ArticleJournal of primary care & community health
Determinants of Successful Weight Loss in Low-Income African American Women: A Positive Deviance Analysis.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- Leveraging the Positive Deviance Approach to Drive Behavior Change in Noncommunicable Diseases: A Scoping Review.Public health challenges · 2026Review
- An Expansion of Weight Inclusivity to Include Body Autonomy and Harm Reduction: Striving for Health Equity.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Global trends of positive deviance research in public health: A bibliometric analysis (1976-2024).Preventive medicine reports · 2025Article
- Resilience to suicidal behavior in young adults: a cross-sectional study.Scientific reports · 2022Article
- Positive deviance in health and medical research on individual level outcomes - a review of methodology.Annals of epidemiology · 2022Review
- Factors Associated with Weight Loss Maintenance and Weight Regain Among African American and White Adults Initially Successful at Weight Loss.Journal of racial and ethnic health disparities · 2022Article
- The Obesity Pandemic-Whose Responsibility? No Blame, No Shame, Not More of the Same.Frontiers in nutrition · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveWe set out to investigate the behaviors of low-income African American women who successfully lost weight.
methodsFrom an urban, academic, family medicine practice, we used a mixed methods positive deviance approach to evaluate 35 low-income African American women who were obese and lost at least 10% of their maximum weight, and maintained this loss for 6 months, comparing them with 36 demographically similar control participants who had not lost weight. Survey outcomes included demographics and behaviors that were hypothesized to be related to successful weight loss. Interviews focused on motivations, barriers, and what made weight loss successful. Survey data were analyzed using t tests and linear regression for continuous outcomes and chi-square tests and logistic regression for categorical outcomes. Interviews were analyzed using a modified approach to grounded theory.
resultsIn adjusted analyses, women in the positive deviant group were more likely to be making diet changes compared with those women who did not lose at least 10% of their initial body weight. Major themes from qualitative analyses included ( a) motivations (of health, appearance, quality of life, family, and epiphanies), ( b) opportunity (including time and support), ( c) adaptability.
conclusionsThe findings of this study may be useful in developing motivational interviewing strategies for primary care providers working with similar high-risk populations.
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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.