James Delores C S, Harville Cedric, McQueen Darielle S, Facey Jenel A
Department of Health Education and Behavior, University of Florida, Gainesville.
Department of Public Health and Recreation Professions, Southern Illinois University-Edwardsville, Edwardsville, IL.
J Acad Nutr Diet. 2022 Jan;122(1):139-148. doi: 10.1016/j.jand.2021.06.310. Epub 2021 Jul 31.
The high rate of obesity, ownership of smartphones, and online search for nutrition and dieting information among African American women (AAW) provide a unique opportunity to develop cost-effective, accessible, and acceptable mHealth weight management programs for them. Furthermore, they should participate in the development and evaluation of these programs.
To explore ideal components of a culturally relevant mHealth weight management program for AAW and to examine how these components may vary by age group.
Twelve focus group triads were conducted with AAW in north central Florida. The framework method was used to manage, organize, synthesize, and analyze data themes by age groups: 18 to 29 (young), 30 to 50 (middle age), and 51+ (older).
PARTICIPANTS/SETTING: Thirty-six smartphone owners who expressed a desire to lose weight were recruited through several community partnerships.
Based on body mass index (BMI), young women were classified as overweight (BMI 26.23 ± 6.7), middle-aged women as obese (BMI30.72 ± 8.31), and older women as obese (BMI 31.03 ± 5.67). Most searched online for dieting information within the past 12 months. Five overarching themes for designing mHealth weight management programs were identified: (1) holistic program that goes beyond dieting; (2) social media integration for support and sense of community; (3) self-monitoring app; (4) two-way text messaging; and (5) programs of varying lengths and meaningful incentives.
AAW were receptive to mHealth weight management programs, which may be appealing during and after the COVID-19 pandemic. Holistic programs of 4 to 6 weeks that addressed stress eating, had a social media component, and included a few educational texts per week may be appealing to AAW.
非裔美国女性（AAW）中肥胖率高、智能手机持有率高以及在线搜索营养和节食信息的情况，为开发具有成本效益、易于获取且可接受的移动健康体重管理计划提供了独特机会。此外，她们应参与这些计划的开发和评估。
探索针对非裔美国女性的具有文化相关性的移动健康体重管理计划的理想组成部分，并研究这些组成部分如何因年龄组而异。
在佛罗里达州中北部与非裔美国女性进行了12个焦点小组三人访谈。采用框架法按年龄组管理、组织、综合和分析数据主题：18至29岁（年轻组）、30至50岁（中年组）和51岁及以上（老年组）。
参与者/地点：通过几个社区合作伙伴招募了36名表示希望减肥的智能手机用户。
根据体重指数（BMI），年轻女性被归类为超重（BMI 26.23±6.7），中年女性为肥胖（BMI 30.72±8.31），老年女性为肥胖（BMI 31.03±5.67）。大多数人在过去12个月内在网上搜索过节食信息。确定了设计移动健康体重管理计划的五个总体主题：（1）超越节食的整体计划；（2）整合社交媒体以提供支持和社区感；（3）自我监测应用程序；（4）双向短信；（5）不同长度和有意义激励措施的计划。
非裔美国女性接受移动健康体重管理计划，这在COVID-19大流行期间及之后可能具有吸引力。为期4至6周、解决情绪化进食问题、有社交媒体组成部分且每周包含一些教育内容的整体计划可能会吸引非裔美国女性。
