Perry Foley|Erica Levine|Sandy Askew|Elaine Puleo|Jessica A. Whiteley|Bryan C. Batch|Daniel P. Heil|Daniel Dix|Veronica Lett|Michele G. Lanpher|Jade L. Miller|Karen M. Emmons|Gary G. Bennett
Weight gain prevention among black women in the rural community health center setting: The Shape Program
Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke Institute for Health Innovation|University of Massachusetts Amherst|University of Massachusetts Boston|Duke Medical Center|Montana State University|Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke Institute for Health Innovation|Duke Institute for Health Innovation|Dana-Farber Cancer Institute|Duke Institute for Health Innovation
nearly 60 black women obese despite increased risk obesity associated chronic diseases black women underrepresented clinical trials weight loss interventions particularly conducted primary care setting existing obesity treatments less effective population promotion weight maintenance achieved lower treatment intensity weight loss holds promise reducing obesityassociated chronic disease risk weight gain prevention may also consistent obesityrelated sociocultural perspectives black women traditional weight loss approaches conducted 18month randomized controlled trial shape program weight gain prevention intervention overweight black female patients primary care setting participants include 194 premenopausal black women aged 25 44 years bmi 25349 kgm2 participants randomized either usual care 12month intervention consisted tailored obesogenic behavior change goals selfmonitoring via interactive voice response phone calls tailored skills training materials 12 counseling calls registered dietitian 12month ymca membership participants followed 18 months study visits baseline 6 12 18months anthropometric data blood pressure fasting lipids fasting glucose selfadministered surveys collected visit accelerometer data collected baseline 12months baseline participants average 354 years old mean body mass index 302 kgm2 participants mostly employed lowincome almost half sample reported diagnosis hypertension prehypertension 12 reported diagnosis diabetes prediabetes almost onethird participants smoked 20 scored clinical threshold depression shape program utilizes innovative intervention approach lower risk obesity obesityassociated chronic disease among black women primary care setting intervention informed behavior change theory aims prevent weight gain using inexpensive mobile technologies existing health center resources baseline characteristics reflect socioeconomically disadvantaged highrisk population sample need evidencebased treatment strategies trial registered clinicaltrialsgov nct00938535