Project HEAL: Peer Education Leads to Weight Loss in Harlem

Goldfinger, Judith Z.; Arniella, Guedy; Wylie‐Rosett, Judith; Horowitz, Carol R.

doi:10.1353/hpu.2008.0016

Cited by 69 publications

(114 citation statements)

References 57 publications

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“…We used a specific faith-based approach that focused on the needs of AA congregants in the USA South. Although intervention studies in AA churches have taken place in other regions of the country [11,38–40], it is unclear if our approach could be successfully translated elsewhere. Second, it is possible that selection bias occurred since one investigator, well known by the target population, helped in church recruitment.…”

Section: Discussionmentioning

confidence: 99%

Community Trial of a Faith-Based Lifestyle Intervention to Prevent Diabetes Among African-Americans

et al. 2015

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About 75% of African Americans (AAs) ages 20 or older are overweight and nearly 50% are obese, but community-based programs to reduce diabetes risk in AAs are rare. Our objective was to reduce weight and fasting plasma glucose (FPG) and increase physical activity (PA) from baseline to week-12 and to month-12 among overweight AA parishioners through a faith-based adaptation of the Diabetes Prevention Program called Fit Body and Soul (FBAS). We conducted a single-blinded, cluster randomized, community trial in 20 AA churches enrolling 604 AAs, aged 20 to 64 years with BMI ≥ 25 kg/m2 and without diabetes. The church (and their parishioners) was randomized to FBAS or health education (HE). FBAS participants had a significant difference in adjusted weight loss compared with those in HE (2.62 kg vs. 0.50 kg, p=0.001) at 12-weeks and (2.39 kg vs. −0.465 kg, p=0.005) at 12-months and were more likely (13%) than HE participants (3%) to achieve a 7% weight loss (p<0.001) at 12-weeks and a 7% weight loss (19% vs. 8%, p<0.001) at 12-months. There were no significant differences in FPG and PA between arms. Of the 15.2% of participants with baseline pre-diabetes, those in FBAS had, however, a significant decline in FPG (10.93 mg/dl) at 12-weeks compared with the 4.22 mg/dl increase in HE (p=0.017), and these differences became larger at 12-months (FBAS, 12.38 mg/dl decrease; HE, 4.44 mg/dl increase)(p=0.021). Our faith-based adaptation of the DPP led to a significant reduction in weight overall and in FPG among pre-diabetes participants.

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Section: Discussionmentioning

confidence: 99%

Community Trial of a Faith-Based Lifestyle Intervention to Prevent Diabetes Among African-Americans

et al. 2015

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“…The LEAN study incorporated elements common among the studies reviewed, including enrolling African American adults with overweight or obesity, embedding religious principles within the intervention, and utilizing lay health advisors (known as 'community health coaches' in LEAN) to deliver the intervention. However, few studies achieved clinically significant weight loss of >3%, [37][38][39][40] including LEAN. Our treatment fidelity data indicated that of the subset of sessions observed, the physical activity component was infrequently implemented and although the actual weight loss content was delivered adequately, there was room for improvement.…”

Section: Discussionmentioning

confidence: 99%

A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial (Preprint)

Newton¹,

Carter²,

Johnson³

et al. 2018

Preprint

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Word count: 3984Study Protocol: The study protocol can be obtained from the corresponding author (RLNJr).1 Background: African Americans experience a high prevalence of obesity and its associated comorbidities, including diabetes. Church-based interventions have been shown to be effective in decreasing weight in this population. mHealth interventions have the ability to address two needs for obesity treatment in this community, including enhancing weight loss and providing wide dissemination.Objective: To assess the feasibility and efficacy of a church-based weight loss intervention that incorporated mHealth technology. Methods:Eight churches (n = 97) were randomly assigned to the intervention or delayedintervention condition. Participants were recruited through their respective church. Volunteer church members were trained by study staff to deliver the 10-session, 6-month intervention.Participants in the intervention attended group sessions and received automated text messages designed to reinforce behavioral strategies. Participants in the delayed intervention received text messages related to health conditions relevant for African Americans. Measures of body composition, blood pressure, blood glucose, and cholesterol were taken.Results: Ninety-seven African American adults (mean age = 56.0 (10.3) years; 91.8% female; mean BMI = 38.6 (6.4) kg/m 2 ) were successfully recruited into the study and attended churches that were randomized into the intervention (n = 68) or delayed intervention (n = 29) condition. Seventy-two (74.2%) of these individuals (69.1% intervention; 86.2% delayed intervention) completed the 6-month assessment. The average attendance was 55%. There was a significant difference in weight loss (p = 0.041) between participants in the intervention (-1.5 kg (0.5)) and control (0.11 kg (0.6)) groups. There was a marginally significant difference (p = 0.067) in percent body fat (-0.4% (0.8) Trial registration:The study is registered in clinicaltrials.gov [NCT02863887].

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“…A pilot of the HEAL (Health Eating, Active Lifestyles) program revealed that participants lost weight and maintained a 5% mean weight loss at 1 year follow-up. 60 We are also working to bring about changes in policy by utilizing community and academic leaders and the media to educate policymakers about the need and the opportunities for change. 61 This model can be applied to other communities with low-income and low-literacy minority populations.…”

Section: Discussionmentioning

confidence: 99%

A model for using community‐based participatory research to address the diabetes epidemic in east harlem

Horowitz

Goldfinger

Muller

et al. 2008

Mount Sinai J Medicine

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Objective-Diabetes prevalence and mortality are increasing, with minority populations disproportionately affected. Despite evidence that weight loss due to improved nutrition and increased physical activity can prevent or control diabetes, there is often a disconnect between this evidence and individuals' lifestyles. Methods-EastHarlem is a predominantly African-American and Latino neighborhood that has the highest rates of diabetes prevalence and mortality in New York City. The East Harlem Diabetes Center of Excellence is a community-centered coalition. To help direct their work, the coalition used their experiences, research, outreach, and literature review to build a conceptual model describing how local factors affect health behaviors and health outcomes such as obesity and diabetes.Results-This model describes the relationship between the physical environment, the social/ medical environment and individual factors including demographic data, food and exercise beliefs and behaviors, and health outcomes. The coalition inserted local data from surveys and focus groups into the model to identify targets for future interventions, research, and activism.Conclusions-This type of collaboration and the model may be useful tools to help communities identify and address the deficits that prevent their residents from enjoying the health benefits of improved nutrition and increased physical activity, and that also lead to racial and ethnic disparities in health.

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Project HEAL: Peer Education Leads to Weight Loss in Harlem

Abstract: Background-Obesity and diabetes are epidemic in the predominantly minority Harlem community. To address them, a coalition of community and academic leaders tested the effectiveness of a peer-led weight loss course.

Cited by 69 publications

References 57 publications

Community Trial of a Faith-Based Lifestyle Intervention to Prevent Diabetes Among African-Americans

Community Trial of a Faith-Based Lifestyle Intervention to Prevent Diabetes Among African-Americans

A Church-Based Weight Loss Intervention in African American Adults using Text Messages (LEAN Study): Cluster Randomized Controlled Trial (Preprint)

A model for using community‐based participatory research to address the diabetes epidemic in east harlem

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