"I Want a Program That Looks at My Whole Life." A Focus Group Study on the Ideal Components for an mHealth Weight Management Program for African American Women.

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Publisher: Elsevier Science Publishers
Document Type: Report
Length: 462 words

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Keywords mHealth; Obesity; African American women; Black women; Digital health Abstract Background The high rate of obesity, ownership of smartphones, and online search for nutrition and dieting information among African American women (AAW) provide a unique opportunity to develop cost-effective, accessible, and acceptable mHealth weight management programs for them. Furthermore, they should participate in the development and evaluation of these programs. Objective To explore ideal components of a culturally relevant mHealth weight management program for AAW and to examine how these components may vary by age group. Design Twelve focus group triads were conducted with AAW in north central Florida. The framework method was used to manage, organize, synthesize, and analyze data themes by age groups: 18 to 29 (young), 30 to 50 (middle age), and 51+ (older). Participants/setting Thirty-six smartphone owners who expressed a desire to lose weight were recruited through several community partnerships. Results Based on body mass index (BMI), young women were classified as overweight (BMI 26.23 [plus or minus] 6.7), middle-aged women as obese (BMI30.72 [plus or minus] 8.31), and older women as obese (BMI 31.03 [plus or minus] 5.67). Most searched online for dieting information within the past 12 months. Five overarching themes for designing mHealth weight management programs were identified: (1) holistic program that goes beyond dieting; (2) social media integration for support and sense of community; (3) self-monitoring app; (4) two-way text messaging; and (5) programs of varying lengths and meaningful incentives. Conclusion AAW were receptive to mHealth weight management programs, which may be appealing during and after the COVID-19 pandemic. Holistic programs of 4 to 6 weeks that addressed stress eating, had a social media component, and included a few educational texts per week may be appealing to AAW. Author Affiliation: (1) Department of Health Education and Behavior, University of Florida, Gainesville (2) Department of Public Health and Recreation Professions, Southern Illinois University-Edwardsville, Edwardsville, IL * Address correspondence to: Delores C. S. James, PhD, Department of Health Education and Behavior, PO Box 118210, Room 5 Florida Gym, University of Florida, Gainesville, FL 32611-8210. Article History: Received 2 February 2021; Accepted 30 June 2021 (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. (footnote) FUNDING/SUPPORT The study was funded by an internal seed grant from the researchers' institution. (footnote) AUTHOR CONTRIBUTIONS D. C. S. James conceptualized the project, wrote the grant, developed the instrument, supervised the data analysis, and wrote the first draft with contribution from C. Harville, D. S. McQueen, and J. A. Facey. C. Harville was an investigator on the grant and assisted with data collection. All authors reviewed and commented on subsequent drafts. Byline: Delores C.S. James, PhD [djames@hhp.ufl.edu] (1,*), Cedric Harville II, PhD (2), Darielle S. McQueen, MS (1), Jenel A. Facey (1)

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Gale Document Number: GALE|A686979913