title: Adapting interpersonal psychotherapy for the prevention of excessive weight gain in rural African American girls.
abstract: OBJECTIVE
  To obtain focus group data regarding the perspectives of rural African American (AA) girls, parents/guardians, and community leaders on obesity, loss of control (LOC) eating, relationships, and interpersonal psychotherapy for the prevention of excessive weight gain (IPT-WG).
  
  
  METHODS
  7 focus groups (N = 50 participants) were moderated and the transcripts analyzed by Westat researchers using widely accepted methods of qualitative and thematic analysis. A session was held with experts in health disparities to elucidate themes.
  
  
  RESULTS
  Participants understood LOC eating; however, they had culturally specific perceptions including usage of alternative terms. Relationships were highly valued, specifically those between mothers and daughters. IPT-WG program components generally resonated with participants, although modifications were recommended to respect parental roles. Experts interpreted focus group themes and discussed potential barriers and solutions to recruitment and participation.
  
  
  CONCLUSIONS
  Findings suggest that adapting IPT-WG may be acceptable to rural AA families. This research is the first step in developing a sustainable excessive weight gain and binge eating disorder prevention program for rural AA adolescents.
authors.affiliation: PhD, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. marian.tanofsky-kraff@usuhs.edu.
authors.forename: Omni
authors.initials: O
authors.lastname: Cassidy
authors.forename: Tracy
authors.initials: T
authors.lastname: Sbrocco
authors.forename: Anna
authors.initials: A
authors.lastname: Vannucci
authors.forename: Beatrice
authors.initials: B
authors.lastname: Nelson
authors.forename: Darlene
authors.initials: D
authors.lastname: Jackson-Bowen
authors.forename: James
authors.initials: J
authors.lastname: Heimdal
authors.forename: Nazrat
authors.initials: N
authors.lastname: Mirza
authors.forename: Denise E
authors.initials: DE
authors.lastname: Wilfley
authors.forename: Robyn
authors.initials: R
authors.lastname: Osborn
authors.forename: Lauren B
authors.initials: LB
authors.lastname: Shomaker
authors.forename: Jami F
authors.initials: JF
authors.lastname: Young
authors.forename: Heather
authors.initials: H
authors.lastname: Waldron
authors.forename: Michele
authors.initials: M
authors.lastname: Carter
authors.forename: Marian
authors.initials: M
authors.lastname: Tanofsky-Kraff
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D002648:Child; D055812:Community-Based Participatory Research; D005247:Feeding Behavior / Q000208:ethnology / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006801:Humans; D050177:Overweight / Q000517:prevention & control* / Q000523:psychology; D011613:Psychotherapy / Q000379:methods*; D036301:Qualitative Research; D012424:Rural Population; D011795:Surveys and Questionnaires
keywords: African American; community-based participatory research; interpersonal psychotherapy; loss of control eating; obesity; prevention