ArticleHealth psychology and behavioral medicine2026
Developing a theory and evidence-based intervention for black African women using the COM-B model and behaviour change wheel: BALANCED programme.
Article in Health psychology and behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Trial
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Obesity is a major global health issue, increasing morbidity and mortality through its association with non communicable diseases. Black African women experience disproportionately high obesity rates, reaching 37 percent in the UK. They face cultural, social, and systemic barriers to achieving sustainable lifestyle changes. To address these disparities, the Black African Lifestyle and Nutrition Change for Empowerment and Development (BALANCED) intervention was developed. This paper describes the development of the BALANCED intervention and the evidence, theory, and community informed processes that shaped its design. Methods: A stepwise approach guided by the Behaviour Change Wheel and COM B model (Capability, Opportunity, Motivation Behaviour) was used. Formative research, including a systematic review, dietary pattern analysis, and qualitative interviews, identified key behavioural determinants and barriers to healthy eating among Black African women with overweight and obesity in the UK. These insights informed the selection of intervention functions and behaviour change techniques (BCTs). Intervention components were co designed with key stakeholders to support acceptability and feasibility. Results: Formative research showed that Black African women face barriers to adopting healthy behaviours, including limited access to culturally appropriate dietary guidance, time constraints, and systematic healthcare challenges. In response, the intervention addressed these barriers through educational and training modules, culturally tailored counselling, and structured peer support, focusing on dietary and physical activity behaviours. Seven Behaviour Change Wheel intervention functions were applied, incorporating BCTs aligned with identified determinants. Conclusion: The BALANCED intervention offers an innovative, culturally tailored approach to supporting sustainable behaviour change among Black African women living with overweight and obesity. Grounded in behavioural theory and informed by empirical evidence, it addresses multidimensional barriers and supports engagement. Future research will pilot the intervention and evaluate its effectiveness and scalability to inform public health strategies to reduce health disparities in this population.
Indexed as
Identifiers
What OpenQuestion holds
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.