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Health Education & Behavior
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The WORD (Wholeness, Oneness, Righteousness, Deliverance): A Faith-Based Weight-Loss Program Utilizing a Community-Based Participatory Research Approach

Karen Hye-cheon Kim, PhD

University of Arkansas for Medical Sciences, Little Rock, khk{at}uams.edu

Laura Linnan, ScD, CHES

University of North Carolina at Chapel Hill

Marci Kramish Campbell, PhD, MPH, RD

University of North Carolina at Chapel Hill

Christine Brooks

Joint Orange Chatham Communities in Action, Chapel Hill, North Carolina

Harold G. Koenig, MD

Duke University Medical Center, Durham, North Carolina

Christopher Wiesen, PhD

University of North Carolina at Chapel Hill

Despite multidisciplinary efforts to control the nation's obesity epidemic, obesity has persisted as one of the U.S.'s top public health problems, particularly among African Americans. Innovative approaches to address obesity that are sensitive to the unique issues of African Americans are needed. Thus, a faith-based weight-loss intervention using a community-based participatory research approach was developed, implemented, and evaluated with a rural African American faith community. A two-group, quasi-experimental, delayed intervention design was used, with church as the unit of assignment (treatment n = 2, control n = 2) and individual as the unit of observation (treatment n = 36, control n = 37). Weekly small groups led by trained community members met for 8 weeks and emphasized healthy nutrition, physical activity, and faith's connection with health. The mean weight loss of the treatment group was 3.60 ± 0.64 lbs. compared to the 0.59 ± 0.59-lb loss of the control group.

Key Words: community-based participatory research • weight loss • churches • African American • obesity

This version was published on October 1, 2008

Health Education & Behavior, Vol. 35, No. 5, 634-650 (2008)
DOI: 10.1177/1090198106291985
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 AMERICAN JOURNAL OF LIFESTYLE MEDICINEHome page
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American Journal of Lifestyle Medicine, May 1, 2009; 3(3): 173 - 184.
[Abstract] [PDF]