Gans Kim M, Kumanyika Shiriki K, Lovell H Joan, Risica Patricia M, Goldman Roberta, Odoms-Young Angela, Strolla Leslie O, Decaille Donna O, Caron Colleen, Lasater Thomas M
Institute for Community Health Promotion, Brown University, Providence, RI, USA.
Prev Med. 2003 Dec;37(6 Pt 1):654-67. doi: 10.1016/j.ypmed.2003.09.014.
Overweight and obesity have reached epidemic proportions in the United States, with black women disproportionately affected. SisterTalk is a weight control program designed specifically for delivery to black women via cable TV. The theoretical and conceptual frameworks and formative research that guided the development and cultural tailoring of SisterTalk are described. Social Action Theory was applied in the development of SisterTalk along with a detailed behavioral analysis of the way that black women view weight and weight loss within the context of their cultural and social realities. The entire intervention development process was framed using this information, rather than by changing only superficial aspects of program delivery. Community networking and both qualitative and quantitative interview techniques from the fields of social marketing and cultural anthropology were used to involve black women from Boston in the design and implementation of a program that would be practical, appealing, and culturally sensitive. Also discussed are strategies for evaluating the program, and lessons learned that might have broader applicability are highlighted. The development of the SisterTalk program could provide a useful starting point for development of successful weight control programs for black women in other parts of the United States as well as for other ethnic and racial groups.
超重和肥胖在美国已达到流行程度，黑人女性受影响的比例尤其高。“姐妹谈心”是一项专门为通过有线电视向黑人女性提供的体重控制项目。本文描述了指导“姐妹谈心”项目开发和文化调适的理论与概念框架以及形成性研究。在“姐妹谈心”项目的开发过程中应用了社会行动理论，并对黑人女性在其文化和社会现实背景下看待体重及减肥方式进行了详细的行为分析。整个干预开发过程以此信息为框架，而非仅仅改变项目实施的表面方面。利用社区网络以及社会营销和文化人类学领域的定性和定量访谈技术，让来自波士顿的黑人女性参与到一个实用、有吸引力且对文化敏感的项目的设计和实施中。文中还讨论了评估该项目的策略，并强调了可能具有更广泛适用性的经验教训。“姐妹谈心”项目的开发可为美国其他地区的黑人女性以及其他族裔和种族群体开发成功的体重控制项目提供有益的起点。
