School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Clin Obes. 2023 Dec;13(6):e12613. doi: 10.1111/cob.12613. Epub 2023 Jul 27.
Despite the availability of evidence-based interventions to improve binge eating, Black women have some of the lowest rates of access to care for eating disorders. Innovation is needed to offer accessible and culturally relevant treatment options. To this end, using an open trial design, we investigated the feasibility and acceptability of a group-based, appetite awareness training (AAT) + lifestyle modification (LM) programme in Black women at risk for BED in a primary care setting. Participants (n = 20) were Black women recruited from a family medicine centre affiliated with a local public university, and who reported at least two binge eating episodes in the last 28 days. Participants completed a 16-session AAT + LM programme over 4 months. Key outcomes were objective binge eating (assessed by the EDE and the EDE-Q), body dissatisfaction, and weight change, all assessed at baseline, four (post-treatment) and 6 months (2-month follow-up). Ninety-five percent of participants completed assessments at post-treatment and attended nearly 60% of intervention sessions. Among completers (n = 19), body dissatisfaction and objective binge eating decreased from baseline to post-treatment and this decrease was maintained at the 2-month follow-up. In exit interviews, participants reported programme satisfaction. Providing training in appetite awareness combined with lifestyle modification principles may be useful in the treatment of body dissatisfaction and binge eating among Black women.
尽管有循证干预措施可改善暴食症，但黑人女性获得饮食失调治疗的机会却最低。需要创新来提供可及且文化相关的治疗选择。为此，我们采用开放试验设计，在初级保健环境中，针对有暴食风险的黑人女性，调查了基于小组的食欲感知训练（AAT）+生活方式改变（LM）方案的可行性和可接受性。参与者（n=20）为从当地公立大学附属医院的家庭医学中心招募的黑人女性，她们报告在过去 28 天内至少有两次暴食发作。参与者在 4 个月内完成了 16 节 AAT+LM 课程。主要结局是客观的暴食（通过 EDE 和 EDE-Q 评估）、身体不满和体重变化，所有这些都在基线、4 个月（治疗后）和 6 个月（2 个月随访）进行评估。95%的参与者完成了治疗后的评估，并参加了近 60%的干预课程。在完成者中（n=19），身体不满和客观暴食从基线到治疗后都有所减少，这种减少在 2 个月的随访中得以维持。在退出访谈中，参与者报告了对方案的满意度。提供食欲感知训练与生活方式改变原则相结合的培训可能对治疗黑人女性的身体不满和暴食症有用。
