Randomized Controlled Trial Targeting Obesity-Related Behaviors: Better Together Healthy Caswell County

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Zoellner, Jamie ; Hill, Jennie L. ; Grier, Karissa ; Chau, Clarice ; Kopec, Donna ; Price, Bryan ; Dunn, Carolyn
• Description:
  Introduction ; Collaborative and multilevel interventions to effectively address obesity-related behaviors among rural communities with health disparities can be challenging, and traditional research approaches may be unsuitable. The primary objective of our 15-week randomized controlled pilot study, which was guided by community-based participatory research (CBPR) principles, was to determine the effectiveness of providing twice-weekly access to group fitness classes, with and without weekly nutrition and physical activity education sessions, in Caswell County, North Carolina, a rural region devoid of medical and physical activity resources. ; Methods ; Participants were randomly divided into 2 groups: group 1 was offered fitness sessions and education in healthful eating and physical activity; group 2 was offered fitness sessions only. Outcome measures were assessed at baseline and immediately after the intervention. Standardized assessment procedures, validated measures, and tests for analysis of variance were used. ; Results ; Of 91 enrolled participants, most were African American (62%) or female (91%). Groups were not significantly different at baseline. Group 1 experienced significantly greater improvements in body mass index (F = 15.0, P < .001) and waist circumference (F = 7.0, P = .01), compared with group 2. Both groups significantly increased weekly minutes of moderate physical activity (F = 9.4, P < .003). Participants in group 1 also had significantly greater weight loss with higher attendance at the education (F = 14.7, P < .001) and fitness sessions (F = 18.5, P < .001). ; Conclusion ; This study offers effective programmatic strategies that can reduce weight and increase physical activity and demonstrates feasibility for a larger scale CBPR obesity trial targeting underserved residents affected by health disparities. This study also signifies successful collaboration among community and academic partners engaged in a CBPR coalition.
• Subjects:
  • Community-Based Participatory Research
  • Counseling
  • Diet
  • Exercise
  • Female
  • Health Education
  • Healthy People Programs
  • Humans
  • Male
  • Obesity
  More +
• Source:
  Prev Chronic Dis. 10.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  North Carolina
• Location:
  North America
• Volume:
  10
• Download URL:
  https://stacks.cdc.gov/view/cdc/22170/cdc_22170_DS1.pdf
• File Type:
  [PDF - 620.73 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:d10481131609b326e5158493fbcdeecbdea591ed04fb68047d5e5604f3097337a926274c8ed9eb063da6983ce1efcd7d1e337cbe8b84646bdd5b994d254f830f