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Appetite awareness treatment to prevent obesity in African-American Women

Goode, Rachel Woodson (2017) Appetite awareness treatment to prevent obesity in African-American Women. Master Essay, University of Pittsburgh.

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African-American women have the highest rates of obesity within the United States. Obesity is of public health significance, and is associated with numerous co-morbid conditions, including hypertension, diabetes, and various cancers. Behavioral weight loss interventions have not been as effective in African-American women who are obese. Untreated eating behaviors may contribute toward obesity and poorer outcomes in weight loss treatment. The objective of this study is to evaluate participant satisfaction with Appetite Awareness Treatment (AAT), a cognitive-behavioral intervention for binge eating, and generate information to improve its effectiveness among African-American women. African-American women, aged 18-70, with reported binge, overeating, or loss of control eating behaviors, were invited to attend a focus group discussion, following participation in an eight-week community-based AAT intervention. Session content was recorded using a digital audio recorder, and transcribed. Data was analyzed by use of open coding and constant comparison. Themes were generated to describe the experience of participating in the intervention. Seventeen women participated in three traditional focus group discussions to evaluate their experience in AAT. Pertinent themes include the following: satisfaction, cultural relevance, lessons learned, and things to change. AAT was satisfactory, and participants found it valuable to learn more about listening to biological signals of hunger and satiety, and to receive group support from other African-American women. Suggested changes include improving the paper self-monitoring form, increasing the length of the intervention, and providing food in session as part of the intervention instruction. In conclusion, AAT is acceptable, and provides eating behavior instruction that was culturally relevant to participating African-American women. Future research should examine the potential of AAT to improve disordered eating behaviors, and prevent further weight gain in this population.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Goode, Rachel Woodsonrlw22@pitt.eduRLW22
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairTerry, Martha Annmaterry@pitt.edumaterryUNSPECIFIED
Committee MemberGary-Webb, Tiffany L.tgary@pitt.edutgaryUNSPECIFIED
Committee MemberBurke, Lora E.lbu100@pitt.edulbu100UNSPECIFIED
Date: 6 April 2017
Date Type: Submission
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: obesity, binge, eating, African-American, women, weight, loss
Date Deposited: 18 Jul 2017 17:56
Last Modified: 28 Jun 2023 10:56

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