| Title | Innovative care delivery model to address obesity in older African-American women: Senior Wellness Initiative and Take Off Pounds Sensibly collaboration for health (SWITCH) |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Mitchell, NS, Polsky, S |
| Journal | J Am Geriatr SocJ Am Geriatr SocJ Am Geriatr Soc |
| Volume | 61 |
| Pagination | 1971-5 |
| Date Published | Nov |
| ISBN Number | 1532-5415 (Electronic)<br/>0002-8614 (Linking) |
| Accession Number | 24219198 |
| Keywords | African Americans, Aged, Delivery of Health Care/standards, Feasibility Studies, Female, Humans, Models, Organizational, Obesity/ therapy, Pilot Projects, Program Evaluation, Weight Loss |
| Abstract | OBJECTIVES: To determine the feasibility and acceptability of integrating Take Off Pounds Sensibly (TOPS), a national nonprofit weight-loss program through which people have lost a clinically significant amount of weight, into a community program that serves African Americans (AAs) and to determine weight change. DESIGN: Single-group pilot design. SETTING: Denver, Colorado. PARTICIPANTS: Community-dwelling participants aged 51 to 85. INTERVENTION: Participants were recruited through a program that serves AAs, and new TOPS chapters were started at a church, senior center, and senior residence for independent living. MEASUREMENTS: Feasibility was measured by determining the ease of recruitment and acceptability was measured according to retention. The secondary outcome was weight change. RESULTS: Sixty-four percent of people who were referred to the program or attended an information session participated in the study. The retention rate at 52 weeks was 79%. At 52 weeks, 16 of 48 participants had lost 5% or more of their initial weight, and 23 had lost 0% to 4.9% of their initial weight. CONCLUSIONS: Recruiting AA women through the Center for African American Health was feasible, and the program was acceptable. One-third of participants lost a clinically significant amount of weight. TOPS may be one way to combat the health disparity of obesity in AA women. |
| Short Title | Journal of the American Geriatrics SocietyJournal of the American Geriatrics Society |
| Alternate Journal | Journal of the American Geriatrics Society |
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