title: Assessing the Feasibility of a Web-Based Weight Loss Intervention for Low-Income Women of Reproductive Age: A Pilot Study.
abstract: BACKGROUND
  Low-income women of reproductive age are at increased risk for obesity and resulting increases in the risk of maternal/fetal complications and mortality and morbidity. Very few weight-loss interventions, however, have been targeted to this high-risk group. Based on the high prevalence of social media use among young and low-income individuals and previous successes using group formats for weight-loss interventions, the use of social media as a platform for weight-loss intervention delivery may benefit low-income women of reproductive age.
  
  
  OBJECTIVE
  Examine the feasibility of delivering group-based weight-loss interventions to low-income women of reproductive age using face-to-face meetings and Web-based modalities including social media.
  
  
  METHODS
  Participants attended a family planning clinic in eastern North Carolina and received a 5-month, group- and Web-based, face-to-face weight-loss intervention. Measures were assessed at baseline and 20 weeks.
  
  
  RESULTS
  Forty participants enrolled, including 29 (73%) African American women. The mean body mass index of enrollees was 39 kg/m(2). Among the 12 women who completed follow-up, mean weight change was -1.3 kg. Participation in the intervention was modest and retention at 5 months was 30%. Returnees suggested sending reminders to improve participation and adding activities to increase familiarity among participants.
  
  
  CONCLUSIONS
  Engagement with the intervention was limited and attrition was high. Additional formative work on the barriers and facilitators to participation may improve the intervention's feasibility with low-income women of reproductive age.
authors.affiliation: Case Western Reserve University, Department of Nutrition, Cleveland, OH, United States. david.cavallo@case.edu.
authors.forename: David N
authors.identifier: http://orcid.org/0000-0001-5667-9022
authors.initials: DN
authors.lastname: Cavallo
authors.forename: Jessica A
authors.identifier: http://orcid.org/0000-0003-2065-3554
authors.initials: JA
authors.lastname: Sisneros
authors.forename: Ashley A
authors.identifier: http://orcid.org/0000-0003-1839-7248
authors.initials: AA
authors.lastname: Ronay
authors.forename: Cheryl L
authors.identifier: http://orcid.org/0000-0003-1320-2739
authors.initials: CL
authors.lastname: Robbins
authors.forename: Stephanie B
authors.identifier: http://orcid.org/0000-0001-8838-638X
authors.initials: SB
authors.lastname: Jilcott Pitts
authors.forename: Thomas C
authors.identifier: http://orcid.org/0000-0002-7030-7687
authors.initials: TC
authors.lastname: Keyserling
authors.forename: Ai
authors.identifier: http://orcid.org/0000-0003-3002-3556
authors.initials: A
authors.lastname: Ni
authors.forename: John
authors.identifier: http://orcid.org/0000-0002-9995-823X
authors.initials: J
authors.lastname: Morrow
authors.forename: Maihan B
authors.identifier: http://orcid.org/0000-0002-7944-4100
authors.initials: MB
authors.lastname: Vu
authors.forename: Larry F
authors.identifier: http://orcid.org/0000-0002-5784-5122
authors.initials: LF
authors.lastname: Johnston
authors.forename: Carmen D
authors.identifier: http://orcid.org/0000-0002-8693-8774
authors.initials: CD
authors.lastname: Samuel-Hodge
keywords: Healthcare Disparities; Internet; Intervention Studies; Minority Health; Nutrition; Obesity; Physical Activity; mhealth; weight loss; women