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Review and Evaluation of Faith-Based Weight Management Interventions That Target African American Women

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Abstract

This integrative review was conducted to present results of the use of recommended criteria to evaluate faith-based weight management interventions (WMIs) that target African American women. This group experiences the highest prevalence of adult obesity in the US when compared to other ethnic groups. “Best practice” WMIs can help to alleviate obesity. Faith-based interventions hold promise for helping to address the problem of obesity in African American women since a significant portion of these persons views the church as a trusted entity that advocates for their well-being. No systematic evaluation of faith-based WMIs has been reported even though there is an ongoing plea for the need for better evaluation of health interventions that prioritizes comprehensive description of their attributes (e.g., linkage to theory, interventionists’ background, and dosage) to enable replication and a broader assessment of their validity to include appropriateness and feasibility). Critique criteria were applied to faith-based WMIs (n = 5) that target African American women. Findings highlighted the need for increased disclosure about the (1) interventionists’ background, (2) intervention’s location within the church setting, and (3) nature of any “pre-intervention” treatment. The review also indicated the need for interventions that are (1) designed from robust research methodologies (effectiveness) that include randomization of both church setting and participants, (2) deemed appropriate from the perspective of African American women targeted, and (3) are financially feasible—without steep participant incentives/implementation costs that compromise internal validity and any positive outcomes generated.

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References

  • Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th ed.). St. Louis, MO: Saunders Elsevier.

    Google Scholar 

  • Capers, C. F., Baughman, K., & Logue, E. (2011). Behaviors and characteristics of African American and European American females that impact weight management. Journal of Nursing Scholarship, 43(2), 133–144.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2013). How can I tell if I’m at a healthy weight? http://www.cdc.gov/healthyweight/assessing/.

  • Chang, J., Patel, I., Srivastava, J., & Balkrishnan, R. (2012). Effect of exercise on primary prevention of Diabetes Mellitus on African American women: A meta-analysis study. Journal of Pharmacy Research, 5(11), 5218–5223.

    Google Scholar 

  • Chugh, M., Friedman, A. M., Clemow, L. P., & Ferrante, J. M. (2013). Women weigh in: Obese African American and white women’s perspectives on physicians’ roles in weight management. Journal of American Board of Family Medicine, 26, 421–428.

    Article  Google Scholar 

  • Conn, V. S. (2007). Intervention? What intervention? Western Journal of Nursing Research, 29(5), 521–522.

    Article  PubMed  Google Scholar 

  • Cowart, L. W., Giro, D. J., Wasserman, T., Stein, R. F., Reider, L. R., & Brown, B. (2010). Designing and pilot-testing a church-based community program to reduce obesity among African Americans. ABNF Journal, 21(1), 4–10.

    PubMed  Google Scholar 

  • Donovan, H., Kwekkeboom, K., Rosenzweig, M., & Ward, S. (2009). Nonspecific effects in psychoeducational intervention research. Western Journal of Nursing Research, 31(8), 983–998.

    Article  PubMed Central  PubMed  Google Scholar 

  • Donze, J. R., & Tercyak, K. P. (2006). The survivor health and resilience education (SHARE) program: Development and evaluation of a health behavior intervention for adolescent survivors of childhood cancer. 13(2), 161–168. doi:10.1007/s10880-006-9013-z.

  • Duru, O. K., Sarkisian, C. A., Leng, M., & Mangione, C. M. (2010). Sister in motion: A randomized controlled trial of a faith-based physical activity intervention. Journal of the American Geriatrics Society, 58(10), 1863–1869.

    Article  PubMed Central  PubMed  Google Scholar 

  • Evans, D. (2003). Hierarchy of evidence: A framework for ranking evidence evaluating healthcare interventions. Journal of Clinical Nursing, 12, 77–84.

    Article  PubMed  Google Scholar 

  • Foley, P., Levine, E., Askew, S., Puleo, E., Whiteley, J., Batch, B., et al. (2012). Weight gain prevention among black women in the rural community health center setting: The Shape Program. BMC Public Health, 12, 1–11.

    Article  Google Scholar 

  • Goldfinger, J. Z., Arniella, G., Wylie-Rosett, J., & Horowitz, C. R. (2008). Project HEAL: Peer education leads to weight loss in Harlem. Journal of Health Care for the Poor and Underserved, 19, 180–192.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hatcher, S. S., Burley, J. T., & Lee-Ouga, W. I. (2008). HIV prevention programs in the Black church: A viable health promotion resource for African American Women? Journal of Human Behavior in the Social Environment, 17(3–4), 309–324.

    Article  Google Scholar 

  • Healthy People 2020. (2013). Nutrition, physical activity, and obesity. http://www.healthypeople.gov/2020/LHI/nutrition.aspx.

  • James, D. C. S., Pobee, J. W., Oxidine, O., Brown, L., & Joshi, G. (2012). Using the health belief model to develop culturally appropriate weight-management materials for African-American women. Journal of the Academy of Nutrition and Dietetics, 112, 664–670.

    Article  PubMed  Google Scholar 

  • Kaplan, S. A., Calman, N. S., Golub, M., Ruddock, C., & Billings, J. (2006). The role of faith-based institutions in addressing health disparities: A case study of an initiative in the Southwest Bronx. Journal of Health Care for the Poor and Underserved, 17, 9–19.

    Article  PubMed  Google Scholar 

  • Kim, K. H., Linnan, L., Campbell, M. K., Brooks, C., Koenig, H. G., & Wiesen, C. (2008). The WORD (wholeness, oneness, righteousness, deliverance): A faith-based weight-loss program utilizing a community-based participatory research approach. Health, Education and Behavior, 35(5), 634–650.

    Article  Google Scholar 

  • Mawunyo, G., & Tovin, M. (2010). African American women and physical activity. Physical Therapy Reviews, 15(5), 405–409.

    Article  Google Scholar 

  • Moore, D., Onsomu, E. O., Timmons, S., Abuya, B. A., & Moore, C. (2012). Communicating HIV/AIDS through African American churches in North Carolina: Implications and recommendations for HIV/AIDS faith-based programs. Journal of Religion and Health, 51, 865–878. doi:10.1007/s10943-010-9396-x.

    Article  PubMed  Google Scholar 

  • Murrock, C. J., & Gary, F. A. (2010). Culturally specific dance to reduce obesity in African American women. Health Promotion Practice, 11(4), 465–473.

    Article  PubMed Central  PubMed  Google Scholar 

  • Office of Faith-based and Neighborhood Partnerships. (2013). About the office of faith-based and neighborhood partnerships. http://m.whitehouse.gov/administration/eop/ofbnp/about.

  • Robinson, B. K., & Wicks, M. N. (2012). Religiosity, self-efficacy for exercise and African American women. Journal of Religion and Health, 51, 854–864.

    Article  PubMed  Google Scholar 

  • Sbrocco, T., Carter, M. M., Lewis, E. L., Vaughn, N. A., Kalupa, K. K., King, S., et al. (2005). Church-based obesity treatment for African American women improve adherence. Ethnicity of Disease, 15, 246–255.

    Google Scholar 

  • Seal, J. P., Fifield, J., Davis-Smith, Y. M., Satterfield, R., Thomas, J. G., Cole, R., et al. (2013). Developing culturally congruent weight maintenance programs for African American church members. Ethnicity and Health, 18(2), 152–167.

    Article  Google Scholar 

  • Thompson, E., Berry, D., & Nasir, L. (2008). Weight management in African Americans using church-based community interventions to prevent type 3 diabetes and cardiovascular disease. The Journal of the National Black Nurses Association, 20(1), 59–65.

    Google Scholar 

  • Timmons, S. M. (2009). Pastors’ influence on research-based health programs in church settings. Journal of Health Disparities Research and Practice, 3(2), 92–102.

    Google Scholar 

  • Werch, C., Grenard, J., Burnett, J., Watkins, J., Ames, S., & Jobli, E. (2006). Translation as a function of modality: The potential of brief interventions. Evaluation and the Health Professions, 29(1), 89–125.

    Article  PubMed  Google Scholar 

  • Wilcox, S., Laken, M., Anderson, T., Bopp, M., Bryant, D., Carter, R., et al. (2007). The health-e-ame faith-based physical activity initiative: Description and baseline findings. Health Promotion Practice, 8, 69–78. doi:10.1177/1524839905278902.

    Article  PubMed  Google Scholar 

  • Williams, L. B., Sattin, R. W., Garvin, J. T., Marion, L., Joshua, T., Krisha, A., et al. (2013). Design of a cluster-randomized controlled trial of a diabetes prevention program within African American churches: The fit body and soul study. Contemporary Clinical Trials, 34, 336–347.

    Article  PubMed Central  PubMed  Google Scholar 

  • Winett, R. A., Anderson, E. S., Wojcik, J. R., Winett, S. G., & Bowden, T. (2007). Guide to health: Nutrition and physical activity outcomes of a group-randomized trial of an internet-based intervention in churches. Annals of Behavioral Medicine, 33(3), 251–259.

    Article  PubMed  Google Scholar 

  • Yeary, K. H. K., Cornell, C. E., Turner, J., Moore, P., Bursac, Z., Prewitt, E., et al. (2011). Feasibility of an evidence-based weight loss intervention for a faith-based, rural, African American population. Public Health Research, Practice, and Policy, 8(6), 1–12.

    Google Scholar 

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No relational, financial, or other conflicts of interest exists between the author and individuals or organizations that could inappropriately influence the content of this paper.

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Correspondence to Shirley M. Timmons.

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Timmons, S.M. Review and Evaluation of Faith-Based Weight Management Interventions That Target African American Women. J Relig Health 54, 798–809 (2015). https://doi.org/10.1007/s10943-014-9912-5

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