Evidence-based intervention program for reducing obesity among African-American women in Southern California.

OBJECTIVE: 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. DESIGN: This study employed a quasi-experimental time series design based on the theoretical frameworks of the Empowerment and Health Belief models. SAMPLE: Twenty-eight African-American Women were recruited into culturally appropriate and responsive weight-loss management program. MEASUREMENTS: 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. INTERVENTION: Participants were educated on healthy food choices and physical activities based on National Institutes of Health's food guidelines. RESULTS: 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. CONCLUSIONS: 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.

Family-based weight management with Latino mothers and children.

PURPOSE: This paper aims to design a culturally appropriate weight management intervention for high-risk Latino families and to examine the feasibility of recruiting program participants. DESIGN AND METHODS: A descriptive design using qualitative and quantitative data collected during preliminary phases of an ongoing intervention study. RESULTS: From the preliminary works, a curriculum was revised for Latino families who have overweight children. The curriculum was modified to include suggestions from the focus groups, including helping mothers set limits with their children and make the transition to lighter foods and a more active family life. PRACTICE IMPLICATIONS: The information will aid professionals in the process of program design for Latino families who have weight concerns.