Strategies for Sustained Weight Management: Perspectives From African American Patients With Type 2 Diabetes

被引：10

作者：

Fitzpatrick, Stephanie L. ^{[1
,2
]}

Hill-Briggs, Felicia ^{[1
]}

机构：

[1] Johns Hopkins Sch Med, Div Gen Internal Med, Baltimore, MD USA

[2] Kaiser Permanente, Ctr Hlth Res, Portland, OR 97227 USA

来源：

DIABETES EDUCATOR | 2017年 / 43卷 / 03期

基金：

美国国家卫生研究院;

关键词：

SELF-MANAGEMENT; BEHAVIORAL TREATMENT; UNITED-STATES; EDUCATION; OBESITY; INTERVENTIONS; WOMEN; PREVALENCE; PREVENTION; OUTCOMES;

D O I：

10.1177/0145721717699071

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose The purpose of this study was to identify effective strategies for sustained weight management used by African American patients with obesity and type 2 diabetes. Methods In this study, nominal group technique was used to identify effective strategies for weight management used by 12 African Americans with overweight/obesity and type 2 diabetes who successfully lost or maintained their weight after completing DECIDE (Decision-making Education for Choices In Diabetes Everyday), a 9-module, literacy-adapted diabetes and cardiovascular disease (CVD) education and problem-solving training program. Results Participants generated a list of 101 strategies that covered 4 domains: nutrition, physical activity, cognitive-behavioral strategies, and other. Self-monitoring and relying on social support were the top 2 strategies for weight maintenance. Conclusion Future obesity studies should consider including friends/family as well as electronic tools to facilitate self-monitoring and regular practice of behavioral strategies for long-term success.

引用

页码：304 / 310

页数：7

共 30 条

[1] Using a Personal Digital Assistant for Self-Monitoring Influences Diet Quality in Comparison to a Standard Paper Record among Overweight/Obese Adults [J].

Acharya, Sushama D. ;

Elci, Okan U. ;

Sereika, Susan M. ;

Styn, Mindi A. ;

Burke, Lora E. .

JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2011, 111 (04) :583-588

[2]

Acharya SD, 2009, PATIENT PREFER ADHER, V3, P151

[3] Behavioral Transitions and Weight Change Patterns Within the PREMIER Trial [J].

Bartfield, Jessica K. ;

Stevens, Victor J. ;

Jerome, Gerald J. ;

Batch, Bryan C. ;

Kennedy, Betty M. ;

Vollmer, William M. ;

Harsha, David ;

Appel, Lawrence J. ;

Desmond, Renee ;

Ard, Jamy D. .

OBESITY, 2011, 19 (08) :1609-1615

[4] Behavioral Treatment for Weight Gain Prevention Among Black Women in Primary Care Practice A Randomized Clinical Trial [J].

Bennett, Gary G. ;

Foley, Perry ;

Levine, Erica ;

Whiteley, Jessica ;

Askew, Sandy ;

Steinberg, Dori M. ;

Batch, Bryan ;

Greaney, Mary L. ;

Miranda, Heather ;

Wroth, Thomas H. ;

Holder, Marni Gwyther ;

Emmons, Karen M. ;

Puleo, Elaine .

JAMA INTERNAL MEDICINE, 2013, 173 (19) :1770-1777

[5] Using mHealth Technology to Enhance Self-Monitoring for Weight Loss A Randomized Trial [J].

Burke, Lora E. ;

Styn, Mindi A. ;

Sereika, Susan M. ;

Conroy, Molly B. ;

Ye, Lei ;

Glanz, Karen ;

Sevick, Mary Ann ;

Ewing, Linda J. .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2012, 43 (01) :20-26

[6] The Effect of Electronic Self-Monitoring on Weight Loss and Dietary Intake: A Randomized Behavioral Weight Loss Trial [J].

Burke, Lora E. ;

Conroy, Molly B. ;

Sereika, Susan M. ;

Elci, Okan U. ;

Styn, Mindi A. ;

Acharya, Sushama D. ;

Sevick, Mary A. ;

Ewing, Linda J. ;

Glanz, Karen .

OBESITY, 2011, 19 (02) :338-344

[7] Behavioral Treatment of Obesity [J].

Butryn, Meghan L. ;

Webb, Victoria ;

Wadden, Thomas A. .

PSYCHIATRIC CLINICS OF NORTH AMERICA, 2011, 34 (04) :841-+

[8] Physical Activity Self-Monitoring and Weight Loss: 6-Month Results of the SMART Trial [J].

Conroy, Molly B. ;

Yang, Kyeongra ;

Elci, Okan U. ;

Gabriel, Kelley Pettee ;

Styn, Mindi A. ;

Wang, Jing ;

Kriska, Andrea M. ;

Sereika, Susan M. ;

Burke, Lora E. .

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2011, 43 (08) :1568-1574

[9] Prevalence of Obesity, Type II Diabetes Mellitus, Hyperlipidemia, and Hypertension in the United States: Findings from the GE Centricity Electronic Medical Record Database [J].

Crawford, Albert G. ;

Cote, Christine ;

Couto, Joseph ;

Daskiran, Mehmet ;

Gunnarsson, Candace ;

Haas, Kara ;

Haas, Sara ;

Nigam, Somesh C. ;

Schuette, Rob .

POPULATION HEALTH MANAGEMENT, 2010, 13 (03) :151-161

[10] Weight loss and African-American women: a systematic review of the behavioural weight loss intervention literature [J].

Fitzgibbon, M. L. ;

Tussing-Humphreys, L. M. ;

Porter, J. S. ;

Martin, I. K. ;

Odoms-Young, A. ;

Sharp, L. K. .

OBESITY REVIEWS, 2012, 13 (03) :193-213

← 1 2 3 →