to health; barriers to healthy living related to the African American experience; suggestions for treatment improvement; and treatment facilitation. Results from this study could inform future weight loss intervention development and education by uncovering weight loss barriers tied to the unique cultural and emotional experiences of African Americans attempting to lose weight, while also ascertaining how acceptance-based treatments might address these unique barriers.
Weight-related Beliefs, Behaviors, and Social Networks of Obese, Young Adult African- American Women
Author: Brandy Michelle RollinsPublisher:
ISBN:
Category :
Languages : en
Pages : 183
Book Description
Obesity is a public health concern that affects over 30% of Americans. Approximately 78% of African-American women are overweight/obese, as compared to 46% of Caucasian women. Obese African-American women are at higher risk for associated morbidities (e.g., hypertension, type II diabetes, select cancers, and early mortality) as compared to non-Hispanic whites. Weight gain after young adulthood (ages 20-35) is associated with an increased risk of cardiovascular disease and other health problems later in life. Research that seeks to explain, predict, or control obesity among African-American women has focused on individual behavior change. Few studies have addressed the social contexts within which these behaviors occur. The purpose of this exploratory study was to examine the weight-related beliefs, behaviors, and social network characteristics of obese, young adult African-American women. A conceptual framework based on social support and social network theory guided the design of the study. Ten African-American women between the ages of 20 and 35, self-described as "plus-size" or "full-figured" completed initial informal conversations about weight-related issues and concerns and semi-structured, in-depth face-to-face interviews. Five participants were randomly selected to complete social network profiles to identify potential social influences on weight-related beliefs and behaviors. Results of the initial conversations revealed approximately half of the participants were class III obesity (BMI > 40), reported overall good health, and 70% participated in physical activity at least one day a week. Semi-structured interviews results disclosed two primary reasons for unsuccessful long-term weight loss: (a) inconsistent weight loss behaviors and (b) lack of accountability. Weight-related beliefs and behaviors of study participants were similar to those reported for older adult African-American women. Similarities included (a) mixed levels of body satisfaction; (b) the belief that health is not determined by weight; (c) sedentary lifestyles and; (d) social support from family and friends impacts long-term weight loss success. The five social network profiles indicated participants' networks are small, comprised of at least two overweight/obese females, and exhibited positive social support behaviors. Social networks included positive, negative, and non-positive relationships. Social support for weight loss is shared among network members through face-to-face interactions, phone conversations, and use of social media tools such as Facebook, Twitter, and text messaging. Future healthy weight studies would benefit from comprehensive analyses of the social networks of obese, young adult African-American women, inclusive of interviews with social network members. Culture-based healthier weight interventions that organize social support networks through social media tools are promising strategies for promoting healthy weight management among obese, young adult African-American women. The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/148292
Promoting Exercise and Behavior Change in Older Adults
Author: Patricia M. Burbank, DNSc, RNPublisher: Springer Publishing Company
ISBN: 0826197221
Category : Medical
Languages : en
Pages : 340
Book Description
Exercise in later life is important for health and well-being, yet motivating older adults to exercise can be difficult. This book addresses that need by tailoring "The Transtheoretical Model" of behavior change to the client's level of readiness for change. The contributors show how TTM can be used to help older adults with varying needs and abilities to change their exercise behaviors. This book is essential for health care professionals including nurses, exercise specialists, occupational therapists, social workers, and others interested in helping older adults incorporate exercise into their daily lives.