Change Clubs for African American Women
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Obesity Weight Loss, Peripheral Vascular Disease |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology |
| Healthy: | No |
| Age Range: | 30 - 70 |
| Updated: | 4/21/2016 |
| Start Date: | December 2013 |
| End Date: | February 2016 |
Preliminary Investigation of Civic Engagement as a Novel Approach to Behavior Change and Body Weight Improvement in African American Females
African American women have among the highest rates of overweight and obesity and few meet
dietary or physical activity guidelines. The investigators seek to develop a new
intervention strategy that will help alleviate health disparities, thereby improving quality
of life, health care costs, and disease burden. The African American Collaborative Obesity
Research Network (AACORN) recommends an eco-social, community-engaged approach to behavior
change that is in line with cultural values of interconnectedness and care for others. The
purpose of this study is to operationalize the AACORN paradigm to promote improvements in
weight status and health through a civic engagement approach. To achieve this, participants
will meet in church-based Change Clubs and be led through a 6 month curriculum, which
includes both lessons in cardiovascular risk reduction and a civic engagement project. Civic
engagement may lead to change in individual health behaviors by increasing self-regulation
and self-efficacy. The investigators will measure club members' adherence to the Change Club
intervention, defined as average number of sessions attended, retention in the clubs,
satisfaction with the Change Club experience and achievement of at least 50% of
self-identified benchmarks for community change within 6 months. In addition the
investigators will compare anthropometric factors, diet and physical activity behaviors,
blood pressure, cardiorespiratory fitness, and psychosocial factors before and after
participation in the Change Club intervention.
dietary or physical activity guidelines. The investigators seek to develop a new
intervention strategy that will help alleviate health disparities, thereby improving quality
of life, health care costs, and disease burden. The African American Collaborative Obesity
Research Network (AACORN) recommends an eco-social, community-engaged approach to behavior
change that is in line with cultural values of interconnectedness and care for others. The
purpose of this study is to operationalize the AACORN paradigm to promote improvements in
weight status and health through a civic engagement approach. To achieve this, participants
will meet in church-based Change Clubs and be led through a 6 month curriculum, which
includes both lessons in cardiovascular risk reduction and a civic engagement project. Civic
engagement may lead to change in individual health behaviors by increasing self-regulation
and self-efficacy. The investigators will measure club members' adherence to the Change Club
intervention, defined as average number of sessions attended, retention in the clubs,
satisfaction with the Change Club experience and achievement of at least 50% of
self-identified benchmarks for community change within 6 months. In addition the
investigators will compare anthropometric factors, diet and physical activity behaviors,
blood pressure, cardiorespiratory fitness, and psychosocial factors before and after
participation in the Change Club intervention.
Inclusion Criteria:
- female;
- age 30-70 years;
- self-identified as African American;
- English-speaking;
- BMI ≥25.0;
- currently sedentary (not meeting Physical Activity Guidelines for Americans);
- safe to initiate moderate physical activity per the PAR-Q.
Exclusion Criteria:
- failure to provide informed consent;
- participation in any other lifestyle modification program;
- current use of either prescription or over-the-counter weight loss medications;
- inability to communicate due to severe,
- uncorrectable hearing loss or speech disorder;
- severe visual impairment (if it precludes completion of assessments and/or
intervention);
- planning to move outside of area within 6 months;
- pregnancy (since weight loss, the primary outcome, is inadvisable in this
population).
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