Trial reportJournal of internal medicine2017
Weight loss and improved metabolic outcomes amongst rural African American women in the Deep South: six-month outcomes from a community-based randomized trial.
Trial report in Journal of internal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04297826 (Expanding Our Cancer Prevention and Control Infrastructure to Reduce Cancer and Other Chronic Disease Health Disparities in the Deep South), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Expanding Our Cancer Prevention and Control Infrastructure to Reduce Cancer and Other Chronic Disease Health Disparities in the Deep South
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- A Systematic Narrative Review of Recent Obesity Interventions with Black Women in the United States.Journal of racial and ethnic health disparities · 2025Pooled it
- Improvements in dietary intake, behaviors, and psychosocial measures in a community-randomized cardiovascular disease risk reduction intervention: Strong Hearts, Healthy Communities 2.0.The American journal of clinical nutrition · 2023Trial
- Psychological and behavioral pathways between perceived stress and weight change in a behavioral weight loss intervention.Journal of behavioral medicine · 2021Trial
- Physical activity and healthy eating behavior changes among rural women: an exploratory mediation analysis of a randomized multilevel intervention trial.Translational behavioral medicine · 2021Trial
- Impact of Physical Activity and Weight Loss on Fat Mass, Glucose Metabolism, and Inflammation in Older African Americans with Osteoarthritis.Nutrients · 2020Trial
- The Strong Hearts, Healthy Communities Program 2.0: An RCT Examining Effects on Simple 7.American journal of preventive medicine · 2020Trial
- A Community-Based Feasibility Study of Weight-Loss in Rural, Older Adults with Obesity.Journal of nutrition in gerontology and geriatricsTrial
- Structural Drivers of Neighborhood Food Access: Implications for Policy Change.Obesity (Silver Spring, Md.) · 2026Article
- Feasibility and acceptability of a stress-management behavioral weight loss intervention for Black breast cancer survivors.Scientific reports · 2026Article
- Multilevel Interventions Demonstrate Mixed Effectiveness for Improving Blood Pressure Outcomes: A Rapid Review.Healthcare (Basel, Switzerland) · 2025Review
- The past, present, and future of behavioral obesity treatment.International journal of obesity (2005) · 2025Review
- Tackling the complexity of obesity in the US through adaptation of public health strategies.Frontiers in public health · 2025Review
- Development and Implementation of an Aural Rehabilitation Program Using Community Health Workers in Rural Alabama.Perspectives of the ASHA special interest groups · 2024Article
- Harvest for health in survivors of chronic disease: A demonstration project in the Alabama Black Belt and Mississippi Delta Region.Translational behavioral medicine · 2024Article
- Implementing evidence-based practices in rural settings: a scoping review of theories, models, and frameworks.Frontiers in health services · 2024Article
- Black Feminism and Womanism: A Narrative Review of the Weight Loss Literature.Ethnicity & disease · 2023Review
- Disparities in Access and Quality of Obesity Care.Gastroenterology clinics of North America · 2023Review
- A Call to Reconceptualize Obesity Treatment in Service of Health Equity: Review of Evidence and Future Directions.Current obesity reports · 2023Review
- Article
- Interaction of Neighborhood and Genetic Risk on Waist Circumference in African-American Adults: A Longitudinal Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundObesity is highly prevalent in African American women, especially those in the rural southern USA, resulting in persistent health disparities.
objectiveTo test the effectiveness of an evidence-based behavioural weight loss intervention delivered by community health advisors to African American women in the rural south. DESIGN AND
methodsOverweight or obese African American women (30-70 years) from eight counties in Mississippi and Alabama participated in a 24-month randomized controlled trial of an evidence-based behavioural weight loss programme augmented with community strategies to support healthy lifestyles (Weight Loss Plus, N = 154) compared to the weight loss programme alone (Weight Loss Only, N = 255). This study reports on 6-month outcomes on primary (weight change) and secondary (waist circumference, blood pressure, lipids, fasting blood glucose) outcomes, coinciding with the completion of the intensive weight loss phase.
resultsWeight Loss Only participants lost an average of 2.2 kg (P < 0.001). Weight Loss Plus participants lost an average of 3.2 kg (P < 0.001). The proportion of the total sample that lost at least 5% of their body weight was 27.1% with no difference between treatment groups. Similarly, we observed statistically significant reductions in blood pressure, waist circumference and triglycerides in each treatment group, with no statistical differences between groups.
conclusionTrained lay health staff and volunteers from the rural southern USA were able to deliver a translation of a high-intensity behavioural intervention targeted to African American women, resulting in clinically meaningful weight loss and improvement in other metabolic outcomes in a significant proportion of participants.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.