A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial
African American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this communit...
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| Published in: | Journal of medical Internet research Vol. 20; no. 8; p. e256 |
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| Format: | Journal Article |
| Language: | English |
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Canada
Gunther Eysenbach MD MPH, Associate Professor
24.08.2018
JMIR Publications |
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| ISSN: | 1438-8871, 1439-4456, 1438-8871 |
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| Abstract | African American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.
This study aimed to assess the feasibility and efficacy of a church-based weight loss intervention that incorporates mHealth technology.
In this study, 8 churches (n=97) were randomly assigned to the intervention or delayed intervention condition (control group). We recruited participants through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention. Participants in the intervention group attended group sessions and received automated short message service (SMS) text messages designed to reinforce behavioral strategies. Conversely, participants in the delayed intervention condition received SMS text messages related to health conditions relevant for African American adults. We obtained measures of body composition, blood pressure, blood glucose, and cholesterol.
We successfully recruited 97 African American adults, with a mean age of 56.0 (SE 10.3) years and a mean body mass index of 38.6 (SE 6.4) kg/m2 (89/97, 91.8% females), who attended the churches that were randomized to the intervention (n=68) or control (n=29) condition. Of these, 74.2% (72/97) of the participants (47/68, 69.1% intervention; 25/29, 86.2% delayed intervention) completed the 6-month assessment. The average intervention group attendance was 55%. There was a significant difference in weight loss (P=.04) between participants in the intervention (-1.5 (SE 0.5) kg) and control (0.11 (SE 0.6) kg) groups. Among participants in the intervention group, the correlation between the number of SMS text messages sent and the percent body fat loss was r=.3 with P=.04. The participants reported high satisfaction with the automated SMS text messages.
Automated SMS text messages were well-received by participants, suggesting that more enhanced mHealth technologies are a viable option for interventions targeting African American adults.
ClinicalTrials.gov NCT02863887; https://clinicaltrials.gov/ct2/show/NCT02863887 (Archived by WebCite at http://www.webcitation.org/71JiYzizO). |
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| AbstractList | African American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.
This study aimed to assess the feasibility and efficacy of a church-based weight loss intervention that incorporates mHealth technology.
In this study, 8 churches (n=97) were randomly assigned to the intervention or delayed intervention condition (control group). We recruited participants through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention. Participants in the intervention group attended group sessions and received automated short message service (SMS) text messages designed to reinforce behavioral strategies. Conversely, participants in the delayed intervention condition received SMS text messages related to health conditions relevant for African American adults. We obtained measures of body composition, blood pressure, blood glucose, and cholesterol.
We successfully recruited 97 African American adults, with a mean age of 56.0 (SE 10.3) years and a mean body mass index of 38.6 (SE 6.4) kg/m2 (89/97, 91.8% females), who attended the churches that were randomized to the intervention (n=68) or control (n=29) condition. Of these, 74.2% (72/97) of the participants (47/68, 69.1% intervention; 25/29, 86.2% delayed intervention) completed the 6-month assessment. The average intervention group attendance was 55%. There was a significant difference in weight loss (P=.04) between participants in the intervention (-1.5 (SE 0.5) kg) and control (0.11 (SE 0.6) kg) groups. Among participants in the intervention group, the correlation between the number of SMS text messages sent and the percent body fat loss was r=.3 with P=.04. The participants reported high satisfaction with the automated SMS text messages.
Automated SMS text messages were well-received by participants, suggesting that more enhanced mHealth technologies are a viable option for interventions targeting African American adults.
ClinicalTrials.gov NCT02863887; https://clinicaltrials.gov/ct2/show/NCT02863887 (Archived by WebCite at http://www.webcitation.org/71JiYzizO). African American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.BACKGROUNDAfrican American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.This study aimed to assess the feasibility and efficacy of a church-based weight loss intervention that incorporates mHealth technology.OBJECTIVEThis study aimed to assess the feasibility and efficacy of a church-based weight loss intervention that incorporates mHealth technology.In this study, 8 churches (n=97) were randomly assigned to the intervention or delayed intervention condition (control group). We recruited participants through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention. Participants in the intervention group attended group sessions and received automated short message service (SMS) text messages designed to reinforce behavioral strategies. Conversely, participants in the delayed intervention condition received SMS text messages related to health conditions relevant for African American adults. We obtained measures of body composition, blood pressure, blood glucose, and cholesterol.METHODSIn this study, 8 churches (n=97) were randomly assigned to the intervention or delayed intervention condition (control group). We recruited participants through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention. Participants in the intervention group attended group sessions and received automated short message service (SMS) text messages designed to reinforce behavioral strategies. Conversely, participants in the delayed intervention condition received SMS text messages related to health conditions relevant for African American adults. We obtained measures of body composition, blood pressure, blood glucose, and cholesterol.We successfully recruited 97 African American adults, with a mean age of 56.0 (SE 10.3) years and a mean body mass index of 38.6 (SE 6.4) kg/m2 (89/97, 91.8% females), who attended the churches that were randomized to the intervention (n=68) or control (n=29) condition. Of these, 74.2% (72/97) of the participants (47/68, 69.1% intervention; 25/29, 86.2% delayed intervention) completed the 6-month assessment. The average intervention group attendance was 55%. There was a significant difference in weight loss (P=.04) between participants in the intervention (-1.5 (SE 0.5) kg) and control (0.11 (SE 0.6) kg) groups. Among participants in the intervention group, the correlation between the number of SMS text messages sent and the percent body fat loss was r=.3 with P=.04. The participants reported high satisfaction with the automated SMS text messages.RESULTSWe successfully recruited 97 African American adults, with a mean age of 56.0 (SE 10.3) years and a mean body mass index of 38.6 (SE 6.4) kg/m2 (89/97, 91.8% females), who attended the churches that were randomized to the intervention (n=68) or control (n=29) condition. Of these, 74.2% (72/97) of the participants (47/68, 69.1% intervention; 25/29, 86.2% delayed intervention) completed the 6-month assessment. The average intervention group attendance was 55%. There was a significant difference in weight loss (P=.04) between participants in the intervention (-1.5 (SE 0.5) kg) and control (0.11 (SE 0.6) kg) groups. Among participants in the intervention group, the correlation between the number of SMS text messages sent and the percent body fat loss was r=.3 with P=.04. The participants reported high satisfaction with the automated SMS text messages.Automated SMS text messages were well-received by participants, suggesting that more enhanced mHealth technologies are a viable option for interventions targeting African American adults.CONCLUSIONSAutomated SMS text messages were well-received by participants, suggesting that more enhanced mHealth technologies are a viable option for interventions targeting African American adults.ClinicalTrials.gov NCT02863887; https://clinicaltrials.gov/ct2/show/NCT02863887 (Archived by WebCite at http://www.webcitation.org/71JiYzizO).TRIAL REGISTRATIONClinicalTrials.gov NCT02863887; https://clinicaltrials.gov/ct2/show/NCT02863887 (Archived by WebCite at http://www.webcitation.org/71JiYzizO). Background African American adults experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions can address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination. Objective This study aimed to assess the feasibility and efficacy of a church-based weight loss intervention that incorporates mHealth technology. Methods In this study, 8 churches (n=97) were randomly assigned to the intervention or delayed intervention condition (control group). We recruited participants through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention. Participants in the intervention group attended group sessions and received automated short message service (SMS) text messages designed to reinforce behavioral strategies. Conversely, participants in the delayed intervention condition received SMS text messages related to health conditions relevant for African American adults. We obtained measures of body composition, blood pressure, blood glucose, and cholesterol. Results We successfully recruited 97 African American adults, with a mean age of 56.0 (SE 10.3) years and a mean body mass index of 38.6 (SE 6.4) kg/m2 (89/97, 91.8% females), who attended the churches that were randomized to the intervention (n=68) or control (n=29) condition. Of these, 74.2% (72/97) of the participants (47/68, 69.1% intervention; 25/29, 86.2% delayed intervention) completed the 6-month assessment. The average intervention group attendance was 55%. There was a significant difference in weight loss (P=.04) between participants in the intervention (–1.5 (SE 0.5) kg) and control (0.11 (SE 0.6) kg) groups. Among participants in the intervention group, the correlation between the number of SMS text messages sent and the percent body fat loss was r=.3 with P=.04. The participants reported high satisfaction with the automated SMS text messages. Conclusions Automated SMS text messages were well-received by participants, suggesting that more enhanced mHealth technologies are a viable option for interventions targeting African American adults. |
| Author | Kennedy, Betty M Harris, Melissa Johnson, William Carter, Leah A Newton Jr, Robert L Hsia, Daniel S Zhang, Dachuan Larrivee, Sandra |
| AuthorAffiliation | 1 Pennington Biomedical Research Center Baton Rouge, LA United States |
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| Author_xml | – sequence: 1 givenname: Robert L orcidid: 0000-0002-6863-913X surname: Newton Jr fullname: Newton Jr, Robert L – sequence: 2 givenname: Leah A orcidid: 0000-0001-9063-9702 surname: Carter fullname: Carter, Leah A – sequence: 3 givenname: William orcidid: 0000-0002-3823-4094 surname: Johnson fullname: Johnson, William – sequence: 4 givenname: Dachuan orcidid: 0000-0002-7042-1412 surname: Zhang fullname: Zhang, Dachuan – sequence: 5 givenname: Sandra orcidid: 0000-0002-5672-2200 surname: Larrivee fullname: Larrivee, Sandra – sequence: 6 givenname: Betty M orcidid: 0000-0003-3803-222X surname: Kennedy fullname: Kennedy, Betty M – sequence: 7 givenname: Melissa orcidid: 0000-0001-9113-1695 surname: Harris fullname: Harris, Melissa – sequence: 8 givenname: Daniel S orcidid: 0000-0003-2832-3429 surname: Hsia fullname: Hsia, Daniel S |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30143478$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.15585/mmwr.mm6650a1 10.1177/1460458214565950 10.1016/j.jbi.2008.08.010 10.1007/s10900-015-0071-8 10.1016/j.amepre.2015.01.003 10.1093/ajcn/71.6.1503 10.3390/children4120105 10.1080/16066359.2017.1310205 10.1177/1043659616644959 10.1093/epirev/mxq004 10.1001/jamainternmed.2017.6040 10.1002/oby.21842 10.1111/j.2047-6310.2012.00122.x 10.1111/obr.12207 10.2196/mhealth.3420 10.1002/oby.21889 10.1007/s10461-015-1145-4 10.2196/jmir.4836 10.3390/healthcare6010025 10.1001/jama.2010.312 10.1001/jama.2015.10029 10.3945/ajcn.116.139626 10.1016/j.jadohealth.2016.05.016 10.2196/jmir.4799 10.1007/s12160-016-9830-8 10.1111/obr.12428 10.1111/obr.12492 10.1002/j.1550-8528.1997.tb00667.x 10.1186/s12889-016-3278-4 10.1111/obr.12690 10.1016/j.ypmed.2017.08.022 10.1136/bjsm.2009.062117 10.1037/hea0000305 10.1177/1357633X17692722 10.2196/jmir.2881 10.1177/0898010117691167 10.1123/jpah.2014-0243 10.1249/01.MSS.0000078924.61453.FB 10.1016/j.jada.2007.02.006 10.3390/ijerph14040326 |
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| Copyright | Robert L Newton Jr, Leah A Carter, William Johnson, Dachuan Zhang, Sandra Larrivee, Betty M Kennedy, Melissa Harris, Daniel S Hsia. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 24.08.2018. Copyright Gunther Eysenbach MD MPH, Associate Professor Aug 2018 Robert L Newton Jr, Leah A Carter, William Johnson, Dachuan Zhang, Sandra Larrivee, Betty M Kennedy, Melissa Harris, Daniel S Hsia. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 24.08.2018. 2018 |
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| License | Robert L Newton Jr, Leah A Carter, William Johnson, Dachuan Zhang, Sandra Larrivee, Betty M Kennedy, Melissa Harris, Daniel S Hsia. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 24.08.2018. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
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| SubjectTerms | Adults African Americans Automation Blood pressure Body composition Body fat Body mass index Body weight Cholesterol Christianity Church attendance Clinical trials Delayed Diabetes Dissemination Efficacy Feasibility Female Glucose Groups Human body Humans Intervention Male Mental health Middle Aged Obesity Original Paper Satisfaction Technology Telemedicine - methods Text Messaging Treatment needs Weight control Weight loss Weight Loss - physiology Weight Reduction Programs - methods |
| Title | A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial |
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