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The Feasibility of a Binge Eating Intervention in African-American Women who are Overweight or Obese

Goode, Rachel Woodson The Feasibility of a Binge Eating Intervention in African-American Women who are Overweight or Obese. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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African-American women have the highest rates of obesity in the United States, and are at increased risk for a variety of co-morbid health conditions. A significant number of African-American women may have untreated eating disorders that perpetuate their propensity toward obesity. A specific eating pattern that is of serious concern is binge eating, a condition associated with severe obesity. To our knowledge, no intervention research has attempted to treat binge eating among African-American women.
In light of this void in the intervention research literature, the purpose of this study was to investigate the feasibility of Appetite Awareness Treatment (AAT), an 8-week cognitive-behavioral binge eating intervention, to reduce binge-eating episodes among African-American women who are overweight and obese. Using a randomized controlled trial design, adult women were randomized to AAT or a Wait-list control (WLC) AAT condition.
The sample (N=31), had a mean (±SD) age of 48.81 ±12.79 years, and a body mass index of 33.70 ± 3.90. Within our sample, 83.8% (n=26) completed assessments at 0 and 8 weeks. Overall retention rates were as follows: AAT (n=14, 87.5%) and WLC (n=12; 80%). Moreover, participants completed an average of 2.73/5, or 55% of all homework assignments.
To examine the preliminary effectiveness of the AAT intervention, linear mixed modeling was used to examine the differences between the AAT and WLC, as a function of group, time, and group X time interaction, on the outcome variables of BMI, waist circumference, blood pressure, binge eating, eating self-efficacy, and depressive symptoms. At the end of the 8-week intervention, the women in the AAT group had lower mean binge eating scores and higher eating self-efficacy scores than the women in the WLC group.
The results of the study suggest that the AAT may improve the eating behaviors and weight outcomes in African-American women who are overweight or obese. The results of this feasibility study highlight the need for the next phase of treatment – a study with a large enough sample (and the associated statistical power) to investigate the efficacy of the AAT in a sample of African-American women, with increased variability in the BMI.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Goode, Rachel Woodsonrlw22@pitt.edurlw22
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairWallace, Jr., Johnjohnw@pitt.edujohnw
Committee MemberBurke, Lora E.lbu100@pitt.edulbu100
Committee MemberFoster, Lovie Jacksonljj10@pitt.eduljj10
Committee MemberEack, Shaun M.sme12@pitt.edusme12
Defense Date: 25 January 2017
Submission Date: 9 March 2017
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 182
Institution: University of Pittsburgh
Schools and Programs: School of Social Work > Social Work
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: obesity, binge eating, African-American, appetite awareness
Date Deposited: 09 Mar 2017 20:16
Last Modified: 09 Mar 2017 20:16

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