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Evidence‐based intervention program for reducing obesity among African‐American women in Southern California
Author(s) -
Onyegbule Patience,
Iyiegbuniwe Emmanuel,
Sarter Barbara,
James Kathy Shadle
Publication year - 2021
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12830
Subject(s) - waistline , gerontology , weight management , weight loss , body mass index , waist , medicine , empowerment , nutrition education , obesity , population , health education , program evaluation , intervention (counseling) , public health , physical therapy , environmental health , nursing , materials science , public administration , pathology , political science , law , composite material
Objective This study evaluated the effectiveness of group motivational education and empowerment program using evidence‐based approaches for obesity and weight loss management for African‐American Women. Design This study employed a quasi‐experimental time series design based on the theoretical frameworks of the Empowerment and Health Belief models. Sample Twenty‐eight African‐American Women were recruited into culturally appropriate and responsive weight‐loss management program. Measurements The weight management programs consisted of nutrition education, physical activities, and focus‐group sessions. Measurements included analysis of blood samples for cholesterol, waistline, body mass index, and exercise time. Statistical analysis compared program outcomes at baseline and 3‐month intervals for 1 year. Intervention Participants were educated on healthy food choices and physical activities based on National Institutes of Health's food guidelines. Results The results showed that 90% of participants lost 20 pounds or more and 82% had 6 inches or more waist circumference reductions. Additionally, cholesterol reductions and improved nutrition knowledge and exercises were significant. Conclusions We developed an evidence‐based and culturally appropriate intervention for weight‐loss management among African‐American women. Acceptance of personal responsibility to modify behaviors, knowledge of good nutrition, and engagement in physical activities were positive and effective health behavioral changes in promoting health and weight‐loss management for this population.