title: Translation of a behavioral weight loss intervention for mid-life, low-income women in local health departments.
abstract: OBJECTIVE
  To translate a behavioral weight loss intervention for mid-life, low-income women in real world settings.
  
  
  METHODS
  In this pragmatic clinical trial, we randomly selected six North Carolina county health departments and trained their current staff to deliver a 16-session evidence-based behavioral weight loss intervention (special intervention, SI). SI weight loss outcomes were compared to a delayed intervention (DI) control group.
  
  
  RESULTS
  Of 432 women expressing interest, 189 completed baseline measures and were randomized within health departments to SI (N = 126) or DI (N = 63). At baseline, average age was 51 years, 53% were African American, mean weight was 100 kg, and BMI averaged 37 kg/m2 . A total of 96 (76%) SI and 55 (87%) DI participants returned for 5-month follow-up measures. The crude weight change was -3.1 kg in the SI and -0.4 kg in the DI group, for a difference of 2.8 kg (95% CI 1.4 to 4.1, p = 0.0001). Diet quality and physical activity improved significantly more in the SI group, and estimated intervention costs were $327 per participant.
  
  
  CONCLUSIONS
  This pragmatic short-term weight loss intervention targeted to low-income mid-life women yielded meaningful weight loss when translated to the county health department setting.
authors: Department of Nutrition, Gillings School of Public Health and School of Medicine, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA; UNC Center for Health Promotion and Disease Prevention, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, USA.
authors: Carmen D
authors: CD
authors: Samuel-Hodge
authors: Beverly A
authors: BA
authors: Garcia
authors: Larry F
authors: LF
authors: Johnston
authors: Ziya
authors: Z
authors: Gizlice
authors: Andy
authors: A
authors: Ni
authors: Jianwen
authors: J
authors: Cai
authors: Jennifer L
authors: JL
authors: Kraschnewski
authors: Alison A
authors: AA
authors: Gustafson
authors: Arnita F
authors: AF
authors: Norwood
authors: Russell E
authors: RE
authors: Glasgow
authors: Alison D
authors: AD
authors: Gold
authors: John W
authors: JW
authors: Graham
authors: Kelly R
authors: KR
authors: Evenson
authors: Stewart
authors: S
authors: Trost
authors: Thomas C
authors: TC
authors: Keyserling
mesh_terms: D001741:Black or African American; D015992:Body Mass Index; D004032:Diet / Q000592:standards; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007182:Income; D008875:Middle Aged; D009657:North Carolina; D009765:Obesity / Q000628:therapy*; D011203:Poverty; D057170:Translational Research, Biomedical; D015431:Weight Loss; D061217:Weight Reduction Programs