A study of a culturally enhanced EatRight dietary intervention in a predominately African American workplace

Academic Article


  • Context: The workplace may be an ideal venue for engaging African American women in behavioral interventions for weight reduction. Objective: To examine the effectiveness of a culturally enhanced EatRight dietary intervention among a group of predominately African American women in a workplace setting. DESIGN: Crossover design study. Setting: Workplace. Participants: A total of 39 women volunteered for this study, of whom 27 completed it. Intervention: The control period involved observation of participants for 22 weeks after receiving standard counseling on lifestyle methods to achieve a healthy weight; following the control period, participants crossed over to the 22-week intervention period. The intervention was culturally enhanced using feedback derived from formative assessment and delivered as 15 group sessions. Msin Ootcome Meacures: The primary outcome measure was the difference in weight change between the control and intervention periods; changes in waist circumference and quality of life were secondary outcomes. RESULTS: Most participants were obese, with a mean baseline body mass index of 36 kg/m2, weight of 97.9 kg, and waist circumference of 111 cm. Weight increased during the control period by 0.7 kg but decreased by 2.6 kg during the intervention (net difference = -3.4 kg, P <.001), with 30% of participants losing 5% or more of body weight. Compared to the control period, there was a significant decrease in waist circumference (-3.6 cm, P =.006) and improvement in weight-related quality of life (5.7, P =.03). CONCLUSIONS: This pilot study demonstrated the feasibility of a culturally enhanced behavioral weight loss intervention in a predominately African American workplace setting. The workplace may be conducive for targeting African American women who are disproportionately affected by obesity. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
  • Digital Object Identifier (doi)

    Pubmed Id

  • 10169501
  • Author List

  • Ard JD; Cox TL; Zunker C; Wingo BC; Jefferson WK; Brakhage C
  • Volume

  • 16
  • Issue

  • 6