Translation of a behavioral weight loss intervention for mid-life, low-income women in local health departments

Carmen D. Samuel-Hodge, Beverly A. Garcia, Larry F. Johnston, Ziya Gizlice, Andy Ni, Jianwen Cai, Jennifer L. Kraschnewski, Alison A. Gustafson, Arnita F. Norwood, Russell E. Glasgow, Alison D. Gold, John W. Graham, Kelly R. Evenson, Stewart Trost, Thomas C. Keyserling

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1764-1773
Number of pages10
JournalObesity
Volume21
Issue number9
DOIs
StatePublished - Sep 1 2013

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

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    Samuel-Hodge, C. D., Garcia, B. A., Johnston, L. F., Gizlice, Z., Ni, A., Cai, J., Kraschnewski, J. L., Gustafson, A. A., Norwood, A. F., Glasgow, R. E., Gold, A. D., Graham, J. W., Evenson, K. R., Trost, S., & Keyserling, T. C. (2013). Translation of a behavioral weight loss intervention for mid-life, low-income women in local health departments. Obesity, 21(9), 1764-1773. https://doi.org/10.1002/oby.20317