非裔美国暴食女性对食欲意识训练的认知和体验。
Perceptions and experiences of appetite awareness training among African-American women who binge eat.
机构信息
School of Social Work, University of North Carolina at Chapel Hill, 325 Pittsboro Street, Campus Box #3550, Chapel Hill, NC, 27599-3550, USA.
School of Nursing, Duquesne University, Pittsburgh, PA, USA.
出版信息
Eat Weight Disord. 2020 Apr;25(2):275-281. doi: 10.1007/s40519-018-0577-z. Epub 2018 Sep 16.
INTRODUCTION
Binge eating may contribute to the prevalence of obesity in African-American women. Yet, there has been scant intervention research on the treatment of binge eating in this population. We tested the feasibility of an appetite awareness training (AAT) intervention in a sample of African-American women with binge and overeating behaviors. Participants who completed AAT were recruited to participate in focus groups to elicit information about their perceptions and experiences with this intervention to inform the design of future interventions to treat binge eating and obesity in African-American women.
METHODS
African-American women, aged 18-70 years, who had completed an 8-week randomized AAT intervention, were invited to attend a focus group discussion. Session content was recorded and transcribed. Data were analyzed by use of open coding. Themes were identified that described their perceptions and experiences of participating in the intervention.
RESULTS
Seventeen women participated in three focus group discussions. Pertinent themes identified included: paying attention to internal cues of hunger and satiety, influence of culture on eating patterns, breaking patterns of disordered eating, and perceptions about weight. Overall, participants were satisfied with their experience of AAT, and reported they found it valuable to learn about listening to biological signals of hunger and satiety and to learn specific strategies to reduce maladaptive eating patterns.
CONCLUSION
AAT was acceptable and provided helpful eating behavior instruction to African-American women with reported binge and overeating behaviors. Future research should examine the potential of AAT to improve weight management in this underserved population.
LEVEL OF EVIDENCE
Level V, qualitative descriptive study.
简介
暴食可能导致非裔美国女性肥胖的流行。然而，针对该人群暴食的治疗干预研究却很少。我们测试了食欲意识训练（AAT）干预在有暴食和过度进食行为的非裔美国女性中的可行性。完成 AAT 的参与者被招募参加焦点小组，以获取有关他们对这种干预的看法和经验的信息，为今后治疗非裔美国女性暴食和肥胖的干预措施提供信息。
方法
18-70 岁完成 8 周随机 AAT 干预的非裔美国女性被邀请参加焦点小组讨论。记录和转录会议内容。使用开放式编码进行数据分析。确定描述他们对参与干预的看法和经验的主题。
结果
17 名女性参加了三次焦点小组讨论。确定的相关主题包括：注意饥饿和饱腹感的内部信号、文化对饮食模式的影响、打破饮食失调模式以及对体重的看法。总体而言，参与者对 AAT 的体验感到满意，并报告说他们发现了解倾听饥饿和饱腹感的生物信号以及学习减少不良进食模式的具体策略很有价值。
结论
AAT 是可以接受的，为有暴食和过度进食行为的非裔美国女性提供了有帮助的饮食行为指导。未来的研究应该研究 AAT 在改善这一服务不足人群的体重管理方面的潜力。
证据水平
V 级，定性描述性研究。
Zotero 插件