A Culturally-Tailored Weight Loss Program

根据文化量身定制的减肥计划

• 批准号: 6711486
• 负责人: MICHAEL S SIMON
• 金额: $ 20.39万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-04-01 至 2006-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6711486
• 关键词: African American; behavior therapy; behavioral /social science research tag; belief; breast neoplasms; clinical research; coping; culture; diabetes mellitus; diet therapy; emotions; exercise; female; health behavior; human subject; human therapy evaluation; insulin sensitivity /resistance; meditation; nutrition related tag; obesity; patient oriented research; reading; religion; weight control; weight loss

DESCRIPTION (provided by applicant): The adverse impact of obesity on insulin resistance and breast cancer prognosis is a matter of exceptional concern for African-American (AA) breast cancer survivors since a greater proportion of AAs than Caucasians are obese, insulin-resistant and diabetic. This proposal seeks to develop a culturally-tailored weight loss intervention for obese AA breast cancer survivors who have been free of recurrence. Weight loss requires a lifestyle change, and this cannot be done without consideration of the framework on which one's lifestyle is based. Weight loss counseling that incorporates spirituality may be especially relevant to AA women since they are more likely to rely on spiritual influences for support in their lives. All participants will receive 6 months of individualized dietary and exercise counseling combined with attendance at Weight Watcher's group meetings, an approach that we used to previously to effect a mean weight loss of 10% of initial body weight in 6 months. After learning basic weight loss behaviors, methods to integrate these new behaviors into each individual's lifestyle are needed to prevent regain and/or continue with loss to goal weight. Half the participants will be randomized to receive spirituality counseling for weight management from 6 to 18 months of intervention. This will be an attempt to strengthen spiritual beliefs which can then be used for dealing with areas important in long-term weight management: 1) coping in a crisis, 2) setting priorities, 3) dealing with emotional issues which trigger old behavior patterns and 4) developing accountability for following desired diet and exercise patterns. The non-denominational spirituality counseling will be individualized and based on each subjects' own relationship to a Higher Power. I will use an 8-component theoretical framework that we have modified from successful 12-step behavior change programs and faith-based weight loss programs used in the community. The tools used to achieve this will include meditation, readings, and the recording of thoughts. This feasibility study should allow us to develop the methods needed to interface spirituality counseling with more traditional weight loss approaches, and this can then be tested more fully in larger and longer-term studies.

描述（由申请人提供）：肥胖对胰岛素抵抗和乳腺癌预后的不利影响是非裔美国人 (AA) 乳腺癌幸存者特别关注的问题，因为与白人相比，肥胖、胰岛素抵抗和乳腺癌患者中 AA 的比例更高。糖尿病患者。该提案旨在为未复发的肥胖 AA 乳腺癌幸存者开发一种适合文化的减肥干预措施。减肥需要改变生活方式，如果不考虑生活方式所依据的框架，这是不可能实现的。包含灵性的减肥咨询可能与 AA 女性特别相关，因为她们更有可能依靠精神影响来支持自己的生活。所有参与者都将接受为期 6 个月的个性化饮食和运动咨询，并参加慧俪轻体的小组会议，我们之前采用的方法是在 6 个月内平均减重 10% 的初始体重。在学习基本的减肥行为后，需要将这些新行为融入每个人的生活方式的方法，以防止体重反弹和/或继续减至目标体重。一半的参与者将被随机分配接受 6 至 18 个月干预期间体重管理的灵性咨询。这将是一种加强精神信仰的尝试，然后可用于处理长期体重管理中重要的领域：1）应对危机，2）确定优先事项，3）处理引发旧行为模式和行为的情绪问题4) 制定遵循所需饮食和锻炼模式的责任。非宗派灵性咨询将是个性化的，并基于每个受试者自己与更高权力的关系。我将使用一个由 8 个组成部分组成的理论框架，该框架是我们根据社区中使用的成功的 12 步行为改变计划和基于信仰的减肥计划进行修改的。用于实现这一目标的工具包括冥想、阅读和思想记录。这项可行性研究应该使我们能够开发出将灵性咨询与更传统的减肥方法结合起来所需的方法，然后可以在更大规模和更长期的研究中进行更全面的测试。