title: The WORD (wholeness, oneness, righteousness, deliverance): a faith-based weight-loss program utilizing a community-based participatory research approach.
abstract: Despite multidisciplinary efforts to control the nation's obesity epidemic, obesity has persisted as one of the U.S.'s top public health problems, particularly among African Americans. Innovative approaches to address obesity that are sensitive to the unique issues of African Americans are needed. Thus, a faith-based weight-loss intervention using a community-based participatory research approach was developed, implemented, and evaluated with a rural African American faith community. A two-group, quasi-experimental, delayed intervention design was used, with church as the unit of assignment (treatment n=2, control n=2) and individual as the unit of observation (treatment n=36, control n=37). Weekly small groups led by trained community members met for 8 weeks and emphasized healthy nutrition, physical activity, and faith's connection with health. The mean weight loss of the treatment group was 3.60+/-0.64 lbs. compared to the 0.59+/-0.59-lb loss of the control group.
authors.affiliation: University of Arkansas for Medical Sciences, Little Rock, AR 72205-6720, USA. khk@uams.edu
authors.forename: Karen Hye-cheon
authors.initials: KH
authors.lastname: Kim
authors.forename: Laura
authors.initials: L
authors.lastname: Linnan
authors.forename: Marci Kramish
authors.initials: MK
authors.lastname: Campbell
authors.forename: Christine
authors.initials: C
authors.lastname: Brooks
authors.forename: Harold G
authors.initials: HG
authors.lastname: Koenig
authors.forename: Christopher
authors.initials: C
authors.lastname: Wiesen
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001521:Behavior Therapy; D015992:Body Mass Index; D003159:Community-Institutional Relations; D004038:Diet, Reducing / Q000523:psychology; D015444:Exercise / Q000523:psychology; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D009765:Obesity / Q000208:ethnology / Q000628:therapy*; D012068:Religion and Medicine; D012069:Religion and Psychology; D012424:Rural Population; D029181:Spirituality; D015431:Weight Loss