Peer Group and Text Message–Based Weight-Loss and Management Intervention for African American Women

About 80% of African American (AA) women are overweight or obese. Accessible and effective weight management programs targeting weight loss, weight maintenance and the prevention of weight regain are needed to improve health of AA women. A feasibility study was conducted to examine the feasibility, acceptability, and potential efficacy of a 16-week intervention protocol for weight loss and management that combined daily text messages and biweekly peer group sessions. Modest but statistically significant reductions were detected in weight and body mass index from baseline to 16 weeks. At baseline, 36% of participants were in action and maintenance stages in measures of the stages of change for weight loss and management; this percent increased to 82% at 16 weeks. Findings of this feasibility study provide preliminary evidence of an educational intervention that could motivate women and lead to successful behavior change, and successful weight loss and management for AA women.

[1]  K. Flegal,et al.  Trends in Obesity Among Adults in the United States, 2005 to 2014. , 2016, JAMA.

[2]  Alain B Labrique,et al.  Tailored, interactive text messages for enhancing weight loss among African American adults: the TRIMM randomized controlled trial. , 2015, The American journal of medicine.

[3]  Amanda K. Hall,et al.  Mobile text messaging for health: a systematic review of reviews. , 2015, Annual review of public health.

[4]  R. Lindquist,et al.  A review of technology-based interventions to maintain weight loss. , 2015, Telemedicine journal and e-health.

[5]  Obesity Expert Panel.  Expert panel report: Guidelines (2013) for the management of overweight and obesity in adults , 2014, Obesity.

[6]  K. Flegal,et al.  Prevalence of childhood and adult obesity in the United States, 2011-2012. , 2014, JAMA.

[7]  Janusz Wnek,et al.  2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults , 2013, Circulation.

[8]  Constance M. Johnson,et al.  Mobile health messages help sustain recent weight loss. , 2013, The American journal of medicine.

[9]  Dori M. Steinberg,et al.  Daily Text Messaging for Weight Control Among Racial and Ethnic Minority Women: Randomized Controlled Pilot Study , 2013, Journal of medical Internet research.

[10]  Jerilyn K Allen,et al.  Mobile phone interventions to increase physical activity and reduce weight: a systematic review. , 2013, The Journal of cardiovascular nursing.

[11]  J. Gaspoz,et al.  Text-messaging versus telephone reminders to reduce missed appointments in an academic primary care clinic: a randomized controlled trial , 2013, BMC Health Services Research.

[12]  Ryan J. Shaw,et al.  Short message service (SMS) text messaging as an intervention medium for weight loss: A literature review , 2012, Health Informatics J..

[13]  K. Patrick,et al.  Text4Diet: a randomized controlled study using text messaging for weight loss behaviors. , 2012, Preventive medicine.

[14]  K. Stockl,et al.  Impact of a text messaging pilot program on patient medication adherence. , 2012, Clinical therapeutics.

[15]  L. Sharp,et al.  Weight loss and African–American women: a systematic review of the behavioural weight loss intervention literature , 2012, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[16]  Huaqin Pan,et al.  The PhenX Toolkit: Get the Most From Your Measures , 2011, American journal of epidemiology.

[17]  M. Kenward,et al.  Smoking cessation support delivered via mobile phone text messaging (txt2stop): a single-blind, randomised trial , 2011, The Lancet.

[18]  S. Bull,et al.  A pilot programme using mobile phones for HIV prevention , 2011, Journal of telemedicine and telecare.

[19]  Kevin O. Hwang,et al.  Measuring Social Support for Weight Loss in an Internet Weight Loss Community , 2011, Journal of health communication.

[20]  C. Gore-felton,et al.  A review of efficacious technology-based weight-loss interventions: five key components. , 2010, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[21]  A. Haines,et al.  The effectiveness of M-health technologies for improving health and health services: a systematic review protocol , 2010, BMC Research Notes.

[22]  C. Lavie,et al.  Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. , 2009, Journal of the American College of Cardiology.

[23]  K. Patrick,et al.  A Text Message–Based Intervention for Weight Loss: Randomized Controlled Trial , 2009, Journal of medical Internet research.

[24]  L. Burke,et al.  Randomized Clinical Trials of Weight Loss Maintenance: A Review , 2009, The Journal of cardiovascular nursing.

[25]  Deborah F Tate,et al.  Long-term weight gain prevention: a theoretically based Internet approach. , 2005, Preventive medicine.

[26]  K. Elfhag,et al.  Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain , 2005, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[27]  A. Bandura.  Health promotion from the perspective of social cognitive theory , 1998 .

[28]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[29]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[30]  K. Heller,et al.  Measures of perceived social support from friends and from family: Three validation studies , 1983, American journal of community psychology.

[31]  R. Hakkak,et al.  Obesity and the Link to Chronic Disease Development , 2017 .

[32]  Lisa Elon,et al.  Text4baby Program: An Opportunity to Reach Underserved Pregnant and Postpartum Women? , 2013, Maternal and Child Health Journal.

[33]  Russell A. McCann,et al.  mHealth for mental health: Integrating smartphone technology in behavioral healthcare. , 2011 .

[34]  A. Bandura.  GUIDE FOR CONSTRUCTING SELF-EFFICACY SCALES , 2006 .