Perceptions and experiences of appetite awareness training among African-American women who binge eat
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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.
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.
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.
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.
KeywordsBinge eating African-American Obesity Weight loss
This study was funded by the National Heart, Lung, and Blood Institute (F31HL126425), and the Magee Womens Research Institute (Amy Roberts Research Award).
Compliance with ethical standards
Conflict of interest
Authors Goode, Kalarchian, Conroy, Gary-Webb, Craighead, Bennett, Cowell, and Burke have no conflicts of interest to report.
All procedures performed in this study, which involved human participants, were in accordance with the ethical standards and approved by the Institutional Review Board of the University of Pittsburgh, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.Ogden CL, Carroll MD, Fryar CD, Flegal KM (2015) Prevalence of obesity among adults and youth: United States, 2011–2014. NCHS Data Brief (219):1–8Google Scholar
- 2.Hales CM, Carroll MD, Fryar CD, Ogden CL (2017) Prevalence of obesity among adults and youth: United States, 2015–2016. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, HyattsvileGoogle Scholar
- 3.American Heart Association (2012) Overweight & obesity: statistical fact sheet 2013 updateGoogle Scholar
- 4.American Heart Association (2013) African-Americans & cardiovascular diseases: 2013 statistical fact sheetGoogle Scholar
- 9.Fitzgibbon ML, Tussing-Humphreys LM, Porter JS, Martin IK, Odoms-Young A, Sharp LK (2012) Weight loss and African-American women: a systematic review of the behavioural weight loss intervention literature. Obes Rev 13(3):193–213. https://doi.org/10.1111/j.1467-789X.2011.00945.x CrossRefPubMedGoogle Scholar
- 15.Marques L, Alegria M, Becker AE, Chen CN, Fang A, Chosak A, Diniz JB (2011) Comparative prevalence, correlates of impairment, and service utilization for eating disorders across US ethnic groups: Implications for reducing ethnic disparities in health care access for eating disorders. Int J Eat Disord 44(5):412–420. https://doi.org/10.1002/eat.20787 CrossRefPubMedGoogle Scholar
- 24.Franko DL, Thompson-Brenner H, Thompson DR, Boisseau CL, Davis A, Forbush KT, Roehrig JP, Bryson SW, Bulik CM, Crow SJ, Devlin MJ, Gorin AA, Grilo CM, Kristeller JL, Masheb RM, Mitchell JE, Peterson CB, Safer DL, Striegel RH, Wilfley DE, Wilson GT (2012) Racial/ethnic differences in adults in randomized clinical trials of binge eating disorder. J Consult Clin Psychol 80(2):186–195. https://doi.org/10.1037/a0026700 CrossRefPubMedGoogle Scholar
- 29.Craighead L (2006) The appetite awareness workbook. New Harbinger, OaklandGoogle Scholar
- 33.Fairburn CG, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment, and treatment, 12th edn. Guilford, New York, pp 333–360Google Scholar
- 35.Massey OT (2011) A proposed model for the analysis and interpretation of focus groups in evaluation research. Eval Progr Plan 34(1):21–28. https://doi.org/10.1016/j.evalprogplan.2010.06.003 CrossRefGoogle Scholar
- 39.Craighead LW, Elder KE, Niemeier HM, Pung MA (2002) Food versus appetite monitoring in CBWL for binge eating disorder. In: Paper presented at the association of behavior therapy, Reno, NevadaGoogle Scholar
- 40.Marx L, Craighead LW (2016) Appetite awareness treatment: a mindfulness-based approach for normalizing eating. In: Haynos A, Forman E, Butryn ML, Lillis J (eds) Mindfulenss and acceptance for treating eating disorders and weight concerns: evidenced-based treatment. New Harbinger, Oakland, pp 97–120Google Scholar
- 47.Thomas S, Ness RB, Thurston RC, Matthews K, Chang CC, Hess R (2013) Racial differences in perception of healthy body weight in midlife women: results from the do stage transitions result in detectable effects study. Menopause 20(3):269–273. https://doi.org/10.1097/GME.0b013e31826e7574 CrossRefPubMedPubMedCentralGoogle Scholar
- 51.Johns DJ, Hartmann-Boyce J, Jebb SA, Aveyard P, Behavioural Weight Management Review G (2014) Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisons. J Acad Nutr Diet 114(10):1557–1568. https://doi.org/10.1016/j.jand.2014.07.005 CrossRefPubMedPubMedCentralGoogle Scholar
- 52.Blumenthal JA, Babyak MA, Hinderliter A, Watkins LL, Craighead L, Lin PH, Caccia C, Johnson J, Waugh R, Sherwood A (2010) Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: the ENCORE study. Arch Intern Med 170(2):126–135. https://doi.org/10.1001/archinternmed.2009.470 CrossRefPubMedPubMedCentralGoogle Scholar