Evidence map›Paper›PMID 38438635›Full record

ArticleJournal of general internal medicine2024

Black Veterans Experiences with and Recommendations for Improving Weight-Related Health Care: A Photovoice Study.

Jessica Y Breland, Lamont Tanksley, Michelle A Borowitz, Dakota Houseknecht, Na'imah Muhammad, Susan D Raffa, Katherine D Hoerster

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Photovoice as a Methodology in Obesity Research: A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jessica Y BrelandCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA. jessica.breland@va.gov.ORCID 0000-0003-0024-3478
Lamont TanksleyMental Health Service, VA Puget Sound Healthcare System, Seattle Division, Seattle, WA, USA.
Michelle A BorowitzMental Health Service, VA Puget Sound Healthcare System, Seattle Division, Seattle, WA, USA.
Dakota HouseknechtHealth Services Research and Development, VA Puget Sound Healthcare System, Seattle Division, Seattle, WA, USA.
Na'imah MuhammadHealth Services Research and Development, VA Puget Sound Healthcare System, Seattle Division, Seattle, WA, USA.
Susan D RaffaVA National Center for Health Promotion and Disease Prevention, Durham, NC, USA.
Katherine D HoersterMental Health Service, VA Puget Sound Healthcare System, Seattle Division, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-Hispanic Black or African American (hereafter Black) veterans lose less weight than other users of the Veterans Health Administration's (VHA) weight management program (MOVE!), despite higher enrollment.

objectiveTo understand factors that affect weight loss disparities between Black veterans and other veterans.

designQualitative study using Photovoice methods.

participantsSelf-identified Black veterans in MOVE! across the USA (two women, seven men). APPROACH: We conducted six virtual Photovoice sessions with Black veterans. Session one provided orientation to the goal of understanding factors that might affect weight loss disparities. Participants chose missions related to weight management and VHA care, bringing photos or other media (e.g., poems) to discuss during remaining sessions. Facilitators/participants identified themes related to each session in real time. Between and after sessions, facilitators/investigators conducted rapid qualitative analysis of transcripts/audio to group similar themes, identify illustrative quotes/photos/other media, and prepare dissemination products (e.g., this manuscript). Participants provided feedback on the manuscript during an additional session. KEY

resultsThemes were identified across three categories: (1) Food in Our Lives and Health Care; (2) Body Image; and (3) Healthcare Bias and Discrimination. The emotional impact of food and the negative effects of bias and discrimination on health care quality and trust were especially salient. Participants provided recommendations for weight-related and general care. Notable recommendations included the need for VHA to hire and retain providers-especially Black providers-who understand and respect Black patients and are committed to delivering evidence-based, culturally sensitive care. In addition, weight management care should be tailored to individual patients' diets and health beliefs and deemphasize body mass index.

conclusionsPhotovoice resulted in concrete targets that could reduce health disparities. Institutions should consider Photovoice and similar approaches to build trust with and incorporate input from marginalized communities. This approach requires sustained commitment from leaders to engage stakeholders and implement solutions.

Indexed as

Black or African AmericanQualitative ResearchVeteransAdultAgedFemaleHumansMaleMiddle AgedObesityPhotographyUnited StatesUnited States Department of Veterans AffairsWeight LossWeight Reduction ProgramsAfrican AmericanBlackphotovoiceveteransweight management

Identifiers

PMID38438635
PMCPMC11306895

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.