Deaf Weight Wise: A novel randomized clinical trial with Deaf sign language users

Details

• Alternative Title:
  Obesity (Silver Spring)
• Personal Author:
  Barnett, Steven ; Matthews, Kelly ; DeWindt, Lori ; Sutter, Erika ; Samuel-Hodge, Carmen ; Yang, Hongmei ; Pearson, Thomas A.
• Description:
  Objective:
  
  To address the absence of evidence-based weight control programs developed for use with Deaf people.
  
  Methods:
  
  Community-based participatory research informed the design of the Deaf Weight Wise (DWW) trial and intervention. DWW focuses primarily on healthy lifestyle and weight through change in diet and exercise. We enrolled 104 Deaf adults aged 40-70 years with a BMI of 25-45 from community settings in Rochester, NY, and randomized participants to immediate intervention (n=48) or one-year delayed intervention (n=56). The delayed intervention serves as a no-intervention comparison until the trial mid-point. We collected data five times (every 6 months) from baseline to 24-months. All DWW intervention leaders and participants are Deaf people who use American Sign Language (ASL).
  
  Results:
  
  At 6-months, the difference in mean weight change for the immediate intervention arm versus the delayed intervention arm (no intervention yet) was −3.4kg (multiplicity-adjusted p=0.0424; 95% CI: −6.1 to −0.8 kg). Most (61.6%) in the immediate arm lost ≥5% of baseline weight versus 18.1% in the no-intervention-yet arm (p<0.001). Participant engagement indicators include mean attendance of 11/16 sessions (69%), and 92% completed 24-month data collection.
  
  Conclusion:
  
  Deaf Weight Wise, a community-engaged, culturally-appropriate and language-accessible behavioral weight loss intervention was successful with Deaf ASL-users.
  
  
• Subjects:
  Adult Diet Humans Language New York Persons With Hearing Impairments Sign Language
• Keywords:
  Behavioral Strategies Minorities Obesity Overweight Weight Control
• Source:
  Obesity (Silver Spring). 31(4):965-976
• Pubmed ID:
  36890106
• Pubmed Central ID:
  PMC10033396
• Document Type:
  Journal Article
• Funding:
  K08 HS015700/HS/AHRQ HHSUnited States/ ; U48 DP005026/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP000031/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005026/ACL/ACL HHSUnited States/ ; U48 DP001910/DP/NCCDPHP CDC HHSUnited States/ ; U48DP001910/ACL/ACL HHSUnited States/ ; U48DP006394/ACL/ACL HHSUnited States/ ; T32 HL007937/HL/NHLBI NIH HHSUnited States/ ; U48 DP006394/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  31
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2df1caadd821160b6983ca90d45dc7396123e76aef19867e7d1ccafe256168bc
• Download URL:
  https://stacks.cdc.gov/view/cdc/126183/cdc_126183_DS1.pdf
• File Type:
  [PDF - 393.74 KB ]