Trial reportAmerican journal of health promotion : AJHP2019
Reach and Adoption of a Randomized Weight Loss Maintenance Trial in Rural African Americans of Faith: The WORD (Wholeness, Oneness, Righteousness, Deliverance).
Trial report in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How effective are church-based weight-loss interventions among Black adults? A systematic review.Obesity (Silver Spring, Md.) · 2024Pooled it
- The WORD: Outcomes of a Behavioral Weight Loss Maintenance Effectiveness Trial in Rural Black Adults of Faith.Obesity (Silver Spring, Md.) · 2020Trial
- Involving community members in designing behavioural weight management programmes: a scoping review.BMC public health · 2026Article
- Identifying recruitment strategies to improve the reach of evidence-based health promotion, disease prevention, and disease self-management interventions: a scoping review.Frontiers in public health · 2025Article
- Differences in Perceptual and Attitudinal Body Image Between White and African-American Adults Matched for Sex, Age, and Body Composition.Journal of racial and ethnic health disparities · 2024Article
- Article
- Community engagement strategies to promote recruitment and participation in clinical research among rural communities: A narrative review.Journal of clinical and translational science · 2023Review
- Improving Enrollment of Underrepresented Racial and Ethnic Populations in Heart Failure Trials: A Call to Action From the Heart Failure Collaboratory.JAMA cardiology · 2022Article
- Predictors of implementation in the Faith, Activity, and Nutrition dissemination and implementation study: application of the Consolidated Framework for Implementation Research (CFIR) in a statewide initiative.Translational behavioral medicine · 2021Article
- Study protocol for a multilevel diabetes prevention program for Marshallese Pacific Islanders in faith-based organizations.Contemporary clinical trials communications · 2020Article
- Challenges in assessing population reach in a pragmatic trial.Preventive medicine reports · 2019Article
- How stakeholder engagement influenced a randomized comparative effectiveness trial testing two Diabetes Prevention Program interventions in a Marshallese Pacific Islander Community.Journal of translational medicine · 2019Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
purposeThere is minimal information regarding the Reach and Adoption of evidence-based weight loss maintenance interventions for African Americans of faith.
designThe WORD (Wholeness, Oneness, Righteousness, Deliverance) was an 18-month, cluster randomized trial designed to reduce and maintain weight loss in African American adults of faith. Participants received the Diabetes Prevention Program adapted core weight loss program for 6 months, and churches were subsequently randomized to 12-month maintenance treatment or control. All participants underwent body weight and associated behavioral and psychosocial assessments at baseline, 6, 12, and 18 months. The current article focuses on assessing Reach and Adoption at baseline and 6 months using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework.
settingLower Mississippi Delta.
participantsThirty churches, 61 WORD Leaders (WLs), and 426 participants.
interventionGroup delivered by trained community members (WLs). MEASURES: Body mass index and percentage weight lost from baseline to 6-month follow-up were measured. Reach was assessed at participant, WL, and church levels through calculating participation rates and sociodemographics of each level. Adoption was assessed at church and WL levels. ANALYSIS: Descriptive statistics summarized baseline characteristics of each level. Continuous and categorical end point comparisons were made.
resultsParticipants' participation rate was 0.84 (n = 437 agreed to participate, n = 519 eligible invited to participate); they were predominantly female, employed, and had a mean age of 49.8. Dropouts by 6 months were younger, had differential marital status, and religious attendance compared with retained participants. Church participation rate was 0.63 (n = 30 enrolled, n = 48 eligible approached) and the majority reported ≤100 active members. The WL participation rate was 0.61 (n = 61 implemented intervention, n = 100 eligible approached); they were primarily female and aged 53.9 (mean).
conclusionRecruitment, engagement, and delivery strategies employed by the WORD show promise of sustained engagement and adoption in other faith-based behavioral weight management programs for African Americans.
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