TY - JOUR
T1 - What’s Theory Got to Do with It
T2 - Measuring Effects of Theory on Lifestyle Behaviors and Weight in the Better Me Within Randomized Trial
AU - Dodgen, Leilani
AU - Kitzman, Heather
AU - Spence, Emily
AU - Mamun, Abdullah
AU - Walters, Scott T.
AU - Cervantes, Diana
N1 - Funding Information:
This work was funded by the National Institutes of Health, National Institute for Minority Health and Health Disparities, [Grant number P20MD006882]. This study is only possible because of our Community Advisory Board (thank you to the King’s and Slater’s) and the many churches that were willing to participate in the Better Me Within Program. Thanks also goes to Dr. Mark DeHaven for his previous work that enabled funding of this project. Lastly, much gratitude to Dr. Subash Aryal for guiding the analysis.
Publisher Copyright:
© 2023 SHAPE America.
PY - 2023
Y1 - 2023
N2 - Background: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience a greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women. Purpose: To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial. Methods: BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support, and motivation), and outcomes (physical activity (PA), calories, and weight). Results: Among 221 AAW, mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p = <0.01), and weight loss self-efficacy and weight at follow-up (p = <0.01). Discussion: The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models. Translation to Health Education Practice: Self-efficacy, motivation, and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.
AB - Background: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience a greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women. Purpose: To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial. Methods: BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support, and motivation), and outcomes (physical activity (PA), calories, and weight). Results: Among 221 AAW, mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p = <0.01), and weight loss self-efficacy and weight at follow-up (p = <0.01). Discussion: The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models. Translation to Health Education Practice: Self-efficacy, motivation, and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.
UR - http://www.scopus.com/inward/record.url?scp=85148504933&partnerID=8YFLogxK
U2 - 10.1080/19325037.2022.2163007
DO - 10.1080/19325037.2022.2163007
M3 - Article
AN - SCOPUS:85148504933
SN - 1932-5037
VL - 54
SP - 86
EP - 98
JO - American Journal of Health Education
JF - American Journal of Health Education
IS - 2
ER -