Journal article
A comparative effectiveness education trial for lifestyle health behavior change in African Americans
Health education research, v 32(3)
01 Jun 2017
PMID: 28335038
Featured in Collection : UN Sustainable Development Goals @ Drexel
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.
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Details
- Title
- A comparative effectiveness education trial for lifestyle health behavior change in African Americans
- Creators
- Chanita Hughes Halbert - #N# Department of Psychiatry and Behavioral Sciences and Hollings Cancer Center, Medical University of South Carolina, Ralph H. Johnson Veteran Administration Medical Center, Charleston, SC 29425, USAScarlett Bellamy - University of PennsylvaniaVanessa Briggs - Health Promotion CouncilErnestine Delmoor - National Black Leadership Commission on AIDSJoseph Purnell - Southwest Action Coalition, Philadelphia, PA 19143, USA.Rodney Rogers - Christ of Calvary Community Development Corporation, Philadelphia, PA 19143, USA.Benita Weathers - Department of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA 19104, USA.Jerry C. Johnson - University of Pennsylvania
- Publication Details
- Health education research, v 32(3)
- Publisher
- Oxford Univ Press
- Number of pages
- 12
- Grant note
- R01CA132656; R18HS019339 / National Cancer Institute from the Agency for Healthcare Research and Quality R18HS019339 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality R24MD001594 / National Institute on Minority Health and Health Disparities; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) CIN 13-410 / Charleston Health Equity and Rural Outreach Innovation Center at the Ralph H. Johnson Veteran's Administration Medical Center R24MD001594 / National Institute of Minority Health and Health Disparities grant R01CA132656 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000404034500001
- Scopus ID
- 2-s2.0-85020162819
- Other Identifier
- 991019299107204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education & Educational Research
- Public, Environmental & Occupational Health