A Comparative Effectiveness Education Trial for Lifestyle Health Behavior Change in African Americans

Autor/inn/en	Halbert, Chanita Hughes; Bellamy, Scarlett; Briggs, Vanessa; Delmoor, Ernestine; Purnell, Joseph; Rogers, Rodney; Weathers, Benita; Johnson, Jerry C.
Titel	A Comparative Effectiveness Education Trial for Lifestyle Health Behavior Change in African Americans
Quelle	In: Health Education Research, 32 (2017) 3, S.207-218 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyx039
Schlagwörter	Obesity; Body Weight; Public Health; African Americans; Physical Activity Level; Eating Habits; Intervention; Program Effectiveness; Health Behavior; Adults; Food; At Risk Persons; Physical Health; Diseases; Interaction; Health Education; Chronic Illness; Behavior Change; Life Style + Suchen Sie Ihr Suchwort? Adipositas; Körpergewicht; Gesundheitswesen; Afroamerikaner; Ernährungsgewohnheit; Essgewohnheit; Health behaviour; Gesundheitsverhalten; Lebensmittel; Risikogruppe; Gesundheitszustand; Disease; Krankheit; Interaktion; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Chronic disease; Chronische Krankheit; Lebensstil
Abstract	Obesity and excess weight are significant clinical and public health issues that disproportionately affect African Americans because of physical inactivity and unhealthy eating. We compared the effects of alternate behavioral interventions on obesity-related health behaviors. We conducted a comparative effectiveness education trial in a community-based sample of 530 adult African Americans. Outcomes variables were physical activity (PA) and fruit and vegetable intake. Outcomes were evaluated at baseline and 1-month following interventions about shared risk factors for cancer and cardiovascular disease (CVD) (integrated, INT) or CVD only (disease-specific). Significant increases were found in the proportion of participants who met PA guidelines from baseline (47.4%) to follow-up (52.4%) (P = 0.005). In the stratified analysis that were conducted to examine interaction between education and intervention group assignment, this effect was most apparent among participants who had =high school education and were randomized to INT (OR = 2.28, 95% CI = 1.04, 5.00, P = 0.04). Completing the intervention was associated with a 1.78 odds of meeting PA guidelines (95% CI = 1.02, 3.10, P = 0.04). Education about risk factors for chronic disease and evidence-based strategies for health behavior change may be useful for addressing obesity-related behaviors among African Americans. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01