title: Ethnic-specific weight-loss interventions for low-income postpartum women: findings and lessons.
abstract: Promoting weight loss among overweight low-income postpartum women has proven difficult. The study's aims were to pilot-test ethnic-specific weight-loss interventions using randomized control-group designs for White/Anglo (n = 23), African American (n = 25), and Hispanic low-income postpartum women (n = 23) and draw lessons from psychosocial data and follow-up interviews. Interventions lasting 13 weeks were offered in group settings in the community. Similar to other randomized trials with low-income mothers, weight changes between intervention and control groups were nonsignificant in each ethnic group; however, changes correlated significantly with self-efficacy (Spearman r = .50) for White/Anglo women and self-efficacy (Spearman r = -.48) and perceived stress (Spearman r = .48) for African American women. In follow-up interviews, women felt interventions gave a good foundation for weight loss, but program and situational factors affected participation and weight loss. Control groups (mailed interventions later) were generally more pleased with their assignment than intervention groups.
authors.affiliation: The University of Texas at Austin, 1700 Red River St., Austin, TX 78701, USA. lwalker@mail.nur.utexas.edu
authors.forename: Lorraine O
authors.initials: LO
authors.lastname: Walker
authors.forename: Bobbie Sue
authors.initials: BS
authors.lastname: Sterling
authors.forename: Lara
authors.initials: L
authors.lastname: Latimer
authors.forename: Sung-Hun
authors.initials: SH
authors.lastname: Kim
authors.forename: Alexandra A
authors.initials: AA
authors.lastname: Garcia
authors.forename: Eileen R
authors.initials: ER
authors.lastname: Fowles
mesh_terms: D005006:Ethnicity; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011203:Poverty; D011247:Pregnancy; D016032:Randomized Controlled Trials as Topic; D015431:Weight Loss