Alliance Clinic, African Alliance Health Clinic, Southern California, San Diego, CA, USA.
California State University, San Marcos, CA, USA.
Public Health Nurs. 2021 May;38(3):350-356. doi: 10.1111/phn.12830. Epub 2021 Jan 26.
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.
This study employed a quasi-experimental time series design based on the theoretical frameworks of the Empowerment and Health Belief models.
Twenty-eight African-American Women were recruited into culturally appropriate and responsive weight-loss management program.
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.
Participants were educated on healthy food choices and physical activities based on National Institutes of Health's food guidelines.
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.
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.
本研究采用循证方法评估团体动机教育和赋权方案对非裔美国女性肥胖和体重管理的有效性。
本研究基于赋权和健康信念模型的理论框架，采用准实验时间序列设计。
招募了 28 名非裔美国女性参与文化上适宜且有针对性的体重管理计划。
体重管理计划包括营养教育、体育活动和小组会议。测量包括胆固醇、腰围、体重指数和运动时间的血液样本分析。统计分析比较了为期 1 年的基线和 3 个月间隔的项目结果。
根据美国国立卫生研究院的食物指南，向参与者传授健康饮食选择和体育活动知识。
结果表明，90%的参与者减轻了 20 磅或更多体重，82%的参与者腰围减少了 6 英寸或更多。此外，胆固醇降低以及营养知识和运动的改善均具有显著意义。
我们为非裔美国女性的体重管理开发了一种循证且文化适宜的干预措施。对改变行为的个人责任的接受、良好营养知识的了解以及参与体育活动是促进该人群健康和体重管理的积极有效的健康行为改变。
