The WORD (Wholeness, Oneness, Righteousness, Deliverance): A Faith-Based Weight-Loss Program Utilizing a Community-Based Participatory Research Approach
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.
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Lower weight among the more R/S appears only in a few religious groups (Amish, Jews, and Buddhists), in those with certain demographic characteristics (white, older, and high education), and in response to a specific R/S intervention or practice.
“Lower weight among the more R/S appears only in a few religious groups (Amish [324], Jews [325], and Buddhists [326]), in those with certain demographic characteristics (white, older, and high education) [327], and in response to a specific R/S intervention [328] or practice [314, 329].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [325]
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- Authors
- Kim, K. H.-C., Linnan, L., Kramish Campbell, M., Brooks, C., Koenig, H. G., & Wiesen, C.
- Affiliations
- University of Arkansas for Medical Sciences (US)
- University of North Carolina at Chapel Hill (US)
- University of North Carolina at Chapel Hill
- Joint Orange Chatham Communities in Action, Chapel Hill, North Carolina
- Duke Medical Center (US)
- Corresponding author
- Kim, Karen Hye-cheon
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2006-08-02
- Volume
- 35
- Issue
- 5
- Pages
- 634-650
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W2052511342
- Cited by
- 157
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 7 · 2019: 10 · 2018: 5 · 2017: 5 · 2016: 11 · 2015: 11 · 2014: 18 · 2013: 13 · 2012: 21
- FWCI
- 3.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- obesity, weight loss, faith-based interventions, African Americans, rural communities, church-based intervention, community-based participatory research, healthy eating, physical activity, religion and health, small group intervention
- MeSH terms
- Adult, Aged, Behavior Therapy, Black or African American, Community-Institutional Relations, Diet, Reducing, Female, Humans, Health Knowledge, Attitudes, Practice, Leadership, Male, Middle Aged, North Carolina, Obesity, Religion and Medicine, Religion and Psychology, Rural Population, Weight Loss, Exercise, Body Mass Index, Focus Groups, Spirituality
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