142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Evaluation of RCT of a Walking, Yoga, and Coaching Intervention for Obesity

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Casey Mace, MPH, PhDc , Department of General Practice and Primary Care, University of Auckland, Auckland, New Zealand
Brandon Eggleston, PhD MPH MCHES CPH RYT , Community Health, National University, San Diego, CA
The obesity epidemic in the United States continues to be a challenge for many Americans.  Two of the leading factors related to both obesity and chronic disease development are stress and sedentary lifestyle.  Walking, yoga, and health coaching have been shown to be effective treatments for obesity. This study used a random sample of obese individuals living in Southern California and randomly assigned them to one of four groups. Groups 1 and 2 were control groups that received no intervention for three months. Group 3 was an intervention group that received information on how to develop a walking program and also a home gentle yoga practice. Group 4 was an intervention group that also received information on how to develop a walking program, home gentile yoga practice, but also received wellness coaching multiple times each week. The intervention lasted three months for groups 3 and 4 and then they were followed-up to measure self-efficacy for three additional months. The control groups (groups 1 and 2) received the coaching  or non-coaching walking/yoga program three months after groups 3 and 4 received the intervention. Results identified a significant interaction of between the intervention and the walking/yoga program over time. Individuals who had both coaching and the walking/yoga intervention lost significantly more weight, saw larger improvements in their blood pressure, reported higher levels of self-esteem, and positive mood (PANAS). Overall, it seems that behavior modification is only a small piece of well-being and that social support may have a direct impact on both improving behavior change and also independently on measures of well-being.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Define the benefits of wellness coaching, yoga, and walking programs. Explain the relationship between the wellness coach and program participant. Analyze ways to make healthier lifestyle choices easier for individuals who have the most challenging barriers.

Keyword(s): Obesity, Wellness

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD student studying Population Health and have directed many projects promoting physical activity among populations facing health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.