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Health Education & Behavior
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*Obesity
*Rural Health Concerns
*Weight Control
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Article

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

Karen Hye-cheon Kim, PhD1*, Laura Linnan, ScD, CHES2, Marci Kramish Campbell, PhD, MPH, RD2, Christine Brooks3, Harold G. Koenig, MD4, Christopher Wiesen, PhD2

1 University of Arkansas for Medical Sciences, Little Rock.
2 University of North Carolina at Chapel Hill.
3 Joint Orange Chatham Communities in Action, Chapel Hill, North Carolina.
4 Duke University Medical Center, Durham, North Carolina.

* To whom correspondence should be addressed. E-mail: khk{at}uams.edu.


  Abstract

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

First published on December 15, 2006, doi:10.1177/1090198106291985

Health Education & Behavior 2008;35:634.

A more recent version of this article appeared on October 1, 2008

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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]