Online Program

Measuring the effects of group based cognitive and behavioral intervention among African American in faith based setting

Sunday, November 1, 2015

Shraddha Vyas, MSPH, Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC
Samira Khan, MSW, Cancer Prevention and Control Program, Arnold School of Public Health, University of South Carolina, Columbia, SC
Thomas G. Hurley, MS, Cancer Prevention & Control Program, University of South Carolina, Columbia, SC
Azza Shoaibi, BPharm, MPH, PhD, Departmnet of Epidemilogy and Biostatistics /Arnold School of Public Health, University of South Carolina, Columbia, SC
Susan Steck, PhD, Arnold School of Public Health, University of South Carolina, Columbia, SC
James Hebert, MSPH, ScD, State-wide Cancer Prevention and Control Program/ Departmnet of Epidemilogy and Biostatistics Arnold School of Public Health, University of South Carolina, Columbia, SC
Margaret Hargreaves, PhD, Department of Internal Medicine, Meharry Medical College, Nashville, TN
Introduction: African Americans (AA) are prone to obesity and inflammation-related chronic diseases, including diabetes and cancer. Diet is a potent modulator of inflammatory response. Therefore, it is important to determine effective lifestyle and behavioral changes in order to control the epidemic of chronic diseases plaguing the US, developed countries, and other regions of the world. We report on the effectiveness of a pilot diet, physical activity (PA), and stress reduction intervention in modulating inflammatory markers and indicators of obesity among AA.

 Methods: BMORe (Biomedical Multicenter Obesity Reduction Trial) is a quasi-experimental multicenter study. All participants were recruited at AA churches, and had a body mass index (BMI) between 25-40 kg/m2. The intervention, consisting of 12 weekly sessions followed by 3 booster sessions, focused on cognitive and behavioral skills. Anthropometrics, blood, dietary intake (using 4 day dietary record) and energy expenditure (using a SenseWear® armband) were collected pre and post intervention. We used mixed linear models to estimate the effect of intervention on these outcomes, and see the value of a=0.05 for statistical significance.

Results: A total of 46 participants with blood data (22 from USC and 24 from Meharry) were included in the final analysis. HBA1C decreased by 41% (from 6.4-5.9) (p=0.008) and total energy intake decreased by 349kcal/day (from 924 to 575) (p=0.002). No significant changes were observed in energy expenditure and dietary inflammatory index.

Discussion: Group-based interventions targeting cognitive and behavioral changes prove beneficial in improving different aspects of obesity and inflammation-related outcomes.

Learning Areas:

Assessment of individual and community needs for health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Design an intervention based on cognitive and behavioral changes to improve obesity and inflammation-related outcomes Evaluate the impact of diet, physical activity, and stress reduction intervention on chronic health outcome among African Americans

Keyword(s): African American, Chronic Disease Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author because I am a PhD student and chronic disease prevention is my area of interest and I am exploring different methods of improving population health.
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.