Improving Weight Loss Outcomes of Black Women Using a Culturally-Relevant Stress-Management Enhanced Behavioral Weight Loss Intervention
The purpose of this study is to test the effects on weight of an evidence-based behavioral weight loss program enhanced with culturally targeted stress management strategies compared to the evidence-based weight loss program alone among adult black females with obesity and elevated stress levels. Participants will be randomized to receive either a behavioral weight loss intervention with a focus on stress management or the weight loss intervention alone for 26 sessions.
Conduct a randomized, controlled trial to determine the effects on body weight of a culturally-targeted, stress-management enhanced BWL intervention (BWL-Stress) compared to a standard BWL intervention alone (BWL-Alone) among adult black females with obesity and elevated stress
Evaluate the effects of the stress-management enhanced BWL intervention on psychological stress as measured by a validated survey instrument and a stress biomarker.
Using a multiple mediation model, determine whether the relationship between the stress-management enhanced BWL intervention and weight change is mediated by perceived stress, energy intake, and physical activity.
Pregnant or are planning to become pregnant in the next year
Known major medical or psychological condition known to influence body weight loss (e.g., medicated or poorly controlled diabetes (fasting blood glucose > 126 mg/dL), cardiovascular event in the preceding 12 months, history of gastric bypass surgery, bariatric surgery, or eating disorder)
History of psychiatric hospitalization in past 2 years
History of substance abuse or eating disorder
Any condition for which a medical professional has suggested diet modification, physical activity, and/or weight reduction would be contraindicated.
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