title: The experience of group weight loss efforts among lesbians.
abstract: OBJECTIVE
  To describe experiences of group weight loss efforts among lesbians participating in a predominantly lesbian weight loss group.
  
  
  METHODS
  A qualitative study (N = 14 self-identified overweight lesbians) was conducted, incorporating phenomenology and grounded theory in methodology. Focus groups were analyzed using a Template Analysis style.
  
  
  RESULTS
  Several themes were identified that contributed to the weight loss experience of the participants. These themes contributed to the development of a model depicting history, components, and relationships among concepts leading to positive weight loss experiences for lesbians.
  
  
  CONCLUSIONS
  Participants had long histories of shame and fear surrounding weight loss attempts. Weight loss group participants needed cultural connectivity and a sense of safety and acceptance to address issues contributing to weight gain and in order to lose weight and maintain weight loss. Although more research is needed before implementation of a sexual minority women-specific weight loss program, these data are the basis for further exploration into the development of such a program.
authors.affiliation: Vanderbilt University School of Nursing, Nashville, Tennessee 37240, USA. sarah.fogel@vanderbilt.edu
authors.forename: Sarah
authors.initials: S
authors.lastname: Fogel
authors.forename: Laura
authors.initials: L
authors.lastname: Young
authors.forename: J Bryan
authors.initials: JB
authors.lastname: McPherson
mesh_terms: D000328:Adult; D000368:Aged; D001835:Body Weight; D005239:Fear; D005260:Female; D017144:Focus Groups; D006126:Group Processes; D018452:Homosexuality, Female / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D012752:Shame; D012944:Social Support; D015430:Weight Gain; D015431:Weight Loss