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| Publications of Gary G. Bennett :chronological alphabetical combined listing:%% Journal Articles @article{fds370933, Author = {Ruiz, JM and Bacon, SL and Bennett, GG and Brondolo, E and Czajkowski, SM and Davidson, KW and Epel, ES and Revenson, TA and Behavioral Medicine Research Council}, Title = {Behavioral Medicine Research Council (BMRC) Statement Papers: A New Approach to Consensus Building in Behavioral Medicine Science.}, Journal = {Psychosomatic medicine}, Volume = {85}, Number = {4}, Pages = {296-297}, Year = {2023}, Month = {May}, url = {http://dx.doi.org/10.1097/psy.0000000000001185}, Doi = {10.1097/psy.0000000000001185}, Key = {fds370933} } @article{fds370371, Author = {Berger, MB and Chisholm, M and Miller, HN and Askew, S and Kay, MC and Bennett, GG}, Title = {"We bleed for our community:" A qualitative exploration of the implementation of a pragmatic weight gain prevention trial from the perspectives of community health center professionals.}, Journal = {BMC Public Health}, Volume = {23}, Number = {1}, Pages = {695}, Year = {2023}, Month = {April}, url = {http://dx.doi.org/10.1186/s12889-023-15574-2}, Abstract = {BACKGROUND: Clinical trial implementation continues to shift toward pragmatic design, with the goal of increasing future adoption in clinical practice. Yet, few pragmatic trials within clinical settings have qualitatively assessed stakeholder input, especially from those most impacted by research implementation and outcomes, i.e., providers and staff. Within this context, we conducted a qualitative study of the implementation of a pragmatic digital health obesity trial with employees at a Federally qualified health center (FQHC) network in central North Carolina. METHODS: Participant recruitment was conducted through purposive sampling of FQHC employees from a variety of backgrounds. Two researchers conducted semi-structured qualitative interviews and collected demographic data. Interviews were digitally recorded, professionally transcribed and double-coded by two independent researchers using NVivo 12. Coding discrepancies were reviewed by a third researcher until intercoder consensus was reached. Responses were compared within and across participants to elucidate emergent themes. RESULTS: Eighteen qualitative interviews were conducted, of whom 39% provided direct medical care to patients and 44% worked at the FQHC for at least seven years. Results illuminated the challenges and successes of a pragmatically designed obesity treatment intervention within the community that serves medically vulnerable patients. Although limited time and staffing shortages may have challenged recruitment processes, respondents described early buy-in from leadership; an alignment of organizational and research goals; and consideration of patient needs as facilitators to implementation. Respondents also described the need for personnel power to sustain novel research interventions and considerations of health center resource constraints. CONCLUSIONS: Results from this study contribute to the limited literature on pragmatic trials utilizing qualitative methods, particularly in community-based obesity treatment. To continue to merge the gaps between research implementation and clinical care, qualitative assessments that solicit stakeholder input are needed within pragmatic trial design. For maximum impact, researchers may wish to solicit input from a variety of professionals at trial onset and ensure that shared common goals and open collaboration between all partners is maintained throughout the trial. TRIAL REGISTRATION: This trial was registered with ClinicalTrials.gov (NCT03003403) on December 28, 2016.}, Doi = {10.1186/s12889-023-15574-2}, Key = {fds370371} } @article{fds370717, Author = {Ruiz, JM and Bacon, SL and Bennett, GG and Brondolo, E and Czajkowski, SM and Davidson, KW and Epel, ES and Revenson, TA}, Title = {Behavioral Medicine Research Council (BMRC) Statement Papers: A New Approach to Consensus Building in Behavioral Medicine Science.}, Journal = {Annals of behavioral medicine : a publication of the Society of Behavioral Medicine}, Volume = {57}, Number = {5}, Pages = {355-356}, Year = {2023}, Month = {April}, url = {http://dx.doi.org/10.1093/abm/kaac038}, Doi = {10.1093/abm/kaac038}, Key = {fds370717} } @article{fds369356, Author = {Kay, MC and Hammad, NM and Truong, T and Herring, SJ and Bennett, GG}, Title = {Feasibility, Acceptability, and Initial Efficacy of a Digital Intervention to Improve Consumption of Foods Received within a National Nutrition Assistance Program.}, Journal = {Nutrients}, Volume = {15}, Number = {2}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.3390/nu15020438}, Abstract = {Many mothers are vulnerable to poor diet quality, particularly those living in low-income households. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutrient-rich foods through its benefits packages, but many WIC participants are not redeeming them. We assessed the feasibility and acceptability of a digital intervention to support redemption and consumption of WIC-approved foods to ultimately improve diet quality. We enrolled 54 maternal-child dyads receiving WIC benefits to receive three to four weekly text messages for 12 weeks focused on behavioral goals to improve consumption of WIC-approved foods. We assessed engagement with weekly tracking messages and satisfaction and collected 24 h dietary recalls to assess preliminary efficacy on dietary intake. Participants were mostly non-Hispanic white (63%) and working (63%), and responded to 7.4 (standard deviation: 4.6) of the 12 weekly messages. Half (n = 27) were high engagers (responded to 80% or more of weekly messages), with 28% (n = 15) responding to all messages. Most felt the feedback (94%) and tips (87%) were helpful and would recommend the program (91%). More were consuming leafy green vegetables compared to baseline (p = 0.01). Mothers of children enrolled in WIC found a text messaging intervention focused on consumption of WIC-approved foods enjoyable and helpful.}, Doi = {10.3390/nu15020438}, Key = {fds369356} } @article{fds364179, Author = {Tyson, CC and Svetkey, LP and Lin, P-H and Granados, I and Kennedy, D and Dunbar, KT and Redd, C and Bennett, G and Boulware, LE and Fish, LJ}, Title = {Self-Perceived Barriers and Facilitators to Dietary Approaches to Stop Hypertension Diet Adherence Among Black Americans With Chronic Kidney Disease: A Qualitative Study.}, Journal = {J Ren Nutr}, Volume = {33}, Number = {1}, Pages = {59-68}, Year = {2023}, Month = {January}, url = {http://dx.doi.org/10.1053/j.jrn.2022.05.002}, Abstract = {OBJECTIVE: The Dietary Approaches to Stop Hypertension (DASH) eating plan improves hypertension in Black individuals and is associated with favorable chronic kidney disease (CKD) outcomes. Yet, adherence to DASH is low among US adults in general, particularly among Black Americans. We assessed perceptions about DASH, its cultural compatibility, and barriers and facilitators to DASH adherence in Black adults with CKD. DESIGN AND METHODS: We conducted focus groups and semistructured individual interviews involving 22 Black men and women with CKD Stages 3-4 from outpatient clinics at a US academic medical center. Transcripts of audio-recorded interviews were analyzed using thematic analysis. RESULTS: Among participants (2 focus groups [N = 8 and 5] and 9 individual interviews), 13 (59%) had CKD Stage 3, 13 (59%) were female, the median age was 61 years, and 19 (90%) had hypertension. After receiving information about DASH, participants perceived it as culturally compatible based on 3 emergent themes: (1) Black individuals already eat DASH-recommended foods ("Blacks eat pretty much like this"), (2) traditional recipes (e.g., southern or soul food) can be modified into healthy versions ("you can come up with decent substitutes to make it just as good"), and ( 3) diet is not uniform among Black individuals ("I can't say that I eat traditional"). Perceived barriers to DASH adherence included unfamiliarity with serving sizes, poor cooking skills, unsupportive household members, and high cost of healthy food. Eleven (52%) reported after paying monthly bills that they "rarely" or "never" had leftover money to purchase healthy food. Perceived facilitators included having local access to healthy food, living alone or with supportive household members, and having willpower and internal/external motivation for change. CONCLUSIONS: Black adults with CKD viewed DASH as a healthy, culturally compatible diet. Recognizing that diet in Black adults is not uniform, interventions should emphasize person-centered, rather than stereotypically culture-centered, approaches to DASH adherence.}, Doi = {10.1053/j.jrn.2022.05.002}, Key = {fds364179} } @article{fds367657, Author = {Miller, HN and Berger, MB and Askew, S and Kay, MC and Chisholm, M and Sirdeshmukh, G and Hopkins, CM and Brewer, A and DeVries, A and Holder, M and Bennett, GG}, Title = {Recruitment of diverse community health center patients in a pragmatic weight gain prevention trial.}, Journal = {J Clin Transl Sci}, Volume = {7}, Number = {1}, Pages = {e22}, Year = {2023}, url = {http://dx.doi.org/10.1017/cts.2022.475}, Abstract = {INTRODUCTION: Pragmatic trials are needed to establish evidence-based obesity treatment in primary care settings, particularly in community health centers (CHCs) that serve populations at heightened risk of obesity. Recruiting a representative trial sample is a critical first step to informing care for diverse communities. We described recruitment strategies utilized in a pragmatic obesity trial and assessed the sociodemographic characteristics and odds of enrollment by recruitment strategy. METHODS: We analyzed data from Balance, a pragmatic trial implemented within a network of CHCs. We recruited participants via health center-based and electronic health record (EHR)-informed mail recruitment. We analyzed associations between sociodemographic characteristics and the return rate of patient authorization forms (required for participation) from EHR-informed mail recruitment. We also compared sociodemographic characteristics and randomization odds by recruitment strategy after returning authorization forms. RESULTS: Of the individuals recruited through EHR-informed mail recruitment, females were more likely than males to return authorization forms; however, there were no differences in rates of return by preferred language (English/Spanish) or age. Females; underrepresented racial and ethnic groups; Spanish speakers; younger adults; and those with lower education levels were recruited more successfully in the health center. In contrast, their counterparts were more responsive to mail recruitment. Once authorization forms were returned, the odds of being randomized did not significantly differ by recruitment method. CONCLUSION: Health center-based recruitment was essential to meeting recruitment targets in a pragmatic weight gain prevention trial, specifically for Hispanic and Spanish-speaking communities. Future pragmatic trials should consider leveraging in-person recruitment for underrepresented groups in research.}, Doi = {10.1017/cts.2022.475}, Key = {fds367657} } @article{fds365876, Author = {Miller, HN and Berger, MB and Askew, S and Trefney, E and Tyson, C and Svetkey, L and Bennett, GG and Steinberg, DM}, Title = {Implementation of an At-home Blood Pressure Measurement Protocol in a Hypertension Management Clinical Trial During the COVID-19 Pandemic.}, Journal = {J Cardiovasc Nurs}, Volume = {37}, Number = {5}, Pages = {475-481}, Year = {2022}, Month = {September}, url = {http://dx.doi.org/10.1097/JCN.0000000000000927}, Abstract = {BACKGROUND: The Dietary Approaches to Stop Hypertension eating plan is an evidence-based treatment of hypertension; however, adherence to the Dietary Approaches to Stop Hypertension is low. To improve adherence to the Dietary Approaches to Stop Hypertension among adults with hypertension, we designed Nourish, a 2-arm, 12-month randomized controlled trial. The COVID-19 pandemic necessitated a change from in-person to remotely delivered visits, requiring substantial protocol modifications to measure blood pressure accurately and safely for secondary outcome data. PURPOSE: The purpose of this article is to describe the implementation of an at-home blood pressure measurement protocol for the Nourish trial. CONCLUSION: Our investigator team and study staff developed and implemented a robust and feasible blood pressure measurement protocol to be executed within an at-home format. CLINICAL IMPLICATIONS: The described blood pressure measurement protocol provides a framework for use in future clinical trials and clinical settings in which a remote visit is preferred or required.}, Doi = {10.1097/JCN.0000000000000927}, Key = {fds365876} } @article{fds363783, Author = {Mendoza-Vasconez, AS and McLaughlin, E and Sallis, JF and Maibach, E and Epel, E and Bennett, G and Nogueira, L and Thayer, J and Dietz, WH}, Title = {Advocacy to support climate and health policies: recommended actions for the Society of Behavioral Medicine.}, Journal = {Translational behavioral medicine}, Volume = {12}, Number = {4}, Pages = {535-543}, Year = {2022}, Month = {May}, url = {http://dx.doi.org/10.1093/tbm/ibac028}, Abstract = {Climate change poses serious threats to public health and is exacerbating health inequities. Policy changes are essential to mitigate climate change impacts on human and planetary health. The purpose was to describe recommendations by the Policy and Advocacy Subgroup of the Society of Behavioral Medicine (SBM) Climate Change, Behavior Change and Health Presidential Working Group (PWG). The Policy and Advocacy subgroup was comprised of experts in public health, climate policy, and health behavior change, who worked together to identify priorities and develop recommendations. We worked under the premise that building political will for climate policy action is the most urgent goal, and we recommended promotion of citizen advocacy for this purpose. Because citizen advocacy is a set of behaviors, SBM members can use behavioral science to identify and scale up interventions, working collaboratively with communities targeted for marginalization. Recommendations for SBM included establishing an organizational home for climate and health work, providing training and resources, engaging in climate advocacy as an organization, and networking with other organizations. Recommendations for a proposed SBM Climate and Health Committee, Council, or Special Interest Group included developing trainings and resources, seeking opportunities for networking and collaborations, and identifying a research agenda. Individual behavior changes are insufficient to address climate change; policy actions are needed. SBM and similar organizations can support their members to work in developing, evaluating, and scaling up advocacy interventions for action on climate policy to magnify the power of the health and medical sectors to protect planetary and human health.}, Doi = {10.1093/tbm/ibac028}, Key = {fds363783} } @article{fds364056, Author = {Nogueira, L and White, KE and Bell, B and Alegria, KE and Bennett, G and Edmondson, D and Epel, E and Holman, EA and Kronish, IM and Thayer, J}, Title = {The Role of Behavioral Medicine in Addressing Climate Change-Related Health Inequities.}, Journal = {Translational behavioral medicine}, Volume = {12}, Number = {4}, Pages = {526-534}, Year = {2022}, Month = {May}, url = {http://dx.doi.org/10.1093/tbm/ibac005}, Abstract = {Climate change is the greatest threat to global health in human history. It has been declared a public health emergency by the World Health Organization and leading researchers from academic institutions around the globe. Structural racism disproportionately exposes communities targeted for marginalization to the harmful consequences of climate change through greater risk of exposure and sensitivity to climate hazards and less adaptive capacity to the health threats of climate change. Given its interdisciplinary approach to integrating behavioral, psychosocial, and biomedical knowledge, the discipline of behavioral medicine is uniquely qualified to address the systemic causes of climate change-related health inequities and can offer a perspective that is currently missing from many climate and health equity efforts. In this article, we summarize relevant concepts, describe how climate change and structural racism intersect to exacerbate health inequities, and recommend six strategies with the greatest potential for addressing climate-related health inequities.}, Doi = {10.1093/tbm/ibac005}, Key = {fds364056} } @article{fds362984, Author = {Conroy, DE and Bennett, GG and Lagoa, CM and Wolin, KY}, Title = {Steps towards digital tools for personalised physical activity promotion.}, Journal = {British journal of sports medicine}, Volume = {56}, Number = {8}, Pages = {424-425}, Year = {2022}, Month = {April}, url = {http://dx.doi.org/10.1136/bjsports-2021-104169}, Doi = {10.1136/bjsports-2021-104169}, Key = {fds362984} } @article{fds361383, Author = {Kay, MC and Hammad, NM and Herring, SJ and Bennett, GG}, Title = {Using Interactive Text Messaging to Improve Diet Quality and Increase Redemption of Foods Approved by the Special Supplemental Nutrition Program for Women, Infants, and Children: Protocol for a Cohort Feasibility Study.}, Journal = {JMIR Res Protoc}, Volume = {10}, Number = {12}, Pages = {e32441}, Year = {2021}, Month = {December}, url = {http://dx.doi.org/10.2196/32441}, Abstract = {BACKGROUND: Children in the United States eat too few fruits, vegetables, and whole grains and too many energy-dense foods; these dietary behaviors are associated with increased risk of obesity. Maternal diet plays a key role in shaping children's diets; however, many mothers have poor diet quality, especially those living in low-income households. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a federal nutrition assistance program that provides mothers and children with nutrient-dense foods, and those who participate have better diet quality. However, many mothers do not redeem all their WIC-approved foods. Thus, there is a need to create effective interventions to improve diet quality, especially among low-income children and families. OBJECTIVE: This paper aims to describe the development and protocol for a study to evaluate the feasibility, satisfaction, and preliminary efficacy of a fully automated text messaging intervention as a strategy to improve maternal diet quality and the redemption of WIC-approved foods. METHODS: We describe the use of the framework developed for the description of nonrandomized feasibility studies. Using an observational, prospective cohort study design, we will recruit mothers enrolled in WIC with a child aged ≤2 years. Participants will receive automated SMS text messages aimed at improving the redemption of WIC-approved foods to improve the participants' diet quality for 12 weeks. All outcome measures will be analyzed using descriptive and inferential statistics. Qualitative data will be analyzed using thematic analysis. RESULTS: Data collection for this study began in March 2021. We expect the study results to be available within 9 months of study commencement. The results will shed light on the feasibility, acceptability, and effectiveness of using automated text messages as a behavior change strategy for mothers enrolled in WIC. CONCLUSIONS: The results of this pilot study will explore whether this digital behavioral intervention, which will deliver nutrition guidance in accordance with the Dietary Guidelines for Americans using interactive self-monitoring and feedback, is feasible and acceptable. This will lay the foundation for a larger evaluation to determine efficacy for improving diet quality in those most at risk for obesity. TRIAL REGISTRATION: ClinicalTrials.gov NCT04098016; https://clinicaltrials.gov/ct2/show/NCT04098016. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/32441.}, Doi = {10.2196/32441}, Key = {fds361383} } @article{fds357949, Author = {Koontz, BF and Levine, E and McSherry, F and Niedzwiecki, D and Sutton, L and Dale, T and Streicher, M and Rushing, C and Owen, L and Kraus, WE and Bennett, G and Pollak, KI}, Title = {Increasing physical activity in Cancer Survivors through a Text-messaging Exercise motivation Program (ICanSTEP).}, Journal = {Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer}, Volume = {29}, Number = {12}, Pages = {7339-7349}, Year = {2021}, Month = {December}, url = {http://dx.doi.org/10.1007/s00520-021-06281-y}, Abstract = {<h4>Purpose</h4>Cancer survivors are often sedentary. Self-monitoring may promote physical activity through self-activation. We conducted a pilot trial to evaluate whether wearable activity tracker with personalized text message feedback would increase physical activity.<h4>Methods</h4>We enrolled 30 patients with solid tumor cancers into a non-randomized prospective intervention trial (NCT02627079): 15 had completed treatment in the past year and 15 under active treatment. Each participant received an activity tracker and daily text messages personalized to their activity level. We assessed patient-reported outcomes and 6-min walk (6 MW) at baseline and 3 months.<h4>Results</h4>Twenty-six participants completed the study. There was substantial variation in baseline activity. Overall, 39% of participants increased their steps taken by at least 20%, and 23% increased their 6 MW distance by 20% or more. More participants who had completed treatment strongly agreed (73%) that the intervention increased their exercise levels than those receiving active treatment (47%). At 3 months, there was a significant improvement in median Beck Depression Inventory-II and Godin Leisure Index composite scores. At 6 months, 72% still wore their activity tracker at least 4 days per week.<h4>Conclusion</h4>We found that the intervention was well-accepted with a high completion rate at 3 months and continued self-use at 6 months. In this pilot study of combined activity tracker and motivational messaging, we found a signal for increased physical activity over a 3-month period. Future research is needed to study this technique for its impact on activity and other physical and psychological measures of well-being.<h4>Implication for cancer survivors</h4>Activity tracker with personalized motivational messaging may be useful in promoting physical activity in cancer survivors.}, Doi = {10.1007/s00520-021-06281-y}, Key = {fds357949} } @article{fds360575, Author = {Hopkins, CM and Miller, HN and Brooks, TL and Mo-Hunter, L and Steinberg, DM and Bennett, GG}, Title = {Designing Ruby: Protocol for a 2-Arm, Brief, Digital Randomized Controlled Trial for Internalized Weight Bias.}, Journal = {JMIR research protocols}, Volume = {10}, Number = {11}, Pages = {e31307}, Year = {2021}, Month = {November}, url = {http://dx.doi.org/10.2196/31307}, Abstract = {<h4>Background</h4>Weight bias internalization, also known as weight self-stigma, is a serious health concern for individuals with higher body weight. Weight bias internalization is associated with the greater avoidance of health care and health-promoting activities, disordered eating, social isolation, and weight gain. Elevated weight bias internalization has been associated with low self-compassion, yet few investigations have explored self-compassion as a potential mechanism for reducing internalized weight bias.<h4>Objective</h4>Ruby is a 2-arm randomized controlled trial that was designed to test the efficacy of a 4-week digital self-compassion intervention to reduce internalized weight bias compared with a wait-list control.<h4>Methods</h4>Adults with elevated internalized weight bias and a BMI of >30 kg/m<sup>2</sup> (N=80) were recruited. Ruby is a standalone digital trial that will be delivered entirely via a smartphone and will involve web-based data collection and text messages. The intervention content will include psychoeducation and daily mindfulness practices with a focus on self-compassion and body concerns. We will use intent-to-treat analyses to examine changes in weight bias internalization throughout time by treatment arm. The analyses will be conducted by using one-way analysis of covariance models and linear mixed models.<h4>Results</h4>The protocol was designed in May 2020 and approved in December 2020. Data collection is currently underway.<h4>Conclusions</h4>Ruby will be the first digital standalone, self-compassion-based intervention designed to reduce internalized weight bias. Owing to its standalone digital delivery, Ruby may be a highly scalable treatment for internalized weight bias that can be delivered on its own or combined with other treatments. We expect Ruby to be accessible to many, as participants can access the digital intervention at times of the day that are the most convenient in their schedule and are not burdened by in-person time commitments, which can be a barrier for participants with competing demands on their time and resources. If efficacious, Ruby will be poised to expand a burgeoning body of literature related to psychological intervention in this area.<h4>Trial registration</h4>ClinicalTrials.gov NCT04678973; https://clinicaltrials.gov/ct2/show/NCT04678973.<h4>International registered report identifier (irrid)</h4>DERR1-10.2196/31307.}, Doi = {10.2196/31307}, Key = {fds360575} } @article{fds358690, Author = {Miller, HN and Berger, MB and Askew, S and Kay, MC and Hopkins, CM and Iragavarapu, MS and de Leon, M and Freed, M and Barnes, CN and Yang, Q and Tyson, CC and Svetkey, LP and Bennett, GG and Steinberg, DM}, Title = {The Nourish Protocol: A digital health randomized controlled trial to promote the DASH eating pattern among adults with hypertension.}, Journal = {Contemp Clin Trials}, Volume = {109}, Pages = {106539}, Year = {2021}, Month = {October}, url = {http://dx.doi.org/10.1016/j.cct.2021.106539}, Abstract = {INTRODUCTION: Over 100 million adults in the United States have hypertension. The DASH (Dietary Approaches to Stop Hypertension) eating pattern is an evidence-based first-line treatment option for hypertension; however, adherence to the DASH eating pattern at a population level remains low. To address this gap, we will implement Nourish, a randomized controlled efficacy trial that will leverage a commercially-available smartphone application and evidence-based behavior change principles to improve adherence to the DASH eating pattern among adults with hypertension. METHODS: The Nourish trial is a two-arm, 12-month randomized control trial that will enroll adults (N = 300) with hypertension, defined as a systolic blood pressure of 120-159 mmHg; a diastolic blood pressure of 80-99 mmHg; and/or adults on blood pressure-lowering medication. Nourish will test the efficacy of a digital health intervention, as compared to the attention control arm, on DASH eating pattern adherence and blood pressure. Intervention components will include skills training, self-monitoring, personalized feedback, and responsive coaching. The primary outcome of the trial is 6-month changes in adherence to the DASH eating pattern, as measured by 24-h dietary recalls. DISCUSSION: Millions of Americans remain in need of effective behavioral interventions to manage and improve their hypertension and its adverse consequences. The ubiquity of smartphones offers a promising approach to disseminate the DASH eating pattern. By leveraging these widely used smartphone applications, combined with evidence-based behavior change principles and the DASH eating plan, Nourish will demonstrate the effectiveness of a digital health intervention to improve DASH adherence, and ultimately, to reduce blood pressure. Trial Number: NCT03875.}, Doi = {10.1016/j.cct.2021.106539}, Key = {fds358690} } @article{fds362849, Author = {Davidson, KW and Bacon, SL and Bennett, GG and Brondolo, E and Czajkowski, SM and Diefenbach, MA and Epel, ES and Matthews, K and Revenson, TA and Ruiz, JM and Segerstrom, SC and Behavioral Medicine Research Council}, Title = {Accomplishing breakthroughs in behavioural medicine research.}, Journal = {Nature human behaviour}, Volume = {5}, Number = {7}, Pages = {813-815}, Year = {2021}, Month = {July}, url = {http://dx.doi.org/10.1038/s41562-021-01134-4}, Doi = {10.1038/s41562-021-01134-4}, Key = {fds362849} } @article{fds366300, Author = {Patel, ML and Wakayama, LN and Bennett, GG}, Title = {Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {29}, Number = {3}, Pages = {478-499}, Year = {2021}, Month = {March}, url = {http://dx.doi.org/10.1002/oby.23088}, Abstract = {<h4>Objective</h4>Self-monitoring is a core component of behavioral obesity treatment, but it is unknown how digital health has been used for self-monitoring, what engagement rates are achieved in these interventions, and how self-monitoring and weight loss are related.<h4>Methods</h4>This systematic review examined digital self-monitoring in behavioral weight loss interventions among adults with overweight or obesity. Six databases (PubMed, Embase, Scopus, PsycInfo, CINAHL, and ProQuest Dissertations & Theses) were searched for randomized controlled trials with interventions ≥ 12 weeks, weight outcomes ≥ 6 months, and outcomes on self-monitoring engagement and their relationship to weight loss.<h4>Results</h4>Thirty-nine studies from 2009 to 2019 met inclusion criteria. Among the 67 interventions with digital self-monitoring, weight was tracked in 72% of them, diet in 81%, and physical activity in 82%. Websites were the most common self-monitoring modality, followed by mobile applications, wearables, electronic scales, and, finally, text messaging. Few interventions had digital self-monitoring engagement rates ≥ 75% of days. Rates were higher in digital- than in paper-based arms in 21 out of 34 comparisons and lower in just 2. Interventions with counseling had similar rates to standalone interventions. Greater digital self-monitoring was linked to weight loss in 74% of occurrences.<h4>Conclusions</h4>Self-monitoring via digital health is consistently associated with weight loss in behavioral obesity treatment.}, Doi = {10.1002/oby.23088}, Key = {fds366300} } @article{fds366301, Author = {McVay, MA and Yancy, WS and Bennett, GG and Levine, E and Jung, S-H and Jung, S and Anton, S and Voils, CI}, Title = {A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial.}, Journal = {Transl Behav Med}, Volume = {11}, Number = {1}, Pages = {226-235}, Year = {2021}, Month = {February}, url = {http://dx.doi.org/10.1093/tbm/ibz143}, Abstract = {Evidence-based behavioral weight loss treatment is under-utilized. To increase initiation of treatment, we developed a single-session, online, primary care-based intervention ("mobilization tool"). We evaluated the mobilization tool's acceptability for primary care patients with obesity, trial design feasibility, and signal of an effect of the tool on treatment initiation. In this cluster randomized feasibility trial, primary care providers (PCPs) were randomized to a mobilization tool or comparator tool arm. Patients with obesity and a scheduled appointment with a randomized PCP were assigned to complete the mobilization or comparator tool prior to their appointment. The online mobilization tool asks patients to answer questions about a variety of weight-related topics and then provides automated, tailored feedback that addresses psychosocial determinants of weight loss treatment initiation. The comparator tool provided a nontailored description of treatments. All participants were offered free enrollment in behavioral weight loss treatments. Six PCPs were randomized. Sixty patients (57% female; 66% white; aged 55 ± 13 years) participated in this study of 296 contacted for eligibility evaluation (20.2%). Six-month follow-up assessments were completed by 65% (22/34) of the mobilization and 73% (19/26) of comparator tool participants. Participants completing the acceptability survey reported that the mobilization tool was usable, enjoyable, informative, and useful. Weight loss treatment was initiated by 59% (n = 19) of mobilization and 33% (n = 8) of comparator tool participants. The mobilization tool shows promise for increasing treatment initiation among primary care patients, which may increase population weight loss. Trial Registration: Clinicaltrials.gov identifier: NCT02708121.}, Doi = {10.1093/tbm/ibz143}, Key = {fds366301} } @article{fds366302, Author = {Bennett, GG and Steinberg, D and Bolton, J and Gallis, JA and Treadway, C and Askew, S and Kay, MC and Pollak, KI and Turner, EL}, Title = {Optimizing an Obesity Treatment Using the Multiphase Optimization Strategy Framework: Protocol for a Randomized Factorial Trial.}, Journal = {JMIR Res Protoc}, Volume = {10}, Number = {1}, Pages = {e19506}, Year = {2021}, Month = {January}, url = {http://dx.doi.org/10.2196/19506}, Abstract = {BACKGROUND: Effective weight loss interventions exist, yet few can be scaled up for wide dissemination. Further, none has been fully delivered via text message. We used the multiphase optimization strategy (MOST) to develop multicomponent interventions that consist only of active components, those that have been experimentally determined to impact the chosen outcome. OBJECTIVE: The goal of this study is to optimize a standalone text messaging obesity intervention, Charge, using the MOST framework to experimentally determine which text messaging components produce a meaningful contribution to weight change at 6 months. METHODS: We designed a 6-month, weight loss texting intervention based on our interactive obesity treatment approach (iOTA). Participants are randomized to one of 32 experimental conditions to test which standalone text messaging intervention components produce a meaningful contribution to weight change at 6 months. RESULTS: The project was funded in February 2017; enrollment began in January 2018 and data collection was completed in June 2019. Data analysis is in progress and first results are expected to be submitted for publication in 2021. CONCLUSIONS: Full factorial trials are particularly efficient in terms of cost and logistics when leveraged for standalone digital treatments. Accordingly, MOST has the potential to promote the rapid advancement of digital health treatments. Subject to positive findings, the intervention will be low cost, immediately scalable, and ready for dissemination. This will be of great potential use to the millions of Americans with obesity and the providers who treat them. TRIAL REGISTRATION: ClinicalTrials.gov NCT03254940; https://clinicaltrials.gov/ct2/show/NCT03254940. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/19506.}, Doi = {10.2196/19506}, Key = {fds366302} } @article{fds357950, Author = {Torain, MJ and Bennett, GG and Matsouaka, RA and Olsen, MK and Yang, H and Bolton, JH and Johnson, KS and Svetkey, LP}, Title = {The Patient's Point of View: Characterizing Patient-Level Factors Associated with Perceptions of Health Care.}, Journal = {Health Equity}, Volume = {5}, Number = {1}, Pages = {457-465}, Year = {2021}, url = {http://dx.doi.org/10.1089/heq.2021.0062}, Abstract = {Purpose: We explored the association between perception of care, as measured by the Interpersonal Processes of Care (IPC) survey, and patient-level factors, including (1) Trust in physicians; (2) Perceived empathy; (3) Stereotype threat; (4) Perceived everyday discrimination; and (5) Self-Reported Health. Methods: Fifty participants from diverse racial backgrounds and education levels were surveyed. We examined the associations between the five patient-level factors and each subdomain of the IPC using multiple linear regression. We added a race interaction term to assess whether associations between IPC subdomains and predictors differed by race. We tested for correlation among factors found to be significantly associated with the IPC. Results: In adjusted analyses, trust in the physician, perceived empathy from the provider, and perceived everyday discrimination were significantly associated with most subdomains of the IPC. There was no significant race interaction. Conclusion: This exploratory study suggests that empathy, trust, and perceived everyday discrimination are significantly linked to patient perception of quality care, which are linked to clinical outcomes. Results present modifiable factors that may potentially improve patient care. Practice Implications: Increased efforts to improve clinician communication of empathy and general communication skill may have a positive effect on quality of care.}, Doi = {10.1089/heq.2021.0062}, Key = {fds357950} } @article{fds354171, Author = {Steinberg, DM and Kay, MC and Svetkey, LP and Askew, S and Christy, J and Burroughs, J and Ahmed, H and Bennett, GG}, Title = {Feasibility of a Digital Health Intervention to Improve Diet Quality Among Women With High Blood Pressure: Randomized Controlled Feasibility Trial.}, Journal = {JMIR Mhealth Uhealth}, Volume = {8}, Number = {12}, Pages = {e17536}, Year = {2020}, Month = {December}, url = {http://dx.doi.org/10.2196/17536}, Abstract = {BACKGROUND: Over 100 million individuals have high blood pressure, and more than half of them are women. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is a proven lifestyle approach to lower blood pressure, yet population-level adherence is poor. Innovative strategies that promote DASH are needed. OBJECTIVE: This paper aims to improve adherence to the DASH diet among women with hypertension or prehypertension. METHODS: We conducted a 3-month randomized controlled feasibility trial comparing app-based diet tracking (active comparator) to app-based diet tracking plus feedback on DASH adherence via text message (intervention). The intervention platform extracted nutrient data from the app, compared it to DASH recommendations, and sent tailored feedback text messages. Outcomes included the number of days participants tracked their diet, changes in their DASH adherence score, and blood pressure. RESULTS: The women (N=59) had a mean age of 49.9 (SD 11.9) years and were primarily non-Hispanic White (41/59, 69%) and college educated (49/59, 83%). The mean baseline DASH score was 2.3 (SD 1.3). At 3 months, the intervention and active comparator participants had similar mean days tracked per week (4.2, SD 2.1 days vs 4.6, SD 2.7 days; P=.54) and mean changes in their DASH score (0.8, 95% CI 0.2-1.5 vs 0.8, 95% CI 0.4-1.2; P=.75). Intervention participants had lower systolic (mean difference: -2.8 mmHg, 95% CI -1.8 to 7.4; P=.23) and diastolic (mean difference: -3.6 mmHg, 95% CI -0.2 to 7.3; P=.07) blood pressure compared with active comparator participants. Most intervention participants (23/29, 79%) said they would recommend the DASH Cloud intervention to a friend or family member. However, only 34% (10/59) indicated that the feedback text messages helped them reach their diet goals. CONCLUSIONS: A digital health intervention to improve DASH adherence is feasible and produces moderately high engagement among women with elevated blood pressure. The intervention did not enhance DASH adherence over diet tracking alone but resulted in greater reductions in blood pressure. Larger studies are needed to determine how digital health interventions can improve population-level adherence to DASH. TRIAL REGISTRATION: ClinicalTrials.gov NCT03215472; https://clinicaltrials.gov/ct2/show/study/NCT03215472.}, Doi = {10.2196/17536}, Key = {fds354171} } @article{fds366303, Author = {Gallis, JA and Kusibab, K and Egger, JR and Olsen, MK and Askew, S and Steinberg, DM and Bennett, G}, Title = {Can Electronic Health Records Validly Estimate the Effects of Health System Interventions Aimed at Controlling Body Weight?}, Journal = {Obesity (Silver Spring)}, Volume = {28}, Number = {11}, Pages = {2107-2115}, Year = {2020}, Month = {November}, url = {http://dx.doi.org/10.1002/oby.22958}, Abstract = {OBJECTIVE: This study aimed to compare weight collected at clinics and recorded in the electronic health record (EHR) with primary study-collected trial weights to assess the validity of using EHR data in future pragmatic weight loss or weight gain prevention trials. METHODS: For both the Track and Shape obesity intervention randomized trials, clinic EHR weight data were compared with primary trial weight data over the same time period. In analyzing the EHR weights, intervention effects were estimated on the primary outcome of weight (in kilograms) with EHR data, using linear mixed effects models. RESULTS: EHR weight measurements were higher on average and more variable than trial weight measurements. The mean difference and 95% CI were similar at all time points between the estimates using EHR and study-collected weights. CONCLUSIONS: The results of this study can be used to help guide the planning of future pragmatic weight-related trials. This study provides evidence that body weight measurements abstracted from the EHR can provide valid, efficient, and cost-effective data to estimate treatment effects from randomized clinical weight loss and weight management trials. However, care should be taken to properly understand the data-generating process and any mechanisms that may affect the validity of these estimates.}, Doi = {10.1002/oby.22958}, Key = {fds366303} } @article{fds352797, Author = {Nwosu, C and Spears, CA and Pate, C and Gold, DT and Bennett, G and Haglund, M and Fuller, A}, Title = {Influence of Caretakers' Health Literacy on Delays to Traumatic Brain Injury Care in Uganda.}, Journal = {Ann Glob Health}, Volume = {86}, Number = {1}, Pages = {127}, Year = {2020}, Month = {October}, url = {http://dx.doi.org/10.5334/aogh.2978}, Abstract = {BACKGROUND: Traumatic brain injury (TBI) is a life-altering condition, and delays to care can significantly impact outcomes. In Uganda, where nurse shortages are prevalent, patients' family members are the primary caretakers of these patients and play an important role in ensuring patients' access to timely care. However, caretakers often have little or no knowledge of appropriate patient care. Caretakers' ability to navigate the healthcare system and find and use health information to support their patients can impact delays in seeking, reaching, and receiving care. OBJECTIVES: This study seeks to determine the factors that impact TBI patient caretakers' health literacy and examine how these factors influence delays in care. METHODS: This study was carried out in the Mulago National Referral Hospital neurosurgical ward, where 27 adult caretakers were interviewed using semi-structured, in-depth, qualitative interviews. "The Three Delay Framework" was utilized to understand participants' experiences in seeking, reaching, and receiving care for TBI patients. Thematic content analysis and manual coding was used to analyze interview transcripts and identify overarching themes in participant responses. FINDINGS: The main health literacy themes identified were Extrinsic, Intrinsic and Health System Factors. Nine sub-themes were identified: Government Support, Community Support, Financial Burdens, Lack of Medical Resources, Access to Health Information, Physician Support, Emotional Challenges, Navigational Skills, and Understanding of Health Information. These components were found to influence the delays to care to varying degrees. Financial Burdens, Government Support, Emotional Challenges, Physician Support and Lack of Medical Resources were recurring factors across the three delays. CONCLUSION: The health literacy factors identified in this study influence caretakers' functional health literacy and delays to care in a co-dependent manner. A better understanding of how these factors impact patient outcomes is necessary for the development of interventions targeted at improving a caretaker's ability to maneuver the healthcare system and support patients in resource-poor settings.}, Doi = {10.5334/aogh.2978}, Key = {fds352797} } @article{fds345684, Author = {Patel, ML and Brooks, TL and Bennett, GG}, Title = {Consistent self-monitoring in a commercial app-based intervention for weight loss: results from a randomized trial.}, Journal = {Journal of behavioral medicine}, Volume = {43}, Number = {3}, Pages = {391-401}, Year = {2020}, Month = {June}, url = {http://dx.doi.org/10.1007/s10865-019-00091-8}, Abstract = {Self-monitoring is the strongest predictor of success in lifestyle interventions for obesity. In this secondary analysis of the GoalTracker trial, we describe outcomes of consistently self-monitoring in a standalone weight loss intervention. The 12-week intervention focused on daily self-monitoring of diet and/or body weight in a commercial app (MyFitnessPal). Participants (N = 100; 21-65 years; BMI 25-45 kg/m<sup>2</sup>) were categorized as Consistent Trackers if they tracked ≥ 6 out of 7 days for at least 75% of the targeted weeks. One-fourth of participants were Consistent Trackers. This subset was more likely to be married or living with a partner, be non-Hispanic White, and have higher health literacy than Inconsistent Trackers (ps < .05). Consistent tracking was associated with greater weight change than inconsistent tracking at 1 month (mean difference [95% CI] - 1.11 kg [- 2.12, - 0.10]), 3 months (- 2.42 kg [- 3.80, - 1.04]), and 6 months (- 2.13 kg [- 3.99, - 0.27]). Over 3 times as many Consistent Trackers as Inconsistent Trackers achieved ≥ 5% weight loss at 3 months (48 vs. 13%) and at 6 months (54 vs. 15%; ps < .001). Though causality cannot be determined by the present study, tracking weight and/or diet nearly every day per week for 12 weeks in a commercial app may serve as an effective strategy for weight loss. Strategies are needed to promote greater consistency in tracking.}, Doi = {10.1007/s10865-019-00091-8}, Key = {fds345684} } @article{fds348792, Author = {Benjamin-Neelon, SE and Iversen, E and Clancy, SM and Hoyo, C and Bennett, GG and Kravitz, RM and Østbye, T}, Title = {Early Child Care and Weight Status in a Cohort of Predominantly Black Infants in the Southeastern United States.}, Journal = {Child Obes}, Volume = {16}, Number = {2}, Pages = {122-128}, Year = {2020}, Month = {March}, url = {http://dx.doi.org/10.1089/chi.2019.0127}, Abstract = {Background: Previous studies show inconsistent relations between child care and obesity, but few assessed longitudinal associations during infancy and even fewer included racially diverse children. We examined associations of time infants spent in child care, both overall and in different types of care, with weight status at 6 and 12 months. Methods: We examined 664 infants living in central North Carolina. We conducted adjusted multivariable linear regressions examining (1) child care from birth to 6 months and 6-month weight-for-length (WFL) z-score, and (2) child care from birth to 12 months and 12-month WFL z-score. We assessed any child care and child care by type, including relative care, informal care by a nonrelative, formal child care, and a combination of care (e.g., relative and informal care). Results: Nearly 70% of infants were black and 49% were female. After adjustment for potential confounders, any child care was not associated with WFL z-score at 6 months (0.07; 95% confidence intervals [CI] -0.02 to 0.16; p = 0.13) or 12 months (0.05; 95% CI -0.02 to 0.12; p = 0.19). However, greater combination care was associated with higher WFL z-score at 6 months (0.68; 95% CI 0.23-1.13; p = 0.003) and greater care by a relative was associated with higher WFL z-score at 12 months (0.16; 95% CI 0.05-0.26; p = 0.005). Conclusions: Although we did not observe associations with any child care, combination care and relative care during infancy were associated with higher weight. Interventions aimed at preventing excessive weight gain in early life may target relatives who provide regular care for infants.}, Doi = {10.1089/chi.2019.0127}, Key = {fds348792} } @article{fds349665, Author = {Smith, KW and Krieger, N and Kosheleva, A and Urato, M and Waterman, PD and Williams, DR and Carney, DR and Chen, JT and Bennett, GG and Freeman, E}, Title = {A Structural Model of Social Determinants of the Metabolic Syndrome.}, Journal = {Ethnicity & disease}, Volume = {30}, Number = {2}, Pages = {331-338}, Year = {2020}, Month = {January}, url = {http://dx.doi.org/10.18865/ed.30.2.331}, Abstract = {<h4>Objectives</h4>The metabolic syndrome (MetS) refers to a cluster of interrelated physiological characteristics that are associated with an increased risk of cardiovascular disease and diabetes. While the clinical usefulness of the MetS has been the subject of controversy for years, increasingly sophisticated methods are being used to measure the concept.<h4>Participants</h4>Study of community health center patients who were not diabetic; study group was evenly divided between Black and White adults.<h4>Main outcome measures</h4>Latent MetS score and MetS status based on the five-point scale developed by the National Cholesterol Education Panel (NCEP).<h4>Methods</h4>Structural equation modeling of MetS incorporating the effects of race/ethnicity, racial discrimination, socioeconomic position (SEP), and selected mediating variables.<h4>Results</h4>The largest influences on latent MetS scores were SEP (negative relationship) and male gender (higher scores for men). Two mediating variables, physical activity and stress-related eating, had smaller impacts. Self-reported racial discrimination was associated with cynical hostility but did not influence the MetS level among nondiabetics. Despite higher NCEP scores and MetS prevalence rates for Blacks compared with Whites, race did not have direct effect on MetS levels when adjusted for the other characteristics in our model.<h4>Conclusions</h4>Neither race nor self-reported racial discrimination had direct effects on MetS level in our structural model. The large effects of socioeconomic position and male gender were not mediated by the other variables in the model.}, Doi = {10.18865/ed.30.2.331}, Key = {fds349665} } @article{fds347033, Author = {Herring, SJ and Albert, JJ and Darden, N and Bailer, B and Cruice, J and Hassan, S and Bennett, GG and Goetzl, L and Yu, D and Kilby, LM and Foster, GD}, Title = {Targeting pregnancy-related weight gain to reduce disparities in obesity: Baseline results from the Healthy Babies trial.}, Journal = {Contemporary clinical trials}, Volume = {87}, Pages = {105822}, Year = {2019}, Month = {December}, url = {http://dx.doi.org/10.1016/j.cct.2019.105822}, Abstract = {<h4>Background</h4>Obesity affects African American women more than any other group in the US. Pregnancy represents a critical life stage of heightened vulnerability for new or persistent obesity, yet few interventions have been effective in reducing excessive gestational weight gain among African American women. We describe the design and baseline findings of Healthy Babies, a two-arm randomized controlled trial testing a mobile health intervention to minimize excessive gestational weight gain versus usual care in this high risk group.<h4>Methods</h4>African American women in early pregnancy were recruited from two large obstetric practices as well as Philadelphia Women, Infants, and Children's clinics. Participants randomized to the intervention received behavior change goals, daily text messages with feedback, web-based weight gain graphs, health coaching, and a Facebook support group. Data collection included baseline (<22 weeks' gestation), 36-38 weeks' gestation, and 6-month postpartum anthropometric measures and assessments of demographics, contextual factors and behavioral targets. The primary outcome was prevalence of excessive gestational weight gain.<h4>Results</h4>Among participants at baseline (n = 262), the majority met criteria for obesity (63%), were multiparous (62%), single (77%), and were on average 25.6 ± 5.4 years old with a gestational age of 13.9 ± 4.1 weeks. While 82% completed high school, 61% met criteria for inadequate health literacy. Nearly 20% were food insecure. Eighty-eight percent reported a gestational weight gain goal discordant with Institute of Medicine guidelines. There were no significant differences in baseline characteristics between study arms.<h4>Conclusions</h4>Participants represent a high-risk group for excessive gestational weight gain with demonstrated need for intervention.}, Doi = {10.1016/j.cct.2019.105822}, Key = {fds347033} } @article{fds346710, Author = {McVay, MA and Bennett, GG and Steinberg, D and Voils, CI}, Title = {Dose-response research in digital health interventions: Concepts, considerations, and challenges.}, Journal = {Health psychology : official journal of the Division of Health Psychology, American Psychological Association}, Volume = {38}, Number = {12}, Pages = {1168-1174}, Year = {2019}, Month = {December}, url = {http://dx.doi.org/10.1037/hea0000805}, Abstract = {To optimize digital health interventions, intervention creators must determine what intervention dose will produce the most substantial health behavior change-the dose-response relationship-while minimizing harms or burden. In this article we present important concepts, considerations, and challenges in studying dose-response relationships in digital health interventions. We propose that interventions make three types of prescriptions: (1) <i>intervention action prescriptions</i>, prescriptions to receive content from the intervention, such as to read text or listen to audio; (2) <i>participant action prescriptions</i>, prescriptions to produce and provide content to the intervention, such as to send text messages or post intervention-requested photos on social media; and (3) <i>behavioral target action prescriptions</i>, prescriptions to engage in behaviors outside the intervention, such as changing food intake or meditating. Each type of prescription has both an intended dose (i.e., what the intervention actually prescribes) and an enacted dose (i.e., what portion of the intended dose is actually completed by the participant). Dose parameters of duration, frequency, and amount can be applied to each prescription type. We consider adaptive interventions and interventions with ad libitum prescriptions as examples of tailored doses. Researchers can experimentally manipulate the intended dose to determine the dose-response relationship. The enacted dose cannot be directly manipulated; however, we consider the applicability of "controlled concentration" research design to the study of enacted dose. We consider challenges in dose-response research in digital health interventions, including characterizing amount with self-paced activities and combining doses across modality. The presented concepts and considerations may help contribute to the optimization of digital health interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved).}, Doi = {10.1037/hea0000805}, Key = {fds346710} } @article{fds347348, Author = {Gallis, JA and Bennett, GG and Steinberg, DM and Askew, S and Turner, EL}, Title = {Randomization procedures for multicomponent behavioral intervention factorial trials in the multiphase optimization strategy framework: challenges and recommendations.}, Journal = {Transl Behav Med}, Volume = {9}, Number = {6}, Pages = {1047-1056}, Year = {2019}, Month = {November}, url = {http://dx.doi.org/10.1093/tbm/iby131}, Abstract = {The multiphase optimization strategy (MOST) is an increasingly popular framework to prepare, optimize, and evaluate multicomponent behavioral health interventions. Within this framework, it is common to use a factorial trial to assemble an optimized multicomponent intervention by simultaneously testing several intervention components. With the possibility of a large number of conditions (unique combinations of components) and a goal to balance conditions on both sample size (for statistical efficiency) and baseline covariates (for internal validity), such trials face additional randomization challenges compared to the standard two-arm trial. The purpose of the current paper is to compare and contrast potential randomization methods for factorial trials in the context of MOST and to provide guidance for the reporting of those methods. We describe the principles, advantages, and disadvantages of several randomization methods in the context of factorial trials. We then provide examples to examine current practice in the MOST-related literature and provide recommendations for reporting of randomization. We identify two key randomization decisions for MOST-related factorial trials: (i) whether to randomize to components or conditions and (ii) whether to use restricted randomization techniques, such as stratification, permuted blocks, and minimization. We also provide a checklist to assist researchers in ensuring complete reporting of randomization methods used. As more investigators use factorial trials within the MOST framework for assembling optimized multicomponent behavioral interventions, appropriate implementation and rigorous reporting of randomization procedures will be essential for ensuring the efficiency and validity of the results.}, Doi = {10.1093/tbm/iby131}, Key = {fds347348} } @article{fds342401, Author = {McVay, M and Steinberg, D and Askew, S and Bennett, GG}, Title = {Provider Counseling and Weight Loss Outcomes in a Primary Care-Based Digital Obesity Treatment.}, Journal = {Journal of general internal medicine}, Volume = {34}, Number = {6}, Pages = {992-998}, Year = {2019}, Month = {June}, url = {http://dx.doi.org/10.1007/s11606-019-04944-5}, Abstract = {<h4>Background</h4>Primary care-based digital health weight loss interventions offer promise for addressing obesity in underserved populations.<h4>Objectives</h4>To determine if primary care providers' weight counseling is associated with weight change during a weight loss intervention.<h4>Design</h4>This is a secondary analysis of a randomized clinical trial testing a 12-month primary care-based digital health weight loss intervention.<h4>Participants</h4>Participants were community health center patients with body mass indexes of 30-44.9 kg/m<sup>2</sup>.<h4>Interventions</h4>The weight loss intervention included tailored behavioral goal setting; weekly goal monitoring via text messaging or interactive voice response calls; counseling calls; skills training material; and participant-tailored recommendations for provider counseling.<h4>Main measures</h4>At 6 and 12 months, participants' weight was measured and they reported if their provider delivered weight counseling (general or intervention-specific) at their most recent visit and their perception of providers' empathy. Providers' documentation of weight counseling was extracted from health records.<h4>Key results</h4>Participants (n = 134-141) were predominantly female (70%) and African American (55%) with a mean age of 51 years and BMI of 36 kg/m<sup>2</sup>. Participant-reported provider weight counseling was not associated with weight change. However, participants whose providers documented intervention-specific counseling at any point during the intervention (n = 35) lost 3.1 kg (95% CI 0.4 to 5.7 kg) more than those whose providers documented only general weight counseling (n = 82) and 4.0 kg (95% CI 0.1 to 7.9 kg) more than those whose providers did not document weight counseling (n = 17). Perceptions of provider empathy were associated with greater weight loss from 6 to 12 months (0.8 kg per measure unit, 95% CI 0.07 to 1.5 kg, p = .03).<h4>Conclusions</h4>Provider counseling that focuses specifically on engagement in a weight loss intervention may enhance weight loss outcomes relative to more general weight loss advice. Counseling that enhances patients' perceptions of empathy may be most beneficial for patients' weight loss.<h4>Trial registration</h4>NCT01827800.}, Doi = {10.1007/s11606-019-04944-5}, Key = {fds342401} } @article{fds348793, Author = {Patel, ML and Hopkins, CM and Bennett, GG}, Title = {Early weight loss in a standalone mHealth intervention predicting treatment success.}, Journal = {Obesity science & practice}, Volume = {5}, Number = {3}, Pages = {231-237}, Year = {2019}, Month = {June}, url = {http://dx.doi.org/10.1002/osp4.329}, Abstract = {<h4>Objective</h4>Early weight loss is a strong predictor of longer-term and clinically meaningful weight loss but has not been studied in the context of mobile health ('mHealth') interventions.<h4>Methods</h4>GoalTracker was a randomized trial among adults (21-65 years) with overweight or obesity comparing three 12-week standalone mHealth interventions for weight loss. All arms received a free commercial mobile app (MyFitnessPal) for daily self-monitoring of diet and/or weight and a goal to lose 5% of weight by 3 months. Collapsing across arms, this analysis examined participants with a 1-month weight (<i>n</i> = 84), categorizing them as either early responders (≥2% weight loss at 1 month) or early non-responders (<2% weight loss at 1 month).<h4>Results</h4>Early responders - 36% of participants - had greater per cent weight change at 3 months (-5.93% [95% confidence interval: -6.82%, -5.03%]) than early non-responders (-1.45% [-2.15%, -0.75%]), which was sustained at 6 months (-5.91% [-7.33%, -4.48%] vs. -1.28% [-2.37%, -0.19%]; <i>p</i>s < 0.0001). Over half (57%) of early responders achieved ≥5% weight loss at 3 months vs. 11% of early non-responders. At 4 weeks, self-monitoring frequency (weight/diet) was significantly greater among early responders, which continued across 12 weeks.<h4>Conclusion</h4>Responding early to an mHealth treatment is associated with higher engagement and greater likelihood of achieving clinically meaningful weight loss.}, Doi = {10.1002/osp4.329}, Key = {fds348793} } @article{fds343600, Author = {Krishnan, A and Finkelstein, EA and Levine, E and Foley, P and Askew, S and Steinberg, D and Bennett, GG}, Title = {A Digital Behavioral Weight Gain Prevention Intervention in Primary Care Practice: Cost and Cost-Effectiveness Analysis.}, Journal = {J Med Internet Res}, Volume = {21}, Number = {5}, Pages = {e12201}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.2196/12201}, Abstract = {BACKGROUND: Obesity is one of the largest drivers of health care spending but nearly half of the population with obesity demonstrate suboptimal readiness for weight loss treatment. Black women are disproportionately likely to have both obesity and limited weight loss readiness. However, they have been shown to be receptive to strategies that prevent weight gain. OBJECTIVE: The aim of this study was to evaluate the costs and cost-effectiveness of a digital weight gain prevention intervention (Shape) for black women. Shape consisted of adaptive telephone-based coaching by health system personnel, a tailored skills training curriculum, and patient self-monitoring delivered via a fully automated interactive voice response system. METHODS: A cost and cost-effectiveness analysis based on a randomized clinical trial of the Shape intervention was conducted from the payer perspective. Costs included those of delivering the program to 91 intervention participants in the trial and were summarized by program elements: self-monitoring, skills training, coaching, and administration. Effectiveness was measured in quality-adjusted life years (QALYs). The primary outcome was the incremental cost per QALY of Shape relative to usual care. RESULTS: Shape cost an average of US $758 per participant. The base-case model in which quality of life benefits decay linearly to zero 5 years post intervention cessation, generated an incremental cost-effectiveness ratio (ICER) of US $55,264 per QALY. Probabilistic sensitivity analyses suggest an ICER below US $50,000 per QALY and US $100,000 per QALY in 39% and 98% of simulations, respectively. Results are highly sensitive to durability of benefits, rising to US $165,730 if benefits end 6 months post intervention. CONCLUSIONS: Results suggest that the Shape intervention is cost-effective based on established benchmarks, indicating that it can be a part of a successful strategy to address the nation's growing obesity epidemic in low-income at-risk communities.}, Doi = {10.2196/12201}, Key = {fds343600} } @article{fds343357, Author = {Berger, MB and Steinberg, DM and Askew, S and Gallis, JA and Treadway, CC and Egger, JR and Kay, MC and Batch, BC and Finkelstein, EA and DeVries, A and Brewer, A and Bennett, GG}, Title = {The Balance protocol: a pragmatic weight gain prevention randomized controlled trial for medically vulnerable patients within primary care.}, Journal = {BMC Public Health}, Volume = {19}, Number = {1}, Pages = {596}, Year = {2019}, Month = {May}, url = {http://dx.doi.org/10.1186/s12889-019-6926-7}, Abstract = {BACKGROUND: For patients with obesity who are not ready for or experience barriers to weight loss, clinical practice guidelines recommend provider counseling on preventing further weight gain as a first-line treatment approach. Unfortunately, evidence-based weight gain prevention interventions are not routinely available within primary care. To address this gap, we will implement a pragmatic 12-month randomized controlled trial of a digital weight gain prevention intervention delivered to patients receiving primary care within a network of Federally Qualified Community Health Centers in central North Carolina. METHODS: Balance (Equilibrio in Spanish) is a pragmatic effectiveness trial that will randomize adult patients who have overweight or obesity (BMI of 25-40 kg/m2) to either: 1) a weight gain prevention intervention with tailored behavior change goals and tracking, daily weighing on a network-connected electronic scale, and responsive weight and goal coaching delivered remotely by health center registered dietitians; or 2) a usual care program with automated healthy living text messages and print materials and routine primary care. The primary outcome will be weight gain prevention at 24-months, defined as ≤3% change in baseline weight. To align with its pragmatic design, trial outcome data will be pulled from the electronic health record of the community health center network. DISCUSSION: For underserved, often rurally-located patients with obesity, digital approaches to promote a healthy lifestyle can curb further weight gain. Yet enrolling medically vulnerable patients into a weight gain prevention trial, many of whom are from racial/ethnic minorities, can be difficult. Despite these potential challenges, we plan to recruit a large, diverse sample from rural areas, and will implement a remotely-delivered weight gain prevention intervention to medically vulnerable patients. Upcoming trial results will demonstrate the effectiveness of this pragmatic approach to implement and evaluate a digital weight gain prevention intervention within primary care. TRIALS REGISTRATION: NCT03003403 . Registered December 28, 2016.}, Doi = {10.1186/s12889-019-6926-7}, Key = {fds343357} } @article{fds344593, Author = {Barry, CM and Sabhlok, A and Saba, VC and Majors, AD and Schechter, JC and Levine, EL and Streicher, M and Bennett, GG and Kollins, SH and Fuemmeler, BF}, Title = {An Automated Text-Messaging Platform for Enhanced Retention and Data Collection in a Longitudinal Birth Cohort: Cohort Management Platform Analysis.}, Journal = {JMIR Public Health Surveill}, Volume = {5}, Number = {2}, Pages = {e11666}, Year = {2019}, Month = {April}, url = {http://dx.doi.org/10.2196/11666}, Abstract = {BACKGROUND: Traditional methods for recruiting and maintaining contact with participants in cohort studies include print-based correspondence, which can be unidirectional, labor intensive, and slow. Leveraging technology can substantially enhance communication, maintain engagement of study participants in cohort studies, and facilitate data collection on a range of outcomes. OBJECTIVE: This paper provides an overview of the development process and design of a cohort management platform (CMP) used in the Newborn Epigenetic STudy (NEST), a large longitudinal birth cohort study. METHODS: The platform uses short message service (SMS) text messaging to facilitate interactive communication with participants; it also semiautomatically performs many recruitment and retention procedures typically completed by research assistants over the course of multiple study follow-up visits. RESULTS: Since February 2016, 302 participants have consented to enrollment in the platform and 162 have enrolled with active engagement in the system. Daily reminders are being used to help improve adherence to the study's accelerometer wear protocol. At the time of this report, 213 participants in our follow-up study who were also registered to use the CMP were eligible for the accelerometer protocol. Preliminary data show that texters (138/213, 64.8%), when compared to nontexters (75/213, 35.2%), had significantly longer average accelerometer-wearing hours (165.6 hours, SD 56.5, vs 145.3 hours, SD 58.5, P=.01) when instructed to wear the devices for 1 full week. CONCLUSIONS: This platform can serve as a model for enhancing communication and engagement with longitudinal study cohorts, especially those involved in studies assessing environmental exposures.}, Doi = {10.2196/11666}, Key = {fds344593} } @article{fds342400, Author = {Steinberg, D and Kay, M and Burroughs, J and Svetkey, LP and Bennett, GG}, Title = {The Effect of a Digital Behavioral Weight Loss Intervention on Adherence to the Dietary Approaches to Stop Hypertension (DASH) Dietary Pattern in Medically Vulnerable Primary Care Patients: Results from a Randomized Controlled Trial.}, Journal = {J Acad Nutr Diet}, Volume = {119}, Number = {4}, Pages = {574-584}, Year = {2019}, Month = {April}, url = {http://dx.doi.org/10.1016/j.jand.2018.12.011}, Abstract = {BACKGROUND: Obesity treatment focuses primarily on reducing overall caloric intake with limited focus on improving diet quality. The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is effective in managing hypertension and other chronic conditions, yet it is not clear whether behavioral weight control interventions improve DASH adherence. We conducted a post hoc analysis of a behavioral weight loss intervention that did not emphasize diet quality and examined whether the intervention impacted DASH adherence in medically vulnerable community health center patients. METHODS: Participants (n=306) were enrolled in Track, a randomized controlled weight loss intervention for patients with elevated cardiovascular risk. The trial compared usual care to an intervention with weekly self-monitoring, tailored feedback on diet and exercise goals, and dietitian and provider counseling in community health centers. Dietary intake was measured using the Block Food Frequency Questionnaires collected at baseline and 12 months. DASH adherence was determined using previously validated scoring indices that assessed adherence based on recommended nutrient or food group targets. Total scores for both indices ranged from 0 to 9, with higher scores indicating greater DASH adherence. RESULTS: The mean (and standard deviation [SD]) age of participants was 51.1 (SD=8.8) years and the mean body mass index was 35.9 (SD=3.9). Most were female (69%) and black (51%); 13% were Hispanic. Half (51%) had an annual income <$25,000 and 33% had both diabetes and hypertension. At baseline, the mean DASH nutrient score was 1.81 (SD=1.42) with 6% achieving at least a score of 4.5. Similar scores were seen for the DASH foods index. The intervention group saw significantly greater, albeit small, improvements in mean DASH nutrient score (intervention: 1.28 [SD=1.5] vs control: 0.20 [SD=1.3]; P<0.001), and there was no difference in DASH food score between study arms. There were no significant predictors of change in DASH score and no association between DASH adherence and changes in blood pressure. Within the intervention arm, improvements in DASH nutrient score were associated with greater weight loss (r=-0.28; P=0.003). CONCLUSION: Although the intervention was not designed to increase adoption of DASH, the Track intervention produced significant weight loss and small improvements in DASH adherence. Despite these small improvements, overall adoption of DASH was poor among the medically vulnerable patients enrolled in Track. To further reduce chronic disease burden, weight loss interventions should include a focus on both caloric restriction and increasing diet quality.}, Doi = {10.1016/j.jand.2018.12.011}, Key = {fds342400} } @article{fds342556, Author = {Shaw, R and Levine, E and Streicher, M and Strawbridge, E and Gierisch, J and Pendergast, J and Hale, S and Reed, S and McVay, M and Simmons, D and Yancy, W and Bennett, G and Voils, C}, Title = {Log2Lose: Development and Lessons Learned From a Mobile Technology Weight Loss Intervention.}, Journal = {JMIR Mhealth Uhealth}, Volume = {7}, Number = {2}, Pages = {e11972}, Year = {2019}, Month = {February}, url = {http://dx.doi.org/10.2196/11972}, Abstract = {BACKGROUND: Providing financial incentives has gained popularity as a strategy to promote weight loss, but questions remain about how best to utilize them. A promising mobile health strategy provides users with near-real-time financial incentives based on both the process of weight loss (behavioral modification) and actual weight loss. To maximize the impact of this strategy, a methodology is needed to close the gap between the desired behavior and the financial incentive. Leveraging mobile health tools-such as mobile phone apps, cellular body weight scales that transmit data to physicians and researchers, and text messaging for instructions and encouragement-has the potential to close this gap. OBJECTIVE: This study aimed to describe the development of an innovative technology-based solution and lessons learned from a feasibility trial-Log2Lose-that encouraged individuals to lose weight by providing near-real-time financial incentives for weight loss and/or dietary self-monitoring. METHODS: We recruited participants (N=96) with a body mass index greater than or equal to 30 kg/m2 for a 24-week weight loss trial. Participants received a behavioral intervention of biweekly, in-person group sessions and were instructed to log a minimum number of daily calories in MyFitnessPal and to step on the BodyTrace cellular scale at least twice per week. In a 2×2 design, participants were randomized into 4 groups to receive financial incentives for the following: (group 1) weekly weight loss and dietary self-monitoring, (group 2) dietary self-monitoring only, (group 3) weekly weight loss only, or (group 4) no financial incentives. Diet and weight data from the devices were obtained through application programming interfaces. Each week, we applied algorithms to participants' data to determine whether they qualified for a monetary incentive (groups 1-3). A text message notified these participants of whether they met weight loss and/or self-monitoring requirements to earn an incentive and the amount they earned or would have earned. The money was uploaded to a debit card. RESULTS: Our custom-engineered software platform analyzed data from multiple sources, collated and processed the data to send appropriate text messages automatically, and informed study staff of the appropriate incentives. We present lessons learned from the development of the software system and challenges encountered with technology, data transmission, and participants (eg, lost connections or delayed communication). CONCLUSIONS: With consistent and constant validation checks and a robust beta test run, the process of analyzing data and determining eligibility for weekly incentives can be mostly automated. We were able to accomplish this project within an academic health system, which required significant security and privacy safeguards. Our success demonstrates how this methodology of automated feedback loops can provide health interventions via mobile technology. TRIAL REGISTRATION: ClinicalTrials.gov NCT02691260; https://clinicaltrials.gov/ct2/show/NCT02691260.}, Doi = {10.2196/11972}, Key = {fds342556} } @article{fds342555, Author = {Patel, ML and Hopkins, CM and Brooks, TL and Bennett, GG}, Title = {Comparing Self-Monitoring Strategies for Weight Loss in a Smartphone App: Randomized Controlled Trial.}, Journal = {JMIR mHealth and uHealth}, Volume = {7}, Number = {2}, Pages = {e12209}, Year = {2019}, Month = {February}, url = {http://dx.doi.org/10.2196/12209}, Abstract = {<h4>Background</h4>Self-monitoring of dietary intake is a valuable component of behavioral weight loss treatment; however, it declines quickly, thereby resulting in suboptimal treatment outcomes.<h4>Objective</h4>This study aimed to examine a novel behavioral weight loss intervention that aims to attenuate the decline in dietary self-monitoring engagement.<h4>Methods</h4>GoalTracker was an automated randomized controlled trial. Participants were adults with overweight or obesity (n=105; aged 21-65 years; body mass index, BMI, 25-45 kg/m<sup>2</sup>) and were randomized to a 12-week stand-alone weight loss intervention using the MyFitnessPal smartphone app for daily self-monitoring of either (1) both weight and diet, with weekly lessons, action plans, and feedback (Simultaneous); (2) weight through week 4, then added diet, with the same behavioral components (Sequential); or (3) only diet (App-Only). All groups received a goal to lose 5% of initial weight by 12 weeks, a tailored calorie goal, and automated in-app reminders. Participants were recruited via online and offline methods. Weight was collected in-person at baseline, 1 month, and 3 months using calibrated scales and via self-report at 6 months. We retrieved objective self-monitoring engagement data from MyFitnessPal using an application programming interface. Engagement was defined as the number of days per week in which tracking occurred, with diet entries counted if ≥800 kcal per day. Other assessment data were collected in-person via online self-report questionnaires.<h4>Results</h4>At baseline, participants (84/100 female) had a mean age (SD) of 42.7 (11.7) years and a BMI of 31.9 (SD 4.5) kg/m<sup>2</sup>. One-third (33/100) were from racial or ethnic minority groups. During the trial, 5 participants became ineligible. Of the remaining 100 participants, 84% (84/100) and 76% (76/100) completed the 1-month and 3-month visits, respectively. In intent-to-treat analyses, there was no difference in weight change at 3 months between the Sequential arm (mean -2.7 kg, 95% CI -3.9 to -1.5) and either the App-Only arm (-2.4 kg, -3.7 to -1.2; P=.78) or the Simultaneous arm (-2.8 kg, -4.0 to -1.5; P=.72). The median number of days of self-monitoring diet per week was 1.9 (interquartile range [IQR] 0.3-5.5) in Sequential (once began), 5.3 (IQR 1.8-6.7) in Simultaneous, and 2.9 (IQR 1.2-5.2) in App-Only. Weight was tracked 4.8 (IQR 1.9-6.3) days per week in Sequential and 5.1 (IQR 1.8-6.3) days per week in Simultaneous. Engagement in neither diet nor weight tracking differed between arms.<h4>Conclusions</h4>Regardless of the order in which diet is tracked, using tailored goals and a commercial mobile app can produce clinically significant weight loss. Stand-alone digital health treatments may be a viable option for those looking for a lower intensity approach.<h4>Trial registration</h4>ClinicalTrials.gov NCT03254953; https://clinicaltrials.gov/ct2/show/NCT03254953 (Archived by WebCite at http://www.webcitation.org/72PyQrFjn).}, Doi = {10.2196/12209}, Key = {fds342555} } @article{fds366304, Author = {Liu, C and Shao, S and Liu, C and Bennett, GG and Prvu Bettger and J and Yan, LL}, Title = {Academia-industry digital health collaborations: A cross-cultural analysis of barriers and facilitators.}, Journal = {Digit Health}, Volume = {5}, Pages = {2055207619878627}, Year = {2019}, url = {http://dx.doi.org/10.1177/2055207619878627}, Abstract = {BACKGROUND: Development and uptake of digital health technologies benefit from cross-sectoral efforts from academia and industry. Our study aims to identify the barriers and facilitators associated with academia-industry collaborations in digital health in middle- and high-income countries. METHODS: Trained personnel conducted semi-structured interviews with 23 stakeholders who were active in industry, academia or both. Stakeholders were based in middle-income countries (including China) and high-income countries (including the United States) as defined by the World Bank. Interviews were conducted in the stakeholder's language of choice (Chinese, n = 12; English, n = 11). Qualitative interview questions elicited perspectives on stakeholders' experience with academia-industry collaboration, challenges faced, and factors that facilitated the process. Interviews were audiotaped, transcribed verbatim, thematically coded by bilingual coders and analyzed using inductive content analysis. RESULTS: Stakeholders in both academia and industry identified complementary roles, authentic communication between partners, and clearly outlined goals or expectations prior to the collaboration as primary facilitators for success. Misaligned goals or expectations, differences in timelines for productivity and difficulties balancing expectations for business outcomes versus generation of scientific evidence were identified as primary barriers. Stakeholders in high-income countries reported inauthentic communication as a significant barrier to collaboration, whereas those in middle-income countries did not. CONCLUSION: Outlining and communicating openly about goals and expectations for timeline and priorities as well as establishing complementary roles will facilitate fruitful academia-industry collaborations in the future. Best practices for communication styles may be dependent on the cultural setting, and thus should be adopted accordingly.}, Doi = {10.1177/2055207619878627}, Key = {fds366304} } @article{fds340595, Author = {Kay, MC and Burroughs, J and Askew, S and Bennett, GG and Armstrong, S and Steinberg, DM}, Title = {Digital Weight Loss Intervention for Parents of Children Being Treated for Obesity: A Prospective Cohort Feasibility Trial.}, Journal = {J Med Internet Res}, Volume = {20}, Number = {12}, Pages = {e11093}, Year = {2018}, Month = {December}, url = {http://dx.doi.org/10.2196/11093}, Abstract = {BACKGROUND: The prevalence of childhood obesity continues to increase, and clinic-based treatment options have failed to demonstrate effectiveness. One of the strongest predictors of child weight is parent weight. Parental treatment for weight loss may indirectly reduce obesity in the child. We have previously demonstrated the effectiveness among adults of a fully automated, evidence-based digital weight loss intervention (Track). However, it is unknown if it is feasible to deliver such a treatment directly to parents with obesity who bring their child with obesity to a weight management clinic for treatment. OBJECTIVE: The objective of our study was to evaluate the feasibility of and engagement with a digital weight loss intervention among parents of children receiving treatment for obesity. METHODS: We conducted a 6-month pre-post feasibility trial among parents or guardians and their children aged 4-16 years presenting for tertiary care obesity treatment. Along with the standard family-based treatment protocol, parents received a 6-month digital weight loss intervention, which included weekly monitoring of personalized behavior change goals via mobile technologies. We examined levels of engagement by tracking completed weeks of self-monitoring and feasibility by assessing change in weight. RESULTS: Participants (N=48) were on average 39 years old, mostly female (35/42, 82% ), non-Hispanic Black individuals (21/41, 51%) with obesity (36/48, 75%). Over a quarter had a yearly household income of <US $25,000, and about a third had the equivalent of a high school education. Children were on average 10 years old and had a body mass index of 29.8 kg/m2. The median percentage of weeks participants tracked their behaviors was 77% (18.5/24 total weeks; interquartile range [IQR] 6.3 to 100). The median number of attempts via phone or text message (short message service) required to complete one tracking week was 3.3 (IQR 2.6 to 4.9). Nearly half (23/48, 48%) had high levels of engagement, completing 80% (19/24) or more weeks of tracking. Of the 26 participants with weight measurements reported at 6 months, of which 81% (21/26) were self-reported, there was a median 2.44 kg (IQR -6.5 to 1.0) decrease in weight. CONCLUSIONS: It is feasible to deliver an evidence-based digital weight loss intervention to parents or guardians whose children are enrolled in a weight management program. Given the feasibility of this approach, future studies should investigate the effectiveness of digital weight loss interventions for parents on child weight and health outcomes.}, Doi = {10.2196/11093}, Key = {fds340595} } @article{fds339361, Author = {Bennett, GG and Steinberg, D and Askew, S and Levine, E and Foley, P and Batch, BC and Svetkey, LP and Bosworth, HB and Puleo, EM and Brewer, A and DeVries, A and Miranda, H}, Title = {Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care.}, Journal = {Am J Prev Med}, Volume = {55}, Number = {6}, Pages = {777-786}, Year = {2018}, Month = {December}, url = {http://dx.doi.org/10.1016/j.amepre.2018.07.005}, Abstract = {INTRODUCTION: Obesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach of clinical obesity treatments to care settings serving patients at highest risk. METHODS: Track was an effectiveness RCT of a 12-month digital weight-loss intervention, embedded within a community health center system. Participants were 351 adult patients (aged 21-65 years) with obesity and hypertension, diabetes, and hyperlipidemia. Patients were randomized to usual care (n=175) or an intervention (n=176) comprising app-based self-monitoring of behavior change goals with tailored feedback, a smart scale, dietitian-delivered counseling calls, and clinician counseling informed by app-generated recommendations, delivered via electronic health record. The primary outcome was 12-month weight change. Randomization began on June 18, 2013, final assessments were completed on September 10, 2015. Data analysis was conducted in 2016 and 2017. The trial retained 92% of usual care and 96% of intervention participants at 12 months. RESULTS: The Track intervention produced larger weight losses relative to usual care at 6 months (net effect: -4.4 kg, 95% CI= -5.5, -3.3, p<0.001) and 12 months (net effect: -3.8 kg, 95% CI= -5.0, -2.5, p<0.001). Intervention participants were more likely to lose ≥5% of their baseline weight at 6 months (43% vs 6%, p<0.001) and 12 months (40% vs 17%, p<0.001). Intervention participants completing ≥80% of expected self-monitoring episodes (-3.5 kg); counseling calls (-3.0 kg); or self-weighing days (-4.4 kg) lost significantly more weight than less engaged intervention participants (all p<0.01). CONCLUSIONS: A digital obesity treatment, integrated with health system resources, can produce clinically meaningful weight-loss outcomes among socioeconomically disadvantaged primary care patients with elevated cardiovascular disease risk. TRIAL REGISTRATION: This study is registered at www.clinicaltrials.gov NCT01827800.}, Doi = {10.1016/j.amepre.2018.07.005}, Key = {fds339361} } @article{fds341091, Author = {Lin, P-H and Grambow, S and Intille, S and Gallis, JA and Lazenka, T and Bosworth, H and Voils, CL and Bennett, GG and Batch, B and Allen, J and Corsino, L and Tyson, C and Svetkey, L}, Title = {The Association Between Engagement and Weight Loss Through Personal Coaching and Cell Phone Interventions in Young Adults: Randomized Controlled Trial.}, Journal = {JMIR Mhealth Uhealth}, Volume = {6}, Number = {10}, Pages = {e10471}, Year = {2018}, Month = {October}, url = {http://dx.doi.org/10.2196/10471}, Abstract = {BACKGROUND: Understanding how engagement in mobile health (mHealth) weight loss interventions relates to weight change may help develop effective intervention strategies. OBJECTIVE: This study aims to examine the (1) patterns of participant engagement overall and with key intervention components within each intervention arm in the Cell Phone Intervention For You (CITY) trial; (2) associations of engagement with weight change; and (3) participant characteristics related to engagement. METHODS: The CITY trial tested two 24-month weight loss interventions. One was delivered with a smartphone app (cell phone) containing 24 components (weight tracking, etc) and included prompting by the app in predetermined frequency and forms. The other was delivered by a coach via monthly calls (personal coaching) supplemented with limited app components (18 overall) and without any prompting by the app. Engagement was assessed by calculating the percentage of days each app component was used and the frequency of use. Engagement was also examined across 4 weight change categories: gained (≥2%), stable (±2%), mild loss (≥2% to <5%), and greater loss (≥5%). RESULTS: Data from 122 cell phone and 120 personal coaching participants were analyzed. Use of the app was the highest during month 1 for both arms; thereafter, use dropped substantially and continuously until the study end. During the first 6 months, the mean percentage of days that any app component was used was higher for the cell phone arm (74.2%, SD 20.1) than for the personal coaching arm (48.9%, SD 22.4). The cell phone arm used the apps an average of 5.3 times/day (SD 3.1), whereas the personal coaching participants used them 1.7 times/day (SD 1.2). Similarly, the former self-weighed more than the latter (57.1% days, SD 23.7 vs 32.9% days, SD 23.3). Furthermore, the percentage of days any app component was used, number of app uses per day, and percentage of days self-weighed all showed significant differences across the 4 weight categories for both arms. Pearson correlation showed a negative association between weight change and the percentage of days any app component was used (cell phone: r=-.213; personal coaching: r=-.319), number of apps use per day (cell phone: r=-.264; personal coaching: r=-.308), and percentage of days self-weighed (cell phone: r=-.297; personal coaching: r=-.354). None of the characteristics examined, including age, gender, race, education, income, energy expenditure, diet quality, and hypertension status, appeared to be related to engagement. CONCLUSIONS: Engagement in CITY intervention was associated with weight loss during the first 6 months. Nevertheless, engagement dropped substantially early on for most intervention components. Prompting may be helpful initially. More flexible and less intrusive prompting strategies may be needed during different stages of an intervention to increase or sustain engagement. Future studies should explore the motivations for engagement and nonengagement to determine meaningful levels of engagement required for effective intervention. TRIAL REGISTRATION: ClinicalTrials.gov NCT01092364; https://clinicaltrials.gov/ct2/show/NCT01092364 (Archived by WebCite at http://www.webcitation.org/72V8A4e5X).}, Doi = {10.2196/10471}, Key = {fds341091} } @article{fds337999, Author = {Hopkins, CM and Bennett, GG}, Title = {Weight-Related Terms Differentially Affect Self-Efficacy and Perception of Obesity.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {26}, Number = {9}, Pages = {1405-1411}, Year = {2018}, Month = {September}, url = {http://dx.doi.org/10.1002/oby.22255}, Abstract = {<h4>Objective</h4>Little work has explored the effect of weight-related terms on treatment initiation; only one study has investigated weight-related terms and the psychological constructs associated with treatment uptake. The present study examines the effects of four common weight-related terms on treatment initiation and the moderating effect of weight bias internalization.<h4>Methods</h4>Adult participants with overweight and obesity (n = 436) were recruited online and asked to read three vignettes describing clinical encounters; the weight-related term (i.e., "weight," "BMI," "obesity," or "fat") was varied randomly. Participants then reported self-efficacy, cognitive and emotional illness beliefs about obesity (i.e., illness perception), and interest in a weight loss program.<h4>Results</h4>The term "obesity" resulted in the greatest self-efficacy and perceived control over obesity. "Fat" resulted in the least illness coherence (i.e., understanding of obesity). Weight bias internalization did not moderate the effect of term on self-efficacy, nor did it moderate illness perception. No differences in weight loss program enrollment were observed.<h4>Conclusions</h4>Use of the term "obesity" may promote patients' perceived control and self-efficacy. Use of "fat" should be avoided. Results suggest that, despite patient and clinician preference for euphemistic weight terms, use of clinical language such as "obesity" may perform better in provider intervention.}, Doi = {10.1002/oby.22255}, Key = {fds337999} } @article{fds335636, Author = {McVay, MA and Yancy, WS and Bennett, GG and Jung, S-H and Voils, CI}, Title = {Perceived barriers and facilitators of initiation of behavioral weight loss interventions among adults with obesity: a qualitative study.}, Journal = {BMC Public Health}, Volume = {18}, Number = {1}, Pages = {854}, Year = {2018}, Month = {July}, url = {http://dx.doi.org/10.1186/s12889-018-5795-9}, Abstract = {BACKGROUND: Evidence-based behavioral weight loss interventions are under-utilized. To inform efforts to increase uptake of these interventions, it is important to understand the perspectives of adults with obesity regarding barriers and facilitators of weight loss intervention initiation. METHODS: We conducted a qualitative study in adults with obesity who had recently attempted weight loss either with assistance from an evidence-based behavioral intervention (intervention initiators) or without use of a formal intervention (intervention non-initiators). We recruited primary care patients, members of a commercial weight loss program, and members of a Veterans Affairs weight loss program. Intervention initiators and non-initiators were interviewed separately using a semi-structured interview guide that asked participants about barriers and facilitators of weight loss intervention initiation. Conversations were audio-recorded and transcribed. Data were analyzed with qualitative content analysis. Two researchers used open coding to generate the code book on a subset of transcripts and a single researcher coded remaining transcripts. Codes were combined into subthemes, which were combined in to higher order themes. Intervention initiators and non-initiators were compared. RESULTS: We conducted three focus groups with participants who had initiated interventions (n = 26) and three focus groups (n = 24) and 8 individual interviews with participants who had not initiated interventions. Intervention initiators and non-initiators were, respectively, 65% and 37.5% white, 62% and 63% female, mean age of 55 and 54 years old, and mean BMI of 34 kg/m2. Three themes were identified. One theme was practical factors, with subthemes of reasonable cost and scheduling compatibility. A second theme was anticipated effectiveness of intervention, with subthemes of intervention content addressing individual needs; social aspects influencing effectiveness; and evaluating evidence of effectiveness. A third theme was anticipated pleasantness of intervention, with subthemes of social aspects influencing enjoyment; anticipated dietary and tracking prescriptions; and identity and self-reliance factors. Different perspectives were identified from intervention initiators and non-initiators. CONCLUSIONS: Strategies to engage individuals in evidence-based weight loss interventions can be developed using these results. Strategies could target individuals' perceived barriers and benefits to initiating interventions, or could focus on refining interventions to appeal to more individuals.}, Doi = {10.1186/s12889-018-5795-9}, Key = {fds335636} } @article{fds335637, Author = {Ayazi, M and Johnson, KT and Merritt, MM and Di Paolo and MR and Edwards, CL and Koenig, HG and Bennett, GG and Whitfield, KA and Barker, CS}, Title = {Religiosity, Education, John Henryism Active Coping, and Cardiovascular Responses to Anger Recall for African American Men}, Journal = {Journal of Black Psychology}, Volume = {44}, Number = {4}, Pages = {295-321}, Publisher = {SAGE Publications}, Year = {2018}, Month = {May}, url = {http://dx.doi.org/10.1177/0095798418765859}, Abstract = {The present study examined if high levels of religious attendance (ORG), private religious activity (NOR), or intrinsic religiosity (SUB) buffer cardiovascular responses to active speech and anger recall lab stressors alone and by John Henryism Active Coping (JHAC) and educational attainment. A sample of 74 healthy African American males, aged 23 to 47 years, completed psychosocial surveys and a lab reactivity protocol involving active speech and anger recall with a 5-minute baseline and ensuing recovery periods. Measures of religiosity, JHAC, and education were related to continuous measures of systolic and diastolic blood pressure (BP), for each task and rest period with repeated measures ANOVA tests. The period by education by JHAC interaction effect was significant for diastolic BP responses at low but not higher NOR. At low education and low NOR, diastolic BP levels increased significantly during anger recall and ensuing recovery for high but not low JHAC persons. Thus, being deprived of education and private religious activity may put these African American men in a vulnerable situation where higher effort coping may exacerbate their cardiovascular reactivity and recovery to anger induction.}, Doi = {10.1177/0095798418765859}, Key = {fds335637} } @article{fds337340, Author = {Azar, KMJ and Bennett, GG and Nolting, LA and Rosas, LG and Burke, LE and Ma, J}, Title = {A framework for examining the function of digital health technologies for weight management.}, Journal = {Translational behavioral medicine}, Volume = {8}, Number = {2}, Pages = {280-294}, Year = {2018}, Month = {March}, url = {http://dx.doi.org/10.1093/tbm/ibx050}, Abstract = {Research is rapidly extending its focus to develop and evaluate weight management interventions that incorporate eHealth technologies. Comparative effectiveness of eHealth interventions is partly limited by the extensive heterogeneity in intervention design, variation in use of eHealth tools, and expanding development of novel tools to promote weight management. We closely examined, characterized, and categorized the use and function of eHealth tools across a wide range of eHealth interventions for weight management in order to first create a novel schematic framework for eHealth interventions and, second, to evaluate eHealth interventions using this framework. We examined 49 randomized controlled trials from two systematic reviews evaluating the effectiveness of eHealth interventions for weight loss. Further characterization of each intervention identified common use and function of eHealth tools represented within interventions and thus important to include in the proposed framework. This resulted in six descriptive domains. We then categorized each eHealth intervention within the context of the newly developed framework. Last, we examined efficacious interventions in the context of the framework. Twenty-five randomized controlled trials reported significantly more weight loss between the intervention group utilizing eHealth, compared to a non-eHealth control intervention and/or within an eHealth intervention group. Of these 25 interventions, 15 (60%) used automated feedback (Domain 1), 13 (52%) used non-eHealth tailored feedback by a health care provider (Domain 5), and 8 (32%) used tailored feedback from a health care professional through an electronic channel (Domain 2). The proposed schematic framework offers an alternative and novel approach for comparing across interventions and informing the development and evaluation of eHealth interventions.}, Doi = {10.1093/tbm/ibx050}, Key = {fds337340} } @article{fds345759, Author = {Voils, CI and Levine, E and Gierisch, JM and Pendergast, J and Hale, SL and McVay, MA and Reed, SD and Yancy, WS and Bennett, G and Strawbridge, EM and White, AC and Shaw, RJ}, Title = {Study protocol for Log2Lose: A feasibility randomized controlled trial to evaluate financial incentives for dietary self-monitoring and interim weight loss in adults with obesity.}, Journal = {Contemp Clin Trials}, Volume = {65}, Pages = {116-122}, Year = {2018}, Month = {February}, url = {http://dx.doi.org/10.1016/j.cct.2017.12.007}, Abstract = {The obesity epidemic has negative physical, psychological, and financial consequences. Despite the existence of effective behavioral weight loss interventions, many individuals do not achieve adequate weight loss, and most regain lost weight in the year following intervention. We report the rationale and design for a 2×2 factorial study that involves financial incentives for dietary self-monitoring (yes vs. no) and/or interim weight loss (yes vs. no). Outpatients with obesity participate in a 24-week, group-based weight loss intervention. All participants are asked to record their daily dietary and liquid intake on a smartphone application (app) and to weigh themselves daily at home on a study-provided cellular scale. An innovative information technology (IT) solution collates dietary data from the app and weight from the scale. Using these data, an algorithm classifies participants weekly according to whether they met their group's criteria to receive a cash reward ranging from $0 to $30 for dietary self-monitoring and/or interim weight loss. Notice of the reward is provided via text message, and credit is uploaded to a gift card. This pilot study will provide information on the feasibility of using this novel IT solution to provide variable-ratio financial incentives in real time via its effects on recruitment, intervention adherence, retention, and cost. This study will provide the foundation for a comprehensive, adequately-powered, randomized controlled trial to promote short-term weight loss and long-term weight maintenance. If efficacious, this approach could reduce the prevalence, adverse outcomes, and costs of obesity for millions of Americans. Clinicaltrials.gov registration: NCT02691260.}, Doi = {10.1016/j.cct.2017.12.007}, Key = {fds345759} } @article{fds332978, Author = {Pagoto, SL and Bennett, GG}, Title = {Healthy Lifestyle for All Through Patient Care and Policy.}, Journal = {JAMA internal medicine}, Volume = {178}, Number = {1}, Pages = {152-153}, Year = {2018}, Month = {January}, url = {http://dx.doi.org/10.1001/jamainternmed.2017.6797}, Doi = {10.1001/jamainternmed.2017.6797}, Key = {fds332978} } @article{fds332939, Author = {Armstrong, S and Mendelsohn, A and Bennett, G and Taveras, EM and Kimberg, A and Kemper, AR}, Title = {Texting Motivational Interviewing: A Randomized Controlled Trial of Motivational Interviewing Text Messages Designed to Augment Childhood Obesity Treatment.}, Journal = {Child Obes}, Volume = {14}, Number = {1}, Pages = {4-10}, Year = {2018}, Month = {January}, url = {http://dx.doi.org/10.1089/chi.2017.0089}, Abstract = {BACKGROUND: Text messages improve health outcomes for adults engaged in weight management. Little is known about whether text messaging parents of children enrolled in obesity treatment will improve child health. METHODS: We conducted a 2-group randomized controlled study among 101 children aged 5-12 and their parent/guardian enrolling in tertiary-care obesity treatment. Participants were randomized to standard care or standard care plus daily motivational interviewing-based text messages. The primary outcome was change in child BMI at 3 months. Secondary outcomes included feasibility, health behaviors, attrition, motivation, and parent BMI. RESULTS: We enrolled 101 parent-child dyads and retained 81% to 3-month follow-up. Child participants had a mean age of 9.9 years, and baseline BMI of 30.5 kg/m2. Half (48%) of participants were Black, and 64% of parent participants had a high school equivalent education or less. Ninety-nine percent of parents owned a mobile device with unlimited text messaging. Parents responded to 80% of texts, and 95% felt the texts "always" or "almost always" helped them make a good health decision. We observed no between-group difference in child zBMI from baseline to 3 months (0.0 vs. 0.2, p = 0.2). Intervention participants had significantly better adherence to clinic visits (3.3 visits vs. 2.1 visits/3 months, p < 0.001). CONCLUSIONS: Parent-directed text messages did not significantly change child BMI. However, texting significantly reduced attrition for treatment visits. Nearly all parents in this racially diverse, low-income sample engaged in daily text messaging, making this a feasible approach.}, Doi = {10.1089/chi.2017.0089}, Key = {fds332939} } @article{fds329767, Author = {Bennett, GG and Shelton, RC}, Title = {Extending Our Reach for Greater Impact.}, Journal = {Health education & behavior : the official publication of the Society for Public Health Education}, Volume = {44}, Number = {6}, Pages = {835-838}, Year = {2017}, Month = {December}, url = {http://dx.doi.org/10.1177/1090198117736354}, Doi = {10.1177/1090198117736354}, Key = {fds329767} } @article{fds330845, Author = {Buscemi, J and Bennett, GG and Gorin, SS and Pagoto, SL and Sallis, JF and Wilson, DK and Fitzgibbon, ML}, Title = {A 6-year update of the health policy and advocacy priorities of the Society of Behavioral Medicine.}, Journal = {Translational behavioral medicine}, Volume = {7}, Number = {4}, Pages = {903-911}, Year = {2017}, Month = {December}, url = {http://dx.doi.org/10.1007/s13142-017-0507-z}, Abstract = {Government policy affects virtually every topic of interest to health behavior researchers, from research funding to reimbursement for clinical services to application of evidence to impact health outcomes. This paper provides a 6-year update on the expansion of Society of Behavioral Medicine's (SBM) public policy and advocacy agenda and proposed future directions. SBM's Health Policy Council is responsible for ensuring coordination of the policy-related activities of the Health Policy Committee (HPC), the Civic and Public Engagement Committee (CPEC), and the Scientific and Professional Liaison Council (SPLC). These committees and councils have written letters to Congress, signed onto advocacy letters with hundreds of organizations, and developed and disseminated 15 health policy briefs, the majority of which have been presented to legislative staffers on Capitol Hill. With the assistance of the SPLC, SBM has collaborated on policy efforts with like-minded organizations to increase the impact of the Society's policy work. Moving forward, SBM plans to continue to increase efforts to disseminate policy work more broadly and develop long-term relationships with Congressional staffers. SBM leadership realizes that to remain relevant, demonstrate impact, and advance the role of behavioral medicine, we must advance a policy agenda that reflects our mission of better health through behavior change.}, Doi = {10.1007/s13142-017-0507-z}, Key = {fds330845} } @article{fds352798, Author = {Jake-Schoffman, DE and Silfee, VJ and Waring, ME and Boudreaux, ED and Sadasivam, RS and Mullen, SP and Carey, JL and Hayes, RB and Ding, EY and Bennett, GG and Pagoto, SL}, Title = {Methods for Evaluating the Content, Usability, and Efficacy of Commercial Mobile Health Apps.}, Journal = {JMIR mHealth and uHealth}, Volume = {5}, Number = {12}, Pages = {e190}, Year = {2017}, Month = {December}, url = {http://dx.doi.org/10.2196/mhealth.8758}, Abstract = {Commercial mobile apps for health behavior change are flourishing in the marketplace, but little evidence exists to support their use. This paper summarizes methods for evaluating the content, usability, and efficacy of commercially available health apps. Content analyses can be used to compare app features with clinical guidelines, evidence-based protocols, and behavior change techniques. Usability testing can establish how well an app functions and serves its intended purpose for a target population. Observational studies can explore the association between use and clinical and behavioral outcomes. Finally, efficacy testing can establish whether a commercial app impacts an outcome of interest via a variety of study designs, including randomized trials, multiphase optimization studies, and N-of-1 studies. Evidence in all these forms would increase adoption of commercial apps in clinical practice, inform the development of the next generation of apps, and ultimately increase the impact of commercial apps.}, Doi = {10.2196/mhealth.8758}, Key = {fds352798} } @article{fds329768, Author = {Greaney, ML and Askew, S and Wallington, SF and Foley, PB and Quintiliani, LM and Bennett, GG}, Title = {The effect of a weight gain prevention intervention on moderate-vigorous physical activity among black women: the Shape Program.}, Journal = {The international journal of behavioral nutrition and physical activity}, Volume = {14}, Number = {1}, Pages = {139}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1186/s12966-017-0596-6}, Abstract = {<h4>Background</h4>Rates of physical inactivity are high among Black women living in the United States with overweight or obesity, especially those living in the rural South. This study was conducted to determine if an efficacious weight gain prevention intervention increased moderate-vigorous physical activity (MVPA).<h4>Methods</h4>The Shape Program, a weight gain prevention intervention implemented in community health centers in rural North Carolina, was designed for socioeconomically disadvantaged Black women with overweight or obesity. MVPA was measured using accelerometers, and summarized into 1- and 10-min bouts. We employed analyses of covariance (ANCOVA) to assess the relationship between changes in MVPA over 12 months, calculated as a change score, and intervention assignment (intervention versus usual care).<h4>Results</h4>Participants completing both baseline and 12-month accelerometer assessments (n = 121) had a mean age of 36.1 (SD = 5.43) years and a mean body mass index of 30.24 kg/m<sup>2</sup> (SD = 2.60). At baseline, 38% met the physical activity recommendation (150 min of MVPA/week) when assessed using 10-min bouts, and 76% met the recommendation when assessed using 1-min bouts. There were no significant differences in change in MVPA participation among participants randomized to the intervention from baseline to 12-months using 1-min bouts (adjusted intervention mean [95% CI]: 20.50 [-109.09 to 150.10] vs. adjusted usual care mean [95% CI]: -80.04 [-209.21 to 49.13], P = .29), or 10-min bouts (adjusted intervention mean [95% CI]: 7.39 [-83.57 to 98.35] vs. adjusted usual care mean [95% CI]: -17.26 [-107.93 to 73.40], P = .70).<h4>Conclusions</h4>Although prior research determined that the Shape intervention promoted weight gain prevention, MVPA did not increase significantly among intervention participants from baseline to 12 months. The classification of bouts had a marked effect on the prevalence estimates of those meeting physical activity recommendations. More research is needed to understand how to promote increased MVPA in weight gain prevention interventions.<h4>Trial registration</h4>This study is registered at www.clinicaltrials.gov database (No. NCT00938535. Retrospectively Registered 7/10/2009).}, Doi = {10.1186/s12966-017-0596-6}, Key = {fds329768} } @article{fds324092, Author = {Winkler, MR and Moore, ED and Bennett, GG and Armstrong, SC and Brandon, DH}, Title = {Parent-adolescent influences on everyday dietary practices: Perceptions of adolescent females with obesity and their mothers.}, Journal = {Matern Child Nutr}, Volume = {13}, Number = {4}, Year = {2017}, Month = {October}, url = {http://dx.doi.org/10.1111/mcn.12416}, Abstract = {Parents demonstrate an important influence on adolescent obesity and dietary behavior; yet, family-based obesity interventions continue to exhibit limited success among adolescents. To further inform family-based approaches for adolescent obesity treatment, we examined the perceptions of adolescent females with obesity and their mothers of the influences experienced within the parent-adolescent relationship that affect everyday dietary practices. We conducted six focus group interviews (three adolescent female and three mother) among 15 adolescent (12-17 years old) females with obesity and 12 of their mothers. Content analysis techniques were used to analyze the transcribed interviews. Adolescent females with obesity discussed a diverse set of parental influences (controlling, supporting and cultivating, overlooking and tempting, acquiescing, providing, attending, and not providing and avoiding) on their daily dietary practices. Among mother focus groups, mothers discussed specific intentional and unintentional types of influences from children that affected the food and drink they consumed, prepared, and acquired. Findings provide a fuller view of the varied social influences on everyday dietary practices within the parent-adolescent relationship. They indicate the importance of examining both parent-to-child and child-to-parent influences and begin to illuminate the value of attending to the social circumstances surrounding dietary behaviors to strengthen family-based obesity treatment approaches.}, Doi = {10.1111/mcn.12416}, Key = {fds324092} } @article{fds326827, Author = {Proeschold-Bell, RJ and Turner, EL and Bennett, GG and Yao, J and Li, X-F and Eagle, DE and Meyer, RA and Williams, RB and Swift, RY and Moore, HE and Kolkin, MA and Weisner, CC and Rugani, KM and Hough, HJ and Williams, VP and Toole, DC}, Title = {A 2-Year Holistic Health and Stress Intervention: Results of an RCT in Clergy.}, Journal = {Am J Prev Med}, Volume = {53}, Number = {3}, Pages = {290-299}, Year = {2017}, Month = {September}, url = {http://dx.doi.org/10.1016/j.amepre.2017.04.009}, Abstract = {INTRODUCTION: This study sought to determine the effect of a 2-year, multicomponent health intervention (Spirited Life) targeting metabolic syndrome and stress simultaneously. DESIGN: An RCT using a three-cohort multiple baseline design was conducted in 2010-2014. SETTING/PARTICIPANTS: Participants were United Methodist clergy in North Carolina, U.S., in 2010, invited based on occupational status. Of invited 1,745 clergy, 1,114 consented, provided baseline data, and were randomly assigned to immediate intervention (n=395), 1-year waitlist (n=283), or 2-year waitlist (n=436) cohorts for a 48-month trial duration. INTERVENTION: The 2-year intervention consisted of personal goal setting and encouragement to engage in monthly health coaching, an online weight loss intervention, a small grant, and three workshops delivering stress management and theological content supporting healthy behaviors. Participants were not blinded to intervention. MAIN OUTCOME MEASURES: Trial outcomes were metabolic syndrome (primary) and self-reported stress and depressive symptoms (secondary). Intervention effects were estimated in 2016 in an intention-to-treat framework using generalized estimating equations with adjustment for baseline level of the outcome and follow-up time points. Log-link Poisson generalized estimating equations with robust SEs was used to estimate prevalence ratios (PRs) for binary outcomes; mean differences were used for continuous/score outcomes. RESULTS: Baseline prevalence of metabolic syndrome was 50.9% and depression was 11.4%. The 12-month intervention effect showed a benefit for metabolic syndrome (PR=0.86, 95% CI=0.79, 0.94, p<0.001). This benefit was sustained at 24 months of intervention (PR=0.88; 95% CI=0.78, 1.00, p=0.04). There was no significant effect on depression or stress scores. CONCLUSIONS: The Spirited Life intervention improved metabolic syndrome prevalence in a population of U.S. Christian clergy and sustained improvements during 24 months of intervention. These findings offer support for long-duration behavior change interventions and population-level interventions that allow participants to set their own health goals. TRIAL REGISTRATION: This study is registered at www.clinicaltrials.gov NCT01564719.}, Doi = {10.1016/j.amepre.2017.04.009}, Key = {fds326827} } @article{fds327016, Author = {Herring, SJ and Cruice, JF and Bennett, GG and Darden, N and Wallen, JJ and Rose, MZ and Davey, A and Foster, GD}, Title = {Intervening during and after pregnancy to prevent weight retention among African American women.}, Journal = {Preventive medicine reports}, Volume = {7}, Pages = {119-123}, Year = {2017}, Month = {September}, url = {http://dx.doi.org/10.1016/j.pmedr.2017.05.015}, Abstract = {Efforts to prevent postpartum weight retention in extant clinical trials of African American women have proven exceedingly challenging. The primary purpose of this pilot study was to determine whether a behavioral intervention implemented in early pregnancy through 6 months postpartum could increase the proportion of African American women who were at or below their early pregnancy weights by 6 months postpartum. We additionally evaluated whether mothers' postpartum weight loss could be maintained at 12 months postpartum. Participants were 66 socioeconomically disadvantaged African American women (36% overweight, 64% obese) randomly assigned to a behavioral intervention or usual care group. The intervention, implemented from early pregnancy to 6 months postpartum, promoted weight control through: (1) empirically supported behavior change goals; (2) interactive self-monitoring text messages; (3) weekly to monthly health coach calls; and (4) skills training and support through Facebook. In modified intent-to-treat analyses, participants assigned to the intervention were significantly more likely to be at or below their early pregnancy weights by 6 months postpartum compared to usual care (56% vs. 29%, <i>p</i> = 0.04). At 12 months postpartum, the maternal weight difference between intervention and usual care groups was not maintained (41% vs. 38% respectively at or below early pregnancy weights, <i>p</i> = 0.83). Findings suggest that a combined pregnancy and postpartum weight control intervention improves 6 month weight outcomes in socioeconomically disadvantaged African American women with obesity. Longer interventions may be needed to overcome late postpartum weight gain among this high risk group. <b>Clinical trial registration number</b>: ClinicalTrials.gov identifier NCT01530776.}, Doi = {10.1016/j.pmedr.2017.05.015}, Key = {fds327016} } @article{fds324090, Author = {Steinberg, DM and Christy, J and Batch, BC and Askew, S and Moore, RH and Parker, P and Bennett, GG}, Title = {Preventing Weight Gain Improves Sleep Quality Among Black Women: Results from a RCT.}, Journal = {Ann Behav Med}, Volume = {51}, Number = {4}, Pages = {555-566}, Year = {2017}, Month = {August}, url = {http://dx.doi.org/10.1007/s12160-017-9879-z}, Abstract = {BACKGROUND: Obesity and poor sleep are highly prevalent among Black women. PURPOSE: We examined whether a weight gain prevention intervention improved sleep among Black women. METHODS: We conducted a randomized trial comparing a 12-month weight gain prevention intervention that included self-monitoring through mobile technologies and phone coaching to usual care in community health centers. We measured sleep using the Medical Outcomes Study Sleep Scale at baseline, 12 months, and 18 months. The scale examines quantity of sleep, sleep disturbance, sleep adequacy, daytime somnolence, snoring, shortness of breath, and global sleep problems (sleep problem indices I and II). RESULTS: Participants (n = 184) were on average 35.4 years and obese (BMI 30.2 kg/m2); 74% made <$30,000/year. At baseline, average sleep duration was 6.4 (1.5) hours. Controlling for weight change and sleep medication, the intervention group reported greater improvements in sleep disturbance [-8.35 (-16.24, -0.45)] and sleep problems at 12 months: sleep problem index I [-8.35 (-16.24, -0.45)]; sleep problem index II [-8.35 (-16.24, -0.45)]. However, these findings did not persist at 18 months. CONCLUSIONS: Preventing weight gain may afford clinical benefit on improving sleep quality. TRIAL REGISTRATION NUMBER: The trial was registered with the ClinicalTrials.gov database (NCT00938535).}, Doi = {10.1007/s12160-017-9879-z}, Key = {fds324090} } @article{fds324093, Author = {Greaney, ML and Askew, S and Foley, P and Wallington, SF and Bennett, GG}, Title = {Linking patients with community resources: use of a free YMCA membership among low-income black women.}, Journal = {Translational behavioral medicine}, Volume = {7}, Number = {2}, Pages = {341-348}, Year = {2017}, Month = {June}, url = {http://dx.doi.org/10.1007/s13142-016-0431-7}, Abstract = {Given the increasing interest in expanding obesity prevention efforts to cover community-based programs, we examined whether individuals would access a YMCA for physical activity promotion. We provided a no-cost 12-month YMCA membership to socioeconomically disadvantaged black women who were randomized to the intervention arm of a weight gain prevention trial (n = 91). Analyses examined associations of membership activation and use with baseline psychosocial, contextual, health-related, and sociodemographic factors. Many participants (70.3 %) activated their memberships; however, use was low (42.2 % had no subsequent visits, 46.9 % had one to ten visits). There were no predictors of membership activation, but individuals living below/borderline the federal poverty line were more likely to use the center (1+ visits), as were those who met physical activity guidelines at baseline. More comprehensive and intensive interventions may be necessary to promote use of community resources-even when provided free-among high-risk populations of women with obesity that live in rural areas of the USA.}, Doi = {10.1007/s13142-016-0431-7}, Key = {fds324093} } @article{fds328845, Author = {Steinberg, D and Bennett, GG and Svetkey, L}, Title = {The DASH Diet, 20 Years Later.}, Journal = {JAMA}, Volume = {317}, Number = {15}, Pages = {1529-1530}, Year = {2017}, Month = {April}, url = {http://dx.doi.org/10.1001/jama.2017.1628}, Doi = {10.1001/jama.2017.1628}, Key = {fds328845} } @article{fds324091, Author = {Benjamin Neelon and SE and Østbye, T and Bennett, GG and Kravitz, RM and Clancy, SM and Stroo, M and Iversen, E and Hoyo, C}, Title = {Cohort profile for the Nurture Observational Study examining associations of multiple caregivers on infant growth in the Southeastern USA.}, Journal = {BMJ Open}, Volume = {7}, Number = {2}, Pages = {e013939}, Year = {2017}, Month = {February}, url = {http://dx.doi.org/10.1136/bmjopen-2016-013939}, Abstract = {PURPOSE: Childcare has been associated with obesity in children in cross-sectional and longitudinal studies, although some observed no association. Few studies have focused on care during infancy, a period when children may be especially vulnerable. PARTICIPANTS: The Nurture Study is an observational birth cohort designed to assess longitudinal associations of childcare and the presence of multiple caregivers on infant adiposity and weight trajectories throughout the first year of life. We examine as potential mediators feeding, physical activity, sleep and stress. We completed recruitment in 2015. Of the 860 women who enrolled during pregnancy, 799 delivered a single live infant who met our inclusion criteria. Of those, 666 mothers (77.4%) agreed to participate in the study for themselves and their infants. FINDINGS TO DATE: Among the 666 women in the study, 472 (71%) identified as black, 127 (19%) as white, 7 (1%) as Asian or Asian American, 6 (1%) as Native American and 49 (7%) as other race or more than one race; 43 (7%) identified as Hispanic/Latina. Just under half (48%) had a high school diploma or less, 61% had household incomes <$20 000/year and 59% were married or living with a partner. The mean (SD) infant gestational age was 41.28 weeks (2.29) and birth weight for gestational age z-score was -0.31 (0.93). Just under half (49%) of infants were females, 69% received some human milk and 40% were exclusively breast fed at hospital discharge. Data collection began in 2013, is currently underway, and is scheduled to conclude in late 2016. FUTURE PLANS: Results will help assess the magnitude of associations between childcare in infancy and subsequent obesity. Findings will also inform intervention and policy efforts to improve childcare environments and help prevent obesity in settings where many infants spend time. TRIAL REGISTRATION NUMBER: Clinicaltrials.gov, NCT01788644.}, Doi = {10.1136/bmjopen-2016-013939}, Key = {fds324091} } @article{fds315310, Author = {Winkler, MR and Bennett, GG and Brandon, DH}, Title = {Factors related to obesity and overweight among Black adolescent girls in the United States.}, Journal = {Women & health}, Volume = {57}, Number = {2}, Pages = {208-248}, Year = {2017}, Month = {February}, ISSN = {0363-0242}, url = {http://dx.doi.org/10.1080/03630242.2016.1159267}, Abstract = {In the United States, Black adolescents have the highest prevalence of pediatric obesity and overweight among girls. While Black girls are disproportionately affected, the reasons for this health disparity remain unclear. The authors conducted a systematic review to investigate the factors related to obesity and overweight among Black adolescent girls. The authors searched four databases for relevant English-language publications using all publication years through 2015. Fifty-one studies met the inclusion criteria and were used for this review. Using a configuration approach to synthesis, three categories were identified, paralleling the bioecological theory of human development: (1) individual, (2) interpersonal, and (3) community and societal factors. A description of each factor's association with obesity among Black adolescent girls is presented. From this review, the authors identified a diverse and vast set of individual, interpersonal, and community and societal factors explored for their relationship with obesity and overweight. Given the insufficient repetition and limited significant findings among most factors, the authors believe that multiple gaps in knowledge exist across all categories regarding the factors related to obesity and overweight among Black adolescent girls. To improve the quality of research in this area, suggested research directions and methodological recommendations are provided.}, Doi = {10.1080/03630242.2016.1159267}, Key = {fds315310} } @article{fds250654, Author = {McVay, MA and Steinberg, DM and Askew, S and Kaphingst, KA and Bennett, GG}, Title = {Genetic causal attributions for weight status and weight loss during a behavioral weight gain prevention intervention.}, Journal = {Genetics in medicine : official journal of the American College of Medical Genetics}, Volume = {18}, Number = {5}, Pages = {476-482}, Year = {2016}, Month = {May}, ISSN = {1098-3600}, url = {http://dx.doi.org/10.1038/gim.2015.109}, Abstract = {<h4>Purpose</h4>Emerging evidence suggests that attributing one's weight to genetics may contribute to the adoption of obesogenic behaviors. We investigated whether weight-related genetic attributions were associated with weight change during a weight gain prevention intervention.<h4>Methods</h4>Participants (n = 185) were from a randomized clinical trial of a digital health weight gain prevention intervention for black women ages 25-44 years with body mass index 25.0-34.9 kg/m(2). Weight-related genetic attributions (weight status attribution and weight loss attributions) were measured at baseline and 12 months.<h4>Results</h4>Among intervention participants, high genetic attribution for weight loss was associated with greater weight loss at 12 months (-2.7 vs. 0.5 kg) and 18 months (-3.0 vs. 0.9 kg). Among usual-care participants, high genetic attribution for weight status was associated with greater 18-month weight gain (2.9 vs. 0.3 kg). The intervention reduced the likelihood of high genetic attribution for weight loss at 12 months (P = 0.05). Change in the likelihood of genetic attribution was not associated with weight change over 12 months.<h4>Conclusion</h4>Impact of genetic attributions on weight differs for those enrolled and not enrolled in an intervention. However, weight gain prevention intervention may reduce genetic attribution for weight loss.Genet Med 18 5, 476-482.}, Doi = {10.1038/gim.2015.109}, Key = {fds250654} } @article{fds313519, Author = {Foley, P and Steinberg, D and Levine, E and Askew, S and Batch, BC and Puleo, EM and Svetkey, LP and Bosworth, HB and DeVries, A and Miranda, H and Bennett, GG}, Title = {Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients.}, Journal = {Contemp Clin Trials}, Volume = {48}, Pages = {12-20}, Year = {2016}, Month = {May}, ISSN = {1551-7144}, url = {http://dx.doi.org/10.1016/j.cct.2016.03.006}, Abstract = {INTRODUCTION: Obesity continues to disproportionately affect medically vulnerable populations. Digital health interventions may be effective for delivering obesity treatment in low-resource primary care settings. METHODS: Track is a 12-month randomized controlled trial of a digital health weight loss intervention in a community health center system. Participants are 351 obese men and women aged 21 to 65years with an obesity-related comorbidity. Track participants are randomized to usual primary care or to a 12-month intervention consisting of algorithm-generated tailored behavior change goals, self-monitoring via mobile technologies, daily self-weighing using a network-connected scale, skills training materials, 18 counseling phone calls with a Track coach, and primary care provider counseling. Participants are followed over 12months, with study visits at baseline, 6, and 12months. Anthropometric data, blood pressure, fasting lipids, glucose and HbA1C and self-administered surveys are collected. Follow-up data will be collected from the medical record at 24months. RESULTS: Participants are 68% female and on average 50.7years old with a mean BMI of 35.9kg/m(2). Participants are mainly black (54%) or white (33%); 12.5% are Hispanic. Participants are mostly employed and low-income. Over 20% of the sample has hypertension, diabetes and hyperlipidemia. Almost 27% of participants currently smoke and almost 20% score above the clinical threshold for depression. CONCLUSIONS: Track utilizes an innovative, digital health approach to reduce obesity and chronic disease risk among medically vulnerable adults in the primary care setting. Baseline characteristics reflect a socioeconomically disadvantaged, high-risk patient population in need of evidence-based obesity treatment.}, Doi = {10.1016/j.cct.2016.03.006}, Key = {fds313519} } @article{fds318666, Author = {Shaw, RJ and Steinberg, DM and Bonnet, J and Modarai, F and George, A and Cunningham, T and Mason, M and Shahsahebi, M and Grambow, SC and Bennett, GG and Bosworth, HB}, Title = {Mobile health devices: will patients actually use them?}, Journal = {J Am Med Inform Assoc}, Volume = {23}, Number = {3}, Pages = {462-466}, Year = {2016}, Month = {May}, url = {http://dx.doi.org/10.1093/jamia/ocv186}, Abstract = {Although mobile health (mHealth) devices offer a unique opportunity to capture patient health data remotely, it is unclear whether patients will consistently use multiple devices simultaneously and/or if chronic disease affects adherence. Three healthy and three chronically ill participants were recruited to provide data on 11 health indicators via four devices and a diet app. The healthy participants averaged overall weekly use of 76%, compared to 16% for those with chronic illnesses. Device adherence declined across all participants during the study. Patients with chronic illnesses, with arguably the most to benefit from advanced (or increased) monitoring, may be less likely to adopt and use these devices compared to healthy individuals. Results suggest device fatigue may be a significant problem. Use of mobile technologies may have the potential to transform care delivery across populations and within individuals over time. However, devices may need to be tailored to meet the specific patient needs.}, Doi = {10.1093/jamia/ocv186}, Key = {fds318666} } @article{fds315882, Author = {Shaw, RJ and Pollak, K and Zullig, LL and Bennett, G and Hawkins, K and Lipkus, I}, Title = {Feasibility and Smokers' Evaluation of Self-Generated Text Messages to Promote Quitting.}, Journal = {Nicotine Tob Res}, Volume = {18}, Number = {5}, Pages = {1206-1209}, Year = {2016}, Month = {May}, ISSN = {1462-2203}, url = {http://dx.doi.org/10.1093/ntr/ntv268}, Abstract = {INTRODUCTION: Cigarette smoking is a leading cause of preventable mortality. Mobile technologies, including text messaging, provide opportunities to promote quitting. Many text messaging-based cessation interventions contain content created by experts. However, smokers may be best persuaded by receipt of text messages they created based on their reasons for quitting, assisted or not by a motivational facilitator. This study assessed the feasibility and participants' evaluation of two ways to self-generate smoking cessation messages delivered via cell-phone. METHODS: We enrolled smokers (N = 24) and randomized them to: (1) behavioral counseling assistance plus self-generated messages, or (2) self-generated messages only. Both groups wrote: (1) their reasons for wanting to quit and then (2) text messages related to their reason(s) for quitting, Messages were delivered as text messages as well as with a link to verbatim self-recorded audio message for 10 days. At follow-up, participants evaluated the intervention. RESULTS: Participants composed and recorded messages and evaluated them and the intervention favorably. The counseling+message group wrote an average of 7.66 (SD = 4.86) text messages while the message-only wrote an average of 6.66 (SD = 2.93) messages. Most participants felt that the messages were of appropriate length, including the frequency and timing of message delivery. CONCLUSION: It is feasible for smokers to self-generate motivational text and audio messages concerning reasons for quitting, even among smokers without an immediate desire to quit. Participants evaluated the messages and intervention favorably. Future research should test self-generated messages in larger trials of self- versus expert-generated message. IMPLICATIONS: This study assessed the feasibility and participants' evaluation of two ways to self-generate smoking cessation messages delivered via cell-phone. It is feasible for smokers to self-generate motivational text and audio messages concerning reasons for quitting, even among smokers without an immediate desire to quit. Participants evaluated the messages and intervention favorable. Future research should test self-generated messages in larger trials of self- versus expert-generated messages.}, Doi = {10.1093/ntr/ntv268}, Key = {fds315882} } @article{fds315309, Author = {Lanpher, MG and Askew, S and Bennett, GG}, Title = {Health Literacy and Weight Change in a Digital Health Intervention for Women: A Randomized Controlled Trial in Primary Care Practice.}, Journal = {Journal of health communication}, Volume = {21 Suppl 1}, Pages = {34-42}, Year = {2016}, Month = {January}, ISSN = {1081-0730}, url = {http://dx.doi.org/10.1080/10810730.2015.1131773}, Abstract = {In the United States, 90 million adults have low health literacy. An important public health challenge is developing obesity treatment interventions suitable for those with low health literacy. The objective of this study was to examine differences in sociodemographic and clinical characteristics as well as weight and intervention engagement outcomes by health literacy. We randomized 194 participants to usual care or to the Shape Program intervention, a 12-month digital health treatment aimed at preventing weight gain among overweight and Class I obese Black women in primary care practice. We administered the Newest Vital Sign instrument to assess health literacy. More than half (55%) of participants had low health literacy, which was more common among those with fewer years of education and lower income. There was no effect of health literacy on 12-month weight change or on intervention engagement outcomes (completion of coaching calls and interactive voice response self-monitoring calls). Low health literacy did not preclude successful weight gain prevention in the Shape Program intervention. Goal-focused behavior change approaches like that used in Shape may be particularly helpful for treating and engaging populations with low health literacy.}, Doi = {10.1080/10810730.2015.1131773}, Key = {fds315309} } @article{fds324094, Author = {Herring, SJ and Cruice, JF and Bennett, GG and Rose, MZ and Davey, A and Foster, GD}, Title = {Preventing excessive gestational weight gain among African American women: A randomized clinical trial.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {24}, Number = {1}, Pages = {30-36}, Year = {2016}, Month = {January}, url = {http://dx.doi.org/10.1002/oby.21240}, Abstract = {<h4>Objective</h4>Evidence is lacking regarding effective weight control treatments in pregnancy for ethnic minority women with obesity. This study evaluated whether a technology-based behavioral intervention could decrease the proportion of African American women with overweight or obesity who exceeded Institute of Medicine (IOM) guidelines for gestational weight gain.<h4>Methods</h4>We conducted a two-arm pilot randomized clinical trial. Participants were 66 socioeconomically disadvantaged African American pregnant women (12.5 ± 3.7 weeks' gestation; 36% overweight, 64% obesity) recruited from two outpatient obstetric practices at Temple University between 2013 and 2014. We randomized participants to usual care (n = 33) or a behavioral intervention (n = 33) that promoted weight control in pregnancy. The intervention included: (1) empirically supported behavior change goals; (2) interactive self-monitoring text messages; (3) biweekly health coach calls; and (4) skills training and support through Facebook.<h4>Results</h4>The intervention reduced the proportion of women who exceeded IOM guidelines compared to usual care (37% vs. 66%, P = 0.033). Intervention participants gained less weight during pregnancy (8.7 vs. 12.3 kg, adjusted mean difference: -3.1 kg, 95% CI: -6.2 to -0.1). No group differences in neonatal or obstetric outcomes were found.<h4>Conclusions</h4>The intervention resulted in lower prevalence of excessive gestational weight gain.}, Doi = {10.1002/oby.21240}, Key = {fds324094} } @article{fds300288, Author = {Lin, P-H and Intille, S and Bennett, G and Bosworth, HB and Corsino, L and Voils, C and Grambow, S and Lazenka, T and Batch, BC and Tyson, C and Svetkey, LP}, Title = {Adaptive intervention design in mobile health: Intervention design and development in the Cell Phone Intervention for You trial.}, Journal = {Clin Trials}, Volume = {12}, Number = {6}, Pages = {634-645}, Year = {2015}, Month = {December}, ISSN = {1740-7745}, url = {http://hdl.handle.net/10161/10740 Duke open access}, Abstract = {BACKGROUND/AIMS: The obesity epidemic has spread to young adults, and obesity is a significant risk factor for cardiovascular disease. The prominence and increasing functionality of mobile phones may provide an opportunity to deliver longitudinal and scalable weight management interventions in young adults. The aim of this article is to describe the design and development of the intervention tested in the Cell Phone Intervention for You study and to highlight the importance of adaptive intervention design that made it possible. The Cell Phone Intervention for You study was a National Heart, Lung, and Blood Institute-sponsored, controlled, 24-month randomized clinical trial comparing two active interventions to a usual-care control group. Participants were 365 overweight or obese (body mass index≥25 kg/m2) young adults. METHODS: Both active interventions were designed based on social cognitive theory and incorporated techniques for behavioral self-management and motivational enhancement. Initial intervention development occurred during a 1-year formative phase utilizing focus groups and iterative, participatory design. During the intervention testing, adaptive intervention design, where an intervention is updated or extended throughout a trial while assuring the delivery of exactly the same intervention to each cohort, was employed. The adaptive intervention design strategy distributed technical work and allowed introduction of novel components in phases intended to help promote and sustain participant engagement. Adaptive intervention design was made possible by exploiting the mobile phone's remote data capabilities so that adoption of particular application components could be continuously monitored and components subsequently added or updated remotely. RESULTS: The cell phone intervention was delivered almost entirely via cell phone and was always-present, proactive, and interactive-providing passive and active reminders, frequent opportunities for knowledge dissemination, and multiple tools for self-tracking and receiving tailored feedback. The intervention changed over 2 years to promote and sustain engagement. The personal coaching intervention, alternatively, was primarily personal coaching with trained coaches based on a proven intervention, enhanced with a mobile application, but where all interactions with the technology were participant-initiated. CONCLUSION: The complexity and length of the technology-based randomized clinical trial created challenges in engagement and technology adaptation, which were generally discovered using novel remote monitoring technology and addressed using the adaptive intervention design. Investigators should plan to develop tools and procedures that explicitly support continuous remote monitoring of interventions to support adaptive intervention design in long-term, technology-based studies, as well as developing the interventions themselves.}, Doi = {10.1177/1740774515597222}, Key = {fds300288} } @article{fds300287, Author = {Svetkey, LP and Batch, BC and Lin, P-H and Intille, SS and Corsino, L and Tyson, CC and Bosworth, HB and Grambow, SC and Voils, C and Loria, C and Gallis, JA and Schwager, J and Bennett, GG}, Title = {Cell phone intervention for you (CITY): A randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology.}, Journal = {Obesity (Silver Spring)}, Volume = {23}, Number = {11}, Pages = {2133-2141}, Year = {2015}, Month = {November}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1002/oby.21226}, Abstract = {OBJECTIVE: To determine the effect on weight of two mobile technology-based (mHealth) behavioral weight loss interventions in young adults. METHODS: Randomized, controlled comparative effectiveness trial in 18- to 35-year-olds with BMI ≥ 25 kg/m(2) (overweight/obese), with participants randomized to 24 months of mHealth intervention delivered by interactive smartphone application on a cell phone (CP); personal coaching enhanced by smartphone self-monitoring (PC); or Control. RESULTS: The 365 randomized participants had mean baseline BMI of 35 kg/m(2) . Final weight was measured in 86% of participants. CP was not superior to Control at any measurement point. PC participants lost significantly more weight than Controls at 6 months (net effect -1.92 kg [CI -3.17, -0.67], P = 0.003), but not at 12 and 24 months. CONCLUSIONS: Despite high intervention engagement and study retention, the inclusion of behavioral principles and tools in both interventions, and weight loss in all treatment groups, CP did not lead to weight loss, and PC did not lead to sustained weight loss relative to Control. Although mHealth solutions offer broad dissemination and scalability, the CITY results sound a cautionary note concerning intervention delivery by mobile applications. Effective intervention may require the efficiency of mobile technology, the social support and human interaction of personal coaching, and an adaptive approach to intervention design.}, Doi = {10.1002/oby.21226}, Key = {fds300287} } @article{fds290489, Author = {Burke, LE and Ma, J and Azar, KMJ and Bennett, GG and Peterson, ED and Zheng, Y and Riley, W and Stephens, J and Shah, SH and Suffoletto, B and Turan, TN and Spring, B and Steinberger, J and Quinn, CC and American Heart Association Publications Committee of the Council on Epidemiology and Prevention, Behavior Change Committee of the Council on Cardiometabolic Health and Council on Cardiovascular and Stroke Nursing and Council on Functional Genomics and Translational Biology and Council on Quality of Care and Outcomes Research, and Stroke Council}, Title = {Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association.}, Journal = {Circulation}, Volume = {132}, Number = {12}, Pages = {1157-1213}, Year = {2015}, Month = {September}, ISSN = {0009-7322}, url = {http://dx.doi.org/10.1161/CIR.0000000000000232}, Doi = {10.1161/CIR.0000000000000232}, Key = {fds290489} } @article{fds250659, Author = {Bennett, GG and Steinberg, DM and Pagoto, SL}, Title = {Will Obesity Treatment Reimbursement Benefit Those at Highest Risk?}, Journal = {The American journal of medicine}, Volume = {128}, Number = {7}, Pages = {670-671}, Year = {2015}, Month = {July}, ISSN = {0002-9343}, url = {http://dx.doi.org/10.1016/j.amjmed.2015.01.026}, Doi = {10.1016/j.amjmed.2015.01.026}, Key = {fds250659} } @article{fds250649, Author = {Chandler, PD and Scott, JB and Drake, BF and Ng, K and Chan, AT and Hollis, BW and Emmons, KM and Giovannucci, EL and Fuchs, CS and Bennett, GG}, Title = {Erratum: Impact of vitamin D supplementation on adiposity in African-Americans (Nutrition and Diabetes (2015) 5 (e147) DOI:10.1038/nutd.2014.44))}, Journal = {Nutrition and Diabetes}, Volume = {5}, Number = {6}, Pages = {e164-e164}, Publisher = {Springer Nature}, Year = {2015}, Month = {June}, url = {http://dx.doi.org/10.1038/nutd.2015.14}, Doi = {10.1038/nutd.2015.14}, Key = {fds250649} } @article{fds250651, Author = {Benjamin Neelon and SE and Namenek Brouwer and RJ and Østbye, T and Evenson, KR and Neelon, B and Martinie, A and Bennett, G}, Title = {A community-based intervention increases physical activity and reduces obesity in school-age children in North Carolina.}, Journal = {Child Obes}, Volume = {11}, Number = {3}, Pages = {297-303}, Year = {2015}, Month = {June}, ISSN = {2153-2168}, url = {http://hdl.handle.net/10161/11436 Duke open access}, Abstract = {BACKGROUND: Community-based interventions are promising approaches to obesity prevention, but few studies have prospectively evaluated them. The aim of this study was to evaluate a natural experiment—a community intervention designed to promote active living and decrease obesity within a small southern town. METHODS: In 2011, community leaders implemented the Mebane on the Move intervention—a community-wide effort to promote physical activity (PA) and decrease obesity among residents of Mebane, North Carolina. We measured child PA and BMI before and after the intervention, using a nearby town not implementing an intervention as the comparison. In total, we assessed 64 children from Mebane and 40 from the comparison community 6 months before, as well as 34 and 18 children 6 months after the intervention. We assessed PA with accelerometers worn for 7 days and calculated BMI z-scores using children's height and weight. We conducted multivariable linear regressions examining pre- to postintervention change in minutes of PA and BMI z-score, adjusting for confounders. RESULTS: At follow-up, children in Mebane modestly increased their moderate-to-vigorous PA (1.3 minutes per hour; 95% confidence interval (CI): 0.2, 2.3; p=0.03) and vigorous activity (0.8 minutes per hour; 95% CI: 0.1, 1.5; p=0.04) more than comparison children. In intervention children, BMI z-scores decreased 0.5 units (kg/m(2); 95% CI: -0.9, -0.02; p=0.045), compared to children in the comparison community. CONCLUSIONS: We observed positive effects on PA level and weight status of children in Mebane, despite high rates of attrition, suggesting that the community-based intervention may have been successful.}, Doi = {10.1089/chi.2014.0130}, Key = {fds250651} } @article{fds250655, Author = {Chandler, PD and Giovannucci, EL and Scott, JB and Bennett, GG and Ng, K and Chan, AT and Hollis, BW and Rifai, N and Emmons, KM and Fuchs, CS and Drake, BF}, Title = {Effects of Vitamin D Supplementation on C-peptide and 25-hydroxyvitamin D Concentrations at 3 and 6 Months.}, Journal = {Scientific reports}, Volume = {5}, Pages = {10411}, Year = {2015}, Month = {June}, url = {http://dx.doi.org/10.1038/srep10411}, Abstract = {The link between African-Americans' disproportionate rates of diabetes, obesity and vitamin D deficiency may be marked by C-peptide as an indicator of insulin secretion. We hypothesize that vitamin D supplementation will increase C-peptide, a marker of insulin secretion. During 3 winters from 2007-2010, 328 healthy African-Americans (median age, 51 years) living in Boston, MA were randomized into a 4-arm, double-blind trial for 3 months of placebo, 1000, 2000, or 4000 IU of vitamin D3. The differences in non-fasting C-peptide between baseline and 3 months were -0.44 ng/mL for those receiving placebo, -0.10 ng/mL for those receiving 1000 IU/d, 0 ng/mL for those receiving 2000 IU/d, 1.24 ng/mL for those receiving 4000 IU/d (C-peptide increased 0.42 ng/mL for each additional 1000 IU/d of vitamin D3, p < 0.001). Vitamin D supplementation increased C-peptide in overweight African-Americans and may be compatible with other recommendations for diabetes prevention and management including weight loss and increased physical activity.}, Doi = {10.1038/srep10411}, Key = {fds250655} } @article{fds250682, Author = {Camacho-Rivera, M and Kawachi, I and Bennett, GG and Subramanian, SV}, Title = {Revisiting the Hispanic health paradox: the relative contributions of nativity, country of origin, and race/ethnicity to childhood asthma.}, Journal = {Journal of immigrant and minority health}, Volume = {17}, Number = {3}, Pages = {826-833}, Year = {2015}, Month = {June}, ISSN = {1557-1912}, url = {http://dx.doi.org/10.1007/s10903-013-9974-6}, Abstract = {This study examined the relationship between race and Hispanic ethnicity, maternal and child nativity, country of origin and asthma among 2,558 non-Hispanic white and Hispanic children across 65 Los Angeles neighborhoods. A series of two-level multilevel models were estimated to examine the independent effects of race, ethnicity, and country of origin on childhood asthma. Lifetime asthma prevalence was reported among 9% of children, with no significant differences between Hispanics and non-Hispanic whites overall. However, in fully adjusted models, Hispanic children of non-Mexican origin reported higher odds of asthma compared to non-Hispanic white children. A protective nativity effect was also observed among children of foreign born mothers compared to US born mothers. Our study provides evidence in support of the heterogeneity of childhood asthma by Hispanic ethnicity and maternal nativity. These findings suggest moving beyond solely considering racial/ethnic classifications which could mask subgroups at increased risk of childhood asthma.}, Doi = {10.1007/s10903-013-9974-6}, Key = {fds250682} } @article{fds250658, Author = {Steinberg, DM and Bennett, GG and Askew, S and Tate, DF}, Title = {Weighing every day matters: daily weighing improves weight loss and adoption of weight control behaviors.}, Journal = {Journal of the Academy of Nutrition and Dietetics}, Volume = {115}, Number = {4}, Pages = {511-518}, Year = {2015}, Month = {April}, ISSN = {2212-2672}, url = {http://dx.doi.org/10.1016/j.jand.2014.12.011}, Abstract = {<h4>Background</h4>Daily weighing is emerging as the recommended self-weighing frequency for weight loss. This is likely because it improves adoption of weight control behaviors.<h4>Objective</h4>To examine whether weighing every day is associated with greater adoption of weight control behaviors compared with less frequent weighing.<h4>Design</h4>Longitudinal analysis of a previously conducted 6-month randomized controlled trial.<h4>Participants/setting</h4>Overweight men and women in Chapel Hill, NC, participated in the intervention arm (N=47).<h4>Intervention</h4>The intervention focused on daily weighing for weight loss using an e-scale that transmitted weights to a study website, along with weekly e-mailed lessons and tailored feedback on daily weighing adherence and weight loss progress.<h4>Main outcome measures</h4>We gathered objective data on self-weighing frequency from the e-scales. At baseline and 6 months, weight change was measured in the clinic and weight control behaviors (total items=37), dietary strategies, and calorie expenditure from physical activity were assessed via questionnaires. Calorie intake was assessed using an online 24-hour recall tool.<h4>Statistical analyses</h4>We used χ(2) tests to examine variation in discrete weight control behaviors and linear regression models to examine differences in weight, dietary strategies, and calorie intake and expenditure by self-weighing frequency.<h4>Results</h4>Fifty-one percent of participants weighed every day (n=24) over 6 months. The average self-weighing frequency among those weighing less than daily (n=23) was 5.4±1.2 days per week. Daily weighers lost significantly more weight compared with those weighing less than daily (mean difference=-6.1 kg; 95% CI -10.2 to -2.1; P=0.004). The total number of weight control behaviors adopted was greater among daily weighers (17.6±7.6 vs 11.2±6.4; P=0.004). There were no differences by self-weighing frequency in dietary strategies, calorie intake, or calorie expenditure.<h4>Conclusions</h4>Weighing every day led to greater adoption of weight control behaviors and produced greater weight loss compared with weighing most days of the week. This further implicates daily weighing as an effective weight loss tool.}, Doi = {10.1016/j.jand.2014.12.011}, Key = {fds250658} } @article{fds250650, Author = {Price, S and Ferisin, S and Sharifi, M and Steinberg, D and Bennett, G and Wolin, KY and Horan, C and Koziol, R and Marshall, R and Taveras, EM}, Title = {Development and Implementation of an Interactive Text Messaging Campaign to Support Behavior Change in a Childhood Obesity Randomized Controlled Trial.}, Journal = {Journal of health communication}, Volume = {20}, Number = {7}, Pages = {843-850}, Year = {2015}, Month = {January}, ISSN = {1081-0730}, url = {http://dx.doi.org/10.1080/10810730.2015.1018582}, Abstract = {Text messaging is a promising means of intervening on an array of health issues among varied populations, but little has been published about the development of such interventions. The authors describe the development and implementation of an interactive text messaging campaign for parents to support behavior change among children in a childhood obesity randomized controlled trial. The authors invited 160 parents to participate in a text messaging intervention that provided behavior change support in conjunction with health coaching phone calls and mailed materials on behavioral goals. Throughout the 1-year intervention, the authors sent 1-2 text messages per week. The first asked how the child did with a target behavior the day before; parents who replied received an immediate feedback message tailored to their response. The second included a tip about how to work toward a behavioral goal. Baseline surveys indicate that text messaging is a common means of communication for parents, and many are willing to use text messaging to support behavior change for their child. Results at 1 year indicate a high level of engagement with the text messaging intervention, with nearly two thirds responding to 75% or more of the questions they were sent by text.}, Doi = {10.1080/10810730.2015.1018582}, Key = {fds250650} } @article{fds250660, Author = {Chandler, PD and Scott, JB and Drake, BF and Ng, K and Chan, AT and Hollis, BW and Emmons, KM and Giovannucci, EL and Fuchs, CS and Bennett, GG}, Title = {Impact of vitamin D supplementation on adiposity in African-Americans.}, Journal = {Nutrition & diabetes}, Volume = {5}, Pages = {e147}, Year = {2015}, Month = {January}, url = {http://dx.doi.org/10.1038/nutd.2014.44}, Abstract = {<h4>Background</h4>African-Americans have higher rates of obesity-associated chronic diseases. Serum 25-hydroxyvitamin D (25(OH)D) shows an inverse association with obesity status. We investigated whether vitamin D supplementation changes body mass index (BMI).<h4>Subjects</h4>In total, 328 overweight African-Americans were enrolled over three consecutive winter periods (2007-2010) into a randomized, double-blind, placebo-controlled trial to receive cholecalciferol supplementation (0, 1000 international units (IU), 2000 IU or 4000 IU per day) for 3 months. Plasma concentrations of 25(OH)D and anthropometric measurements were done at baseline, 3 and 6 months.<h4>Results</h4>At 3 months, vitamin D supplementation in three dose groups (1000 IU, 2000 IU or 4000 IU per day) did not cause any significant changes in BMI as compared with placebo group 3-month change in BMI per 1000 IU per day estimate (SE): 0.01 (0.039); P=0.78.<h4>Conclusions</h4>In overweight African-Americans, short-term high-dose vitamin D supplementation did not alter BMI.}, Doi = {10.1038/nutd.2014.44}, Key = {fds250660} } @article{fds290488, Author = {Wolin, KY and Steinberg, DM and Lane, IB and Askew, S and Greaney, ML and Colditz, GA and Bennett, GG}, Title = {Engagement with eHealth Self-Monitoring in a Primary Care-Based Weight Management Intervention.}, Journal = {PloS one}, Volume = {10}, Number = {10}, Pages = {e0140455}, Year = {2015}, Month = {January}, url = {http://dx.doi.org/10.1371/journal.pone.0140455}, Abstract = {<h4>Background</h4>While eHealth approaches hold promise for improving the reach and cost-effectiveness of behavior change interventions, they have been challenged by declining participant engagement over time, particularly for self-monitoring behaviors. These are significant concerns in the context of chronic disease prevention and management where durable effects are important for driving meaningful changes.<h4>Purpose</h4>"Be Fit, Be Well" was an eHealth weight loss intervention that allowed participants to self-select a self-monitoring modality (web or interactive voice response (IVR)). Participants could change their modality. As such, this study provides a unique opportunity to examine the effects of intervention modality choice and changing modalities on intervention engagement and outcomes.<h4>Methods</h4>Intervention participants, who were recruited from community health centers, (n = 180) were expected to self-monitor health behaviors weekly over the course of the 24-month intervention. We examined trends in intervention engagement by modality (web, IVR, or changed modality) among participants in the intervention arm.<h4>Results</h4>The majority (61%) of participants chose IVR self-monitoring, while 39% chose web. 56% of those who selected web monitoring changed to IVR during the study versus no change in those who initially selected IVR. Self-monitoring declined in both modalities, but completion rates were higher in those who selected IVR. There were no associations between self-monitoring modality and weight or blood pressure outcomes.<h4>Conclusions</h4>This is the first study to compare web and IVR self-monitoring in an eHealth intervention where participants could select and change their self-monitoring modality. IVR shows promise for achieving consistent engagement.}, Doi = {10.1371/journal.pone.0140455}, Key = {fds290488} } @article{fds324095, Author = {Chandler, PD and Agboola, F and Ng, K and Scott, JB and Drake, BF and Bennett, GG and Chan, AT and Hollis, BW and Emmons, KM and Fuchs, CS and Giovannucci, EL}, Title = {Reduction of Parathyroid Hormone with Vitamin D Supplementation in Blacks: A Randomized Controlled Trial.}, Journal = {BMC nutrition}, Volume = {1}, Pages = {26}, Year = {2015}, Month = {January}, url = {http://dx.doi.org/10.1186/s40795-015-0024-8}, Abstract = {<h4>Background</h4>Response of parathyroid hormone (PTH) to vitamin D supplementation is determined by the baseline PTH level and change in vitamin D status. Conflicting reports in Blacks exist on the PTH response to vitamin D to supplementation.<h4>Methods</h4>During 3 winters from 2007-2010, 328 healthy Blacks (median age, 51 years) living in Boston, MA were randomized into a 4-arm, double-blind trial for 3 months of placebo, 1000, 2000, or 4000 IU of vitamin D3. PTH was measured in 254 participants at baseline and at the end of vitamin D supplementation period.<h4>Results</h4>The differences in PTH between baseline and 3 months were 3.93 pg/mL for those receiving placebo, -3.37 pg/mL for those receiving 1000 IU/d, -6.76 pg/mL for those receiving 2000 IU/d, and -8.99 pg/mL for those receiving 4000 IU/d ( -2.98 pg/mL for each additional 1000 IU/d of vitamin D3; p<0.001).<h4>Conclusion</h4>We found a significant decrease in PTH with increasing doses of vitamin D supplementation up to intakes of 4000 IU/d in Blacks. Clinical Trials.gov: NCT00585637.}, Doi = {10.1186/s40795-015-0024-8}, Key = {fds324095} } @article{fds250648, Author = {Logsdon, MC and Bennett, G and Crutzen, R and Martin, L and Eckert, D and Robertson, A and Myers, J and Tomasulo, R and Gregg, J and Barone, M and Lynch, T and Flamini, L}, Title = {Preferred health resources and use of social media to obtain health and depression information by adolescent mothers.}, Journal = {Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc}, Volume = {27}, Number = {4}, Pages = {163-168}, Year = {2014}, Month = {November}, ISSN = {1073-6077}, url = {http://dx.doi.org/10.1111/jcap.12083}, Abstract = {<h4>Problem</h4>Little is known about how adolescent mothers use social media and the Internet, especially to access health information.<h4>Methods</h4>In this cross-sectional, descriptive study, adolescent mothers were recruited from an academic medical center after the birth of their child (n = 94) or from a state-funded, home visitation program during the first year after birth (n = 91). They completed the Pew Internet Survey: 37 questions related to use of social media and Internet, particularly in regard to obtaining health information.<h4>Findings</h4>All adolescent mothers used a computer and almost all went online. Most accessed the Internet by cell phone (67.4%) and used social media. The health topics searched most frequently were pregnancy/birth control (85.8%), sexually transmitted diseases (n = 134, 72.6%) and HIV (66.3%). Response to survey questions differed between the two groups (adolescent mothers surveyed after birth from academic medical center and adolescent mothers surveyed in the first postpartum year in the community).<h4>Conclusions</h4>Adolescent mothers spend significant time on the Internet including searching for health information. Cell phones are their preferred methods for accessing the Internet, and they use social media. Thus, social media and the Internet are potentially feasible and acceptable vehicles to deliver health interventions to adolescent mothers.}, Doi = {10.1111/jcap.12083}, Key = {fds250648} } @article{fds250652, Author = {Batch, BC and Tyson, C and Bagwell, J and Corsino, L and Intille, S and Lin, PH and Lazenka, T and Bennett, G and Bosworth, HB and Voils, C and Grambow, S and Sutton, A and Bordogna, R and Pangborn, M and Schwager, J and Pilewski, K and Caccia, C and Burroughs, J and Svetkey, LP}, Title = {Corrigendum to "Weight loss intervention for young adults using mobile technology: Design and rationale of a randomized controlled trial - Cell phone Intervention for You (CITY)" [Contemp Clin Trials 37/2 (2014) 333-341].}, Journal = {Contemp Clin Trials}, Volume = {39}, Number = {2}, Pages = {351}, Year = {2014}, Month = {November}, ISSN = {1551-7144}, url = {http://dx.doi.org/10.1016/j.cct.2014.10.001}, Doi = {10.1016/j.cct.2014.10.001}, Key = {fds250652} } @article{fds250666, Author = {Herring, SJ and Cruice, JF and Bennett, GG and Davey, A and Foster, GD}, Title = {Using technology to promote postpartum weight loss in urban, low-income mothers: a pilot randomized controlled trial.}, Journal = {Journal of nutrition education and behavior}, Volume = {46}, Number = {6}, Pages = {610-615}, Year = {2014}, Month = {November}, ISSN = {1499-4046}, url = {http://dx.doi.org/10.1016/j.jneb.2014.06.002}, Abstract = {<h4>Objective</h4>To examine the feasibility, acceptability, and initial efficacy of a technology-based weight loss intervention for urban, low-income mothers.<h4>Methods</h4>Eighteen obese, ethnic minority, socioeconomically disadvantaged mothers in the first year after childbirth were randomly assigned to either: 1) technology-based intervention, which included empirically supported behavior-change strategies, daily skills, and self-monitoring text messages with personalized feedback, biweekly counseling calls from a health coach, and access to a Facebook support group, or 2) usual-care control.<h4>Results</h4>After 14 weeks of treatment, the technology-based intervention participants had significantly greater weight loss (-2.9 ± 3.6 kg) than usual care (0.5 ± 2.3 kg; adjusted mean difference: -3.2 kg, 95% confidence interval -6.2 to -0.1 kg, P = .04). One-third of intervention participants (3 of 9) and no control participants lost > 5% of their initial body weight at follow up.<h4>Conclusions and implications</h4>Results suggest the potential for using technology to deliver a postpartum weight loss intervention among low-income racial/ethnic minorities.}, Doi = {10.1016/j.jneb.2014.06.002}, Key = {fds250666} } @article{fds344694, Author = {Pollak, KI and Alexander, SC and Bennett, G and Lyna, P and Coffman, CJ and Bilheimer, A and Farrell, D and Bodner, ME and Swamy, GK and Østbye, T}, Title = {Weight-related SMS texts promoting appropriate pregnancy weight gain: a pilot study.}, Journal = {Patient Educ Couns}, Volume = {97}, Number = {2}, Pages = {256-260}, Year = {2014}, Month = {November}, url = {http://dx.doi.org/10.1016/j.pec.2014.07.030}, Abstract = {OBJECTIVES: Excessive gestational weight gain (GWG) puts women and children at risk of obesity. We piloted an SMS-texting intervention to promote healthy GWG among overweight and obese women. METHODS: We recruited 35 women and randomized them in a 2:1 fashion to: a tailored SMS-texting intervention (Preg CHAT) vs. a generic texting intervention (Txt4baby). Preg CHAT texts provided personalized feedback based on women's intake of sweetened beverages, fruits and vegetables, fast food, daily steps taken, and weight. We abstracted women's weights from charts and surveyed women at baseline and 32 weeks gestation. RESULTS: Few women refused the study; many (30%) did not complete the study, however. Of those in the Preg CHAT arm, 86% responded to texts, and 80% said they would recommend this program to a friend. For women who completed the surveys (n=23), those in the Preg CHAT arm had a mean gain of 6 less pounds than women in the Txt4Baby arm (95% CI -15.9, 4.0; p=0.24). CONCLUSIONS: This pilot study shows feasibility, acceptability, and potential efficacy of a low-intensity and disseminable intervention to help overweight and obese women reduce GWG. PRACTICE IMPLICATIONS: An SMS texting program might help overweight women reduce excessive GWG.}, Doi = {10.1016/j.pec.2014.07.030}, Key = {fds344694} } @article{fds250662, Author = {Newton, RL and Griffith, DM and Kearney, WB and Bennett, GG}, Title = {A systematic review of weight loss, physical activity and dietary interventions involving African American men.}, Journal = {Obesity reviews : an official journal of the International Association for the Study of Obesity}, Volume = {15 Suppl 4}, Pages = {93-106}, Year = {2014}, Month = {October}, ISSN = {1467-7881}, url = {http://dx.doi.org/10.1111/obr.12209}, Abstract = {When compared with men of other racial or ethnic groups, African American men are more likely to experience adverse health conditions. The systematic review objectives were to (i) determine the current evidence base concerning African American men's response to lifestyle behavioural interventions designed to promote weight loss, increase physical activity, and/or improve healthy eating and (ii) determine the next steps for research in these areas. The PubMed, Web of Science, Psych Info and Cochrane databases were searched to identify papers published before January 1, 2013 that reported change in weight, physical activity and/or dietary patterns in African American men aged 18 and older, as a result of behavioural change strategies. The titles and abstracts of 1,403 papers were screened; after removing duplicates, 141 papers were read to determine their eligibility. Seventeen publications from 14 studies reported outcomes for African American men. Eight large multi-centre trials and six community-based studies were identified. African American men were an exclusive sample in only four studies. Five studies showed statistically significant improvements. Although the available evidence appears to show that these interventions produce positive results, the relative and the long-term effectiveness of weight loss, dietary and/or physical activity interventions for this population are unknown.}, Doi = {10.1111/obr.12209}, Key = {fds250662} } @article{fds250664, Author = {Bennett, GG and Steinberg, DM and Stoute, C and Lanpher, M and Lane, I and Askew, S and Foley, PB and Baskin, ML}, Title = {Electronic health (eHealth) interventions for weight management among racial/ethnic minority adults: a systematic review.}, Journal = {Obesity reviews : an official journal of the International Association for the Study of Obesity}, Volume = {15 Suppl 4}, Pages = {146-158}, Year = {2014}, Month = {October}, ISSN = {1467-7881}, url = {http://dx.doi.org/10.1111/obr.12218}, Abstract = {Electronic health (eHealth) interventions have demonstrated efficacy for weight management. However, little is known about their efficacy among racial/ethnic minority populations, in whom there is a disproportionate prevalence of obesity. This systematic review evaluated the efficacy of eHealth weight management interventions among overweight and obese racial/ethnic minority adults. We required that trial samples be comprised of at least 50% racial/ethnic minorities or report outcomes by race/ethnicity. We searched five electronic databases for trials conducted through June 2012. Six papers met our eligibility criteria. These studies provide suggestive evidence that eHealth interventions can produce low magnitude, short-term weight loss among racial/ethnic minorities. Trials were methodologically sound, with high retention and participant engagement. There was no evidence detailing the efficacy of mobile health approaches, although this area is promising given high utilization rates of mobile devices among racial/ethnic minorities. More evidence, particularly from longer-term trials, is necessary to demonstrate that eHealth intervention approaches can produce clinically meaningful (≥ 5% of initial body weight) weight loss among racial/ethnic minority populations.}, Doi = {10.1111/obr.12218}, Key = {fds250664} } @article{fds250667, Author = {Steinberg, DM and Askew, S and Lanpher, MG and Foley, PB and Levine, EL and Bennett, GG}, Title = {The effect of a "maintain, don't gain" approach to weight management on depression among black women: results from a randomized controlled trial.}, Journal = {American journal of public health}, Volume = {104}, Number = {9}, Pages = {1766-1773}, Year = {2014}, Month = {September}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2014.302004}, Abstract = {<h4>Objectives</h4>We evaluated the effect of a weight gain prevention intervention (Shape Program) on depression among socioeconomically disadvantaged overweight and obese Black women.<h4>Methods</h4>Between 2009 and 2012, we conducted a randomized trial comparing a 12-month electronic health-based weight gain prevention intervention to usual primary care at 5 central North Carolina community health centers. We assessed depression with the Patient Health Questionnaire (PHQ-8). We analyzed change in depression score from baseline to 12- and 18-month follow-up across groups with mixed models. We used generalized estimating equation models to analyze group differences in the proportion above the clinical threshold for depression (PHQ-8 score ≥ 10).<h4>Results</h4>At baseline, 20% of participants reported depression. Twelve-month change in depression scores was larger for intervention participants (mean difference = -1.85; 95% confidence interval = -3.08, -0.61; P = .004). There was a significant reduction in the proportion of intervention participants with depression at 12 months with no change in the usual-care group (11% vs 19%; P = .035). All effects persisted after we controlled for weight change and medication use. We saw similar findings at 18 months.<h4>Conclusions</h4>The Shape Program, which includes no mention of mood, improved depression among socioeconomically disadvantaged Black women.}, Doi = {10.2105/ajph.2014.302004}, Key = {fds250667} } @article{fds250668, Author = {Chandler, PD and Giovannucci, EL and Scott, JB and Bennett, GG and Ng, K and Chan, AT and Hollis, BW and Emmons, KM and Fuchs, CS and Drake, BF}, Title = {Null association between vitamin D and PSA levels among black men in a vitamin D supplementation trial.}, Journal = {Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology}, Volume = {23}, Number = {9}, Pages = {1944-1947}, Year = {2014}, Month = {September}, ISSN = {1055-9965}, url = {http://dx.doi.org/10.1158/1055-9965.epi-14-0522}, Abstract = {<h4>Background</h4>Black men exhibit a high prevalence of vitamin D deficiency as well as a higher incidence of prostate cancer and higher mortality rates from prostate cancer than Whites. There are few data about the effect of vitamin D3 (cholecalciferol) supplementation on prostate-specific antigen (PSA) in healthy Black men.<h4>Methods</h4>During three winters from 2007 to 2010, 105 Black men (median age, 48.9 years) of Boston, MA were randomized into a four-arm, double-blind trial for 3 months of placebo, 1,000, 2,000, or 4,000 U of vitamin D3. At baseline and 3 months, free and total PSA was measured.<h4>Results</h4>With vitamin D supplementation, no significant differences in free and total PSA were observed; free PSA, -0.0004 ng/mL (P = 0.94) and total PSA, -0.004 ng/mL (P = 0.92) for each additional 1,000 U/d of vitamin D3.<h4>Conclusion</h4>Within an unselected population of healthy Black men without a cancer diagnosis, we found no effect of vitamin D supplementation on free or total PSA.<h4>Impact</h4>These findings support prior findings of no change in PSA with vitamin D supplementation and emphasize the need for new methods to assess the influence of vitamin D supplementation on prostate cancer prevention.}, Doi = {10.1158/1055-9965.epi-14-0522}, Key = {fds250668} } @article{fds250669, Author = {Camacho-Rivera, M and Kawachi, I and Bennett, GG and Subramanian, SV}, Title = {Associations of neighborhood concentrated poverty, neighborhood racial/ethnic composition, and indoor allergen exposures: a cross-sectional analysis of los angeles households, 2006-2008.}, Journal = {Journal of urban health : bulletin of the New York Academy of Medicine}, Volume = {91}, Number = {4}, Pages = {661-676}, Year = {2014}, Month = {August}, ISSN = {1099-3460}, url = {http://dx.doi.org/10.1007/s11524-014-9872-9}, Abstract = {Although racial/ethnic, socioeconomic, and neighborhood factors have been linked to asthma, and the association between indoor allergens and asthma is well documented, few studies have examined the relationship between these factors and indoor allergens. We examined the frequency of reported indoor allergens and differences by racial/ethnic, socioeconomic, and neighborhood characteristics among a diverse sample of Los Angeles households. Multilevel logistic regression models were used to analyze the data from 723 households from wave 2 of the Los Angeles Family and Neighborhood Survey. The reported presence of rats, mice, cockroaches, mold, pets, and tobacco smoke were the primary outcomes of interest. Hispanic and Asian households had a nearly threefold increase in the odds of reporting cockroaches compared to non-Hispanic Whites (OR, 2.85; 95 % CI 1.38-5.88 and OR, 2.62; 95 % CI 1.02-6.73, respectively) even after adjusting for socioeconomic factors. Primary caregivers who had obtained a high school degree were significantly less likely to report the presence of mice and cockroaches compared to primary caregivers with less than a high school degree (OR, 0.19; 95 % CI 0.08-0.46 and OR, 0.39; 95 % CI 0.23-0.68, respectively). Primary caregivers with more than a high school degree were also less likely to report the presence of rats, mice, and cockroaches within their households, compared to those with less than a high school degree. Compared to renters, home owners were less likely to report the presence of mice, cockroaches, and mold within their households. At the neighborhood level, households located within neighborhoods of high concentrated poverty (where the average poverty rate is at least 50 %) were more likely to report the presence of mice and cockroaches compared to households in low concentrated poverty neighborhoods (average poverty rate is 10 % or less), after adjusting for individual race/ethnicity and socioeconomic characteristics. Our study found evidence in support of neighborhood-level racial/ethnic and socioeconomic influences on indoor allergen exposure, above and beyond individual factors. Future studies should continue to explore individual and neighborhood-level racial/ethnic and socioeconomic differences in household allergen exposures across diverse contexts.}, Doi = {10.1007/s11524-014-9872-9}, Key = {fds250669} } @article{fds250676, Author = {Chandler, PD and Scott, JB and Drake, BF and Ng, K and Forman, JP and Chan, AT and Bennett, GG and Hollis, BW and Giovannucci, EL and Emmons, KM and Fuchs, CS}, Title = {Risk of hypercalcemia in blacks taking hydrochlorothiazide and vitamin D.}, Journal = {The American journal of medicine}, Volume = {127}, Number = {8}, Pages = {772-778}, Year = {2014}, Month = {August}, ISSN = {0002-9343}, url = {http://dx.doi.org/10.1016/j.amjmed.2014.02.044}, Abstract = {<h4>Introduction</h4>Hydrochlorothiazide, an effective antihypertensive medication commonly prescribed to blacks, decreases urinary calcium excretion. Blacks have significantly higher rates of hypertension and lower levels of 25-hydroxyvitamin D. Thus, they are more likely to be exposed to vitamin D supplementation and thiazide diuretics. The risk for hypercalcemia among blacks using vitamin D and hydrochlorothiazide is undefined.<h4>Methods</h4>We assessed the frequency of hypercalcemia in hydrochlorothiazide users in a post hoc analysis of a randomized, double-blind, dose-finding trial of 328 blacks (median age 51 years) assigned to either placebo, or 1000, 2000, or 4000 international units of cholecalciferol (vitamin D3) daily for 3 months during the winter (2007-2010).<h4>Results</h4>Of the 328 participants, 84 reported hydrochlorothiazide use and had serum calcium levels assessed. Additionally, a comparison convenience group of 44 enrolled participants who were not taking hydrochlorothiazide had serum calcium measurements at 3 months, but not at baseline. At 3 months, hydrochlorothiazide participants had higher calcium levels (0.2 mg/dL, P <.001) than nonhydrochlorothiazide participants, but only one participant in the hydrochlorothiazide group had hypercalcemia. In contrast, none of the nonhydrochlorothiazide participants had hypercalcemia. In a linear regression model adjusted for age, sex, 25-hydroxyvitamin D at 3 months, and other covariates, only hydrochlorothiazide use (Estimate [SE]: 0.05 [0.01], P = .01) predicted serum calcium at 3 months.<h4>Conclusion</h4>In summary, vitamin D3 supplementation up to 4000 IU in hydrochlorothiazide users is associated with an increase in serum calcium but a low frequency of hypercalcemia. These findings suggest that participants of this population can use hydrochlorothiazide with up to 4000 IU of vitamin D3 daily and experience a low frequency of hypercalcemia.}, Doi = {10.1016/j.amjmed.2014.02.044}, Key = {fds250676} } @article{fds250673, Author = {Emmons, KM and Puleo, E and Greaney, ML and Gillman, MW and Bennett, GG and Haines, J and Sprunck-Harrild, K and Viswanath, K}, Title = {A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care.}, Journal = {Preventive medicine}, Volume = {64}, Pages = {96-102}, Year = {2014}, Month = {July}, ISSN = {0091-7435}, url = {http://dx.doi.org/10.1016/j.ypmed.2014.03.011}, Abstract = {<h4>Objective</h4>To evaluate the effectiveness of the Healthy Directions 2 (HD2) intervention in the primary care setting.<h4>Methods</h4>HD2 was a cluster randomized trial (conducted 3/09-11/11). The primary sampling unit was provider (n=33), with secondary sampling of patients within provider (n=2440). Study arms included: 1) usual care (UC); 2) HD2--a patient self-guided intervention targeting 5 risk behaviors; and 3) HD2 plus 2 brief telephone coaching calls (HD2+CC). The outcome measure was the proportion of participants with a lower multiple risk behavior (MRB) score by follow-up.<h4>Results</h4>At baseline, only 4% of the participants met all behavioral recommendations. Both HD2 and HD2+CC led to improvements in MRB score, relative to UC, with no differences between the two HD2 conditions. Twenty-eight percent of the UC participants had improved MRB scores at 6 months, vs. 39% and 43% in HD2 and HD2+CC, respectively (ps≤.001); results were similar at 18 months (p≤.05). The incremental cost of one risk factor reduction in MRB score was $310 for HD2 and $450 for HD2+CC.<h4>Conclusions</h4>Self-guided and coached intervention conditions had equivalent levels of effect in reducing multiple chronic disease risk factors, were relatively low cost, and thus are potentially useful for routine implementation in similar health settings.}, Doi = {10.1016/j.ypmed.2014.03.011}, Key = {fds250673} } @article{fds250683, Author = {Lin, P-H and Wang, Y and Levine, E and Askew, S and Lin, S and Chang, C and Sun, J and Foley, P and Wang, H and Li, X and Bennett, GG}, Title = {A text messaging-assisted randomized lifestyle weight loss clinical trial among overweight adults in Beijing.}, Journal = {Obesity (Silver Spring)}, Volume = {22}, Number = {5}, Pages = {E29-E37}, Year = {2014}, Month = {May}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24375969}, Abstract = {OBJECTIVE: The impact of a text messaging-assisted lifestyle weight loss intervention on weight change among overweight adults in Beijing was examined. METHODS: It was a 6-month randomized two arm clinical trial. The control group received a brief advice session after randomization. The intervention group received three group sessions, five coaching calls, and a daily text message prompting participants to follow predetermined lifestyle goals. RESULTS: A total of 123 participants were randomized. At 6 months, controls gained 0.24 ± 0.28 kg (0.21% ± 0.38%) (NS) while intervention participants lost 1.6 ± 0.28 kg (2.31% ± 0.38%) (p < 0.0001). Intervention participants decreased waist circumference (WC) (-2.69 ± 0.43 cm, p < 0.0001), percent body fat (%BF) (-0.66% ± 0.19%, p = 0.0007), and systolic/diastolic blood pressure (SBP/DBP) significantly (-1.71 ± 1.12/-3.24 ± 0.87 mmHg), while the controls had no change in WC and %BF and increased SBP/DBP by 2.43 ± 1.14/1.20 ± 0.88 mmHg (between groups: p = 0.01/p = 0.0004). CONCLUSIONS: This text message-assisted lifestyle intervention was effective in reducing weight, WC, %BF, and improving BP. Coupled with the scalable feature of the intervention, this finding is intriguing in light of the potential reach of the intervention for countries like China where mobile phone penetration is high and the obesity rate continues to rise.}, Doi = {10.1002/oby.20686}, Key = {fds250683} } @article{fds250674, Author = {Steinberg, DM and Levine, EL and Lane, I and Askew, S and Foley, PB and Puleo, E and Bennett, GG}, Title = {Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial.}, Journal = {Journal of medical Internet research}, Volume = {16}, Number = {4}, Pages = {e114}, Year = {2014}, Month = {April}, ISSN = {1439-4456}, url = {http://dx.doi.org/10.2196/jmir.2996}, Abstract = {<h4>Background</h4>eHealth interventions are effective for weight control and have the potential for broad reach. Little is known about the use of interactive voice response (IVR) technology for self-monitoring in weight control interventions, particularly among populations disproportionately affected by obesity.<h4>Objective</h4>This analysis sought to examine patterns and predictors of IVR self-monitoring adherence and the association between adherence and weight change among low-income black women enrolled in a weight gain prevention intervention.<h4>Methods</h4>The Shape Program was a randomized controlled trial comparing a 12-month eHealth behavioral weight gain prevention intervention to usual care among overweight and obese black women in the primary care setting. Intervention participants (n=91) used IVR technology to self-monitor behavior change goals (eg, no sugary drinks, 10,000 steps per day) via weekly IVR calls. Weight data were collected in clinic at baseline, 6, and 12 months. Self-monitoring data was stored in a study database and adherence was operationalized as the percent of weeks with a successful IVR call.<h4>Results</h4>Over 12 months, the average IVR completion rate was 71.6% (SD 28.1) and 52% (47/91) had an IVR completion rate ≥80%. At 12 months, IVR call completion was significantly correlated with weight loss (r =-.22; P=.04) and participants with an IVR completion rate ≥80% had significantly greater weight loss compared to those with an IVR completion rate <80% (-1.97 kg, SE 0.67 vs 0.48 kg, SE 0.69; P=.01). Similar outcomes were found for change in body mass index (BMI; mean difference -0.94 kg, 95% CI -1.64 to -0.24; P=.009). Older, more educated participants were more likely to achieve high IVR call completion. Participants reported positive attitudes toward IVR self-monitoring.<h4>Conclusions</h4>Adherence to IVR self-monitoring was high among socioeconomically disadvantaged black women enrolled in a weight gain prevention intervention. Higher adherence to IVR self-monitoring was also associated with greater weight change. IVR is an effective and useful tool to promote self-monitoring and has the potential for widespread use and long-term sustainability.<h4>Trial registration</h4>Clinicaltrials.gov NCT00938535; http://www.clinicaltrials.gov/ct2/show/NCT00938535.}, Doi = {10.2196/jmir.2996}, Key = {fds250674} } @article{fds290490, Author = {Herring, SJ and Cruice, JF and Bennett, GG and Davey, A and Ajibola, WO and Foster, GD}, Title = {USING TECHNOLOGY TO PROMOTE POSTPARTUM WEIGHT LOSS IN ETHNICALLY DIVERSE, LOW-INCOME MOTHERS}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {47}, Pages = {S89-S89}, Publisher = {SPRINGER}, Year = {2014}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000334408300339&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290490} } @article{fds290493, Author = {Quintiliani, LM and Turner-McGrievy, G and Bennett, GG and Hekler, EB and Iyer, AK and Nilsen, WJ}, Title = {ACADEMIC-INDUSTRY PARTNERSHIPS IN EHEALTH ACROSS MULTIPLE BEHAVIORS: A PANEL DISCUSSION OF THE BENEFITS AND RISKS FOR YOUR RESEARCH PORTFOLIO}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {47}, Pages = {S153-S153}, Publisher = {SPRINGER}, Year = {2014}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000334408300588&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290493} } @article{fds290491, Author = {Stoute, CH and Lanpher, MG and Bennett, GG}, Title = {NEGATIVE LIFE EVENTS IMPEDE SUCCESS AMONG LOW INCOME, BLACK WOMEN IN AN EHEALTH WEIGHT GAIN PREVENTION PROGRAM}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {47}, Pages = {S172-S172}, Publisher = {SPRINGER}, Year = {2014}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000334408300659&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290491} } @article{fds290492, Author = {Steinberg, DM and Askew, S and Lanpher, MG and Foley, PB and Levine, EL and Bennett, GG}, Title = {A WEIGHT GAIN PREVENTION INTERVENTION REDUCES DEPRESSION AMONG BLACK WOMEN: RESULTS FROM AN RCT}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {47}, Pages = {S170-S170}, Publisher = {SPRINGER}, Year = {2014}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000334408300649&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290492} } @article{fds250665, Author = {Batch, BC and Tyson, C and Bagwell, J and Corsino, L and Intille, S and Lin, P-H and Lazenka, T and Bennett, G and Bosworth, HB and Voils, C and Grambow, S and Sutton, A and Bordogna, R and Pangborn, M and Schwager, J and Pilewski, K and Caccia, C and Burroughs, J and Svetkey, LP}, Title = {Weight loss intervention for young adults using mobile technology: design and rationale of a randomized controlled trial - Cell Phone Intervention for You (CITY).}, Journal = {Contemp Clin Trials}, Volume = {37}, Number = {2}, Pages = {333-341}, Year = {2014}, Month = {March}, ISSN = {1551-7144}, url = {http://hdl.handle.net/10161/10732 Duke open access}, Abstract = {BACKGROUND: The obesity epidemic has spread to young adults, leading to significant public health implications later in adulthood. Intervention in early adulthood may be an effective public health strategy for reducing the long-term health impact of the epidemic. Few weight loss trials have been conducted in young adults. It is unclear what weight loss strategies are beneficial in this population. PURPOSE: To describe the design and rationale of the NHLBI-sponsored Cell Phone Intervention for You (CITY) study, which is a single center, randomized three-arm trial that compares the impact on weight loss of 1) a behavioral intervention that is delivered almost entirely via cell phone technology (Cell Phone group); and 2) a behavioral intervention delivered mainly through monthly personal coaching calls enhanced by self-monitoring via cell phone (Personal Coaching group), each compared to 3) a usual care, advice-only control condition. METHODS: A total of 365 community-dwelling overweight/obese adults aged 18-35 years were randomized to receive one of these three interventions for 24 months in parallel group design. Study personnel assessing outcomes were blinded to group assignment. The primary outcome is weight change at 24 [corrected] months. We hypothesize that each active intervention will cause more weight loss than the usual care condition. Study completion is anticipated in 2014. CONCLUSIONS: If effective, implementation of the CITY interventions could mitigate the alarming rates of obesity in young adults through promotion of weight loss. ClinicalTrial.gov: NCT01092364.}, Doi = {10.1016/j.cct.2014.01.003}, Key = {fds250665} } @article{fds250685, Author = {Ng, K and Scott, JB and Drake, BF and Chan, AT and Hollis, BW and Chandler, PD and Bennett, GG and Giovannucci, EL and Gonzalez-Suarez, E and Meyerhardt, JA and Emmons, KM and Fuchs, CS}, Title = {Dose response to vitamin D supplementation in African Americans: results of a 4-arm, randomized, placebo-controlled trial.}, Journal = {The American journal of clinical nutrition}, Volume = {99}, Number = {3}, Pages = {587-598}, Year = {2014}, Month = {March}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24368437}, Abstract = {<h4>Background</h4>Association studies have suggested that lower circulating 25-hydroxyvitamin D [25(OH)D] in African Americans may partially underlie higher rates of cardiovascular disease and cancer in this population. Nonetheless, the relation between vitamin D supplementation and 25(OH)D concentrations in African Americans remains undefined.<h4>Objective</h4>Our primary objective was to determine the dose-response relation between vitamin D and plasma 25(OH)D.<h4>Design</h4>A total of 328 African Americans in Boston, MA, were enrolled over 3 winters from 2007 to 2010 and randomly assigned to receive a placebo or 1000, 2000, or 4000 IU vitamin D₃/d for 3 mo. Subjects completed sociodemographic and dietary questionnaires, and plasma samples were drawn at baseline and 3 and 6 mo.<h4>Results</h4>Median plasma 25(OH)D concentrations at baseline were 15.1, 16.2, 13.9, and 15.7 ng/mL for subjects randomly assigned to receive the placebo or 1000, 2000, or 4000 IU/d, respectively (P = 0.63). The median plasma 25(OH)D concentration at 3 mo differed significantly between supplementation arms at 13.7, 29.7, 34.8, and 45.9 ng/mL, respectively (P < 0.001). An estimated 1640 IU vitamin D₃/d was needed to raise the plasma 25(OH)D concentration to ≥ 20 ng/mL in ≥ 97.5% of participants, whereas a dose of 4000 IU/d was needed to achieve concentrations ≥ 33 ng/mL in ≥ 80% of subjects. No significant hypercalcemia was seen in a subset of participants.<h4>Conclusions</h4>Within African Americans, an estimated 1640 IU vitamin D₃/d was required to achieve concentrations of plasma 25(OH)D recommended by the Institute of Medicine, whereas 4000 IU/d was needed to reach concentrations predicted to reduce cancer and cardiovascular disease risk in prospective observational studies. These results may be helpful for informing future trials of disease prevention.}, Doi = {10.3945/ajcn.113.067777}, Key = {fds250685} } @article{fds250689, Author = {Mowafi, M and Khadr, Z and Kawachi, I and Subramanian, SV and Hill, A and Bennett, GG}, Title = {Socioeconomic status and obesity in Cairo, Egypt: a heavy burden for all.}, Journal = {Journal of epidemiology and global health}, Volume = {4}, Number = {1}, Pages = {13-21}, Year = {2014}, Month = {March}, ISSN = {2210-6006}, url = {http://dx.doi.org/10.1016/j.jegh.2013.09.001}, Abstract = {Studies have generally shown a positive association between socioeconomic status (SES) and obesity in low-income countries, but few have tested this relationship in the Middle East where obesity prevalence is extraordinarily high and the nutrition profile more closely resembles developed world contexts. The objective of this study is to examine the SES-obesity association in Cairo, Egypt. Multinomial regression analyses were conducted and predicted probabilities were found for overweight and obesity status among adult men and women in a stratified analysis. Data were taken from the 2007 Cairo Urban Inequity Study which collected information on 3993 individuals from 50 neighborhoods in the Cairo Governorate. Five different measures of SES were utilized - education, household expenditures, household assets, subjective wealth, and father's education. No significant associations were found between most measures of SES and overweight/obesity in this population. Overweight and obesity are prevalent across the SES spectrum. These findings suggest that obesity programs and policies should be targeted at all SES groups in Cairo, although specific mechanisms may vary by SES and should be explored further in future studies.}, Doi = {10.1016/j.jegh.2013.09.001}, Key = {fds250689} } @article{fds290494, Author = {Griffith, DM and Newton, RL and Bennett, GG}, Title = {A Systematic Review of Weight Loss, Physical Activity, and Dietary Interventions Involving African American Men}, Journal = {JOURNAL OF MENS HEALTH}, Volume = {11}, Number = {1}, Pages = {A32-A32}, Publisher = {MARY ANN LIEBERT, INC}, Year = {2014}, Month = {March}, ISSN = {1875-6867}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000334163900102&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290494} } @article{fds250678, Author = {Chandler, PD and Scott, JB and Drake, BF and Ng, K and Manson, JE and Rifai, N and Chan, AT and Bennett, GG and Hollis, BW and Giovannucci, EL and Emmons, KM and Fuchs, CS}, Title = {Impact of vitamin D supplementation on inflammatory markers in African Americans: results of a four-arm, randomized, placebo-controlled trial.}, Journal = {Cancer prevention research (Philadelphia, Pa.)}, Volume = {7}, Number = {2}, Pages = {218-225}, Year = {2014}, Month = {February}, ISSN = {1940-6207}, url = {http://dx.doi.org/10.1158/1940-6207.capr-13-0338-t}, Abstract = {African Americans have a disproportionate burden of inflammation-associated chronic diseases such as cancer and lower circulating levels of 25-hydroxyvitamin D [25(OH)D]. The effect of vitamin D3 (cholecalciferol) supplementation on inflammatory markers is uncertain. We conducted a randomized, double-blind, placebo-controlled trial of supplemental oral vitamin D (placebo, 1,000, 2,000, or 4,000 IU/day of vitamin D3 orally for 3 months) in 328 African Americans (median age, 51 years) of public housing communities in Boston, MA, who were enrolled over three consecutive winter periods (2007-2010). Change from 0 to 3 months of plasma levels of 25(OH)D, high-sensitivity C-reactive protein (CRP), interleukin (IL)-6, IL-10, and soluble TNF-α receptor type 2 (sTNF-R2) in 292 (89%) participants were measured. Overall, no statistically significant changes in CRP, IL-6, IL-10, and sTNF-R2 were observed after the vitamin D supplementation period. Baseline CRP was significantly inversely associated with the baseline 25(OH)D level (P < 0.001) in unadjusted and adjusted models. An interaction between baseline 25(OH)D and vitamin D supplementation was observed for outcome change in log CRP (month 3-month 0; P for interaction = 0.04). Within an unselected population of African Americans, short-term exposure to vitamin D supplementation produced no change in circulating inflammatory markers. This study confirms the strong independent association of CRP with 25(OH)D status even after adjusting for body mass index. Future studies of longer supplemental vitamin D3 duration are necessary to examine the complex influence of vitamin D3 on CRP and other chronic inflammatory cytokines for possible reduction of cancer health disparities in African Americans.}, Doi = {10.1158/1940-6207.capr-13-0338-t}, Key = {fds250678} } @article{fds250681, Author = {Greaney, ML and Puleo, E and Bennett, GG and Haines, J and Viswanath, K and Gillman, MW and Sprunck-Harrild, K and Coeling, M and Rusinak, D and Emmons, KM}, Title = {Factors associated with choice of web or print intervention materials in the healthy directions 2 study.}, Journal = {Health education & behavior : the official publication of the Society for Public Health Education}, Volume = {41}, Number = {1}, Pages = {52-62}, Year = {2014}, Month = {February}, ISSN = {1090-1981}, url = {http://dx.doi.org/10.1177/1090198113486803}, Abstract = {<h4>Background</h4>Many U.S. adults have multiple behavioral risk factors, and effective, scalable interventions are needed to promote population-level health. In the health care setting, interventions are often provided in print, although accessible to nearly everyone, are brief (e.g., pamphlets), are not interactive, and can require some logistics around distribution. Web-based interventions offer more interactivity but may not be accessible to all. Healthy Directions 2 was a primary care-based cluster randomized controlled trial designed to improve five behavioral cancer risk factors among a diverse sample of adults (n = 2,440) in metropolitan Boston. Intervention materials were available via print or the web. Purpose. To (a) describe the Healthy Directions 2 study design and (b) identify baseline factors associated with whether participants opted for print or web-based materials.<h4>Methods</h4>Hierarchical regression models corrected for clustering by physician were built to examine factors associated with choice of intervention modality.<h4>Results</h4>At baseline, just 4.0% of participants met all behavioral recommendations. Nearly equivalent numbers of intervention participants opted for print and web-based materials (44.6% vs. 55.4%). Participants choosing web-based materials were younger, and reported having a better financial status, better perceived health, greater computer comfort, and more frequent Internet use (p < .05) than those opting for print. In addition, Whites were more likely to pick web-based material than Black participants.<h4>Conclusions</h4>Interventions addressing multiple behaviors are needed in the primary care setting, but they should be available in web and print formats as nearly equal number of participants chose each option, and there are significant differences in the population groups using each modality.}, Doi = {10.1177/1090198113486803}, Key = {fds250681} } @article{fds250670, Author = {Harley, AE and Rice, J and Walker, R and Strath, SJ and Quintiliani, LM and Bennett, GG}, Title = {Physically active, low-income African American women: an exploration of activity maintenance in the context of sociodemographic factors associated with inactivity.}, Journal = {Women & health}, Volume = {54}, Number = {4}, Pages = {354-372}, Year = {2014}, Month = {January}, ISSN = {0363-0242}, url = {http://dx.doi.org/10.1080/03630242.2014.896440}, Abstract = {Increasing physical activity among low-income African American women is an important target for addressing racial and economic disparities in chronic conditions and related risk factors. While barriers to physical activity for women have been examined empirically, successful strategies for navigating those barriers among physically active, low-income women have not been thoroughly explored. Informed by grounded theory, we conducted in-depth individual interviews between 2007-2010 with 14 low-income African American women who were physically active at nationally recommended levels for one year or more. We analyzed the data using thematic analysis techniques. Key themes emerged in three main categories: motivation for maintaining active lifestyle, strategies for maintaining physical activity, and challenges to maintaining physical activity. Important motivations included getting or staying healthy, social connections, and gratification. Two planning strategies emerged: flexibility and freedom. Critical challenges included financial constraints, physical strain and history of sedentary relapse. The motivations, strategies and challenges reported by low-income African American women who successfully maintained an active lifestyle provided important information for developing effective health promotion strategies for their inactive and underactive counterparts. A qualitative, asset-based approach to physical activity research contributes rich data to bridge the gap between epidemiological knowledge and community health improvement.}, Doi = {10.1080/03630242.2014.896440}, Key = {fds250670} } @article{fds250677, Author = {Proeschold-Bell, RJ and Swift, R and Moore, HE and Bennett, G and Li, XF and Blouin, R and Williams, VP and Williams, RB and Toole, D}, Title = {Corrigendum to Use of a randomized multiple baseline design: Rationale and design of the Spirited Life holistic health intervention study [Contemp Clin Trials 35 (2013) 138-152]}, Journal = {Contemporary Clinical Trials}, Volume = {37}, Number = {1}, Pages = {165}, Year = {2014}, Month = {January}, ISSN = {1551-7144}, url = {http://dx.doi.org/10.1016/j.cct.2013.09.013}, Doi = {10.1016/j.cct.2013.09.013}, Key = {fds250677} } @article{fds250680, Author = {Camacho-Rivera, M and Kawachi, I and Bennett, GG and Subramanian, SV}, Title = {Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis.}, Journal = {PloS one}, Volume = {9}, Number = {1}, Pages = {e87524}, Year = {2014}, Month = {January}, url = {http://dx.doi.org/10.1371/journal.pone.0087524}, Abstract = {<h4>Background</h4>Research examining the impact of neighborhoods on asthma has shown an increased interest in the role of the psychosocial environment. We examined the associations between various measures of neighborhood safety, individual and family characteristics, and asthma outcomes among children in Los Angeles.<h4>Methods</h4>Multilevel logistic regression models were used to analyze data on 3,114 children across 65 neighborhoods from Wave 1 of the Los Angeles Family and Neighborhood Survey (2000 to 2002). Primary caregivers reported asthma outcome and all individual covariates; home environmental characteristics were observed by the interviewer.<h4>Results</h4>In fully adjusted models, parents who reported their neighborhood fairly safe or somewhat dangerous had lower odds of reported lifetime asthma compared to those who reported their neighborhood completely safe (OR 0.71; 95% CI 0.52-0.96 and OR 0.60; 95% CI 0.42-0.88 respectively). Conversely, parents who reported they could not trust their neighbors to keep their children safe had a nearly 40% increase in lifetime asthma compared to those who reported they could trust their neighbors to keep their children safe (OR 1.39; 95% CI 1.07-1.81).<h4>Conclusions</h4>The study demonstrates a complex pattern between various measures of neighborhood safety and asthma and suggests that these relationships may operate differently in Los Angeles. As an increasing proportion of children are growing up in newer Western and Southwestern cities, which have different physical layouts and residential segregation patterns compared to Northeast and Midwestern cities, future studies should continue to examine neighborhood psychosocial stressors and asthma in diverse contexts.}, Doi = {10.1371/journal.pone.0087524}, Key = {fds250680} } @article{fds250686, Author = {Steinberg, DM and Tate, DF and Bennett, GG and Ennett, S and Samuel-Hodge, C and Ward, DS}, Title = {Daily self-weighing and adverse psychological outcomes: a randomized controlled trial.}, Journal = {American journal of preventive medicine}, Volume = {46}, Number = {1}, Pages = {24-29}, Year = {2014}, Month = {January}, ISSN = {1873-2607}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24355668}, Abstract = {<h4>Background</h4>Despite evidence that daily self-weighing is an effective strategy for weight control, concerns remain regarding the potential for negative psychological consequences.<h4>Purpose</h4>The goal of the study was to examine the impact of a daily self-weighing weight-loss intervention on relevant psychological constructs.<h4>Design</h4>A 6-month RCT.<h4>Setting/participants</h4>The study sample (N=91) included overweight men and women in the Chapel Hill NC area.<h4>Intervention</h4>Between February and August 2011, participants were randomly assigned to a daily self-weighing intervention or delayed-intervention control group. The 6-month intervention included daily self-weighing for self-regulation of diet and exercise behaviors using an e-scale that transmitted weights to a study website. Weekly e-mailed lessons and tailored feedback on daily self-weighing adherence and weight-loss progress were provided.<h4>Main outcome measures</h4>Self-weighing frequency was measured throughout the study using e-scales. Weight was measured in-clinic at baseline, 3 months, and 6 months. Psychological outcomes were assessed via self-report at the same time points.<h4>Results</h4>In 2012, using linear mixed models and generalized estimating equation models, there were no significant differences between groups in depressive symptoms, anorectic cognitions, disinhibition, susceptibility to hunger, and binge eating. At 6 months, there was a significant group X time interaction for body dissatisfaction (p=0.007) and dietary restraint (p<0.001), with the intervention group reporting lower body dissatisfaction and greater dietary restraint compared to controls.<h4>Conclusions</h4>Results indicate that a weight-loss intervention that focuses on daily self-weighing does not cause adverse psychological outcomes. This suggests that daily self-weighing is an effective and safe weight-control strategy among overweight adults attempting to lose weight.<h4>Trial registration</h4>This study is registered at clinicaltrials.gov NCT01369004.}, Language = {eng}, Doi = {10.1016/j.amepre.2013.08.006}, Key = {fds250686} } @article{fds221852, Author = {Bennett GG and Steinberg DM and Stoute C and Lanpher M and Lane I and Askew S, Foley PB and Baskin ML}, Title = {Electronic health (eHealth) interventions for weight management among racial/ethnic minority adults: a systematic review}, Journal = {Obesity Reviews}, Year = {2013}, Month = {December}, Key = {fds221852} } @article{fds221831, Author = {K Ng and JB Scott and BF Drake and AT Chan and BW Hollis and PD Chandler and GG Bennett and EL Giovannucci and E Gonzalez-Suarez and JA Meyerhardt, KM Emmons and CS Fuchs}, Title = {Dose response to vitamin D supplementation in African Americans: results of a 4-arm, randomized, placebo-controlled trial.}, Journal = {The American journal of clinical nutrition}, Year = {2013}, Month = {December}, ISSN = {1938-3207}, url = {http://dx.doi.org/10.3945/ajcn.113.067777}, Abstract = {BACKGROUND: Association studies have suggested that lower circulating 25-hydroxyvitamin D [25(OH)D] in African Americans may partially underlie higher rates of cardiovascular disease and cancer in this population. Nonetheless, the relation between vitamin D supplementation and 25(OH)D concentrations in African Americans remains undefined. OBJECTIVE: Our primary objective was to determine the dose-response relation between vitamin D and plasma 25(OH)D. METHODS: A total of 328 African Americans in Boston, MA, were enrolled over 3 winters from 2007 to 2010 and randomly assigned to receive a placebo or 1000, 2000, or 4000 IU vitamin D3/d for 3 mo. Subjects completed sociodemographic and dietary questionnaires, and plasma samples were drawn at baseline and 3 and 6 mo. RESULTS: Median plasma 25(OH)D concentrations at baseline were 15.1, 16.2, 13.9, and 15.7 ng/mL for subjects randomly assigned to receive the placebo or 1000, 2000, or 4000 IU/d, respectively (P = 0.63). The median plasma 25(OH)D concentration at 3 mo differed significantly between supplementation arms at 13.7, 29.7, 34.8, and 45.9 ng/mL, respectively (P < 0.001). An estimated 1640 IU vitamin D3/d was needed to raise the plasma 25(OH)D concentration to ≥20 ng/mL in ≥97.5% of participants, whereas a dose of 4000 IU/d was needed to achieve concentrations ≥33 ng/mL in ≥80% of subjects. No significant hypercalcemia was seen in a subset of participants. CONCLUSIONS: Within African Americans, an estimated 1640 IU vitamin D3/d was required to achieve concentrations of plasma 25(OH)D recommended by the Institute of Medicine, whereas 4000 IU/d was needed to reach concentrations predicted to reduce cancer and cardiovascular disease risk in prospective observational studies. These results may be helpful for informing future trials of disease prevention. This trial was registered at clinicaltrials.gov as NCT00585637.}, Language = {ENG}, Doi = {10.3945/ajcn.113.067777}, Key = {fds221831} } @article{fds221833, Author = {PD Chandler and JB Scott and BF Drake and K Ng and JE Manson and N Rifai and AT Chan and GG Bennett and BW Hollis and EL Giovannucci and KM Emmons and CS Fuchs}, Title = {Impact of Vitamin D Supplementation on Inflammatory Markers in African-Americans: Results of a Four-Arm, Randomized, Placebo-Controlled Trial.}, Journal = {Cancer prevention research (Philadelphia, Pa.)}, Year = {2013}, Month = {December}, ISSN = {1940-6215}, url = {http://dx.doi.org/10.1158/1940-6207.CAPR-13-0338-T}, Abstract = {HASH(0xd710ad8)}, Language = {ENG}, Doi = {10.1158/1940-6207.CAPR-13-0338-T}, Key = {fds221833} } @article{fds250695, Author = {Ritzwoller, DP and Glasgow, RE and Sukhanova, AY and Bennett, GG and Warner, ET and Greaney, ML and Askew, S and Goldman, J and Emmons, KM and Colditz, GA and Be Fit Be Well study investigators}, Title = {Economic analyses of the Be Fit Be Well program: a weight loss program for community health centers.}, Journal = {Journal of general internal medicine}, Volume = {28}, Number = {12}, Pages = {1581-1588}, Year = {2013}, Month = {December}, ISSN = {0884-8734}, url = {http://dx.doi.org/10.1007/s11606-013-2492-3}, Abstract = {<h4>Background</h4>The U.S. Preventive Services Task Force has released new guidelines on obesity, urging primary care physicians to provide obese patients with intensive, multi-component behavioral interventions. However, there are few studies of weight loss in real world nonacademic primary care, and even fewer in largely racial/ethnic minority, low-income samples.<h4>Objective</h4>To evaluate the recruitment, intervention and replications costs of a 2-year, moderate intensity weight loss and blood pressure control intervention.<h4>Design</h4>A comprehensive cost analysis was conducted, associated with a weight loss and hypertension management program delivered in three community health centers as part of a pragmatic randomized trial.<h4>Participants</h4>Three hundred and sixty-five high risk, low-income, inner city, minority (71 % were Black/African American and 13 % were Hispanic) patients who were both hypertensive and obese.<h4>Main measures</h4>Measures included total recruitment costs and intervention costs, cost per participant, and incremental costs per unit reduction in weight and blood pressure.<h4>Key results</h4>Recruitment and intervention costs were estimated $2,359 per participant for the 2-year program. Compared to the control intervention, the cost per additional kilogram lost was $2,204 /kg, and for blood pressure, $621 /mmHg. Sensitivity analyses suggest that if the program was offered to a larger sample and minor modifications were made, the cost per participant could be reduced to the levels of many commercially available products.<h4>Conclusions</h4>The costs associated with the Be Fit Be Well program were found to be significantly more expensive than many commercially available products, and much higher than the amount that the Centers for Medicare and Medicaid reimburse physicians for obesity counseling. However, given the serious and costly health consequences associated with obesity in high risk, multimorbid and socioeconomically disadvantaged patients, the resources needed to provide interventions like those described here may still prove to be cost-effective with respect to producing long-term behavior change.}, Language = {eng}, Doi = {10.1007/s11606-013-2492-3}, Key = {fds250695} } @article{fds250687, Author = {Steinberg, DM and Levine, EL and Askew, S and Foley, P and Bennett, GG}, Title = {Daily text messaging for weight control among racial and ethnic minority women: randomized controlled pilot study.}, Journal = {Journal of medical Internet research}, Volume = {15}, Number = {11}, Pages = {e244}, Year = {2013}, Month = {November}, ISSN = {1438-8871}, url = {http://www.ncbi.nlm.nih.gov/pubmed/24246427}, Keywords = {black women • mHealth • self-monitoring • text messaging • weight loss}, Abstract = {<h4>Background</h4>Daily self-monitoring of diet and physical activity behaviors is a strong predictor of weight loss success. Text messaging holds promise as a viable self-monitoring modality, particularly among racial/ethnic minority populations.<h4>Objective</h4>This pilot study evaluated the feasibility of a text messaging intervention for weight loss among predominantly black women.<h4>Methods</h4>Fifty obese women were randomized to either a 6-month intervention using a fully automated system that included daily text messages for self-monitoring tailored behavioral goals (eg, 10,000 steps per day, no sugary drinks) along with brief feedback and tips (n=26) or to an education control arm (n=24). Weight was objectively measured at baseline and at 6 months. Adherence was defined as the proportion of text messages received in response to self-monitoring prompts.<h4>Results</h4>The average daily text messaging adherence rate was 49% (SD 27.9) with 85% (22/26) texting self-monitored behavioral goals 2 or more days per week. Approximately 70% (16/23) strongly agreed that daily texting was easy and helpful and 76% (16/21) felt the frequency of texting was appropriate. At 6 months, the intervention arm lost a mean of 1.27 kg (SD 6.51), and the control arm gained a mean of 1.14 kg (SD 2.53; mean difference -2.41 kg, 95% CI -5.22 to 0.39; P=.09). There was a trend toward greater text messaging adherence being associated with greater percent weight loss (r=-.36; P=.08), but this did not reach statistical significance. There was no significant association between goal attainment and text messaging adherence and no significant predictors of adherence.<h4>Conclusions</h4>Given the increasing penetration of mobile devices, text messaging may be a useful self-monitoring tool for weight control, particularly among populations most in need of intervention.<h4>Trial registration</h4>Clinicaltrials.gov: NCT00939081; http://clinicaltrials.gov/show/NCT00939081 (Archived by WebCite at http://www.webcitation.org/6KiIIcnk1).}, Language = {eng}, Doi = {10.2196/jmir.2844}, Key = {fds250687} } @article{fds250693, Author = {Bennett, GG and Foley, P and Levine, E and Whiteley, J and Askew, S and Steinberg, DM and Batch, B and Greaney, ML and Miranda, H and Wroth, TH and Holder, MG and Emmons, KM and Puleo, E}, Title = {Behavioral treatment for weight gain prevention among black women in primary care practice: a randomized clinical trial.}, Journal = {JAMA Intern Med}, Volume = {173}, Number = {19}, Pages = {1770-1777}, Year = {2013}, Month = {October}, ISSN = {2168-6114}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23979005}, Keywords = {Adult • African Americans • Behavior Therapy • Body Mass Index • Female • Humans • Obesity • Primary Health Care • Risk Reduction Behavior • Treatment Outcome • Weight Gain • methods* • physiology* • prevention & control* • psychology • psychology*}, Abstract = {IMPORTANCE: Few weight loss treatments produce clinically meaningful weight loss outcomes among black women, particularly in the primary care setting. New weight management strategies are necessary for this population. Weight gain prevention might be an effective treatment option, with particular benefits for overweight and class 1 obese black women. OBJECTIVE: To compare changes in weight and cardiometabolic risk during a 12-month period among black women randomized to a primary care-based behavioral weight gain prevention intervention, relative to usual care. DESIGN, SETTING, AND PARTICIPANTS: Two-arm randomized clinical trial (the Shape Program). We recruited patients from a 6-site community health center system. We randomized 194 overweight and class 1 obese (body mass index [calculated as weight in kilograms divided by height in meters squared], 25-34.9) premenopausal black women aged 25 to 44 years. Enrollment began on December 7, 2009; 12- and 18-month assessments were completed in February and October 2, 2012. INTERVENTIONS: The medium-intensity intervention included tailored behavior change goals, weekly self-monitoring via interactive voice response, monthly counseling calls, tailored skills training materials, and a gym membership. MAIN OUTCOMES AND MEASURES: Twelve-month change in weight and body mass index and maintenance of change at 18 months. RESULTS: Participants had a mean age of 35.4 years, a mean weight of 81.1 kg, and a mean body mass index of 30.2 at baseline. Most were socioeconomically disadvantaged (79.7% with educational level less than a college degree; 74.3% reporting annual income <$30,000). The 12-month weight change was larger among intervention participants (mean [SD], -1.0 [0.5] kg), relative to usual care (0.5 [0.5] kg; mean difference, -1.4 kg [95% CI, -2.8 to -0.1 kg]; P = .04). At month 12, 62% of intervention participants were at or below their baseline weights compared with 45% of usual-care participants (P = .03). By 18 months, intervention participants maintained significantly larger changes in weight (mean difference, -1.7 kg; 95% CI, -3.3 to -0.2 kg). CONCLUSIONS AND RELEVANCE: A medium-intensity primary care-based behavioral intervention demonstrated efficacy for weight gain prevention among socioeconomically disadvantaged black women. A "maintain, don't gain" approach might be a useful alternative treatment for reducing obesity-associated disease risk among some premenopausal black women. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00938535.}, Language = {eng}, Doi = {10.1001/jamainternmed.2013.9263}, Key = {fds250693} } @article{fds250672, Author = {Pagoto, S and Bennett, GG}, Title = {How behavioral science can advance digital health}, Journal = {Translational Behavioral Medicine}, Volume = {3}, Number = {3}, Pages = {271-276}, Publisher = {Oxford University Press (OUP)}, Year = {2013}, Month = {September}, ISSN = {1869-6716}, url = {http://dx.doi.org/10.1007/s13142-013-0234-z}, Keywords = {Digital health • Social networks • mHealth}, Abstract = {The field of behavioral science has produced myriad data on health behavior change strategies and leveraged such data into effective human-delivered interventions to improve health. Unfortunately, the impact of traditional health behavior change interventions has been heavily constrained by patient and provider burden, limited ability to measure and intervene upon behavior in real time, variable adherence, low rates of implementation, and poor third-party coverage. Digital health technologies, including mobile phones, sensors, and online social networks, by being available in real time, are being explored as tools to increase our understanding of health behavior and to enhance the impact of behavioral interventions. The recent explosion of industry attention to the development of novel health technologies is exciting but has far outpaced research. This Special Section of Translational Behavioral Medicine, Smartphones, Sensors, and Social Networks: A New Age of Health Behavior Change features a collection of studies that leverage health technologies to measure, change, and/or understand health behavior. We propose five key areas in which behavioral science can improve the impact of digital health technologies on public health. First, research is needed to identify which health technologies actually impact behavior and health outcomes. Second, we need to understand how online social networks can be leveraged to impact health behavior on a large scale. Third, a team science approach is needed in the developmental process of health technologies. Fourth, behavioral scientists should identify how a balance can be struck between the fast pace of innovation and the much slower pace of research. Fifth, behavioral scientists have an integral role in informing the development of health technologies and facilitating the movement of health technologies into the healthcare system. © 2013 Society of Behavioral Medicine.}, Language = {eng}, Doi = {10.1007/s13142-013-0234-z}, Key = {fds250672} } @article{fds250694, Author = {Proeschold-Bell, RJ and Swift, R and Moore, HE and Bennett, G and Li, X-F and Blouin, R and Williams, VP and Williams, RB and Toole, D}, Title = {Use of a randomized multiple baseline design: rationale and design of the spirited life holistic health intervention study.}, Journal = {Contemp Clin Trials}, Volume = {35}, Number = {2}, Pages = {138-152}, Year = {2013}, Month = {July}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23685205}, Abstract = {Clergy suffer from high rates of obesity, chronic disease, and depression, and simultaneously underestimate the toll these take on their daily functioning. Health interventions are needed for clergy and may be tailored to their occupational context and theological beliefs. Few studies have sought to improve clergy health. No prior studies have utilized a randomized design. Spirited Life is a randomized, multiple baseline study that offered enrollment to nearly all United Methodist Church clergy in North Carolina in fall 2010. A total of 1114 clergy (response rate = 64%) enrolled. Using a multiple baseline design, we randomized participants to three cohorts. Each cohort began the health intervention in one of three consecutive years. The third cohort served as a randomized waitlist control cohort, allowing comparisons between the first and third cohorts. The two-year Spirited Life intervention consists of: 1) a theological underpinning for health stewardship based on incarnation, grace, and response and delivered during workshops; 2) the stress management program Williams LifeSkills; 3) Naturally Slim, an online weight loss program; 4) phone contact with a Wellness Advocate; and 5) $500 small grants for health goals. Metabolic syndrome is the primary endpoint. Stress and depressive severity are secondary endpoints. We measured each construct before, twice during, and at the end of the two-year intervention. Study outcomes, to be published after follow-up data are gathered, will provide evidence of the effectiveness of the combined intervention components of Spirited Life. If successful, the intervention may be considered for use with other clergy and faith populations.}, Doi = {10.1016/j.cct.2013.05.005}, Key = {fds250694} } @article{fds250702, Author = {Corsino, L and Lin, P-H and Batch, BC and Intille, S and Grambow, SC and Bosworth, HB and Bennett, GG and Tyson, C and Svetkey, LP and Voils, CI}, Title = {Recruiting young adults into a weight loss trial: report of protocol development and recruitment results.}, Journal = {Contemp Clin Trials}, Volume = {35}, Number = {2}, Pages = {1-7}, Year = {2013}, Month = {July}, ISSN = {1559-2030}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23591327}, Keywords = {Adults • Methods • Obesity • Recruitment • Trial • Young}, Abstract = {Obesity has spread to all segments of the U.S. population. Young adults, aged 18-35 years, are rarely represented in clinical weight loss trials. We conducted a qualitative study to identify factors that may facilitate recruitment of young adults into a weight loss intervention trial. Participants were 33 adults aged 18-35 years with BMI ≥25 kg/m(2). Six group discussions were conducted using the nominal group technique. Health, social image, and "self" factors such as emotions, self-esteem, and confidence were reported as reasons to pursue weight loss. Physical activity, dietary intake, social support, medical intervention, and taking control (e.g. being motivated) were perceived as the best weight loss strategies. Incentives, positive outcomes, education, convenience, and social support were endorsed as reasons young adults would consider participating in a weight loss study. Incentives, advertisement, emphasizing benefits, and convenience were endorsed as ways to recruit young adults. These results informed the Cellphone Intervention for You (CITY) marketing and advertising, including message framing and advertising avenues. Implications for recruitment methods are discussed.}, Language = {eng}, Doi = {10.1016/j.cct.2013.04.002}, Key = {fds250702} } @article{fds250697, Author = {Glasgow, RE and Askew, S and Purcell, P and Levine, E and Warner, ET and Stange, KC and Colditz, GA and Bennett, GG}, Title = {Use of RE-AIM to Address Health Inequities: Application in a low-income community health center based weight loss and hypertension self-management program.}, Journal = {Translational behavioral medicine}, Volume = {3}, Number = {2}, Pages = {200-210}, Year = {2013}, Month = {June}, ISSN = {1869-6716}, url = {http://dx.doi.org/10.1007/s13142-013-0201-8}, Keywords = {RE-AIM • Weight-loss • health disparities • implementation science • low-income • pragmatic trial}, Abstract = {<h4>Background</h4>While health inequities are well documented, and there are helpful frameworks to understand health disparities, implementation frameworks are also needed to focus the design, evaluation and reporting on interventions targeting populations at increased risk.<h4>Purpose</h4>Describe how the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) can be used for these purposes and illustrate its application in the context of a randomized, pragmatic weight-loss and hypertension self-management intervention.<h4>Methods</h4>RE-AIM was used to both plan and evaluate the Be Fit Be Well program for urban community health center patients.<h4>Results</h4>The RE-AIM framework helped to focus attention on and produce high rates of adoption and reach. Implementation rates varied across components. Weight losses were statistically significant, but not clinically significant. They were robust across a variety of patient characteristics, and the program was relatively low cost. Individual weight losses and blood pressure reductions were maintained throughout the 24-month period, but the program was not sustained at any of the three settings.<h4>Conclusion</h4>Implementation frameworks such as RE-AIM can help design pragmatic interventions that focus on both the context for disparities reduction and the ultimate goal of public health impact.}, Language = {ENG}, Doi = {10.1007/s13142-013-0201-8}, Key = {fds250697} } @article{fds221843, Author = {ML Greaney and E Puleo and GG Bennett and J Haines and K Viswanath and MW Gillman, K Sprunck-Harrild and M Coeling and D Rusinak and KM Emmons}, Title = {Factors Associated With Choice of Web or Print Intervention Materials in the Healthy Directions 2 Study.}, Journal = {Health education & behavior : the official publication of the Society for Public Health Education}, Year = {2013}, Month = {May}, ISSN = {1552-6127}, url = {http://dx.doi.org/10.1177/1090198113486803}, Keywords = {computer-based health education • health promotion • multiple risk behaviors • multiple risk factor interventions • print intervention}, Abstract = {Background. Many U.S. adults have multiple behavioral risk factors, and effective, scalable interventions are needed to promote population-level health. In the health care setting, interventions are often provided in print, although accessible to nearly everyone, are brief (e.g., pamphlets), are not interactive, and can require some logistics around distribution. Web-based interventions offer more interactivity but may not be accessible to all. Healthy Directions 2 was a primary care-based cluster randomized controlled trial designed to improve five behavioral cancer risk factors among a diverse sample of adults (n = 2,440) in metropolitan Boston. Intervention materials were available via print or the web. Purpose. To (a) describe the Healthy Directions 2 study design and (b) identify baseline factors associated with whether participants opted for print or web-based materials. Methods. Hierarchical regression models corrected for clustering by physician were built to examine factors associated with choice of intervention modality. Results. At baseline, just 4.0% of participants met all behavioral recommendations. Nearly equivalent numbers of intervention participants opted for print and web-based materials (44.6% vs. 55.4%). Participants choosing web-based materials were younger, and reported having a better financial status, better perceived health, greater computer comfort, and more frequent Internet use (p < .05) than those opting for print. In addition, Whites were more likely to pick web-based material than Black participants. Conclusions. Interventions addressing multiple behaviors are needed in the primary care setting, but they should be available in web and print formats as nearly equal number of participants chose each option, and there are significant differences in the population groups using each modality.}, Language = {ENG}, Doi = {10.1177/1090198113486803}, Key = {fds221843} } @article{fds221849, Author = {JP Forman and JB Scott and K Ng and BF Drake and EG Suarez and DL Hayden and GG Bennett and PD Chandler and BW Hollis and KM Emmons and EL Giovannucci, CS Fuchs and AT Chan}, Title = {Effect of vitamin D supplementation on blood pressure in blacks.}, Journal = {Hypertension}, Volume = {61}, Number = {4}, Pages = {779-85}, Year = {2013}, Month = {April}, ISSN = {1524-4563}, url = {http://dx.doi.org/10.1161/HYPERTENSIONAHA.111.00659}, Keywords = {Administration, Oral • African Americans* • Blood Pressure • Cholecalciferol • Dietary Supplements* • Dose-Response Relationship, Drug • Double-Blind Method • Follow-Up Studies • Humans • Hypertension • Massachusetts • Prevalence • Prospective Studies • Treatment Outcome • Vitamins • administration & dosage • administration & dosage* • drug effects* • drug therapy* • epidemiology • ethnology • physiology}, Abstract = {Blacks have significantly higher rates of hypertension than whites, and lower circulating levels of 25-hydroxyvitamin D. There are few data about the effect of vitamin D3 (cholecalciferol) supplementation on blood pressure in blacks. During 2 winters from 2008 to 2010, 283 blacks (median age, 51 years) were randomized into a 4-arm, double-blind trial for 3 months of placebo, 1000, 2000, or 4000 international units of cholecalciferol per day. At baseline, 3 months, and 6 months, systolic and diastolic pressure and 25-hydroxyvitamin D were measured. The 3-month follow-up was completed in 250 (88%) participants. The difference in systolic pressure between baseline and 3 months was +1.7 mm Hg for those receiving placebo, -0.66 mm Hg for 1000 U/d, -3.4 mm Hg for 2000 U/d, and -4.0 mm Hg for 4000 U/d of cholecalciferol (-1.4 mm Hg for each additional 1000 U/d of cholecalciferol; P=0.04). For each 1-ng/mL increase in plasma 25-hydroxyvitamin D, there was a significant 0.2-mm Hg reduction in systolic pressure (P=0.02). There was no effect of cholecalciferol supplementation on diastolic pressure (P=0.37). Within an unselected population of blacks, 3 months of oral vitamin D3 supplementation significantly, yet modestly, lowered systolic pressure. Future trials of vitamin D supplementation on blood pressure are needed to confirm these promising results, particularly among blacks, a population for whom vitamin D deficiency may play a more specific mechanistic role in the pathogenesis of hypertension.}, Language = {eng}, Doi = {10.1161/HYPERTENSIONAHA.111.00659}, Key = {fds221849} } @article{fds250701, Author = {Forman, JP and Scott, JB and Ng, K and Drake, BF and Suarez, EG and Hayden, DL and Bennett, GG and Chandler, PD and Hollis, BW and Emmons, KM and Giovannucci, EL and Fuchs, CS and Chan, AT}, Title = {Effect of vitamin D supplementation on blood pressure in blacks.}, Journal = {Hypertension (Dallas, Tex. : 1979)}, Volume = {61}, Number = {4}, Pages = {779-785}, Year = {2013}, Month = {April}, ISSN = {0194-911X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000316112800019&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Keywords = {Administration, Oral • African Americans* • Blood Pressure • Cholecalciferol • Dietary Supplements* • Dose-Response Relationship, Drug • Double-Blind Method • Follow-Up Studies • Humans • Hypertension • Massachusetts • Prevalence • Prospective Studies • Treatment Outcome • Vitamins • administration & dosage • administration & dosage* • drug effects* • drug therapy* • epidemiology • ethnology • physiology}, Abstract = {Blacks have significantly higher rates of hypertension than whites, and lower circulating levels of 25-hydroxyvitamin D. There are few data about the effect of vitamin D3 (cholecalciferol) supplementation on blood pressure in blacks. During 2 winters from 2008 to 2010, 283 blacks (median age, 51 years) were randomized into a 4-arm, double-blind trial for 3 months of placebo, 1000, 2000, or 4000 international units of cholecalciferol per day. At baseline, 3 months, and 6 months, systolic and diastolic pressure and 25-hydroxyvitamin D were measured. The 3-month follow-up was completed in 250 (88%) participants. The difference in systolic pressure between baseline and 3 months was +1.7 mm Hg for those receiving placebo, -0.66 mm Hg for 1000 U/d, -3.4 mm Hg for 2000 U/d, and -4.0 mm Hg for 4000 U/d of cholecalciferol (-1.4 mm Hg for each additional 1000 U/d of cholecalciferol; P=0.04). For each 1-ng/mL increase in plasma 25-hydroxyvitamin D, there was a significant 0.2-mm Hg reduction in systolic pressure (P=0.02). There was no effect of cholecalciferol supplementation on diastolic pressure (P=0.37). Within an unselected population of blacks, 3 months of oral vitamin D3 supplementation significantly, yet modestly, lowered systolic pressure. Future trials of vitamin D supplementation on blood pressure are needed to confirm these promising results, particularly among blacks, a population for whom vitamin D deficiency may play a more specific mechanistic role in the pathogenesis of hypertension.}, Language = {eng}, Doi = {10.1161/hypertensionaha.111.00659}, Key = {fds250701} } @article{fds250699, Author = {Warner, ET and Glasgow, RE and Emmons, KM and Bennett, GG and Askew, S and Rosner, B and Colditz, GA}, Title = {Recruitment and retention of participants in a pragmatic randomized intervention trial at three community health clinics: results and lessons learned.}, Journal = {BMC public health}, Volume = {13}, Pages = {192}, Year = {2013}, Month = {March}, ISSN = {1471-2458}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000317123500002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Keywords = {African Americans • Aged • Boston • Community Health Centers • Female • Follow-Up Studies • Hispanic Americans • Humans • Hypertension • Male • Middle Aged • Obesity • Patient Participation • Patient Selection* • Poverty • Program Evaluation • Time Factors • Weight Reduction Programs • ethnology • organization & administration* • prevention & control* • statistics & numerical data • statistics & numerical data* • utilization*}, Abstract = {<h4>Background</h4>Obesity and hypertension and their associated health complications disproportionately affect communities of color and people of lower socioeconomic status. Recruitment and retention of these populations in research trials, and retention in weight loss trials has been an ongoing challenge.<h4>Methods</h4>Be Fit, Be Well was a pragmatic randomized weight loss and hypertension management trial of patients attending one of three community health centers in Boston, Massachusetts. Participants were asked to complete follow-up assessments every 6-months for two years. We describe challenges encountered and strategies implemented to recruit and retain trial participants over the 24-month intervention. We also identify baseline participant characteristics associated with retention status. Retention strategies included financial incentives, contact between assessment visits, building relationships with health center primary care providers (PCPs) and staff, and putting participant convenience first.<h4>Results</h4>Active refusal rates were low with 130 of 2,631 patients refusing participation (4.9%). Of 474 eligible persons completing telephone screening, 365 (77.0%) completed their baseline visit and were randomized into the study. The study population was predominantly non-Hispanic Black (71.2%), female (68.5%) and reported annual household income of less than $35,000 (70.1%). Recruitment strategies included use of passive approval of potential participants by PCPs, use of part-time staff, and outsourcing calls to a call center. A total of 314 (86.0%) people completed the 24-month visit. Retention levels varied across study visits and intervention condition. Most participants completed three or more visits (69.6%), with 205 (56.2%) completing all four. At 24-months, lower retention was observed for males and the intervention condition. Retention strategies included building strong relationships with clinic staff, flexibility in overcoming participant barriers through use of taxi vouchers, night and weekend appointments, and keeping participants engaged via newsletters and social gatherings.<h4>Conclusion</h4>We were able to retain 86.0% of participants at 24-months. Recruitment and retention of high percentages of racial/ethnic minorities and lower income samples is possible with planning, coordination with a trusted community setting and staff (e.g. community health centers and RAs), adaptability and building strong relationships.<h4>Trial registration</h4>Clinicaltrials.gov Identifier: NCT00661817.}, Language = {eng}, Doi = {10.1186/1471-2458-13-192}, Key = {fds250699} } @article{fds250700, Author = {Whitt-Glover, MC and Bennett, G and Sallis, JF}, Title = {Introduction to the Active Living Research Supplement: Disparities in environments and policies that support active living.}, Journal = {Annals of behavioral medicine : a publication of the Society of Behavioral Medicine}, Volume = {45 Suppl 1}, Pages = {S1-S5}, Year = {2013}, Month = {February}, ISSN = {0883-6612}, url = {http://dx.doi.org/10.1007/s12160-012-9456-4}, Doi = {10.1007/s12160-012-9456-4}, Key = {fds250700} } @article{fds250690, Author = {Krieger, N and Waterman, PD and Kosheleva, A and Chen, JT and Smith, KW and Carney, DR and Bennett, GG and Williams, DR and Thornhill, G and Freeman, ER}, Title = {Racial discrimination & cardiovascular disease risk: my body my story study of 1005 US-born black and white community health center participants (US).}, Journal = {PloS one}, Volume = {8}, Number = {10}, Pages = {e77174}, Year = {2013}, Month = {January}, ISSN = {1932-6203}, url = {http://dx.doi.org/10.1371/journal.pone.0077174}, Abstract = {<h4>Objectives</h4>To date, limited and inconsistent evidence exists regarding racial discrimination and risk of cardiovascular disease (CVD).<h4>Methods</h4>Cross-sectional observational study of 1005 US-born non-Hispanic black (n = 504) and white (n = 501) participants age 35-64 randomly selected from community health centers in Boston, MA (2008-2010; 82.4% response rate), using 3 racial discrimination measures: explicit self-report; implicit association test (IAT, a time reaction test for self and group as target vs. perpetrator of discrimination); and structural (Jim Crow status of state of birth, i.e. legal racial discrimination prior 1964).<h4>Results</h4>Black and white participants both had adverse cardiovascular and socioeconomic profiles, with black participants most highly exposed to racial discrimination. Positive crude associations among black participants occurred for Jim Crow birthplace and hypertension (odds ratio (OR) 1.92, 95% confidence interval (CI) 1.28, 2.89) and for explicit self-report and the Framingham 10 year CVD risk score (beta = 0.04; 95% CI 0.01, 0.07); among white participants, only negative crude associations existed (for IAT for self, for lower systolic blood pressure (SBP; beta = -4.86; 95% CI -9.08, -0.64) and lower Framingham CVD score (beta = -0.36, 95% CI -0.63, -0.08)). All of these associations were attenuated and all but the white IAT-Framingham risk score association were rendered null in analyses that controlled for lifetime socioeconomic position and additional covariates. Controlling for racial discrimination, socioeconomic position, and other covariates did not attenuate the crude black excess risk for SBP and hypertension and left unaffected the null excess risk for the Framingham CVD score.<h4>Conclusion</h4>Despite worse exposures among the black participants, racial discrimination and socioeconomic position were not associated, in multivariable analyses, with risk of CVD. We interpret results in relation to constrained variability of exposures and outcomes and discuss implications for valid research on social determinants of health.}, Language = {eng}, Doi = {10.1371/journal.pone.0077174}, Key = {fds250690} } @article{fds250692, Author = {Bennett, GG and Steinberg, DM and Lanpher, MG and Askew, S and Lane, IB and Levine, EL and Goodman, MS and Foley, PB}, Title = {Availability of and ease of access to calorie information on restaurant websites.}, Journal = {PloS one}, Volume = {8}, Number = {8}, Pages = {e72009}, Year = {2013}, Month = {January}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23977193}, Abstract = {<h4>Objective</h4>Offering calories on restaurant websites might be particularly important for consumer meal planning, but the availability of and ease of accessing this information are unknown.<h4>Methods</h4>We assessed websites for the top 100 U.S. chain restaurants to determine the availability of and ease of access to calorie information as well as website design characteristics. We also examined potential predictors of calorie availability and ease of access.<h4>Results</h4>Eighty-two percent of restaurants provided calorie information on their websites; 25% presented calories on a mobile-formatted website. On average, calories could be accessed in 2.35±0.99 clicks. About half of sites (51.2%) linked to calorie information via the homepage. Fewer than half had a separate section identifying healthful options (46.3%), or utilized interactive meal planning tools (35.4%). Quick service/fast casual, larger restaurants, and those with less expensive entrées and lower revenue were more likely to make calorie information available. There were no predictors of ease of access.<h4>Conclusion</h4>Calorie information is both available and largely accessible on the websites of America's leading restaurants. It is unclear whether consumer behavior is affected by the variability in the presentation of calorie information.}, Doi = {10.1371/journal.pone.0072009}, Key = {fds250692} } @article{fds250727, Author = {Napolitano, MA and Hayes, S and Bennett, GG and Ives, AK and Foster, GD}, Title = {Using Facebook and text messaging to deliver a weight loss program to college students.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {21}, Number = {1}, Pages = {25-31}, Year = {2013}, Month = {January}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1002/oby.20232}, Keywords = {Adolescent • African Continental Ancestry Group • Asian Americans • Body Mass Index • Boston • Continental Population Groups • Environment Design • European Continental Ancestry Group • Female • Hispanic Americans • Humans • Least-Squares Analysis • Male • Regression Analysis • Residence Characteristics • Urban Population • epidemiology • statistics & numerical data • statistics & numerical data*}, Abstract = {<h4>Objective</h4>Between 31 and 35% of the college-aged population is overweight or obese, yet few weight loss trials for this population have been conducted. This study examined the feasibility, acceptability, and initial efficacy of a technology-based 8-week weight loss intervention among college students.<h4>Design and methods</h4>Students (N = 52) were randomly assigned to one of the three arms: Facebook (n = 17); Facebook Plus text messaging and personalized feedback (n = 18); Waiting List control (n = 17), with assessments at 4 weeks and 8 weeks (post-treatment). Participants were 20.47 ± 2.19 years old, 86.45 ± 17.11 kg, with a body mass index of 31.36 ± 5.3 kg/m(2) . Participants were primarily female (86.5%), and the sample was racially diverse (57.7% Caucasian, 30.8% African American, 5.8% Hispanic, and 5.7% other races).<h4>Results</h4>The primary outcome was weight loss after 8 weeks (post-treatment); 96.0% of the participants completed this assessment. At 8 weeks, the Facebook Plus group had significantly greater weight loss (-2.4 ± 2.5 kg) than the Facebook (-0.63 ± 2.4 kg) and Waiting List (-0.24 ± 2.6 kg) (both Ps < 0.05). Weight change at 8 weeks was not significantly different between the Facebook and Waiting List groups.<h4>Conclusions</h4>Results show preliminary efficacy and acceptability of the two active intervention arms (97.0% found the program helpful, 81.3% found the videos/handouts helpful, and 100% would recommend the program to others). Results indicate the potential for an innovative weight loss intervention that uses technology platforms (Facebook and text messaging) that are frequently used and already integrated into the cultural life of college students.}, Language = {ENG}, Doi = {10.1002/oby.20232}, Key = {fds250727} } @article{fds250688, Author = {Proeschold-Bell, RJ and Swift, R and Moore, HE and Bennett, G and Li, X-F and Blouin, R and Williams, VP and Williams Jr and RB and Toole, D}, Title = {Corrigendum to "Use of a randomized multiple baseline design: Rationale and design of the Spirited Life holistic health intervention study" [Contemp Clin Trials 35 (2013) 138-152] (DOI:10.1016/j.cct.2013.05.005)}, Journal = {Contemporary Clinical Trials}, Volume = {37}, Number = {1}, Pages = {165-165}, Publisher = {Elsevier BV}, Year = {2013}, ISSN = {1551-7144}, url = {http://dx.doi.org/10.1016/j.cct.2013.09.013}, Doi = {10.1016/j.cct.2013.09.013}, Key = {fds250688} } @article{fds250698, Author = {Napolitano, MA and Hayes, S and Bennett, GG and Ives, AK and Foster, GD}, Title = {Using facebook and text messaging to deliver a weight loss program to college students}, Journal = {Obesity}, Volume = {21}, Number = {1}, Pages = {25-31}, Publisher = {WILEY}, Year = {2013}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1038/oby.2012.107}, Keywords = {Adolescent • Adult • Counseling • Female • Humans • Male • Obesity • Patient Satisfaction • Social Media* • Students • Text Messaging* • Treatment Outcome • Universities • Weight Loss* • Weight Reduction Programs • Young Adult • methods* • therapy*}, Abstract = {Objective: Between 31 and 35% of the college-aged population is overweight or obese, yet few weight loss trials for this population have been conducted. This study examined the feasibility, acceptability, and initial efficacy of a technology-based 8-week weight loss intervention among college students. Design and Methods: Students (N = 52) were randomly assigned to one of the three arms: Facebook (n = 17); Facebook Plus text messaging and personalized feedback (n = 18); Waiting List control (n = 17), with assessments at 4 weeks and 8 weeks (post-treatment). Participants were 20.47 ± 2.19 years old, 86.45 ± 17.11 kg, with a body mass index of 31.36 ± 5.3 kg/m2. Participants were primarily female (86.5%), and the sample was racially diverse (57.7% Caucasian, 30.8% African American, 5.8% Hispanic, and 5.7% other races). Results: The primary outcome was weight loss after 8 weeks (post-treatment); 96.0% of the participants completed this assessment. At 8 weeks, the Facebook Plus group had significantly greater weight loss (-2.4 ± 2.5 kg) than the Facebook (-0.63 ± 2.4 kg) and Waiting List (-0.24 ± 2.6 kg) (both Ps < 0.05). Weight change at 8 weeks was not significantly different between the Facebook and Waiting List groups. Conclusions: Results show preliminary efficacy and acceptability of the two active intervention arms (97.0% found the program helpful, 81.3% found the videos/handouts helpful, and 100% would recommend the program to others). Results indicate the potential for an innovative weight loss intervention that uses technology platforms (Facebook and text messaging) that are frequently used and already integrated into the cultural life of college students.}, Language = {eng}, Doi = {10.1038/oby.2012.107}, Key = {fds250698} } @article{fds250703, Author = {Steinberg, DM and Tate, DF and Bennett, GG and Ennett, S and Samuel-Hodge, C and Ward, DS}, Title = {The efficacy of a daily self-weighing weight loss intervention using smart scales and e-mail}, Journal = {Obesity}, Volume = {21}, Number = {9}, Pages = {1789-1797}, Year = {2013}, ISSN = {1930-7381}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23512320}, Abstract = {Objective To examine the impact of a weight loss intervention that focused on daily self-weighing for self-monitoring as compared to a delayed control group among 91 overweight adults. Design and Methods The 6-month intervention included a cellular-connected "smart" scale for daily weighing, web-based weight loss graph, and weekly e-mails with tailored feedback and lessons. An objective measure of self-weighing frequency was obtained. Weight was measured in clinic at 3 and 6 months. Caloric intake and expenditure, and perceptions of daily self-weighing were also measured. Results Using intent-to-treat analyses, the intervention group lost significantly more weight compared to the control group [mean (95% CI); 3 months: -4.41% (-5.5, -3.3) vs. -0.37% (-1.5, 0.76); 6 months: -6.55% (-7.7, -5.4) vs. -0.35% (-1.5, 0.79); group × time interaction: P < 0.001] and a greater percentage achieved 5% (42.6% vs. 6.8%; P < 0.0001) and 10% (27.7% vs. 0%; P < 0.0001) weight loss. On average, the intervention group self-weighed more days/week (6.1 ± 1.1 vs. 1.1 ± 1.5; P < 0.0001) and consumed fewer calories/day compared to the control group [mean (95% CI); 6 months: 1,509 (1,291, 1,728) vs. 1,856 (1,637, 2,074); group × time interaction: P = 0.006]. Among intervention participants, daily self-weighing was perceived positively. Conclusions These results indicate that an intervention focusing on daily self-weighing can produce clinically significant weight loss. Copyright © 2013 The Obesity Society.}, Language = {eng}, Doi = {10.1002/oby.20396}, Key = {fds250703} } @article{fds250721, Author = {Bennett, GG}, Title = {Connecting eHealth with 2-1-1 to reduce health disparities.}, Journal = {American journal of preventive medicine}, Volume = {43}, Number = {6 Suppl 5}, Pages = {S509-S511}, Year = {2012}, Month = {December}, ISSN = {1873-2607}, url = {http://www.ncbi.nlm.nih.gov/pubmed/23157773}, Language = {eng}, Doi = {10.1016/j.amepre.2012.09.022}, Key = {fds250721} } @article{fds250723, Author = {Lewis, KH and Gillman, MW and Greaney, ML and Puleo, E and Bennett, GG and Emmons, KM}, Title = {Relationships between social resources and healthful behaviors across the age spectrum}, Journal = {Journal of Aging Research}, Volume = {2012}, Pages = {1-8}, Publisher = {Hindawi Limited}, Year = {2012}, Month = {October}, ISSN = {2090-2204}, url = {http://dx.doi.org/10.1155/2012/501072}, Abstract = {Background. We examined cross-sectional relationships of social resources with health behaviors in adults ages 1893 years. Methods. Baseline data from a 2009 risk behavior intervention trial were used to measure social resources, physical activity, and fruit and vegetable intake in 2,440 adults. To evaluate associations overall and within 4 age groups (1834, 3549, 5064, and 6593 y), we used multivariable regression. Results. Mean (SD) age was 49.4 (15) years, physical activity was 346 (304) minutes/week, and fruit and vegetable intake was 3.4 (2.4) servings/day. Mean social resource score was 1.2 (04 scale) in 1834 year olds, 1.1 in all other age groups (P = 0.04). In multivariable models, for each one-point increment in social resource score, the odds ratio for getting 150959 minutes of physical activity/wk (compared to 150 min/wk) was 3.7 (95 CI 3.04.6). Each one-point increment in score was also associated with 29 (95 CI: 2335) more servings of fruit and vegetables. We did not observe effect modification by age group. Conclusions. Although younger adults reported slightly higher resources than older adults, the magnitude of association between social resources and healthful behaviors did not differ between them. © 2012 Kristina H. Lewis et al.}, Language = {eng}, Doi = {10.1155/2012/501072}, Key = {fds250723} } @article{fds250724, Author = {Slopen, N and Dutra, LM and Williams, DR and Mujahid, MS and Lewis, TT and Bennett, GG and Ryff, CD and Albert, MA}, Title = {Psychosocial stressors and cigarette smoking among African American adults in midlife.}, Journal = {Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco}, Volume = {14}, Number = {10}, Pages = {1161-1169}, Year = {2012}, Month = {October}, ISSN = {1462-2203}, url = {http://dx.doi.org/10.1093/ntr/nts011}, Keywords = {Actigraphy • Adult • Body Mass Index • Exercise* • Female • Humans • Male • Middle Aged • Obesity • Questionnaires • Reproducibility of Results • Self Report • United States • Young Adult • epidemiology • physiopathology • standards • standards*}, Abstract = {<h4>Introduction</h4>Psychosocial stress is a significant risk factor for smoking, and Blacks experience higher levels of psychosocial stress relative to other racial/ethnic groups. Limited research has comprehensively examined psychosocial stressors in relation to smoking among Blacks.<h4>Methods</h4>We examined psychosocial stressors in relation to smoking status (current, previous, and never) in middle-aged Blacks (34-85 years, n = 592) from Milwaukee, Wisconsin, a subset of the Midlife in the United States Study II (2004-2006). Eleven stressor domains were assessed, including psychological and physical work stress, work-family conflict, perceived inequality, relationship stress, neighborhood stress, discrimination, financial stress, recent problems, stressful events, and childhood adversity. We also calculated a cumulative score. Multinomial models were adjusted for age, gender, education, and income.<h4>Results</h4>Seven of the 11 stressors and the cumulative score were associated with higher odds of being a current smoker compared with a never-smoker: neighborhood, financial, relationship, and psychological work stress, perceived inequality, stressful events, childhood adversity (p values <.05; ORs ranged from 1.28 to 1.77). Three stressors and the cumulative score were associated with higher odds of being a previous smoker versus a never-smoker (p < .05). Individuals who scored in the top quartile on 5 or more stressors were 3.74 (95% CI = 2.09-6.71) times as likely to be current smokers, and more than twice as likely to be previous smokers, compared with individuals with no high stressors.<h4>Conclusions</h4>These results demonstrate a strong relationship between stress and smoking among urban middle-aged Blacks and suggest that cessation programs should address modifiable individual and community-level stressors.}, Language = {eng}, Doi = {10.1093/ntr/nts011}, Key = {fds250724} } @article{fds324096, Author = {Emmons, KM and Puleo, E and Viswanath, V and Gillman, MW and Bennett, GG and Haines, J and Sprunck-Harrild, K and Greaney, M}, Title = {COMPARATIVE EFFECTIVENESS OF HEALTHY DIRECTIONS-2, A MULTIPLE RISK FACTOR INTERVENTION FOR PRIMARY CARE SETTINGS}, Journal = {INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE}, Volume = {19}, Pages = {S83-S84}, Publisher = {SPRINGER}, Year = {2012}, Month = {September}, Key = {fds324096} } @article{fds250720, Author = {McNeill, LH and Stoddard, A and Bennett, GG and Wolin, KY and Sorensen, GG}, Title = {Influence of individual and social contextual factors on changes in leisure-time physical activity in working-class populations: results of the Healthy Directions-Small Businesses Study.}, Journal = {Cancer causes & control : CCC}, Volume = {23}, Number = {9}, Pages = {1475-1487}, Year = {2012}, Month = {September}, ISSN = {0957-5243}, url = {http://dx.doi.org/10.1007/s10552-012-0021-z}, Keywords = {Adult • Aged • Aged, 80 and over • Boston • Electronic Mail • Female • Health Behavior* • Humans • Internet* • Male • Middle Aged • Neoplasms • Risk Reduction Behavior • Self Care* • Telephone • Young Adult • prevention & control}, Abstract = {<h4>Background</h4>As part of the Harvard Cancer Prevention Program Project, we sought to address disparities reflected in social class and race/ethnicity by developing and testing a behavioral intervention model that targeted fruit and vegetable consumption, red meat consumption, multivitamin intake, and physical activity in working-class, multiethnic populations.<h4>Methods</h4>This paper examined the associations between change in leisure-time physical activity and individual and social contextual factors in participants employed in small businesses (n = 850) at both baseline and at 18-month final.<h4>Results</h4>In bivariate analyses, age, language acculturation, social ties, and workplace social capital were significantly associated with physical activity at final. In multivariable analyses, being younger and having high language acculturation were significantly associated with greater leisure-time physical activity at final; high workplace social capital was significantly associated with a decline in physical activity at final.<h4>Conclusion</h4>These findings have implications for understanding factors that are integral to promoting change in physical activity among working-class, multiethnic populations.}, Language = {eng}, Doi = {10.1007/s10552-012-0021-z}, Key = {fds250720} } @article{fds250729, Author = {Greaney, ML and Puleo, E and Sprunck-Harrild, K and Bennett, GG and Cunningham, MA and Gillman, MW and Coeling, M and Emmons, KM}, Title = {Electronic reminders for cancer prevention: factors associated with preference for automated voice reminders or text messages.}, Journal = {Preventive medicine}, Volume = {55}, Number = {2}, Pages = {151-154}, Year = {2012}, Month = {August}, ISSN = {0091-7435}, url = {http://dx.doi.org/10.1016/j.ypmed.2012.05.014}, Keywords = {Adolescent • Adult • Attitude to Computers • Body Mass Index • Boston • Cluster Analysis • Female • Health Behavior • Health Status • Humans • Male • Middle Aged • Neoplasms • Patient Preference • Preventive Health Services • Questionnaires • Reminder Systems • Risk Factors • Socioeconomic Factors • Speech Recognition Software* • Text Messaging* • User-Computer Interface* • economics • methods* • prevention & control* • psychology* • statistics & numerical data • utilization • utilization*}, Abstract = {<h4>Objective</h4>Prompting may promote engagement with behavior change interventions. Prompts can be delivered inexpensively via automated voice response (AVR) reminders or short message service (SMS) text messages. We examined the association between participants' characteristics and preferred reminder modality.<h4>Methods</h4>Healthy Directions 2 is a cluster randomized controlled trial implemented in Boston, Massachusetts to promote change in multiple behavioral cancer risk factors. At baseline (2009), participants completed a survey assessing socio-demographics, health status, height/weight, and factors associated with technology. One-third of participants randomized to receive the intervention (n=598) were randomized to receive automated reminders, with participants selecting modality.<h4>Results</h4>28% (167/598) of participants selected SMS reminders. Controlling for clustering by primary care provider, younger participants (OR=0.97, 95% CI=(0.95, 0.99), p<0.01), those most comfortable with computers (very uncomfortable OR=0.54, 95% CI=(0.29, 1.01), p≤0.05: referent group = very comfortable), and those who frequently sent/received text messages (never OR=0.09 CI=(0.04, 0.16) p<0.01; 1-3 times/month OR=0.38, 95% CI=(0.15, 0.93) p=0.04: referent group=1-5 times/week) were more likely to choose SMS.<h4>Conclusions</h4>Interventions should make both modalities available to ensure that more participants can benefit from prompting. Studies examining the effect of automated reminders may have reduced effectiveness or generalizability if they employ only one modality.}, Language = {eng}, Doi = {10.1016/j.ypmed.2012.05.014}, Key = {fds250729} } @article{fds250731, Author = {Greaney, ML and Sprunck-Harrild, K and Bennett, GG and Puleo, E and Haines, J and Viswanath, KV and Emmons, KM}, Title = {Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial.}, Journal = {Journal of medical Internet research}, Volume = {14}, Number = {4}, Pages = {e96}, Year = {2012}, Month = {July}, ISSN = {1438-8871}, url = {http://dx.doi.org/10.2196/jmir.1981}, Keywords = {Adult • Aged • Aged, 80 and over • Boston • Electronic Mail • Female • Health Behavior* • Humans • Internet* • Male • Middle Aged • Neoplasms • Risk Reduction Behavior • Self Care* • Telephone • Young Adult • prevention & control}, Abstract = {<h4>Background</h4>Self-monitoring is a key behavior change mechanism associated with sustained health behavior change. Although Web-based interventions can offer user-friendly approaches for self-monitoring, engagement with these tools is suboptimal. Increased use could encourage, promote, and sustain behavior change.<h4>Objective</h4>To determine whether email prompts or email plus telephone prompts increase self-monitoring of behaviors on a website created for a multiple cancer risk reduction program.<h4>Methods</h4>We recruited and enrolled participants (N = 100) in a Web-based intervention during a primary care well visit at an urban primary care health center. The frequency of daily self-monitoring was tracked on the study website. Participants who tracked at least one behavior 3 or more times during week 1 were classified as meeting the tracking threshold and were assigned to the observation-only group (OO, n = 14). This group was followed but did not receive prompts. Participants who did not meet the threshold during week 1 were randomly assigned to one of 2 prompting conditions: automated assistance (AA, n = 36) or automated assistance + calls (AAC, n = 50). During prompting periods (weeks 2-3), participants in the AA and AAC conditions received daily automated emails that encouraged tracking and two tailored self-monitoring reports (end of week 2, end of week 3) that provided feedback on tracking frequency. Individuals in the AAC condition also received two technical assistance calls from trained study staff. Frequency of self-monitoring was tracked from week 2 through week 17.<h4>Results</h4>Self-monitoring rates increased in both intervention conditions during prompting and declined when prompting ceased. Over the 16 weeks of observation, there was a significant between-group difference in the percentage who met the self-monitoring threshold each week, with better maintenance in the AAC than in the AA condition (P < .001). Self-monitoring rates were greater in the OO group than in either the AA or AAC condition (P < .001).<h4>Conclusions</h4>Prompting can increase self-monitoring rates. The decrease in self-monitoring after the promoting period suggests that additional reminder prompts would be useful. The use of technical assistance calls appeared to have a greater effect in promoting self-monitoring at a therapeutic threshold than email reminders and the tailored self-monitoring reports alone.<h4>Trial registration</h4>ClinicalTrials.gov NCT01415492; http://clinicaltrials.gov/ct2/show/NCT01415492 (Archived by WebCite at http://www.webcitation.org/68LOXOMe2).}, Language = {eng}, Doi = {10.2196/jmir.1981}, Key = {fds250731} } @article{fds250722, Author = {Foley, P and Levine, E and Askew, S and Puleo, E and Whiteley, J and Batch, B and Heil, D and Dix, D and Lett, V and Lanpher, M and Miller, J and Emmons, K and Bennett, G}, Title = {Weight gain prevention among black women in the rural community health center setting: the Shape Program.}, Journal = {BMC Public Health}, Volume = {12}, Number = {1}, Pages = {305}, Year = {2012}, Month = {June}, ISSN = {1471-2458}, url = {http://dx.doi.org/10.1186/1471-2458-12-305}, Keywords = {Adult • African Americans* • Community Health Centers* • Female • Humans • Overweight • Primary Health Care • Rural Population* • United States • Young Adult • prevention & control*}, Abstract = {BACKGROUND: Nearly 60% of black women are obese. Despite their increased risk of obesity and associated chronic diseases, black women have been underrepresented in clinical trials of weight loss interventions, particularly those conducted in the primary care setting. Further, existing obesity treatments are less effective for this population. The promotion of weight maintenance can be achieved at lower treatment intensity than can weight loss and holds promise in reducing obesity-associated chronic disease risk. Weight gain prevention may also be more consistent with the obesity-related sociocultural perspectives of black women than are traditional weight loss approaches. METHODS/DESIGN: We conducted an 18-month randomized controlled trial (the Shape Program) of a weight gain prevention intervention for overweight black female patients in the primary care setting. Participants include 194 premenopausal black women aged 25 to 44 years with a BMI of 25-34.9 kg/m2. Participants were randomized either to usual care or to a 12-month intervention that consisted of: tailored obesogenic behavior change goals, self-monitoring via interactive voice response phone calls, tailored skills training materials, 12 counseling calls with a registered dietitian and a 12-month YMCA membership.Participants are followed over 18 months, with study visits at baseline, 6-, 12- and 18-months. Anthropometric data, blood pressure, fasting lipids, fasting glucose, and self-administered surveys are collected at each visit. Accelerometer data is collected at baseline and 12-months.At baseline, participants were an average of 35.4 years old with a mean body mass index of 30.2 kg/m2. Participants were mostly employed and low-income. Almost half of the sample reported a diagnosis of hypertension or prehypertension and 12% reported a diagnosis of diabetes or prediabetes. Almost one-third of participants smoked and over 20% scored above the clinical threshold for depression. DISCUSSION: The Shape Program utilizes an innovative intervention approach to lower the risk of obesity and obesity-associated chronic disease among black women in the primary care setting. The intervention was informed by behavior change theory and aims to prevent weight gain using inexpensive mobile technologies and existing health center resources. Baseline characteristics reflect a socioeconomically disadvantaged, high-risk population sample in need of evidence-based treatment strategies. TRIAL REGISTRATION: The trial is registered with clinicaltrials.gov NCT00938535.}, Language = {eng}, Doi = {10.1186/1471-2458-12-305}, Key = {fds250722} } @article{fds250719, Author = {Glasgow, RE and Gaglio, B and Bennett, G and Jerome, GJ and Yeh, H-C and Sarwer, DB and Appel, L and Colditz, G and Wadden, TA and Wells, B}, Title = {Applying the PRECIS criteria to describe three effectiveness trials of weight loss in obese patients with comorbid conditions.}, Journal = {Health services research}, Volume = {47}, Number = {3 Pt 1}, Pages = {1051-1067}, Year = {2012}, Month = {June}, ISSN = {0017-9124}, url = {http://dx.doi.org/10.1111/j.1475-6773.2011.01347.x}, Abstract = {<h4>Objectives</h4>To characterize Practice-Based Opportunities for Weight Reduction (POWER) trials along the pragmatic-explanatory continuum.<h4>Settings</h4>The POWER trials consist of three individual studies that target obesity treatment in primary care settings.<h4>Design</h4>Using the PRagmatic Explanatory Continuum Indicator Summary (PRECIS) criteria, nine reviewers independently scored each trial.<h4>Methods</h4>Average and median ratings, inter-rater reliability, and relationships to additional ratings of the extent to which study designs were explanatory (i.e., efficacy) versus pragmatic (i.e., practical) and related to external validity were determined.<h4>Principal findings</h4>One trial was consistently rated as being significantly more pragmatic than the others (R(2) =0.43, p< .001), although all three were in the moderate range on the PRECIS scales. Ratings varied across PRECIS dimensions, being most pragmatic on comparison condition and primary outcome. Raters, although undergoing training and using identical definitions, scored their own study as more pragmatic than the other studies/interventions.<h4>Conclusions</h4>These results highlight the need for more comprehensive reporting on PRECIS and related criteria for research translation. The PRECIS criteria provide a richer understanding of the POWER studies. It is not clear whether the original criteria are sufficient to provide a comprehensive profile.}, Doi = {10.1111/j.1475-6773.2011.01347.x}, Key = {fds250719} } @article{fds250730, Author = {Belsky, DW and Moffitt, TE and Houts, R and Bennett, GG and Biddle, AK and Blumenthal, JA and Evans, JP and Harrington, H and Sugden, K and Williams, B and Poulton, R and Caspi, A}, Title = {Polygenic risk, rapid childhood growth, and the development of obesity: evidence from a 4-decade longitudinal study.}, Journal = {Arch Pediatr Adolesc Med}, Volume = {166}, Number = {6}, Pages = {515-521}, Year = {2012}, Month = {June}, ISSN = {1538-3628}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22665028}, Keywords = {Adiposity • Adolescent • Adult • Body Mass Index • Child • Female • Genetic Predisposition to Disease* • Genetic Variation • Genome-Wide Association Study • Growth • Humans • Longitudinal Studies • Male • Multifactorial Inheritance* • New Zealand • Obesity • Prospective Studies • Risk Factors • Weight Gain • Young Adult • genetics • genetics*}, Abstract = {OBJECTIVE: To test how genomic loci identified in genome-wide association studies influence the development of obesity. DESIGN: A 38-year prospective longitudinal study of a representative birth cohort. SETTING: The Dunedin Multidisciplinary Health and Development Study, Dunedin, New Zealand. PARTICIPANTS: One thousand thirty-seven male and female study members. MAIN EXPOSURES: We assessed genetic risk with a multilocus genetic risk score. The genetic risk score was composed of single-nucleotide polymorphisms identified in genome-wide association studies of obesity-related phenotypes. We assessed family history from parent body mass index data collected when study members were 11 years of age. MAIN OUTCOME MEASURES: Body mass index growth curves, developmental phenotypes of obesity, and adult obesity outcomes were defined from anthropometric assessments at birth and at 12 subsequent in-person interviews through 38 years of age. RESULTS: Individuals with higher genetic risk scores were more likely to be chronically obese in adulthood. Genetic risk first manifested as rapid growth during early childhood. Genetic risk was unrelated to birth weight. After birth, children at higher genetic risk gained weight more rapidly and reached adiposity rebound earlier and at a higher body mass index. In turn, these developmental phenotypes predicted adult obesity, mediating about half the genetic effect on adult obesity risk. Genetic associations with growth and obesity risk were independent of family history, indicating that the genetic risk score could provide novel information to clinicians. CONCLUSIONS: Genetic variation linked with obesity risk operates, in part, through accelerating growth in the early childhood years after birth. Etiological research and prevention strategies should target early childhood to address the obesity epidemic.}, Language = {eng}, Doi = {10.1001/archpediatrics.2012.131}, Key = {fds250730} } @article{fds250726, Author = {Bennett, GG and Warner, ET and Glasgow, RE and Askew, S and Goldman, J and Ritzwoller, DP and Emmons, KM and Rosner, BA and Colditz, GA and Be Fit and Be Well Study Investigators}, Title = {Obesity treatment for socioeconomically disadvantaged patients in primary care practice.}, Journal = {Archives of internal medicine}, Volume = {172}, Number = {7}, Pages = {565-574}, Year = {2012}, Month = {April}, ISSN = {1538-3679}, url = {http://www.ncbi.nlm.nih.gov/pubmed/22412073}, Keywords = {Behavior Therapy* • Blood Pressure • Body Mass Index • Comparative Effectiveness Research • Counseling • Female • Humans • Hypertension • Male • Middle Aged • Obesity • Primary Health Care* • Self Care* • Socioeconomic Factors • Telephone • Treatment Outcome • Vulnerable Populations* • Weight Loss* • standards • statistics & numerical data • therapy* • trends}, Abstract = {<h4>Background</h4>Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting.<h4>Methods</h4>We conducted a 2-arm, 24-month randomized effectiveness trial in 3 Boston community health centers (from February 1, 2008, through May 2, 2011). Participants were 365 obese patients receiving hypertension treatment (71.2% black, 13.1% Hispanic, 68.5% female, and 32.9% with less than a high school educational level). We randomized participants to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response; 18 telephone counseling calls; primary care provider endorsement; 12 optional group support sessions; and links with community resources.<h4>Results</h4>At 24 months, weight change in the intervention group compared with that in the usual care group was -1.03 kg (95% CI, -2.03 to -0.03 kg). Twenty-four-month change in body mass index (calculated as weight in kilograms divided by height in meters squared) in the intervention group compared with that in the usual care group was -0.38 (95% CI, -0.75 to -0.004). Intervention participants had larger mean weight losses during the 24 months compared with that in the usual care group (area under the receiver operating characteristic curve, -1.07 kg; 95% CI, -1.94 to -0.22). Mean systolic blood pressure was not significantly lower in the intervention arm compared with the usual care arm.<h4>Conclusion</h4>The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration clinicaltrials.gov Identifier: NCT00661817.}, Language = {eng}, Doi = {10.1001/archinternmed.2012.1}, Key = {fds250726} } @article{fds250728, Author = {Duncan, DT and Castro, MC and Gortmaker, SL and Aldstadt, J and Melly, SJ and Bennett, GG}, Title = {Racial differences in the built environment--body mass index relationship? A geospatial analysis of adolescents in urban neighborhoods.}, Journal = {International journal of health geographics}, Volume = {11}, Number = {2}, Pages = {11}, Year = {2012}, Month = {April}, ISSN = {1476-072X}, url = {http://dx.doi.org/10.1186/1476-072x-11-11}, Keywords = {Adolescent • African Continental Ancestry Group • Asian Americans • Body Mass Index • Boston • Continental Population Groups • Environment Design • European Continental Ancestry Group • Female • Hispanic Americans • Humans • Least-Squares Analysis • Male • Regression Analysis • Residence Characteristics • Urban Population • epidemiology • statistics & numerical data • statistics & numerical data*}, Abstract = {<h4>Background</h4>Built environment features of neighborhoods may be related to obesity among adolescents and potentially related to obesity-related health disparities. The purpose of this study was to investigate spatial relationships between various built environment features and body mass index (BMI) z-score among adolescents, and to investigate if race/ethnicity modifies these relationships. A secondary objective was to evaluate the sensitivity of findings to the spatial scale of analysis (i.e. 400- and 800-meter street network buffers).<h4>Methods</h4>Data come from the 2008 Boston Youth Survey, a school-based sample of public high school students in Boston, MA. Analyses include data collected from students who had georeferenced residential information and complete and valid data to compute BMI z-score (n = 1,034). We built a spatial database using GIS with various features related to access to walking destinations and to community design. Spatial autocorrelation in key study variables was calculated with the Global Moran's I statistic. We fit conventional ordinary least squares (OLS) regression and spatial simultaneous autoregressive error models that control for the spatial autocorrelation in the data as appropriate. Models were conducted using the total sample of adolescents as well as including an interaction term for race/ethnicity, adjusting for several potential individual- and neighborhood-level confounders and clustering of students within schools.<h4>Results</h4>We found significant positive spatial autocorrelation in the built environment features examined (Global Moran's I most ≥ 0.60; all p = 0.001) but not in BMI z-score (Global Moran's I = 0.07, p = 0.28). Because we found significant spatial autocorrelation in our OLS regression residuals, we fit spatial autoregressive models. Most built environment features were not associated with BMI z-score. Density of bus stops was associated with a higher BMI z-score among Whites (Coefficient: 0.029, p < 0.05). The interaction term for Asians in the association between retail destinations and BMI z-score was statistically significant and indicated an inverse association. Sidewalk completeness was significantly associated with a higher BMI z-score for the total sample (Coefficient: 0.010, p < 0.05). These significant associations were found for the 800-meter buffer.<h4>Conclusion</h4>Some relationships between the built environment and adolescent BMI z-score were in the unexpected direction. Our findings overall suggest that the built environment does not explain a large proportion of the variation in adolescent BMI z-score or racial disparities in adolescent obesity. However, there are some differences by race/ethnicity that require further research among adolescents.}, Language = {eng}, Doi = {10.1186/1476-072x-11-11}, Key = {fds250728} } @article{fds290498, Author = {Steinberg, DM and Tate, DF and Bennett, GG and Ennett, S and Samuel-Hodge, C and Ward, DS}, Title = {THE WEIGH STUDY: A RANDOMIZED TRIAL FOCUSING ON DAILY SELF-WEIGHING FOR WEIGHT LOSS AMONG OVERWEIGHT ADULTS}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {43}, Pages = {S272-S272}, Publisher = {SPRINGER}, Year = {2012}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000302092401146&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290498} } @article{fds290499, Author = {Greaney, ML and Puleo, E and Sprunck-Harrild, K and Bennett, GG and Viswanath, K and Coeling, M and Emmons, KM}, Title = {AUTOMATED VOICE REMINDERS OR SMS TEXT REMINDERS: WHAT IS ASSOCIATED WITH PREFERRED MODALITY?}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {43}, Pages = {S106-S106}, Publisher = {SPRINGER}, Year = {2012}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000302092400411&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290499} } @article{fds290500, Author = {Bennett, GG and Warner, E and Glasgow, R and Askew, S and Emmons, KM and Rosner, B and Colditz, GA}, Title = {WEIGHT LOSS AMONG SOCIOECONOMICALLY DISADVANTAGED PRIMARY CARE PATIENTS}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {43}, Pages = {S272-S272}, Publisher = {SPRINGER}, Year = {2012}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000302092401145&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290500} } @article{fds250718, Author = {Mowafi, M and Khadr, Z and Bennett, G and Hill, A and Kawachi, I and Subramanian, SV}, Title = {Is access to neighborhood green space associated with BMI among Egyptians? A multilevel study of Cairo neighborhoods.}, Journal = {Health & place}, Volume = {18}, Number = {2}, Pages = {385-390}, Year = {2012}, Month = {March}, ISSN = {1353-8292}, url = {http://dx.doi.org/10.1016/j.healthplace.2011.12.002}, Abstract = {Evidence of a link between green space and obesity has increased in the developed world, but few studies have been conducted in the developing world. Our study tests whether availability of neighborhood green space is associated with BMI among adults in Cairo, Egypt. Using data from the 2007 Cairo Urban Inequity Study, we conducted multilevel analyses and found no significant green space-BMI association, leading us to conclude that this intervention may not be as promising in this developing world context as it has been in some western urban contexts. Other aspects of the urban environment should be evaluated to better understand neighborhood variations in obesity in Cairo.}, Doi = {10.1016/j.healthplace.2011.12.002}, Key = {fds250718} } @article{fds250725, Author = {Warner, ET and Wolin, KY and Duncan, DT and Heil, DP and Askew, S and Bennett, GG}, Title = {Differential accuracy of physical activity self-report by body mass index.}, Journal = {American journal of health behavior}, Volume = {36}, Number = {2}, Pages = {168-178}, Year = {2012}, Month = {March}, ISSN = {1087-3244}, url = {http://dx.doi.org/10.5993/ajhb.36.2.3}, Keywords = {Actigraphy • Adult • Body Mass Index • Exercise* • Female • Humans • Male • Middle Aged • Obesity • Questionnaires • Reproducibility of Results • Self Report • United States • Young Adult • epidemiology • physiopathology • standards • standards*}, Abstract = {<h4>Objectives</h4>To examine whether agreement between self-reported and accelerometer-measured physical activity varies by BMI category in a low-income black sample.<h4>Methods</h4>Participants completed a questionnaire and wore an accelerometer for 4-6 days. Using one- and 10-minute bouts, accelerometers measured light, moderate, and vigorous physical activity time.<h4>Results</h4>Correlations varied by obesity (nonobese: one-minute r=0.41; 10-minute r=0.47; obese: one-minute r=0.21; 10-minute r=0 .14). Agreement was highest among nonobese persons (one-minute kappa = 0.48, 10-minute kappa = 0.023; obese: one-minute kappa = -0.024, 10- minute kappa = -0.020).<h4>Conclusions</h4>We found compromised questionnaire performance among obese participants.}, Language = {eng}, Doi = {10.5993/ajhb.36.2.3}, Key = {fds250725} } @article{fds200758, Author = {N Krieger and PD Waterman and A Kosheleva and JT Chen and DR Carney and KW Smith, GG Bennett and DR Williams and E Freeman and B Russell and G Thornhill, K Mikolowsky and R Rifkin and L Samuel}, Title = {Exposing Racial Discrimination: Implicit & Explicit Measures-The My Body, My Story Study of 1005 US-Born Black & White Community Health Center Members.}, Journal = {PloS one}, Volume = {6}, Number = {11}, Pages = {e27636}, Year = {2011}, Month = {December}, ISSN = {1932-6203}, url = {http://dx.doi.org/10.1371/journal.pone.0027636}, Keywords = {Adult • African Americans • Boston • Community Health Centers • Cross-Sectional Studies • Educational Status • Employment • European Continental Ancestry Group • Female • Humans • Logistic Models • Male • Middle Aged • Prejudice* • Questionnaires* • Smoking • Social Desirability • Socioeconomic Factors • statistics & numerical data • statistics & numerical data*}, Abstract = {BACKGROUND: To date, research on racial discrimination and health typically has employed explicit self-report measures, despite their potentially being affected by what people are able and willing to say. We accordingly employed an Implicit Association Test (IAT) for racial discrimination, first developed and used in two recent published studies, and measured associations of the explicit and implicit discrimination measures with each other, socioeconomic and psychosocial variables, and smoking. RESULTS: Among the 504 black and 501 white US-born participants, age 35-64, randomly recruited in 2008-2010 from 4 community health centers in Boston, MA, black participants were over 1.5 times more likely (p<0.05) to be worse off economically (e.g., for poverty and low education) and have higher social desirability scores (43.8 vs. 28.2); their explicit discrimination exposure was also 2.5 to 3.7 times higher (p<0.05) depending on the measure used, with over 60% reporting exposure in 3 or more domains and within the last year. Higher IAT scores for target vs. perpetrator of discrimination occurred for the black versus white participants: for "black person vs. white person": 0.26 vs. 0.13; and for "me vs. them": 0.24 vs. 0.19. In both groups, only low non-significant correlations existed between the implicit and explicit discrimination measures; social desirability was significantly associated with the explicit but not implicit measures. Although neither the explicit nor implicit discrimination measures were associated with odds of being a current smoker, the excess risk for black participants (controlling for age and gender) rose in models that also controlled for the racial discrimination and psychosocial variables; additional control for socioeconomic position sharply reduced and rendered the association null. CONCLUSIONS: Implicit and explicit measures of racial discrimination are not equivalent and both warrant use in research on racial discrimination and health, along with data on socioeconomic position and social desirability.}, Language = {eng}, Doi = {10.1371/journal.pone.0027636}, Key = {fds200758} } @article{fds250735, Author = {Krieger, N and Waterman, PD and Kosheleva, A and Chen, JT and Carney, DR and Smith, KW and Bennett, GG and Williams, DR and Freeman, E and Russell, B and Thornhill, G and Mikolowsky, K and Rifkin, R and Samuel, L}, Title = {Exposing Racial Discrimination: Implicit & Explicit Measures-The My Body, My Story Study of 1005 US-Born Black & White Community Health Center Members.}, Journal = {PloS one}, Volume = {6}, Number = {11}, Pages = {e27636}, Year = {2011}, Month = {December}, ISSN = {1932-6203}, url = {http://dx.doi.org/10.1371/journal.pone.0027636}, Keywords = {Adult • African Americans • Boston • Community Health Centers • Cross-Sectional Studies • Educational Status • Employment • European Continental Ancestry Group • Female • Humans • Logistic Models • Male • Middle Aged • Prejudice* • Questionnaires* • Smoking • Social Desirability • Socioeconomic Factors • statistics & numerical data • statistics & numerical data*}, Abstract = {BACKGROUND: To date, research on racial discrimination and health typically has employed explicit self-report measures, despite their potentially being affected by what people are able and willing to say. We accordingly employed an Implicit Association Test (IAT) for racial discrimination, first developed and used in two recent published studies, and measured associations of the explicit and implicit discrimination measures with each other, socioeconomic and psychosocial variables, and smoking. RESULTS: Among the 504 black and 501 white US-born participants, age 35-64, randomly recruited in 2008-2010 from 4 community health centers in Boston, MA, black participants were over 1.5 times more likely (p}, Language = {eng}, Doi = {10.1371/journal.pone.0027636}, Key = {fds250735} } @article{fds200755, Author = {RC Shelton and LH McNeill and E Puleo and KY Wolin and KM Emmons and GG Bennett}, Title = {The association between social factors and physical activity among low-income adults living in public housing.}, Journal = {American journal of public health}, Volume = {101}, Number = {11}, Pages = {2102-10}, Year = {2011}, Month = {November}, ISSN = {1541-0048}, url = {http://dx.doi.org/10.2105/AJPH.2010.196030}, Keywords = {Adolescent • Adult • Age Factors • Aged • Aged, 80 and over • Boston • Continental Population Groups • Cross-Sectional Studies • Exercise* • Female • Humans • Male • Middle Aged • Poverty • Public Housing • Sex Factors • Social Support* • Socioeconomic Factors • Young Adult • statistics & numerical data*}, Abstract = {OBJECTIVE: We sought to examine the association between structural, functional, and normative social factors and physical activity among urban, low-income, racially/ethnically diverse adults. METHODS: We conducted a baseline cross-sectional survey among residents of 12 low-income housing communities in metropolitan Boston, Massachusetts. Participants were also asked to wear a pedometer for 5 days. We analyzed complete data from 1112 residents (weighted n = 1635). RESULTS: Residents with smaller social networks were significantly less physically active than were residents with larger social networks (b = -1503.7; P = .01) and residents with conflicting demands were more active than were residents with none (b = 601.6; P = .01), when we controlled for employment status, gender, poverty level, current health status, age, and perceived safety. Social networks were most strongly associated with physical activity among Hispanics and younger residents (aged 18-35 years). CONCLUSIONS: These findings indicate that social factors, including social networks and role-related conflicting demands, may be important drivers of physical activity among low-income populations. Researchers and practitioners should consider social factors in developing multilevel physical activity interventions for this population.}, Language = {eng}, Doi = {10.2105/AJPH.2010.196030}, Key = {fds200755} } @article{fds250770, Author = {Shelton, RC and McNeill, LH and Puleo, E and Wolin, KY and Emmons, KM and Bennett, GG}, Title = {The association between social factors and physical activity among low-income adults living in public housing.}, Journal = {American journal of public health}, Volume = {101}, Number = {11}, Pages = {2102-2110}, Year = {2011}, Month = {November}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2010.196030}, Abstract = {<h4>Objectives</h4>We sought to examine the association between structural, functional, and normative social factors and physical activity among urban, low-income, racially/ethnically diverse adults.<h4>Methods</h4>We conducted a baseline cross-sectional survey among residents of 12 low-income housing communities in metropolitan Boston, Massachusetts. Participants were also asked to wear a pedometer for 5 days. We analyzed complete data from 1112 residents (weighted n = 1635).<h4>Results</h4>Residents with smaller social networks were significantly less physically active than were residents with larger social networks (b = -1503.7; P = .01) and residents with conflicting demands were more active than were residents with none (b = 601.6; P = .01), when we controlled for employment status, gender, poverty level, current health status, age, and perceived safety. Social networks were most strongly associated with physical activity among Hispanics and younger residents (aged 18-35 years).<h4>Conclusions</h4>These findings indicate that social factors, including social networks and role-related conflicting demands, may be important drivers of physical activity among low-income populations. Researchers and practitioners should consider social factors in developing multilevel physical activity interventions for this population.}, Doi = {10.2105/ajph.2010.196030}, Key = {fds250770} } @article{fds250732, Author = {Hasson, RE and Granados, KE and Marquez, DX and Bennett, G and Freedson, P and Braun, B}, Title = {Psychological responses to acute exercise in sedentary black and white individuals.}, Journal = {Journal of physical activity & health}, Volume = {8}, Number = {7}, Pages = {978-987}, Year = {2011}, Month = {September}, ISSN = {1543-3080}, url = {http://dx.doi.org/10.1123/jpah.8.7.978}, Keywords = {Adult • Affect • African Continental Ancestry Group • Anxiety • Body Mass Index • European Continental Ancestry Group • Exercise • Humans • Self Efficacy • Walking • psychology • psychology*}, Abstract = {<h4>Background</h4>Racial differences in psychological determinants of exercise exist between non-Hispanic blacks (blacks) and non-Hispanic whites (whites). To date, no study has examined racial differences in the psychological responses during and after exercise. The objective of this study was to compare psychological outcomes of single exercise bouts in blacks and whites.<h4>Methods</h4>On 3 separate occasions, sedentary black (n = 16) and white (n = 14) participants walked on a treadmill at 75%(max HR) for 75 minutes. Questionnaires assessing mood, state anxiety, and exercise task self-efficacy were administered before and after each exercise bout. In-task mood and rating of perceived exertion (RPE) were measured every 5 minutes during exercise.<h4>Results</h4>Exercise self-efficacy and psychological distress significantly improved in both blacks and whites. However during exercise blacks reported more positive in-task mood and lower RPE compared with whites.<h4>Conclusions</h4>These data suggest that racial differences exist in psychological responses during exercise. Further research should confirm these findings in a larger, free-living population.}, Language = {eng}, Doi = {10.1123/jpah.8.7.978}, Key = {fds250732} } @article{fds250717, Author = {Duncan, DT and Castro, MC and Blossom, JC and Bennett, GG and Gortmaker, SL}, Title = {Evaluation of the positional difference between two common geocoding methods.}, Journal = {Geospatial health}, Volume = {5}, Number = {2}, Pages = {265-273}, Year = {2011}, Month = {May}, ISSN = {1827-1987}, url = {http://dx.doi.org/10.4081/gh.2011.179}, Keywords = {Child • Child, Preschool • Geographic Information Systems • Humans • Obesity • United States • organization & administration* • prevention & control • standards*}, Abstract = {Geocoding, the process of matching addresses to geographic coordinates, is a necessary first step when using geographical information systems (GIS) technology. However, different geocoding methodologies can result in different geographic coordinates. The objective of this study was to compare the positional (i.e. longitude/latitude) difference between two common geocoding methods, i.e. ArcGIS (Environmental System Research Institute, Redlands, CA, USA) and Batchgeo (freely available online at http://www.batchgeo.com). Address data came from the YMCA-Harvard After School Food and Fitness Project, an obesity prevention intervention involving children aged 5-11 years and their families participating in YMCA-administered, after-school programmes located in four geographically diverse metropolitan areas in the USA. Our analyses include baseline addresses (n = 748) collected from the parents of the children in the after school sites. Addresses were first geocoded to the street level and assigned longitude and latitude coordinates with ArcGIS, version 9.3, then the same addresses were geocoded with Batchgeo. For this analysis, the ArcGIS minimum match score was 80. The resulting geocodes were projected into state plane coordinates, and the difference in longitude and latitude coordinates were calculated in meters between the two methods for all data points in each of the four metropolitan areas. We also quantified the descriptions of the geocoding accuracy provided by Batchgeo with the match scores from ArcGIS. We found a 94% match rate (n = 705), 2% (n = 18) were tied and 3% (n = 25) were unmatched using ArcGIS. Forty-eight addresses (6.4%) were not matched in ArcGIS with a match score ≥80 (therefore only 700 addresses were included in our positional difference analysis). Six hundred thirteen (87.6%) of these addresses had a match score of 100. Batchgeo yielded a 100% match rate for the addresses that ArcGIS geocoded. The median for longitude and latitude coordinates for all the data was just over 25 m. Overall, the range for longitude was 0.04-12,911.8 m, and the range for latitude was 0.02-37,766.6 m. Comparisons show minimal differences in the median and minimum values, while there were slightly larger differences in the maximum values. The majority (>75%) of the geographic differences were within 50 m of each other; mostly <25 m from each other (about 49%). Only about 4% overall were ≥400 m apart. We also found geographic differences in the proportion of addresses that fell within certain meter ranges. The match-score range associated with the Batchgeo accuracy level "approximate" (least accurate) was 84-100 (mean = 92), while the "rooftop" Batchgeo accuracy level (most accurate) delivered a mean of 98.9 but the range was the same. Although future research should compare the positional difference of Batchgeo to criterion measures of longitude/latitude (e.g. with global positioning system measurement), this study suggests that Batchgeo is a good, free-of-charge option to geocode addresses.}, Language = {eng}, Doi = {10.4081/gh.2011.179}, Key = {fds250717} } @article{fds290495, Author = {Woo, M and Austin, SB and Williams, DR and Bennett, GG}, Title = {Reconceptualizing the measurement of multiracial status for health research in the united states}, Journal = {Du Bois Review}, Volume = {8}, Number = {1}, Pages = {25-36}, Publisher = {Cambridge University Press (CUP)}, Year = {2011}, Month = {April}, ISSN = {1742-058X}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000312166600003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Abstract = {The assessment of multiracial status in U.S. health research is fraught with challenges that limit our ability to enumerate and study this population. This paper reconceptualizes the assessment of multiracial status through the development of a model with three dimensions: mixed ancestry multiracial status, self-identified multiracial status, and socially assigned multiracial status. We present challenges to studying multiracial populations and provide recommendations for improving the assessment of multiracial status in health research. © 2011, W.E.B. Du Bois Institute for African and African American Research. All rights reserved.}, Doi = {10.1017/S1742058X11000038}, Key = {fds290495} } @article{fds250733, Author = {Mowafi, M and Khadr, Z and Subramanian, SV and Bennett, G and Hill, A and Kawachi, I}, Title = {Are neighborhood education levels associated with BMI among adults in Cairo, Egypt?}, Journal = {Social science & medicine (1982)}, Volume = {72}, Number = {8}, Pages = {1274-1283}, Year = {2011}, Month = {April}, ISSN = {0277-9536}, url = {http://dx.doi.org/10.1016/j.socscimed.2011.01.032}, Keywords = {Adult • Body Mass Index* • Educational Status • Egypt • Female • Health Status Disparities • Health Surveys • Humans • Male • Middle Aged • Models, Statistical • Obesity • Residence Characteristics* • Social Class • Urban Population* • Young Adult • epidemiology}, Abstract = {This study examined the association between area-level education and BMI among adults in Cairo, Egypt. A sample of 3993 households including 1990 men and 2003 women were analyzed from the 2007 Cairo Urban Inequity Study, a study which aimed to identify potential intra-urban inequities in health related to the environment and living conditions in Cairo. Using multilevel analysis, we found that residents of high education neighborhoods were significantly less likely to be obese compared to low education neighborhoods. An inverse association between neighborhood education and individual BMI was observed whereby each unit increase in percentage of households with greater than a high school education was associated with a 0.036 kg/m(2) decrease in BMI of individuals. This translated into a difference between high and low education neighborhoods of 6.86 kg (15.1 lb) for women based on an average height of 1.65 m and 6.10 kg (13.4 lb) for men based on an average height of 1.75 m after adjusting for sociodemographic, socioeconomic, health and environmental factors. These findings suggest that programs aiming to reduce BMI among adults in this setting may be well-served by focusing on education since it appears to have an effect at the neighborhood level over and above the impact it has at the individual level. This may be due to several factors such as greater access to knowledge and information regarding health and nutrition, greater food availability, and shifting cultural perceptions of beauty away from an ideal body shape of plumpness in favor of thinness in high education neighborhoods. The cross-sectional nature of our study does not allow for causal interpretations, however, so further studies exploring why the neighborhood education-BMI association is so significant is warranted.}, Language = {eng}, Doi = {10.1016/j.socscimed.2011.01.032}, Key = {fds250733} } @article{fds250734, Author = {Duncan, DT and Wolin, KY and Scharoun-Lee, M and Ding, EL and Warner, ET and Bennett, GG}, Title = {Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults.}, Journal = {The international journal of behavioral nutrition and physical activity}, Volume = {8}, Number = {2}, Pages = {20}, Year = {2011}, Month = {March}, ISSN = {1479-5868}, url = {http://dx.doi.org/10.1186/1479-5868-8-20}, Keywords = {African Americans • Attitude to Health* • Diet • Energy Intake* • Exercise* • Female • Health Behavior* • Hispanic Americans • Humans • Male • Middle Aged • Multivariate Analysis • Nutrition Surveys • Obesity • Reference Values • Sedentary Lifestyle • Self Concept* • Sex Factors • Thinness • United States • Weight Loss • ethnology • psychology • psychology*}, Abstract = {<h4>Background</h4>Weight misperception might preclude the adoption of healthful weight-related attitudes and behaviors among overweight and obese individuals, yet limited research exists in this area. We examined associations between weight misperception and several weight-related attitudes and behaviors among a nationally representative sample of overweight and obese US adults.<h4>Methods</h4>Data from the 2003-2006 National Health and Nutrition Examination Survey (NHANES) were used. Analyses included non-pregnant, overweight and obese (measured body mass index ≥ 25) adults aged 20 and older. Weight misperception was identified among those who reported themselves as "underweight" or "about the right weight". Outcome variables and sample sizes were: weight-loss attitudes/behaviors (wanting to weigh less and having tried to lose weight; n = 4,784); dietary intake (total energy intake; n=4,894); and physical activity (meets 2008 US physical activity recommendations, insufficiently active, and sedentary; n=5,401). Multivariable regression models were stratified by gender and race/ethnicity. Analyses were conducted in 2009-2010.<h4>Results</h4>These overweight/obese men and women who misperceived their weight were 71% (RR 0.29, 95% CI 0.25-0.34) and 65% (RR 0.35, 95% CI 0.29-0.42) less likely to report that they want to lose weight and 60% (RR 0.40, 95% CI 0.30-0.52) and 56% (RR 0.44, 95% CI 0.32-0.59) less likely to have tried to lose weight within the past year, respectively, compared to those who accurately perceived themselves as overweight. Blacks were particularly less likely to have tried to lose weight. Weight misperception was not a significant predictor of total energy intake among most subgroups, but was associated with lower total energy intake among Hispanic women (change -252.72, 95% CI -433.25, -72.18). Men who misperceived their weight were less likely (RR 0.68, 95% CI 0.52-0.89) to be insufficiently active (the strongest results were among Black men) and women who misperceived their weight were less likely (RR 0.74, 95% CI 0.54, 1.00, p=0.047) to meet activity recommendations compared to being sedentary.<h4>Conclusion</h4>Overall, weight misperception among overweight and obese adults was associated with less likelihood of interest in or attempts at weight loss and less physical activity. These associations varied by gender and race/ethnicity. This study highlights the importance of focusing on inaccurate weight perceptions in targeted weight loss efforts.}, Language = {eng}, Doi = {10.1186/1479-5868-8-20}, Key = {fds250734} } @article{pmid20932303, Author = {Wolin, KY and Fagin, C and Ufere, N and Tuchman, H and Bennett, GG}, Title = {Physical activity in US Blacks: a systematic review and critical examination of self-report instruments.}, Journal = {The international journal of behavioral nutrition and physical activity}, Volume = {7}, Pages = {73}, Year = {2010}, Month = {October}, ISSN = {1479-5868}, url = {http://hdl.handle.net/10161/4372 Duke open access}, Abstract = {<h4>Background</h4>Physical activity self-report instruments in the US have largely been developed for and validated in White samples. Despite calls to validate existing instruments in more diverse samples, relatively few instruments have been validated in US Blacks. Emerging evidence suggests that these instruments may have differential validity in Black populations.<h4>Purpose</h4>This report reviews and evaluates the validity and reliability of self-reported measures of physical activity in Blacks and makes recommendations for future directions.<h4>Methods</h4>A systematic literature review was conducted to identify published reports with construct or criterion validity evaluated in samples that included Blacks. Studies that reported results separately for Blacks were examined.<h4>Results</h4>The review identified 10 instruments validated in nine manuscripts. Criterion validity correlations tended to be low to moderate. No study has compared the validity of multiple instruments in a single sample of Blacks.<h4>Conclusion</h4>There is a need for efforts validating self-report physical activity instruments in Blacks, particularly those evaluating the relative validity of instruments in a single sample.}, Doi = {10.1186/1479-5868-7-73}, Key = {pmid20932303} } @article{fds200764, Author = {HC Yeh and JM Clark and KE Emmons and RH Moore and GG Bennett and ET Warner, DB Sarwer and GJ Jerome and ER Miller and S Volger and TA Louis and B Wells and TA Wadden and GA Colditz and LJ Appel}, Title = {Independent but coordinated trials: insights from the practice-based Opportunities for Weight Reduction Trials Collaborative Research Group.}, Journal = {Clinical trials (London, England)}, Volume = {7}, Number = {4}, Pages = {322-32}, Year = {2010}, Month = {August}, ISSN = {1740-7753}, url = {http://dx.doi.org/10.1177/1740774510374213}, Keywords = {Clinical Protocols • Clinical Trials as Topic • Humans • Multicenter Studies as Topic • Primary Health Care* • Research Design* • Weight Loss* • methods*}, Abstract = {BACKGROUND: The National Heart, Lung, and Blood Institute (NHLBI) funded three institutions to conduct effectiveness trials of weight loss interventions in primary care settings. Unlike traditional multi-center clinical trials, each study was established as an independent trial with a distinct protocol. Still, efforts were made to coordinate and standardize several aspects of the trials. The three trials formed a collaborative group, the 'Practice-based Opportunities for Weight Reduction (POWER) Trials Collaborative Research Group.' OBJECTIVE: We describe the common and distinct features of the three trials, the key characteristics of the collaborative group, and the lessons learned from this novel organizational approach. METHODS: The Collaborative Research Group consists of three individual studies: 'Be Fit, Be Well' (Washington University in St. Louis/Harvard University), 'POWER Hopkins' (Johns Hopkins), and 'POWER-UP' (University of Pennsylvania). There are a total of 15 participating clinics with ~1100 participants. The common primary outcome is change in weight at 24 months of follow-up, but each protocol has trial-specific elements including different interventions and different secondary outcomes. A Resource Coordinating Unit at Johns Hopkins provides administrative support. RESULTS: The Collaborative Research Group established common components to facilitate potential cross-site comparisons. The main advantage of this approach is to develop and evaluate several interventions, when there is insufficient evidence to test one or two approaches, as would be done in a traditional multi-center trial. CONCLUSIONS: The challenges of the organizational design include the complex decision-making process, the extent of potential data pooling, time intensive efforts to standardize reports, and the additional responsibilities of the DSMB to monitor three distinct protocols.}, Language = {eng}, Doi = {10.1177/1740774510374213}, Key = {fds200764} } @article{pmid20573639, Author = {Yeh, HC and Clark, JM and Emmons, KE and Moore, RH and Bennett, GG and Warner, ET and Sarwer, DB and Jerome, GJ and Miller, ER and Volger, S and Louis, TA and Wells, B and Wadden, TA and Colditz, GA and Appel, LJ}, Title = {{I}ndependent but coordinated trials: insights from the practice-based {O}pportunities for {W}eight {R}eduction {T}rials {C}ollaborative {R}esearch {G}roup}, Journal = {Clin Trials}, Volume = {7}, Number = {4}, Pages = {322-332}, Year = {2010}, Month = {August}, ISSN = {1740-7745}, url = {http://dx.doi.org/10.1177/1740774510374213}, Abstract = {The challenges of the organizational design include the complex decision-making process, the extent of potential data pooling, time intensive efforts to standardize reports, and the additional responsibilities of the DSMB to monitor three distinct protocols.}, Doi = {10.1177/1740774510374213}, Key = {pmid20573639} } @article{fds290496, Author = {Pischke, CR and Whiteley, JA and Askew, S and Bennett, GG}, Title = {COACHING IS ASSOCIATED WITH INCREASED UTILIZATION OF HANDHELD COMPUTERS FOR WEIGHT LOSS AMONG LOWER INCOME WOMEN}, Journal = {INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE}, Volume = {17}, Pages = {56-56}, Publisher = {SPRINGER}, Year = {2010}, Month = {August}, ISSN = {1070-5503}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000280088500128&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290496} } @article{fds200765, Author = {CS Lathan and C Okechukwu and BF Drake and GG Bennett}, Title = {Racial differences in the perception of lung cancer: the 2005 Health Information National Trends Survey.}, Journal = {Cancer}, Volume = {116}, Number = {8}, Pages = {1981-6}, Year = {2010}, Month = {April}, ISSN = {0008-543X}, url = {http://dx.doi.org/10.1002/cncr.24923}, Keywords = {African Americans* • European Continental Ancestry Group* • Female • Health Knowledge, Attitudes, Practice* • Humans • Lung Neoplasms • Male • Questionnaires • Risk Assessment • psychology*}, Abstract = {BACKGROUND: Racial disparities in lung cancer have been described well in the literature; however, little is known about perceptions of lung cancer in the general population and whether these perceptions differ by race. METHODS: Data were obtained from the 2005 Health Information National Trends Survey (HINTS) survey. The authors used a sample design of random digit dialing of listed telephone exchanges in the United States. Complete interviews were conducted with 5491 adults, including 1872 respondents who were assigned to receive questions pertaining to lung cancer. All analyses were conducted on this subset of respondents. A statistical software program was used to calculate chi-square tests and to perform logistic regression analyses that would model racial differences in perceptions of lung cancer. All estimates were weighted to be nationally representative of the US population; a jack-knife weighting method was used for parameter estimation. RESULTS: Black patients and white patients shared many of the same beliefs about lung cancer mortality, and etiology. African Americans were more likely than whites 1) to agree that it is hard to follow recommendations about preventing lung cancer (odds ratio [OR], 2.05; 95% confidence interval [CI], 1.19-3.53), 2) to avoid an evaluation for lung cancer for fear that they have the disease (OR, 3.32; 95% CI, 1.84-5.98), and 3) to believe that patients with lung cancer would have pain or other symptoms before diagnosis (OR, 2.20; 95% CI, 1.27-3.79). CONCLUSIONS: African Americans were more likely to hold beliefs about lung cancer that could interfere with prevention and treatment.}, Language = {eng}, Doi = {10.1002/cncr.24923}, Key = {fds200765} } @article{pmid20186766, Author = {Lathan, CS and Okechukwu, C and Drake, BF and Bennett, GG}, Title = {Racial differences in the perception of lung cancer: the 2005 Health Information National Trends Survey.}, Journal = {Cancer}, Volume = {116}, Number = {8}, Pages = {1981-1986}, Year = {2010}, Month = {April}, ISSN = {0008-543X}, url = {http://dx.doi.org/10.1002/cncr.24923}, Abstract = {<h4>Background</h4>Racial disparities in lung cancer have been described well in the literature; however, little is known about perceptions of lung cancer in the general population and whether these perceptions differ by race.<h4>Methods</h4>Data were obtained from the 2005 Health Information National Trends Survey (HINTS) survey. The authors used a sample design of random digit dialing of listed telephone exchanges in the United States. Complete interviews were conducted with 5491 adults, including 1872 respondents who were assigned to receive questions pertaining to lung cancer. All analyses were conducted on this subset of respondents. A statistical software program was used to calculate chi-square tests and to perform logistic regression analyses that would model racial differences in perceptions of lung cancer. All estimates were weighted to be nationally representative of the US population; a jack-knife weighting method was used for parameter estimation.<h4>Results</h4>Black patients and white patients shared many of the same beliefs about lung cancer mortality, and etiology. African Americans were more likely than whites 1) to agree that it is hard to follow recommendations about preventing lung cancer (odds ratio [OR], 2.05; 95% confidence interval [CI], 1.19-3.53), 2) to avoid an evaluation for lung cancer for fear that they have the disease (OR, 3.32; 95% CI, 1.84-5.98), and 3) to believe that patients with lung cancer would have pain or other symptoms before diagnosis (OR, 2.20; 95% CI, 1.27-3.79).<h4>Conclusions</h4>African Americans were more likely to hold beliefs about lung cancer that could interfere with prevention and treatment.}, Doi = {10.1002/cncr.24923}, Key = {pmid20186766} } @article{fds290503, Author = {Whiteley, JA and Pischke, CR and Bennett, GG}, Title = {COACHING DOES NOT CONFER ADDITIONAL BENEFIT FOR WEIGHT LOSS AMONG LOWER INCOME WOMEN USING HANDHELD COMPUTERS FOR SELF-MONITORING}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {39}, Pages = {58-58}, Publisher = {SPRINGER}, Year = {2010}, Month = {April}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000275841700224&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290503} } @article{pmid19696764, Author = {Bennett, GG and Herring, SJ and Puleo, E and Stein, EK and Emmons, KM and Gillman, MW}, Title = {Web-based weight loss in primary care: a randomized controlled trial.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {18}, Number = {2}, Pages = {308-313}, Year = {2010}, Month = {February}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19696764}, Abstract = {Evidence is lacking regarding effective and sustainable weight loss approaches for use in the primary care setting. We conducted a 12-week randomized controlled trial to evaluate the short-term efficacy of a web-based weight loss intervention among 101 primary care patients with obesity and hypertension. Patients had access to a comprehensive website that used a moderate-intensity weight loss approach designed specifically for web-based implementation. Patients also participated in four (two in-person and two telephonic) counseling sessions with a health coach. Intent-to-treat analysis showed greater weight loss at 3 months (-2.56 kg; 95% CI -3.60, -1.53) among intervention participants (-2.28 +/- 3.21 kg), relative to usual care (0.28 +/- 1.87 kg). Similar findings were observed among intervention completers (-3.05 kg; 95% CI -4.24, -1.85). High rates of participant retention (84%) and website utilization were observed, with the greatest weight loss found among those with a high frequency of website logins (quartile 4 vs. 1: -4.16 kg; 95% CI -1.47, -6.84). The intervention's approach promoted moderate weight loss at 12 weeks, though greater weight loss was observed among those with higher levels of website utilization. Efficacious web-based weight loss interventions can be successfully offered in the primary care setting.}, Doi = {10.1038/oby.2009.242}, Key = {pmid19696764} } @article{pmid20191921, Author = {Whitfield, KE and Jonassaint, C and Brandon, D and Stanton, MV and Sims, R and Bennett, G and Salva, J and Edwards, CL}, Title = {Does coping mediate the relationship between personality and cardiovascular health in African Americans?}, Journal = {Journal of the National Medical Association}, Volume = {102}, Number = {2}, Pages = {95-100}, Year = {2010}, Month = {February}, ISSN = {1943-4693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/20191921}, Abstract = {Few studies have examined traits or behaviors that may predispose some African Americans to poor cardiovascular health outcomes. While several models of personality exist, the 5-factor model (FFM) is arguably the best representation of personality and provides a useful framework for the study of personality and health. Among personality characteristics associated with health risks among African Americans, a high-effort coping style called John Henryism is among the most thoroughly examined. It is not clear if personality coping and health are connected in a meaningful way. The present study utilized data from the Baltimore Study of Black Aging (BSBA) to examine whether personality was linked to John Henryism, how personality might be linked to cardiovascular health, and how John Henryism might mediate the relationship between personality and cardiovascular health. The sample consisted of 234 older African Americans (mean age, 67 years), 28% of which were men. Regressions were used to examine the questions. The results indicated that those who are more neurotic report more cardiovascular health problems, and that openness and conscientiousness were significant predictors of active coping. The mediation analysis results suggest that coping style did not mediate the relationship between personality and reports of cardiovascular health problems. These findings highlight the importance of personality in accounting for cardiovascular health in African Americans.}, Doi = {10.1016/s0027-9684(15)30496-x}, Key = {pmid20191921} } @article{fds250716, Author = {Chae, DH and Krieger, N and Bennett, GG and Lindsey, JC and Stoddard, AM and Barbeau, EM}, Title = {Implications of discrimination based on sexuality, gender, and race/ethnicity for psychological distress among working-class sexual minorities: the United for Health Study, 2003-2004.}, Journal = {International journal of health services : planning, administration, evaluation}, Volume = {40}, Number = {4}, Pages = {589-608}, Year = {2010}, Month = {January}, ISSN = {0020-7314}, url = {http://dx.doi.org/10.2190/hs.40.4.b}, Keywords = {Adult • Bisexuality • Boston • Female • Health Status Disparities* • Heterosexuality • Homosexuality • Humans • Labor Unions • Linear Models • Male • Middle Aged • Minority Groups • Multivariate Analysis • Prejudice* • Risk Factors • Socioeconomic Factors • Stress, Psychological • epidemiology • epidemiology* • ethnology • etiology • psychology • psychology* • statistics & numerical data}, Abstract = {This study investigated the distribution of demographic characteristics, the prevalence of discrimination based on sexuality, gender, and race, and relationships with psychological distress among 178 working-class sexual minorities (i.e., who identified as lesbian, gay, or bisexual (LGB) or had ever engaged in same-sex sexual behaviors) recruited to the United for Health Study (2003-2004). The results indicated considerable heterogeneity in responses to items assessing sexual orientation and sexual behavior, with a majority of sexual minority participants not identifying as LGB (74.2%). The authors found significant demographic differences in LGB identification by gender, race/ethnicity, nativity, and socioeconomic factors. In addition, LGB participants had higher levels of psychological distress than non-LGB-identified sexual minorities. Linear regression analyses revealed that reports of racial/ethnic discrimination and sexuality discrimination were associated with higher levels of psychological distress among sexual minority participants. The results underscore the need to collect multiple measures of sexuality in conducting research on racially diverse working-class communities; to consider demographic factors in collecting sexuality data; and to disaggregate information on sexuality by LGB identification. Findings also highlight the importance of addressing discrimination in ameliorating problematic mental health outcomes among working-class sexual minorities.}, Language = {eng}, Doi = {10.2190/hs.40.4.b}, Key = {fds250716} } @article{fds185505, Author = {Hasson R and Marquez D and Bennett GG and Freedson P and Braun B.}, Title = {Psychological Responses to Acute Exercise in Sedentary Black and White Individuals}, Year = {2010}, Key = {fds185505} } @article{pmid21058533, Author = {Chae, D. H. and Krieger, N. and Bennett, G. G. and Lindsey, J. C. and Stoddard, A. M. and Barbeau, E. M.}, Title = {{I}mplications of discrimination based on sexuality, gender, and race/ethnicity for psychological distress among working-class sexual minorities: the {U}nited for {H}ealth {S}tudy, 2003-2004}, Journal = {Int J Health Serv}, Volume = {40}, Pages = {589--608}, Year = {2010}, Abstract = {This study investigated the distribution of demographic characteristics, the prevalence of discrimination based on sexuality, gender, and race, and relationships with psychological distress among 178 working-class sexual minorities (i.e., who identified as lesbian, gay, or bisexual (LGB) or had ever engaged in same-sex sexual behaviors) recruited to the United for Health Study (2003-2004). The results indicated considerable heterogeneity in responses to items assessing sexual orientation and sexual behavior, with a majority of sexual minority participants not identifying as LGB (74.2%). The authors found significant demographic differences in LGB identification by gender, race/ethnicity, nativity, and socioeconomic factors. In addition, LGB participants had higher levels of psychological distress than non-LGB-identified sexual minorities. Linear regression analyses revealed that reports of racial/ethnic discrimination and sexuality discrimination were associated with higher levels of psychological distress among sexual minority participants. The results underscore the need to collect multiple measures of sexuality in conducting research on racially diverse working-class communities; to consider demographic factors in collecting sexuality data; and to disaggregate information on sexuality by LGB identification. Findings also highlight the importance of addressing discrimination in ameliorating problematic mental health outcomes among working-class sexual minorities.}, Key = {pmid21058533} } @article{fds200763, Author = {KY Wolin and C Fagin and N Ufere and H Tuchman and GG Bennett}, Title = {Physical activity in US Blacks: a systematic review and critical examination of self-report instruments.}, Journal = {The international journal of behavioral nutrition and physical activity}, Volume = {7}, Number = {4}, Pages = {73}, Year = {2010}, ISSN = {1479-5868}, url = {http://dx.doi.org/10.1186/1479-5868-7-73}, Keywords = {Adult • Bisexuality • Boston • Female • Health Status Disparities* • Heterosexuality • Homosexuality • Humans • Labor Unions • Linear Models • Male • Middle Aged • Minority Groups • Multivariate Analysis • Prejudice* • Risk Factors • Socioeconomic Factors • Stress, Psychological • epidemiology • epidemiology* • ethnology • etiology • psychology • psychology* • statistics & numerical data}, Abstract = {BACKGROUND: Physical activity self-report instruments in the US have largely been developed for and validated in White samples. Despite calls to validate existing instruments in more diverse samples, relatively few instruments have been validated in US Blacks. Emerging evidence suggests that these instruments may have differential validity in Black populations. OBJECTIVE: This report reviews and evaluates the validity and reliability of self-reported measures of physical activity in Blacks and makes recommendations for future directions. METHODS: A systematic literature review was conducted to identify published reports with construct or criterion validity evaluated in samples that included Blacks. Studies that reported results separately for Blacks were examined. RESULTS: The review identified 10 instruments validated in nine manuscripts. Criterion validity correlations tended to be low to moderate. No study has compared the validity of multiple instruments in a single sample of Blacks. CONCLUSIONS: There is a need for efforts validating self-report physical activity instruments in Blacks, particularly those evaluating the relative validity of instruments in a single sample.}, Language = {eng}, Doi = {10.1186/1479-5868-7-73}, Key = {fds200763} } @article{pmid19944922, Author = {Shelton, RC and Puleo, E and Bennett, GG and McNeill, LH and Goldman, RE and Emmons, KM}, Title = {Racial discrimination and physical activity among low-income-housing residents.}, Journal = {American journal of preventive medicine}, Volume = {37}, Number = {6}, Pages = {541-545}, Year = {2009}, Month = {December}, ISSN = {0749-3797}, url = {http://dx.doi.org/10.1016/j.amepre.2009.07.018}, Abstract = {<h4>Background</h4>Although discrimination has been identified as a potential determinant of existing racial/ethnic health disparities, no studies have investigated whether racial discrimination contributes to disparities in physical activity.<h4>Purpose</h4>The primary aim of the current study was to examine the association between interpersonal racial discrimination and physical activity.<h4>Methods</h4>Baseline data were collected during 2004-2005 among a predominately black and Hispanic sample of adult residents living in 12 low-income-housing sites in Boston MA (n=1055). Residents reported experiences of lifetime racial discrimination during interviewer-administered surveys and wore a pedometer for 5 days to measure physical activity. For analyses, performed in 2009, linear regression models with a cluster design were conducted to predict physical activity, measured as steps per day.<h4>Results</h4>Nearly 48% of participants reported ever experiencing racial discrimination, and discrimination was most commonly experienced on the street or in a public setting. No association was found between discrimination and physical activity, when examined in bivariate, multivariable, or race-stratified models.<h4>Conclusions</h4>The current results indicate that self-reported racial discrimination is not a key determinant of physical activity among residents living in low-income housing. However, additional research is warranted to address current limitations of this study.}, Doi = {10.1016/j.amepre.2009.07.018}, Key = {pmid19944922} } @article{pmid19407807, Author = {Fowler-Brown, AG and Bennett, GG and Goodman, MS and Wee, CC and Corbie-Smith, GM and James, SA}, Title = {Psychosocial stress and 13-year BMI change among blacks: the Pitt County Study.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {17}, Number = {11}, Pages = {2106-2109}, Year = {2009}, Month = {November}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1038/oby.2009.130}, Abstract = {Adverse psychosocial exposures may partially drive the high rates of obesity among blacks. The objective of this study was to prospectively examine the relationship between perceived psychosocial stress and percent change in BMI among adult black men and women. We used data from 756 women and 416 men who were participants in the Pitt County Study, a community-based, prospective cohort study of blacks in eastern North Carolina. Participants were aged 25-50 years of age on entry into the study in 1988 and follow-up was obtained in 2001. Using multivariable linear regression, we calculated the adjusted mean percentage change in BMI over the follow-up period for each tertile of baseline measures of the Perceived Stress Scale (low, medium, and high), adjusted for potential confounders. For black women, higher levels of psychosocial stress at baseline predicted higher adjusted percentage increase in BMI over the 13-year follow-up: low stress 12.0% (95% CI 9.6-14.4), medium stress 16.3% (95% CI 13.7-18.9), and high stress 15.5% (95% CI 13.1-17.8). For black men, perceived stress was not associated with percent BMI change. These data suggest that interventions targeting obesity in black women should consider the potential impact of emotional stress on weight change.}, Doi = {10.1038/oby.2009.130}, Key = {pmid19407807} } @article{fds200770, Author = {GG Bennett and KY Wolin and EM Puleo and LC Mâsse and AA Atienza}, Title = {Awareness of national physical activity recommendations for health promotion among US adults.}, Journal = {Medicine and science in sports and exercise}, Volume = {41}, Number = {10}, Pages = {1849-55}, Year = {2009}, Month = {October}, ISSN = {1530-0315}, url = {http://dx.doi.org/10.1249/MSS.0b013e3181a52100}, Keywords = {Cross-Sectional Studies • Exercise* • Female • Guidelines as Topic* • Health Communication • Health Knowledge, Attitudes, Practice* • Health Promotion • Humans • Male • Middle Aged • Sex Factors • Socioeconomic Factors • United States}, Abstract = {OBJECTIVE: To examine whether knowledge of the 1995 Centers for Disease Control and Prevention (CDC) and the American College of Sports Medicine (ACSM) national physical activity recommendations varies by sociodemographic, behavioral, and communication-related factors. METHODS: Cross-sectional analyses of 2381 participants in the 2005 Health Information National Trends Survey, a national probability sample of the US population contacted via random-digit dial. RESULTS: Only a third of respondents were accurately knowledgeable of the CDC/ACSM physical activity recommendations. Recommendation knowledge was higher among women (OR = 1.70; 95% confidence interval (CI) = 1.35-2.14) than men, the employed compared with those not currently working (OR = 0.73; 95% CI = 0.55-0.95), foreign-born individuals (OR = 1.62; 95% CI = 1.15-2.30) compared with the US-born, and those meeting CDC/ACSM recommendations vs those who do not (OR = 0.74; 95% CI = 0.58-0.96). CONCLUSIONS: There is not widespread knowledge of the consensus national physical activity recommendations. These findings highlight the need for more effective campaigns to promote physical activity among the American public.}, Language = {eng}, Doi = {10.1249/MSS.0b013e3181a52100}, Key = {fds200770} } @article{pmid19727030, Author = {Bennett, GG and Wolin, KY and Puleo, EM and Mâsse, LC and Atienza, AA}, Title = {Awareness of national physical activity recommendations for health promotion among US adults.}, Journal = {Medicine and science in sports and exercise}, Volume = {41}, Number = {10}, Pages = {1849-1855}, Year = {2009}, Month = {October}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19727030}, Abstract = {<h4>Purpose</h4>To examine whether knowledge of the 1995 Centers for Disease Control and Prevention (CDC) and the American College of Sports Medicine (ACSM) national physical activity recommendations varies by sociodemographic, behavioral, and communication-related factors.<h4>Methods</h4>Cross-sectional analyses of 2381 participants in the 2005 Health Information National Trends Survey, a national probability sample of the US population contacted via random-digit dial.<h4>Results</h4>Only a third of respondents were accurately knowledgeable of the CDC/ACSM physical activity recommendations. Recommendation knowledge was higher among women (OR = 1.70; 95% confidence interval (CI) = 1.35-2.14) than men, the employed compared with those not currently working (OR = 0.73; 95% CI = 0.55-0.95), foreign-born individuals (OR = 1.62; 95% CI = 1.15-2.30) compared with the US-born, and those meeting CDC/ACSM recommendations vs those who do not (OR = 0.74; 95% CI = 0.58-0.96).<h4>Conclusions</h4>There is not widespread knowledge of the consensus national physical activity recommendations. These findings highlight the need for more effective campaigns to promote physical activity among the American public.}, Doi = {10.1249/mss.0b013e3181a52100}, Key = {pmid19727030} } @article{fds250780, Author = {Greaney, ML and Quintiliani, LM and Warner, ET and King, DK and Emmons, KM and Colditz, GA and Glasgow, RE and Bennett, GG}, Title = {Weight management among patients at community health centers: The "be Fit, Be Well" study}, Journal = {Obesity and Weight Management}, Volume = {5}, Number = {5}, Pages = {222-228}, Publisher = {MARY ANN LIEBERT, INC}, Year = {2009}, Month = {October}, ISSN = {1948-6553}, url = {http://dx.doi.org/10.1089/obe.2009.0507}, Doi = {10.1089/obe.2009.0507}, Key = {fds250780} } @article{fds200767, Author = {DP Heil and GG Bennett and KS Bond, MD Webster and KY Wolin}, Title = {Influence of activity monitor location and bout duration on free-living physical activity.}, Journal = {Research quarterly for exercise and sport}, Volume = {80}, Number = {3}, Pages = {424-33}, Year = {2009}, Month = {September}, ISSN = {0270-1367}, url = {http://dx.doi.org/10.1016/j.amepre.2009.07.018}, Keywords = {Adult • Analysis of Variance • Energy Metabolism • Female • Humans • Male • Monitoring, Physiologic • Motor Activity* • Questionnaires • Time Factors • Walking • instrumentation* • physiology*}, Abstract = {The purpose of this study was to evaluate the influence of the location (ankle, hip, wrist) where an activity monitor (AM) is worn and of the minimum bout duration (BD) on physical activity (PA) variables during free-living monitoring. Study 1 participants wore AMs at three locations for 1 day while wearing the Intelligent Device for Energy Expenditure and Activity (IDEEA) system. Study 2 participants wore AMs at the same locations for 3 days. Variables included time (T(MV), min/day) and AEE (AEE(MV) kcal/day) for each monitor location and BD above a moderate-vigorous (MV) intensity. T(MV) and AEE(MV) in Study 1 were similar across AMs to IDEEA values at BD = 10 min, as was T(MV) in Study 2. This suggests that ankle-, wrist- and hip-worn AMs can provide similar PA outcome values during free-living monitoring at 10-min BDs.}, Language = {eng}, Doi = {10.1016/j.amepre.2009.07.018}, Key = {fds200767} } @article{pmid19765309, Author = {McNeill, LH and Coeling, M and Puleo, E and Suarez, EG and Bennett, GG and Emmons, KM}, Title = {Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial.}, Journal = {BMC public health}, Volume = {9}, Pages = {353}, Year = {2009}, Month = {September}, ISSN = {1471-2458}, url = {http://dx.doi.org/10.1186/1471-2458-9-353}, Abstract = {<h4>Background</h4>This paper presents the study design, intervention components, and baseline data from Open Doors to Health, a study designed to address social contextual factors in colorectal cancer (CRC) prevention for low-income, racial/ethnic minority populations.<h4>Methods</h4>A cluster randomized design with 12 housing sites as the primary sampling units was used: 6 sites were assigned to a "Peer-led plus Screening Access" (PL) condition, and 6 were assigned to "Screening Access only" (SCR) condition. Study-related outcomes were CRC screening, physical activity (measured as mean steps/day), and multivitamin use.<h4>Results</h4>At baseline (unweighted sample size = 1554), two-thirds self-reported that they were current with screening recommendations for CRC (corrected for medical records validation, prevalence was 52%), with half having received a colonoscopy (54%); 96% had health insurance. Mean steps per day was 5648 (se mean = 224), and on average 28% of the sample reported regular multivitamin use. Residents reported high levels of social support [mean = 4.40 (se = .03)] and moderately extensive social networks [mean = 2.66 (se = .02)].<h4>Conclusion</h4>Few studies have conducted community-based studies in public housing communities; these data suggest areas for improvement and future opportunities for intervention development and dissemination. Findings from the randomized trial will determine the effectiveness of the intervention on our health-related outcomes as well as inform future avenues of research.}, Doi = {10.1186/1471-2458-9-353}, Key = {pmid19765309} } @article{pmid19791628, Author = {Heil, DP and Bennett, GG and Bond, KS and Webster, MD and Wolin, KY}, Title = {Influence of activity monitor location and bout duration on free-living physical activity.}, Journal = {Research quarterly for exercise and sport}, Volume = {80}, Number = {3}, Pages = {424-433}, Year = {2009}, Month = {September}, ISSN = {0270-1367}, url = {http://dx.doi.org/10.1080/02701367.2009.10599580}, Abstract = {The purpose of this study was to evaluate the influence of the location (ankle, hip, wrist) where an activity monitor (AM) is worn and of the minimum bout duration (BD) on physical activity (PA) variables during free-living monitoring. Study 1 participants wore AMs at three locations for 1 day while wearing the Intelligent Device for Energy Expenditure and Activity (IDEEA) system. Study 2 participants wore AMs at the same locations for 3 days. Variables included time (T(MV), min/day) and AEE (AEE(MV) kcal/day) for each monitor location and BD above a moderate-vigorous (MV) intensity. T(MV) and AEE(MV) in Study 1 were similar across AMs to IDEEA values at BD = 10 min, as was T(MV) in Study 2. This suggests that ankle-, wrist- and hip-worn AMs can provide similar PA outcome values during free-living monitoring at 10-min BDs.}, Doi = {10.1080/02701367.2009.10599580}, Key = {pmid19791628} } @article{fds200772, Author = {GG Bennett and M Scharoun-Lee and R Tucker-Seeley}, Title = {Will the public's health fall victim to the home foreclosure epidemic?}, Journal = {PLoS medicine}, Volume = {6}, Number = {6}, Pages = {e1000087}, Year = {2009}, Month = {June}, ISSN = {1549-1676}, url = {http://dx.doi.org/10.1371/journal.pmed.1000087}, Keywords = {Humans • Public Health • Socioeconomic Factors* • Stress, Psychological • United States • economics* • epidemiology* • etiology*}, Abstract = {Evidence is lacking regarding effective and sustainable weight loss approaches for use in the primary care setting. We conducted a 12-week randomized controlled trial to evaluate the short-term efficacy of a web-based weight loss intervention among 101 primary care patients with obesity and hypertension. Patients had access to a comprehensive website that used a moderate-intensity weight loss approach designed specifically for web-based implementation. Patients also participated in four (two in-person and two telephonic) counseling sessions with a health coach. Intent-to-treat analysis showed greater weight loss at 3 months (-2.56 kg; 95% CI -3.60, -1.53) among intervention participants (-2.28 +/- 3.21 kg), relative to usual care (0.28 +/- 1.87 kg). Similar findings were observed among intervention completers (-3.05 kg; 95% CI -4.24, -1.85). High rates of participant retention (84%) and website utilization were observed, with the greatest weight loss found among those with a high frequency of website logins (quartile 4 vs. 1: -4.16 kg; 95% CI -1.47, -6.84). The intervention's approach promoted moderate weight loss at 12 weeks, though greater weight loss was observed among those with higher levels of website utilization. Efficacious web-based weight loss interventions can be successfully offered in the primary care setting.}, Language = {eng}, Doi = {10.1371/journal.pmed.1000087}, Key = {fds200772} } @article{pmid19529755, Author = {Bennett, GG and Scharoun-Lee, M and Tucker-Seeley, R}, Title = {Will the public's health fall victim to the home foreclosure epidemic?}, Journal = {PLoS medicine}, Volume = {6}, Number = {6}, Pages = {e1000087}, Year = {2009}, Month = {June}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19529755}, Doi = {10.1371/journal.pmed.1000087}, Key = {pmid19529755} } @article{fds200778, Author = {KY Wolin and GG Bennett and LH McNeill and G Sorensen and KM Emmons}, Title = {Low discretionary time as a barrier to physical activity and intervention uptake.}, Journal = {American journal of health behavior}, Volume = {32}, Number = {6}, Pages = {563-9}, Year = {2009}, Month = {January}, ISSN = {1087-3244}, url = {http://dx.doi.org/10.5555/ajhb.2008.32.6.563}, Keywords = {Adolescent • Adult • Aged • Aged, 80 and over • Chronic Disease • Demography • Female • Health Promotion* • Humans • Male • Middle Aged • Motor Activity* • Social Class* • Time Factors • Urban Population • Young Adult • prevention & control* • statistics & numerical data}, Abstract = {OBJECTIVE: To determine whether self-reported discretionary time was associated with physical activity and uptake of a physical activity promotion intervention in a multi-ethnic urban sample. METHODS: We examined the association of self-reported discretionary time with hours/week of leisure-time physical activity at baseline and physical activity intervention uptake. RESULTS: Low levels of discretionary time were significantly (P<0.01) associated with fewer hours/week (beta=-0.78, 95%CI=-1.34, -0.22) of physical activity at baseline. Discretionary time was not associated with physical activity intervention uptake. CONCLUSIONS: Lack of discretionary time may serve as barrier to physical activity, but its importance on intervention uptake is less clear.}, Language = {eng}, Doi = {10.5555/ajhb.2008.32.6.563}, Key = {fds200778} } @article{fds250714, Author = {Whitfield, KE and Bromell, L and Bennett, G and Edwards, CL}, Title = {Biobehavioral aspects on late-life morbidities}, Journal = {Annual Review of Gerontology and Geriatrics}, Volume = {29}, Number = {1}, Pages = {57-74}, Publisher = {Springer Publishing Company}, Year = {2009}, Month = {January}, ISSN = {0198-8794}, url = {http://dx.doi.org/10.1891/0198-8794.29.57}, Doi = {10.1891/0198-8794.29.57}, Key = {fds250714} } @article{fds250715, Author = {Shelton, RC and Puleo, E and Bennett, GG and McNeill, LH and Sorensen, G and Emmons, KM}, Title = {The association between racial and gender discrimination and body mass index among residents living in lower-income housing.}, Journal = {Ethnicity & disease}, Volume = {19}, Number = {3}, Pages = {251-257}, Year = {2009}, Month = {January}, ISSN = {1049-510X}, url = {http://dx.doi.org/10.1016/j.amepre.2009.07.018}, Keywords = {Adult • African Americans • Aged • Body Mass Index* • Boston • Cluster Analysis • European Continental Ancestry Group • Female • Health Status Disparities • Health Surveys • Hispanic Americans • Humans • Male • Middle Aged • Obesity • Poverty • Prejudice* • Public Housing • Sex Factors • diagnosis • epidemiology • ethnology* • statistics & numerical data • statistics & numerical data*}, Abstract = {<h4>Background</h4>Research on the association between self-reported racial or gender discrimination and body mass index (BMI) has been limited and inconclusive to date, particularly among lower-income populations.<h4>Objectives</h4>The aim of the current study was to examine the association between self-reported racial and gender discrimination and BMI among a sample of adult residents living in 12 urban lower-income housing sites in Boston, Masschusetts (USA).<h4>Methods</h4>Baseline survey data were collected among 1,307 (weighted N = 1907) study participants. For analyses, linear regression models with a cluster design were conducted using SUDAAN and SAS statistical software.<h4>Results</h4>Our sample was predominately Black (weighted n = 956) and Hispanic (weighted n = 857), and female (weighted n = 1420), with a mean age of 49.3 (SE: .40) and mean BMI of 30.2 kg m(-2) (SE: .19). Nearly 47% of participants reported ever experiencing racial discrimination, and 24.8% reported ever experiencing gender discrimination. In bivariate and multivariable linear regression models, no main effect association was found between either racial or gender discrimination and BMI.<h4>Conclusions</h4>While our findings suggest that self-reported discrimination is not a key determinant of BMI among lower-income housing residents, these results should be considered in light of study limitations. Future researchers may want to investigate this association among other relevant samples, and other social contextual and cultural factors should be explored to understand how they contribute to disparities.}, Language = {eng}, Doi = {10.1016/j.amepre.2009.07.018}, Key = {fds250715} } @article{pmid19296777, Author = {Bennett, GG and Glasgow, RE}, Title = {The delivery of public health interventions via the Internet: actualizing their potential.}, Journal = {Annual review of public health}, Volume = {30}, Pages = {273-292}, Year = {2009}, Month = {January}, ISSN = {0163-7525}, url = {http://dx.doi.org/10.1146/annurev.publhealth.031308.100235}, Abstract = {The Internet increasingly serves as a platform for the delivery of public health interventions. The efficacy of Internet interventions has been demonstrated across a wide range of conditions. Much more work remains, however, to enhance the potential for broad population dissemination of Internet interventions. In this article, we examine the effectiveness of Internet interventions, with particular attention to their dissemination potential. We discuss several considerations (characterizing reach rates, minimizing attrition, promoting Web site utilization, use of tailored messaging and social networking) that may improve the implementation of Internet interventions and their associated outcomes. We review factors that may influence the adoption of Internet interventions in a range of potential dissemination settings. Finally, we present several recommendations for future research that highlight the potential importance of better understanding intervention reach, developing consensus regarding Web site usage metrics, and more broadly integrating Web 2.0 functionality.}, Doi = {10.1146/annurev.publhealth.031308.100235}, Key = {pmid19296777} } @article{pmid19124867, Author = {Emmons, KM and Lobb, R and Puleo, E and Bennett, G and Stoffel, E and Syngal, S}, Title = {Colorectal cancer screening: prevalence among low-income groups with health insurance.}, Journal = {Health affairs (Project Hope)}, Volume = {28}, Number = {1}, Pages = {169-177}, Year = {2009}, Month = {January}, ISSN = {0278-2715}, url = {http://dx.doi.org/10.1377/hlthaff.28.1.169}, Abstract = {We examined the prevalence of colorectal cancer (CRC) screening in a low-income, racial/ethnic minority sample, among whom 97 percent had health insurance that covered CRC screening. This is a model for examining the impact of health insurance on racial/ethnic disparities in screening. Screening rates (67 percent self-reported; 52 percent adjusted based on a validation substudy) were higher than among similar population-based samples who have lower levels of insurance coverage. There were no differences by race/ethnicity. This study suggests that insurance coverage for CRC screening should be considered as part of a comprehensive approach to address CRC disparities.}, Doi = {10.1377/hlthaff.28.1.169}, Key = {pmid19124867} } @article{pmid19493091, Author = {Ashe, M and Bennett, G and Economos, C and Goodman, E and Schilling, J and Quintiliani, L and Rosenbaum, S and Vincent, J and Must, A}, Title = {Assessing coordination of legal-based efforts across jurisdictions and sectors for obesity prevention and control.}, Journal = {The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics}, Volume = {37 Suppl 1}, Number = {SUPPL. 1}, Pages = {45-54}, Year = {2009}, Month = {January}, ISSN = {1073-1105}, url = {http://dx.doi.org/10.1111/j.1748-720x.2009.00391.x}, Doi = {10.1111/j.1748-720x.2009.00391.x}, Key = {pmid19493091} } @article{pmid19493095, Author = {Must, A and Bennett, G and Economos, C and Goodman, E and Schilling, J and Quintiliani, L and Rosenbaum, S and Vincent, J and Ashe, M}, Title = {Improving coordination of legal-based efforts across jurisdictions and sectors for obesity prevention and control.}, Journal = {The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics}, Volume = {37 Suppl 1}, Number = {SUPPL. 1}, Pages = {90-98}, Year = {2009}, Month = {January}, ISSN = {1073-1105}, url = {http://dx.doi.org/10.1111/j.1748-720x.2009.00395.x}, Doi = {10.1111/j.1748-720x.2009.00395.x}, Key = {pmid19493095} } @article{pmid19769005, Author = {Shelton, R. C. and Puleo, E. and Bennett, G. G. and McNeill, L. H. and Sorensen, G. and Emmons, K. M.}, Title = {{T}he association between racial and gender discrimination and body mass index among residents living in lower-income housing}, Journal = {Ethn Dis}, Volume = {19}, Pages = {251--257}, Year = {2009}, Abstract = {While our findings suggest that self-reported discrimination is not a key determinant of BMI among lower-income housing residents, these results should be considered in light of study limitations. Future researchers may want to investigate this association among other relevant samples, and other social contextual and cultural factors should be explored to understand how they contribute to disparities.}, Key = {pmid19769005} } @article{fds200769, Author = {LH McNeill and M Coeling and E Puleo and EG Suarez and GG Bennett and KM Emmons}, Title = {Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial.}, Journal = {BMC public health}, Volume = {9}, Number = {3}, Pages = {353}, Year = {2009}, ISSN = {1471-2458}, url = {http://dx.doi.org/10.1186/1471-2458-9-353}, Keywords = {Adult • African Americans • Aged • Body Mass Index* • Boston • Cluster Analysis • European Continental Ancestry Group • Female • Health Status Disparities • Health Surveys • Hispanic Americans • Humans • Male • Middle Aged • Obesity • Poverty • Prejudice* • Public Housing • Sex Factors • diagnosis • epidemiology • ethnology* • statistics & numerical data • statistics & numerical data*}, Abstract = {BACKGROUND: This paper presents the study design, intervention components, and baseline data from Open Doors to Health, a study designed to address social contextual factors in colorectal cancer (CRC) prevention for low-income, racial/ethnic minority populations. METHODS: A cluster randomized design with 12 housing sites as the primary sampling units was used: 6 sites were assigned to a "Peer-led plus Screening Access" (PL) condition, and 6 were assigned to "Screening Access only" (SCR) condition. Study-related outcomes were CRC screening, physical activity (measured as mean steps/day), and multivitamin use. RESULTS: At baseline (unweighted sample size = 1554), two-thirds self-reported that they were current with screening recommendations for CRC (corrected for medical records validation, prevalence was 52%), with half having received a colonoscopy (54%); 96% had health insurance. Mean steps per day was 5648 (se mean = 224), and on average 28% of the sample reported regular multivitamin use. Residents reported high levels of social support [mean = 4.40 (se = .03)] and moderately extensive social networks [mean = 2.66 (se = .02)]. CONCLUSIONS: Few studies have conducted community-based studies in public housing communities; these data suggest areas for improvement and future opportunities for intervention development and dissemination. Findings from the randomized trial will determine the effectiveness of the intervention on our health-related outcomes as well as inform future avenues of research.}, Language = {eng}, Doi = {10.1186/1471-2458-9-353}, Key = {fds200769} } @article{pmid18478340, Author = {Emmons, K and Puleo, E and McNeill, LH and Bennett, G and Chan, S and Syngal, S}, Title = {Colorectal cancer screening awareness and intentions among low income, sociodemographically diverse adults under age 50.}, Journal = {Cancer causes & control : CCC}, Volume = {19}, Number = {10}, Pages = {1031-1041}, Year = {2008}, Month = {December}, ISSN = {0957-5243}, url = {http://dx.doi.org/10.1007/s10552-008-9167-0}, Abstract = {Colorectal cancer (CRC) screening rates in the US are suboptimal, particularly among lower income and racial/ethnically diverse groups. If specific populations have limited awareness of screening when they reach age 50, there may be delays in screening adoption. This study investigated sociodemographic and social contextual factors associated with awareness of CRC and intentions to be screened at age 50 among 692 low income, racial, and ethnic minority adults living in low income housing. The majority of respondents (62%) were between ages 30 and 49, and 94% had some form of health insurance (e.g., Medicaid). About 70% reported having heard about CRC screening; 66% reported intentions to be screened at age 50. In multivariable analyses, screening awareness was associated with age and education. Immigrants who had English as a second language had lower awareness. Females tended to have higher awareness if they had private insurance; there were no differences among males. Multivariable analyses found that screening intentions were higher among men, those with more role responsibilities, more role conflicts, and higher levels of social cohesion. It is important to identify opportunities for maximizing screening uptake among those who become age-eligible for screening if we are to make a significant impact on CRC disparities.}, Doi = {10.1007/s10552-008-9167-0}, Key = {pmid18478340} } @article{pmid18854501, Author = {Chae, D. H. and Takeuchi, D. T. and Barbeau, E. M. and Bennett, G. G. and Lindsey, J. C. and Stoddard, A. M. and Krieger, N.}, Title = {{A}lcohol disorders among {A}sian {A}mericans: associations with unfair treatment, racial/ethnic discrimination, and ethnic identification (the national {L}atino and {A}sian {A}mericans study, 2002-2003)}, Journal = {J Epidemiol Community Health}, Volume = {62}, Pages = {973--979}, Year = {2008}, Month = {November}, Abstract = {Social hazards such as unfair treatment and racial/ethnic discrimination should be considered in the development of programmes addressing alcohol disorders among Asian Americans. Interventions that promote ethnic identification in this population may be particularly relevant in mitigating the negative influence of racial/ethnic discrimination on alcohol disorders.}, Key = {pmid18854501} } @article{fds250712, Author = {Chae, DH and Takeuchi, DT and Barbeau, EM and Bennett, GG and Lindsey, JC and Stoddard, AM and Krieger, N}, Title = {Alcohol disorders among Asian Americans: associations with unfair treatment, racial/ethnic discrimination, and ethnic identification (the national Latino and Asian Americans study, 2002-2003).}, Journal = {Journal of epidemiology and community health}, Volume = {62}, Number = {11}, Pages = {973-979}, Year = {2008}, Month = {November}, ISSN = {0143-005X}, url = {http://dx.doi.org/10.1136/jech.2007.066811}, Keywords = {Adult • Alcohol-Related Disorders • Asian Americans • Cross-Sectional Studies • Culture • Female • Humans • Male • Prejudice* • Race Relations • United States • epidemiology • ethnology* • psychology • psychology*}, Abstract = {<h4>Study objective</h4>To examine history of alcohol abuse/dependence disorder in relation to unfair treatment, racial/ethnic discrimination, and ethnic identification among Asian Americans.<h4>Design</h4>Weighted multivariate analyses of cross-sectional national survey data predicting lifetime history of alcohol abuse/dependence disorders.<h4>Setting</h4>USA, Asian Americans.<h4>Participants</h4>2007 Asian American adults recruited to the National Latino and Asian American Study (NLAAS; 2002-2003).<h4>Results</h4>Controlling for sociodemographic characteristics, Asian Americans who reported experiencing unfair treatment had higher odds of history of alcohol abuse/dependence disorder (OR 5.26, 95% CI 1.90 to 14.56). Participants who reported high levels of ethnic identification had lower odds of history of alcohol abuse/dependence disorders (OR 0.46, 95% CI 0.23 to 0.90). Ethnic identification moderated the influence of racial/ethnic discrimination (p = 0.097). Among participants with low levels of ethnic identification, racial/ethnic discrimination was associated with greater odds of having a history of alcohol disorder compared with those with high levels of ethnic identification.<h4>Conclusions</h4>Social hazards such as unfair treatment and racial/ethnic discrimination should be considered in the development of programmes addressing alcohol disorders among Asian Americans. Interventions that promote ethnic identification in this population may be particularly relevant in mitigating the negative influence of racial/ethnic discrimination on alcohol disorders.}, Language = {eng}, Doi = {10.1136/jech.2007.066811}, Key = {fds250712} } @article{pmid18442336, Author = {Wolin, KY and Bennett, GG and McNeill, LH and Sorensen, G and Emmons, KM}, Title = {Low discretionary time as a barrier to physical activity and intervention uptake.}, Journal = {American journal of health behavior}, Volume = {32}, Number = {6}, Pages = {563-569}, Year = {2008}, Month = {November}, ISSN = {1087-3244}, url = {http://dx.doi.org/10.5555/ajhb.2008.32.6.563}, Abstract = {<h4>Objective</h4>To determine whether self-reported discretionary time was associated with physical activity and uptake of a physical activity promotion intervention in a multi-ethnic urban sample.<h4>Methods</h4>We examined the association of self-reported discretionary time with hours/week of leisure-time physical activity at baseline and physical activity intervention uptake.<h4>Results</h4>Low levels of discretionary time were significantly (P<0.01) associated with fewer hours/week (beta=-0.78, 95%CI=-1.34, -0.22) of physical activity at baseline. Discretionary time was not associated with physical activity intervention uptake.<h4>Conclusion</h4>Lack of discretionary time may serve as barrier to physical activity, but its importance on intervention uptake is less clear.}, Doi = {10.5555/ajhb.2008.32.6.563}, Key = {pmid18442336} } @article{fds200776, Author = {KY Wolin and DP Heil and S Askew and CE Matthews and GG Bennett}, Title = {Validation of the International Physical Activity Questionnaire-Short among Blacks.}, Journal = {Journal of physical activity & health}, Volume = {5}, Number = {5}, Pages = {746-60}, Year = {2008}, Month = {September}, ISSN = {1543-3080}, url = {http://dx.doi.org/10.1136/jech.2007.066811}, Keywords = {Adult • African Americans* • Aged • Boston • Exercise* • Female • Humans • Internationality* • Male • Middle Aged • Monitoring, Ambulatory • Questionnaires • Young Adult • instrumentation • standards*}, Abstract = {BACKGROUND: The International Physical Activity Questionnaire-Short Form (IPAQ-S) has been evaluated against accelerometer-determined physical activity measures in small homogenous samples of adults in the United States. There is limited information about the validity of the IPAQ-S in diverse US samples. METHODS: 142 Blacks residing in low-income housing completed the IPAQ-S and wore an accelerometer for up to 6 days. Both 1- and 10-minute accelerometer bouts were used to define time spent in light, moderate, and vigorous physical activity. RESULTS: We found fair agreement between the IPAQ-S and accelerometer-determined physical activity (r=.26 for 10-minute bout, r=.36 for 1-minute bout). Correlations were higher among men than women. When we classified participants as meeting physical activity recommendations, agreement was low (kappa=.04, 10-minute; kappa=.21, 1-minute); only 25% of individuals were classified the same by both instruments (10-minute bout). CONCLUSIONS: In one of the few studies to assess the validity of a self-reported physical activity measure among Blacks, we found moderate correlations with accelerometer data, though correlations were weaker for women. Correlations were smaller when IPAQ-S data were compared using a 10- versus a 1-minute bout definition. There was limited evidence for agreement between the instruments when classifying participants as meeting physical activity recommendations.}, Language = {eng}, Doi = {10.1136/jech.2007.066811}, Key = {fds200776} } @article{pmid18820348, Author = {Wolin, KY and Heil, DP and Askew, S and Matthews, CE and Bennett, GG}, Title = {Validation of the International Physical Activity Questionnaire-Short among Blacks.}, Journal = {Journal of physical activity & health}, Volume = {5}, Number = {5}, Pages = {746-760}, Year = {2008}, Month = {September}, ISSN = {1543-3080}, url = {http://dx.doi.org/10.1123/jpah.5.5.746}, Abstract = {<h4>Background</h4>The International Physical Activity Questionnaire-Short Form (IPAQ-S) has been evaluated against accelerometer-determined physical activity measures in small homogenous samples of adults in the United States. There is limited information about the validity of the IPAQ-S in diverse US samples.<h4>Methods</h4>142 Blacks residing in low-income housing completed the IPAQ-S and wore an accelerometer for up to 6 days. Both 1- and 10-minute accelerometer bouts were used to define time spent in light, moderate, and vigorous physical activity.<h4>Results</h4>We found fair agreement between the IPAQ-S and accelerometer-determined physical activity (r=.26 for 10-minute bout, r=.36 for 1-minute bout). Correlations were higher among men than women. When we classified participants as meeting physical activity recommendations, agreement was low (kappa=.04, 10-minute; kappa=.21, 1-minute); only 25% of individuals were classified the same by both instruments (10-minute bout).<h4>Conclusions</h4>In one of the few studies to assess the validity of a self-reported physical activity measure among Blacks, we found moderate correlations with accelerometer data, though correlations were weaker for women. Correlations were smaller when IPAQ-S data were compared using a 10- versus a 1-minute bout definition. There was limited evidence for agreement between the instruments when classifying participants as meeting physical activity recommendations.}, Doi = {10.1123/jpah.5.5.746}, Key = {pmid18820348} } @article{fds200787, Author = {GG Bennett and KY Wolin and CA Okechukwu and CM Arthur and S Askew and G Sorensen, KM Emmons}, Title = {Nativity and cigarette smoking among lower income blacks: results from the Healthy Directions Study.}, Journal = {Journal of immigrant and minority health / Center for Minority Public Health}, Volume = {10}, Number = {4}, Pages = {305-11}, Year = {2008}, Month = {August}, ISSN = {1557-1912}, url = {http://dx.doi.org/10.1007/s10903-007-9088-0}, Keywords = {Acculturation • Africa • African Americans* • Caribbean Region • Cross-Cultural Comparison • Emigration and Immigration • Female • Humans • Male • Middle Aged • Poverty • Smoking • United States • epidemiology • ethnology • ethnology* • statistics & numerical data • statistics & numerical data*}, Abstract = {Blacks in the United States bear the greatest disease burden associated with cigarette smoking. Previous studies have shown that the rapidly increasing population of foreign-born Blacks has lower smoking rates compared to their native-born counterparts. However, less is known about whether cigarette smoking among Blacks varies by region of birth (US, Africa, or the Caribbean), generational status, or acculturation. We examined the association between nativity and cigarette smoking among 667 Black adult men and women enrolled in the Harvard Cancer Prevention Program project. In multi-variable analyses, US-born Blacks were more likely to be smokers compared to those born in the Caribbean (OR = 0.16, 95% CI 0.08, and 0.34) or in Africa (OR = 0.24, 95% CI 0.08, and 0.74). Language acculturation was positively associated with cigarette smoking (OR = 2.62, 95% CI 1.17, and 5.85). We found that US-born Blacks were more likely to be current cigarette smokers than those born in either Caribbean or African countries. Our findings highlight the importance of intervening early new Black immigrants to stem the uptake of cigarette smoking behaviors as individuals become acculturated.}, Language = {eng}, Doi = {10.1007/s10903-007-9088-0}, Key = {fds200787} } @article{pmid17924192, Author = {Bennett, GG and Wolin, KY and Okechukwu, CA and Arthur, CM and Askew, S and Sorensen, G and Emmons, KM}, Title = {Nativity and cigarette smoking among lower income blacks: results from the Healthy Directions Study.}, Journal = {Journal of immigrant and minority health}, Volume = {10}, Number = {4}, Pages = {305-311}, Year = {2008}, Month = {August}, ISSN = {1557-1912}, url = {http://dx.doi.org/10.1007/s10903-007-9088-0}, Abstract = {Blacks in the United States bear the greatest disease burden associated with cigarette smoking. Previous studies have shown that the rapidly increasing population of foreign-born Blacks has lower smoking rates compared to their native-born counterparts. However, less is known about whether cigarette smoking among Blacks varies by region of birth (US, Africa, or the Caribbean), generational status, or acculturation. We examined the association between nativity and cigarette smoking among 667 Black adult men and women enrolled in the Harvard Cancer Prevention Program project. In multi-variable analyses, US-born Blacks were more likely to be smokers compared to those born in the Caribbean (OR = 0.16, 95% CI 0.08, and 0.34) or in Africa (OR = 0.24, 95% CI 0.08, and 0.74). Language acculturation was positively associated with cigarette smoking (OR = 2.62, 95% CI 1.17, and 5.85). We found that US-born Blacks were more likely to be current cigarette smokers than those born in either Caribbean or African countries. Our findings highlight the importance of intervening early new Black immigrants to stem the uptake of cigarette smoking behaviors as individuals become acculturated.}, Doi = {10.1007/s10903-007-9088-0}, Key = {pmid17924192} } @article{fds200777, Author = {BF Drake and CS Lathan and CA Okechukwu and GG Bennett}, Title = {Racial differences in prostate cancer screening by family history.}, Journal = {Annals of epidemiology}, Volume = {18}, Number = {7}, Pages = {579-83}, Year = {2008}, Month = {July}, ISSN = {1873-2585}, url = {http://dx.doi.org/10.1016/j.annepidem.2008.02.004}, Keywords = {Adult • African Americans* • Aged • Attitude to Health • European Continental Ancestry Group* • Family Health • Genetic Predisposition to Disease • Health Knowledge, Attitudes, Practice • Health Surveys • Healthcare Disparities • Humans • Male • Mass Screening • Middle Aged • Prevalence • Prostate-Specific Antigen • Prostatic Neoplasms • Risk Factors • United States • analysis • diagnosis* • epidemiology • ethnology • ethnology* • genetics • utilization}, Abstract = {OBJECTIVE: Prostate cancer (CaP) is disproportionately prevalent among black, compared to white, men. Additionally, men with a family history of CaP have 75% to 80% higher risk of CaP. Therefore we examined racial variation in the association of family history of CaP and self-reported prostate-specific antigen (PSA) testing in the nationally-representative National Health Interview Survey (NHIS). METHODS: Data were obtained from the 2005 NHIS, including the Cancer Control Module supplement. We restricted the study sample to men over the age of 40 who reported having "ever heard of a PSA test" (N = 1,744). Men were considered to have a positive family history if either their biological father or at least one biological brother had been diagnosed with CaP. SUDAAN 9.0 was used to perform descriptive and multivariable logistic regression analyses. RESULTS: Men with a family history of CaP were more likely to have a PSA test than those who never had a PSA test (odds ratio [OR] = 1.8; 95% confidence interval [CI]: 1.3-2.5). Among blacks, men with a family history were not significantly more likely to have a PSA test. CONCLUSIONS: Despite having the highest risk of cancer, black men with a family history are not screened more than black men without a family history.}, Language = {eng}, Doi = {10.1016/j.annepidem.2008.02.004}, Key = {fds200777} } @article{pmid18486487, Author = {Drake, BF and Lathan, CS and Okechukwu, CA and Bennett, GG}, Title = {Racial differences in prostate cancer screening by family history.}, Journal = {Annals of epidemiology}, Volume = {18}, Number = {7}, Pages = {579-583}, Year = {2008}, Month = {July}, ISSN = {1047-2797}, url = {http://dx.doi.org/10.1016/j.annepidem.2008.02.004}, Abstract = {<h4>Purpose</h4>Prostate cancer (CaP) is disproportionately prevalent among black, compared to white, men. Additionally, men with a family history of CaP have 75% to 80% higher risk of CaP. Therefore we examined racial variation in the association of family history of CaP and self-reported prostate-specific antigen (PSA) testing in the nationally-representative National Health Interview Survey (NHIS).<h4>Methods</h4>Data were obtained from the 2005 NHIS, including the Cancer Control Module supplement. We restricted the study sample to men over the age of 40 who reported having "ever heard of a PSA test" (N = 1,744). Men were considered to have a positive family history if either their biological father or at least one biological brother had been diagnosed with CaP. SUDAAN 9.0 was used to perform descriptive and multivariable logistic regression analyses.<h4>Results</h4>Men with a family history of CaP were more likely to have a PSA test than those who never had a PSA test (odds ratio [OR] = 1.8; 95% confidence interval [CI]: 1.3-2.5). Among blacks, men with a family history were not significantly more likely to have a PSA test.<h4>Conclusions</h4>Despite having the highest risk of cancer, black men with a family history are not screened more than black men without a family history.}, Doi = {10.1016/j.annepidem.2008.02.004}, Key = {pmid18486487} } @article{pmid18390023, Author = {Edwards, C. L. and Bennett, G. G. and Wolin, K. Y. and Johnson, S. and Fowler, S. and Whitfield, K. E. and Askew, S. and MacKinnon, D. and McDougald, C. and Hubbard, R. and Wellington, C. and Feliu, M. and Robinson, E.}, Title = {{M}isestimation of peer tobacco use: understanding disparities in tobacco use}, Journal = {J Natl Med Assoc}, Volume = {100}, Pages = {299--302}, Year = {2008}, Month = {March}, Abstract = {80% increase in the risk of smoking. These data highlight the need to correct misinformation regarding smoking norms among students at some HBCUs.}, Key = {pmid18390023} } @article{pmid18382032, Author = {Wolin, K. Y. and Bennett, G. G.}, Title = {{I}nterrelations of socioeconomic position and occupational and leisure-time physical activity in the {N}ational {H}ealth and {N}utrition {E}xamination {S}urvey}, Journal = {J Phys Act Health}, Volume = {5}, Pages = {229--241}, Year = {2008}, Month = {March}, Abstract = {Our findings lend preliminary support to the hypothesis that OPA is an important determinant of LTPA, particularly in men. This provides additional support to calls for assessment of OPA, particularly among individuals of low social class.}, Key = {pmid18382032} } @article{fds200781, Author = {DH Chae and DT Takeuchi and EM Barbeau and GG Bennett and J Lindsey and N Krieger}, Title = {Unfair treatment, racial/ethnic discrimination, ethnic identification, and smoking among Asian Americans in the National Latino and Asian American Study.}, Journal = {American journal of public health}, Volume = {98}, Number = {3}, Pages = {485-92}, Year = {2008}, Month = {March}, ISSN = {1541-0048}, url = {http://dx.doi.org/10.2105/AJPH.2006.102012}, Keywords = {Adolescent • Adult • Aged • Aged, 80 and over • Asian Americans* • Attitude to Health • Continental Population Groups* • Cross-Sectional Studies • Ethnic Groups • Female • Health Behavior • Hispanic Americans* • Humans • Male • Middle Aged • Prejudice* • Risk Factors • Risk-Taking • Smoking • Socioeconomic Factors • United States • epidemiology • epidemiology* • ethnology • psychology}, Abstract = {OBJECTIVE: We examined the relations of self-report of general unfair treatment and self-report of race/ethnicity-specific discrimination with current smoking among Asian Americans. We investigated whether ethnic identification moderated either association. METHODS: Weighted logistic regressions were performed among 1977 Asian Americans recruited to the National Latino and Asian American Study (2002-2003). RESULTS: In weighted multivariate logistic regression models including both general unfair treatment and racial/ethnic discrimination, odds of current smoking were higher among Asian Americans who reported high levels of unfair treatment (odds ratio [OR]=2.80; 95% confidence interval [CI]=1.13, 6.95) and high levels of racial/ethnic discrimination (OR=2.40; 95% CI=0.94, 6.12) compared with those who reported no unfair treatment and discrimination, respectively. High levels of ethnic identification moderated racial/ethnic discrimination (F(3) =3.25; P =.03). High levels of ethnic identification were associated with lower probability of current smoking among participants reporting high levels of racial/ethnic discrimination. CONCLUSIONS: Our findings suggest that experiences of unfair treatment and racial/ethnic discrimination are risk factors for smoking among Asian Americans. Efforts to promote ethnic identification may be effective in mitigating the influence of racial/ethnic discrimination on smoking in this population.}, Language = {eng}, Doi = {10.2105/AJPH.2006.102012}, Key = {fds200781} } @article{fds250711, Author = {Wolin, KY and Bennett, GG}, Title = {Interrelations of socioeconomic position and occupational and leisure-time physical activity in the National Health and Nutrition Examination Survey.}, Journal = {Journal of physical activity & health}, Volume = {5}, Number = {2}, Pages = {229-241}, Year = {2008}, Month = {March}, ISSN = {1543-3080}, url = {http://dx.doi.org/10.1123/jpah.5.2.229}, Keywords = {Adult • Exercise • Female • Humans • Leisure Activities • Linear Models • Male • Nutrition Surveys* • Occupations • Social Class* • United States • economics*}, Abstract = {<h4>Background</h4>The interrelations between various physical activity domains have received little empirical attention in the United States. Of particular interest, given the potential applicability to traditionally underserved communities, is the nature of the association between occupational physical activity (OPA) and leisure-time physical activity (LTPA).<h4>Methods</h4>5448 adult men and women who participated in NHANES 1999-2000 were included in analyses. Linear regression was used to examine the bivariate and multivariable associations of OPA and education with LTPA. Generalized logit models were used to examine the association of education with OPA.<h4>Results</h4>We found no association between education and LTPA. OPA was significantly positively associated with LTPA (P < .001). The association between OPA and LTPA was not strongest among those with low education and held only for men in gender-stratified analysis. Education was inversely associated with OPA (P < .001) in multivariable analysis.<h4>Conclusions</h4>Our findings lend preliminary support to the hypothesis that OPA is an important determinant of LTPA, particularly in men. This provides additional support to calls for assessment of OPA, particularly among individuals of low social class.}, Language = {eng}, Doi = {10.1123/jpah.5.2.229}, Key = {fds250711} } @article{pmid18235073, Author = {Chae, DH and Takeuchi, DT and Barbeau, EM and Bennett, GG and Lindsey, J and Krieger, N}, Title = {Unfair treatment, racial/ethnic discrimination, ethnic identification, and smoking among Asian Americans in the National Latino and Asian American Study.}, Journal = {American journal of public health}, Volume = {98}, Number = {3}, Pages = {485-492}, Year = {2008}, Month = {March}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2006.102012}, Abstract = {<h4>Objectives</h4>We examined the relations of self-report of general unfair treatment and self-report of race/ethnicity-specific discrimination with current smoking among Asian Americans. We investigated whether ethnic identification moderated either association.<h4>Methods</h4>Weighted logistic regressions were performed among 1977 Asian Americans recruited to the National Latino and Asian American Study (2002-2003).<h4>Results</h4>In weighted multivariate logistic regression models including both general unfair treatment and racial/ethnic discrimination, odds of current smoking were higher among Asian Americans who reported high levels of unfair treatment (odds ratio [OR]=2.80; 95% confidence interval [CI]=1.13, 6.95) and high levels of racial/ethnic discrimination (OR=2.40; 95% CI=0.94, 6.12) compared with those who reported no unfair treatment and discrimination, respectively. High levels of ethnic identification moderated racial/ethnic discrimination (F(3) =3.25; P =.03). High levels of ethnic identification were associated with lower probability of current smoking among participants reporting high levels of racial/ethnic discrimination.<h4>Conclusions</h4>Our findings suggest that experiences of unfair treatment and racial/ethnic discrimination are risk factors for smoking among Asian Americans. Efforts to promote ethnic identification may be effective in mitigating the influence of racial/ethnic discrimination on smoking in this population.}, Doi = {10.2105/ajph.2006.102012}, Key = {pmid18235073} } @article{fds250772, Author = {Edwards, CL and Bennett, GG and Wolin, KY and Johnson, S and Fowler, S and Whitfield, KE and Askew, S and MacKinnon, D and McDougald, C and Hubbard, R and Wellington, C and Feliu, M and Robinson, E}, Title = {Misestimation of peer tobacco use: understanding disparities in tobacco use.}, Journal = {J Natl Med Assoc}, Volume = {100}, Number = {3}, Pages = {299-302}, Year = {2008}, Month = {March}, ISSN = {1943-4693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18390023}, Keywords = {Adolescent • Adult • African Americans • Attitude to Health • Cross-Sectional Studies • Female • Health Behavior • Health Knowledge, Attitudes, Practice • Health Status Disparities* • Health Surveys • Humans • Male • Middle Aged • Peer Group* • Research Design • Risk Factors • Risk-Taking • Smoking • Social Perception* • Students • Tobacco Use Disorder • United States • Universities • epidemiology • epidemiology* • statistics & numerical data • statistics & numerical data*}, Abstract = {Blacks experience disproportionately elevated rates of tobacco-related morbidity and mortality. Blacks experience delayed smoking initiation relative to other racial/ethnic groups, highlighting the importance of examining smoking correlates occurring in late adolescence/early adulthood. The current study reports data collected as part of an ongoing collaborative effort to assess alcohol and drug use on the campuses of historically black colleges and universities (HBCUs). Two-thousand, two-hundred, seventy-seven African-American subjects, aged 20.3 +/- 3.9 (range 18-53), completed the CORE Alcohol and Drug survey and a brief demographic questionnaire. Results indicated that 90% of all subjects overestimated the rate of smoking among their peers. Overestimating was associated with a > 80% increase in the risk of smoking. These data highlight the need to correct misinformation regarding smoking norms among students at some HBCUs.}, Language = {eng}, Doi = {10.1016/s0027-9684(15)31242-6}, Key = {fds250772} } @article{fds290501, Author = {Merritt, M and Roethel, A and Roche, K and Edwards, CL and Bennett, GG and Koenig, HG and Abdullah, M}, Title = {A non-linear role of religiosity in cardiovascular reactivity to personally-relevant stress? The moderating role of educational attainment}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {35}, Pages = {S127-S127}, Publisher = {SPRINGER}, Year = {2008}, Month = {March}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000259245500492&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290501} } @article{pmid19300604, Author = {Edwards, C. L. and Raynor, R. D. and Feliu, M. and McDougald, C. and Johnson, S. and Schmechel, D. and Wood, M. and Bennett, G. G. and Saurona, P. and Bonner, M. and Wellington, C. and Decastro, L. M. and Whitworth, E. and Abrams, M. and Logue, P. and Edwards, L. and Martinez, S. and Whitfield, K. E.}, Title = {{N}europsychological assessment, neuroimaging, and neuropsychiatric evaluation in pediatric and adult patients with sickle cell disease ({S}{C}{D})}, Journal = {Neuropsychiatr Dis Treat}, Volume = {3}, Pages = {705--709}, Year = {2007}, Month = {December}, Abstract = {Traditionally, neuropsychological deficits due to Sickle Cell Disease (SCD) have been understudied in adults. We have begun to suspect, however, that symptomatic and asymptomatic Cerebrovascular Events (CVE) may account for an alarming number of deficits in this population. In the current brief review, we critically evaluated the pediatric and adult literatures on the neurocognitive effects of SCD. We highlighted the studies that have been published on this topic and posit that early detection of CVE via neurocognitive testing, neuropsychiatric evaluations, and neuroimaging may significantly reduce adult cognitive and functional morbidities.}, Key = {pmid19300604} } @article{fds250710, Author = {McNeill, LH and Puleo, E and Bennett, GG and Emmons, KM}, Title = {Exploring social contextual correlates of computer ownership and frequency of use among urban, low-income, public housing adult residents.}, Journal = {Journal of medical Internet research}, Volume = {9}, Number = {4}, Pages = {e35}, Year = {2007}, Month = {December}, ISSN = {1438-8871}, url = {http://dx.doi.org/10.2196/jmir.9.4.e35}, Keywords = {Adult • African Americans • Aged • Computers • Hispanic Americans • Humans • Middle Aged • Ownership • Poverty • Public Housing • Social Environment* • Urban Population • statistics & numerical data • statistics & numerical data* • utilization*}, Abstract = {<h4>Background</h4>As advances in computer access continue to be made, there is a need to better understand the challenges of increasing access for racial/ethnic minorities, particularly among those with lower incomes. Larger social contextual factors, such as social networks and neighborhood factors, may influence computer ownership and the number of places where individuals have access to computers.<h4>Objectives</h4>We examined the associations of sociodemographic and social contextual factors with computer ownership and frequency of use among 1554 adults living in urban public housing.<h4>Methods</h4>Bivariate associations between dependent variables (computer ownership and regular computer use) and independent variables were used to build multivariable logistic models adjusted for age and site clusters.<h4>Results</h4>Participants (N = total weighted size of 2270) were on average 51.0 (+/- 21.4) years old, primarily African American or Hispanic, and earned less than US $20000 per year. More than half owned a computer, and 42% were regular computer users. Reporting computer ownership was more likely if participants lived above the poverty level (OR = 1.78, 95% CI = 1.39-2.29), completed high school (OR = 2.46, 95% CI = 1.70-3.55), were in financial hardship (OR = 1.38, 95% CI = 1.06-1.81), were employed and supervised others (OR = 1.94, 95% CI = 1.08-3.46), and had multiple role responsibilities (OR = 2.18, 95% CI = 1.31-3.61). Regular computer use was more likely if participants were non-Hispanic (OR = 1.94, 95% CI = 1.30-2.91), lived above the poverty level (OR = 2.84, 95% CI = 1.90-4.24), completed high school (OR = 4.43, 95% CI = 3.04-6.46), were employed and supervised others (OR = 2.41, 95% CI = 1.37-4.22), felt safe in their neighborhood (OR = 1.57, 95% CI = 1.08-2.30), and had greater social network ties (OR = 3.09, 95% CI = 1.26-7.59).<h4>Conclusions</h4>Disparities in computer ownership and use are narrowing, even among those with very low incomes; however, identifying factors that contribute to disparities in access for these groups will be necessary to ensure the efficacy of future technology-based interventions. A unique finding of our study is that it may be equally as important to consider specific social contextual factors when trying to increase access and use among low-income minorities, such as social network ties, household responsibilities, and neighborhood safety.}, Language = {eng}, Doi = {10.2196/jmir.9.4.e35}, Key = {fds250710} } @article{fds250745, Author = {Edwards, CL and Raynor, RD and Feliu, M and McDougald, C and Johnson, S and Schmechel, D and Wood, M and Bennett, GG and Saurona, P and Bonner, M and Wellington, C and DeCastro, LM and Whitworth, E and Abrams, M and Logue, P and Edwards, L and Martinez, S and Whitfield, KE}, Title = {Neuropsychological assessment, neuroimaging, and neuropsychiatric evaluation in pediatric and adult patients with sickle cell disease (SCD).}, Journal = {Neuropsychiatr Dis Treat}, Volume = {3}, Number = {6}, Pages = {705-709}, Year = {2007}, Month = {December}, ISSN = {1176-6328}, url = {http://www.ncbi.nlm.nih.gov/pubmed/19300604}, Keywords = {Adult • African Americans • Aged • Computers • Hispanic Americans • Humans • Middle Aged • Ownership • Poverty • Public Housing • Social Environment* • Urban Population • statistics & numerical data • statistics & numerical data* • utilization*}, Abstract = {Traditionally, neuropsychological deficits due to Sickle Cell Disease (SCD) have been understudied in adults. We have begun to suspect, however, that symptomatic and asymptomatic Cerebrovascular Events (CVE) may account for an alarming number of deficits in this population. In the current brief review, we critically evaluated the pediatric and adult literatures on the neurocognitive effects of SCD. We highlighted the studies that have been published on this topic and posit that early detection of CVE via neurocognitive testing, neuropsychiatric evaluations, and neuroimaging may significantly reduce adult cognitive and functional morbidities.}, Language = {eng}, Doi = {10.2147/ndt.s518}, Key = {fds250745} } @article{fds290497, Author = {Wolin, KY and Bennett, GG and James, SA}, Title = {RACIAL SEGREGATION AND OBESITY AMONG BLACKS}, Journal = {ANNALS OF BEHAVIORAL MEDICINE}, Volume = {33}, Pages = {S30-S30}, Publisher = {SPRINGER}, Year = {2007}, Month = {December}, ISSN = {0883-6612}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000261185300114&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290497} } @article{pmid18020838, Author = {Richman, LS and Bennett, GG and Pek, J and Siegler, I and Williams, RB}, Title = {Discrimination, dispositions, and cardiovascular responses to stress.}, Journal = {Health Psychol}, Volume = {26}, Number = {6}, Pages = {675-683}, Year = {2007}, Month = {November}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/18020838}, Abstract = {OBJECTIVE: Recent research suggests that past exposure to discrimination may influence perceptions of, and physiological responses to, new challenges. The authors examined how race and trait levels of hostility and optimism interact with past exposure to discrimination to predict physiological reactivity and recovery during an anger recall task. DESIGN: A community sample of 165 normotensive Black and White adults participated in an anger recall task while having their cardiovascular function monitored. MAIN OUTCOME MEASURES: Blood pressure and heart rate indicators of physiological reactivity and recovery. RESULTS AND CONCLUSION: Participants had higher reactivity and slower recovery to the anger recall task when they had high past discrimination, low cynicism, or high optimism. The pattern of effects was similar for both racial groups, but Blacks had more acute reactivity and slower recovery than Whites. These results are consistent with the perspective of discrimination as a chronic stressor that is related to acute stress responses, particularly for Blacks.}, Doi = {10.1037/0278-6133.26.6.675}, Key = {pmid18020838} } @article{pmid17951215, Author = {Kontos, EZ and Bennett, GG and Viswanath, K}, Title = {Barriers and facilitators to home computer and internet use among urban novice computer users of low socioeconomic position.}, Journal = {Journal of medical Internet research}, Volume = {9}, Number = {4}, Pages = {e31}, Year = {2007}, Month = {October}, ISSN = {1438-8871}, url = {http://dx.doi.org/10.2196/jmir.9.4.e31}, Abstract = {<h4>Background</h4>Despite the increasing penetration of the Internet and amount of online health information, there are significant barriers that limit its widespread adoption as a source of health information. One is the "digital divide," with people of higher socioeconomic position (SEP) demonstrating greater access and usage compared to those from lower SEP groups. However, as the access gap narrows over time and more people use the Internet, a shift in research needs to occur to explore how one might improve Internet use as well as website design for a range of audiences. This is particularly important in the case of novice users who may not have the technical skills, experience, or social connections that could help them search for health information using the Internet. The focus of our research is to investigate the challenges in the implementation of a project to improve health information seeking among low SEP groups. The goal of the project is not to promote health information seeking as much as to understand the barriers and facilitators to computer and Internet use, beyond access, among members of lower SEP groups in an urban setting.<h4>Objective</h4>The purpose was to qualitatively describe participants' self-identified barriers and facilitators to computer and Internet use during a 1-year pilot study as well as the challenges encountered by the research team in the delivery of the intervention.<h4>Methods</h4>Between August and November 2005, 12 low-SEP urban individuals with no or limited computer and Internet experience were recruited through a snowball sampling. Each participant received a free computer system, broadband Internet access, monthly computer training courses, and technical support for 1 year as the intervention condition. Upon completion of the study, participants were offered the opportunity to complete an in-depth semistructured interview. Interviews were approximately 1 hour in length and were conducted by the project director. The interviews were held in the participants' homes and were tape recorded for accuracy. Nine of the 12 study participants completed the semistructured interviews. Members of the research team conducted a qualitative analysis based on the transcripts from the nine interviews using the crystallization/immersion method.<h4>Results</h4>Nine of the 12 participants completed the in-depth interview (75% overall response rate), with three men and six women agreeing to be interviewed. Major barriers to Internet use that were mentioned included time constraints and family conflict over computer usage. The monthly training classes and technical assistance components of the intervention surfaced as the most important facilitators to computer and Internet use. The concept of received social support from other study members, such as assistance with computer-related questions, also emerged as an important facilitator to overall computer usage.<h4>Conclusions</h4>This pilot study offers important insights into the self-identified barriers and facilitators in computer and Internet use among urban low-SEP novice users as well as the challenges faced by the research team in implementing the intervention.}, Doi = {10.2196/jmir.9.4.e31}, Key = {pmid17951215} } @article{pmid17958465, Author = {Bennett, GG and McNeill, LH and Wolin, KY and Duncan, DT and Puleo, E and Emmons, KM}, Title = {Safe to walk? Neighborhood safety and physical activity among public housing residents.}, Journal = {PLoS medicine}, Volume = {4}, Number = {10}, Pages = {1599-1607}, Year = {2007}, Month = {October}, ISSN = {1549-1277}, url = {http://dx.doi.org/10.1371/journal.pmed.0040306}, Abstract = {<h4>Background</h4>Despite its health benefits, physical inactivity is pervasive, particularly among those living in lower-income urban communities. In such settings, neighborhood safety may impact willingness to be regularly physically active. We examined the association of perceived neighborhood safety with pedometer-determined physical activity and physical activity self-efficacy.<h4>Methods and findings</h4>Participants were 1,180 predominantly racial/ethnic minority adults recruited from 12 urban low-income housing complexes in metropolitan Boston. Participants completed a 5-d pedometer data-collection protocol and self-reported their perceptions of neighborhood safety and self-efficacy (i.e., confidence in the ability to be physically active). Gender-stratified bivariate and multivariable random effects models were estimated to account for within-site clustering. Most participants reported feeling safe during the day, while just over one-third (36%) felt safe at night. We found no association between daytime safety reports and physical activity among both men and women. There was also no association between night-time safety reports and physical activity among men (p = 0.23) but women who reported feeling unsafe (versus safe) at night showed significantly fewer steps per day (4,302 versus 5,178, p = 0.01). Perceiving one's neighborhood as unsafe during the day was associated with significantly lower odds of having high physical activity self-efficacy among both men (OR 0.40, p = 0.01) and women (OR 0.68, p = 0.02).<h4>Conclusions</h4>Residing in a neighborhood that is perceived to be unsafe at night is a barrier to regular physical activity among individuals, especially women, living in urban low-income housing. Feeling unsafe may also diminish confidence in the ability to be more physically active. Both of these factors may limit the effectiveness of physical activity promotion strategies delivered in similar settings.}, Doi = {10.1371/journal.pmed.0040306}, Key = {pmid17958465} } @article{pmid17655750, Author = {Kaphingst, KA and Bennett, GG and Sorensen, G and Kaphingst, KM and O'Neil, AE and McInnis, K}, Title = {Body mass index, physical activity, and dietary behaviors among members of an urban community fitness center: a questionnaire survey.}, Journal = {BMC public health}, Volume = {7}, Pages = {181}, Year = {2007}, Month = {July}, ISSN = {1471-2458}, url = {http://dx.doi.org/10.1186/1471-2458-7-181}, Abstract = {<h4>Background</h4>Development of effective behavioral interventions to promote weight control and physical activity among diverse, underserved populations is a public health priority. Community focused wellness organizations, such as YMCAs, could provide a unique channel with which to reach such populations. This study assessed health behaviors and related characteristics of members of an urban YMCA facility.<h4>Methods</h4>We surveyed 135 randomly selected members of an urban YMCA facility in Massachusetts to examine self-reported (1) physical activity, (2) dietary behaviors, (3) body mass index, and (4) correlates of behavior change among short-term (i.e., one year or less) and long-term (i.e., more than one year) members. Chi-square tests were used to assess bivariate associations between variables, and multivariate linear regression models were fit to examine correlates of health behaviors and weight status.<h4>Results</h4>Eighty-nine percent of short-term and 94% of long-term members reported meeting current physical activity recommendations. Only 24% of short-term and 19% of long-term members met fruit and vegetable consumption recommendations, however, and more than half were overweight or obese. Length of membership was not significantly related to weight status, dietary behaviors, or physical activity. Most respondents were interested in changing health behaviors, in the preparation stage of change, and had high levels of self-efficacy to change behaviors. Short-term members had less education (p = 0.02), lower household incomes (p = 0.02), and were less likely to identify as white (p = 0.005) than long-term members. In multivariate models, females had lower BMI than males (p = 0.003) and reported less physical activity (p = 0.008). Physical activity was also inversely associated with age (p = 0.0004) and education (p = 0.02).<h4>Conclusion</h4>Rates of overweight/obesity and fruit and vegetable consumption suggested that there is a need for a weight control intervention among members of an urban community YMCA. Membership in such a community wellness facility alone might not be sufficient to help members maintain a healthy weight. The data indicate that YMCA members are interested in making changes in their dietary and physical activity behaviors. Targeting newer YMCA members might be an effective way of reaching underserved populations. These data will help inform the development of a weight control intervention tailored to this setting.}, Doi = {10.1186/1471-2458-7-181}, Key = {pmid17655750} } @article{pmid17572959, Author = {McNeill, LH and Viswanath, K and Bennett, GG and Puleo, E and Emmons, KM}, Title = {Feasibility of using a web-based nutrition intervention among residents of multiethnic working-class neighborhoods.}, Journal = {Preventing chronic disease}, Volume = {4}, Number = {3}, Pages = {A55}, Year = {2007}, Month = {July}, ISSN = {1545-1151}, Abstract = {<h4>Introduction</h4>Using the Internet to promote behavior change is becoming more desirable as Internet use continues to increase among diverse audiences. Yet we know very little about whether this medium is useful or about different strategies to encourage Internet use by various populations. This pilot study tested the usefulness of a Web-based intervention designed to deliver nutrition-related information to and increase fruit and vegetable consumption among adults from working-class neighborhoods.<h4>Methods</h4>Participants (N = 52) had access to the Web site for 6 weeks and received three e-mail reminders encouraging them to eat fruits and vegetables. The Web site provided information about overcoming barriers to healthy eating, accessing social support for healthy eating, setting goals for healthy eating, and maintaining a healthy diet, including recipes. We collected data on participants' use of the Web site, their Internet access and use, and their fruit and vegetable consumption.<h4>Results</h4>The mean age of the participants was 46 years, 73% were white, 46% did not have a college degree, and 12% had household incomes at or below 185% of the federal poverty index. They reported consuming an average of 3.4 servings of fruits and vegetables per day. More than half of the participants owned a computer, 75% logged onto the Web site at least once, and those who visited the site averaged 3.8 visits and viewed an average of 24.5 pages. The number of log-ons per day declined over the study period; however, reminder e-mails appeared to motivate participants to return to the Web site. Roughly 74% of participants viewed information on goal setting, 72% viewed information on dietary tracking, and 56% searched for main course recipes.<h4>Conclusion</h4>The results of this pilot study suggest that Internet-based health messages have the potential to reach a large percentage of adults from working-class neighborhoods who have access to the Internet.}, Key = {pmid17572959} } @article{pmid17557975, Author = {Bennett, GG and Wolin, KY and Askew, S and Fletcher, R and Emmons, KM}, Title = {Immigration and obesity among lower income blacks.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {15}, Number = {6}, Pages = {1391-1394}, Year = {2007}, Month = {June}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1038/oby.2007.166}, Abstract = {<h4>Objective</h4>Our objective was to examine the associations of nativity, immigrant generation, and language acculturation with obesity among lower income black adult men and women.<h4>Research methods and procedures</h4>Data from 551 black adult men and women were collected from participants in the Healthy Directions-Health Centers Study. Race/ethnicity and nativity were self-reported. Language acculturation was defined using participants' first language, preferred reading language, and language spoken at home. Mixed model logistic regression models were estimated to account for within-health center clustering.<h4>Results</h4>Foreign-born blacks had a lower obesity risk, compared with all U.S.-born participants, in multivariable analyses [odds ratio (OR) = 0.57, 95% confidence interval (CI), 0.38, 0.84]. Among U.S.-born participants, those with foreign-born parents were significantly less likely to be obese than individuals with U.S.-born parents (OR = 0.54; 95% CI, 0.37, 0.80). Low-moderate language acculturation also decreased the odds of being obese (OR = 0.45; 95% CI, 0.23, 0.88).<h4>Discussion</h4>Our findings suggest a protective effect of foreign-born status and low-moderate language acculturation on obesity risk among lower income black immigrants. These data highlight the importance of more frequently examining nativity in obesity-related research conducted among blacks.}, Doi = {10.1038/oby.2007.166}, Key = {pmid17557975} } @article{pmid17228045, Author = {Bennett, GG and Wolin, KY and James, SA}, Title = {Lifecourse socioeconomic position and weight change among blacks: The Pitt County study.}, Journal = {Obesity (Silver Spring, Md.)}, Volume = {15}, Number = {1}, Pages = {172-181}, Year = {2007}, Month = {January}, ISSN = {1930-7381}, url = {http://dx.doi.org/10.1038/oby.2007.522}, Abstract = {<h4>Objective</h4>The elevated prevalence of obesity among U.S. blacks has been attributed to low socioeconomic position (SEP), despite inconsistent empirical findings. It is unclear whether low SEP at various lifecourse stages differentially influences adulthood BMI and BMI change.<h4>Research methods and procedures</h4>Among 1167 black adults in the Pitt County Study, we examined independent cross-sectional and longitudinal associations between SEP, measured in childhood and adulthood, and BMI and 13-year BMI change. Low vs. high childhood SEP was measured by parental occupation and childhood household deprivation; low vs. high adulthood SEP was assessed by employment status, education, and occupation. Using childhood and adulthood SEP, four lifecourse SEP categories were created: low-low, low-high, high-low, high-high.<h4>Results</h4>We found no consistent associations between SEP and BMI or BMI change among men. Among women, we observed the expected inverse association between SEP and BMI at baseline. In multivariable-adjusted analyses, socioeconomically advantaged women demonstrated larger 13-year increases in BMI: skilled vs. unskilled parental occupation (6.1 vs. 4.8 kg/m2, p = 0.04); college-educated vs. < high school (6.2 vs. 4.5 kg/m2, p = 0.04); white-collar vs. blue-collar job (5.8 vs. 4.8 kg/m2, p = 0.05); and high-high vs. low-low lifecourse SEP (6.5 vs. 4.6 kg/m2, p = 0.02).<h4>Discussion</h4>For women in this black cohort, lower SEP predicted earlier onset of obesity; however, low SEP was less predictive of BMI increases over time. Our findings demonstrate complex patterns of association between SEP and BMI change among black women.}, Doi = {10.1038/oby.2007.522}, Key = {pmid17228045} } @article{pmid18093903, Author = {McNeill, L. H. and Puleo, E. and Bennett, G. G. and Emmons, K. M.}, Title = {{E}xploring social contextual correlates of computer ownership and frequency of use among urban, low-income, public housing adult residents}, Journal = {J. Med. Internet Res.}, Volume = {9}, Pages = {e35}, Year = {2007}, Abstract = {Disparities in computer ownership and use are narrowing, even among those with very low incomes; however, identifying factors that contribute to disparities in access for these groups will be necessary to ensure the efficacy of future technology-based interventions. A unique finding of our study is that it may be equally as important to consider specific social contextual factors when trying to increase access and use among low-income minorities, such as social network ties, household responsibilities, and neighborhood safety.}, Key = {pmid18093903} } @article{fds200786, Author = {EZ Kontos and GG Bennett and K Viswanath}, Title = {Barriers and facilitators to home computer and internet use among urban novice computer users of low socioeconomic position.}, Journal = {Journal of medical Internet research}, Volume = {9}, Number = {4}, Pages = {e31}, Year = {2007}, ISSN = {1438-8871}, url = {http://dx.doi.org/10.2196/jmir.9.4.e31}, Keywords = {Boston • Humans • Internet* • Interviews as Topic • Microcomputers • Pilot Projects • Poverty* • Socioeconomic Factors* • Urban Population* • utilization*}, Abstract = {BACKGROUND: Despite the increasing penetration of the Internet and amount of online health information, there are significant barriers that limit its widespread adoption as a source of health information. One is the "digital divide," with people of higher socioeconomic position (SEP) demonstrating greater access and usage compared to those from lower SEP groups. However, as the access gap narrows over time and more people use the Internet, a shift in research needs to occur to explore how one might improve Internet use as well as website design for a range of audiences. This is particularly important in the case of novice users who may not have the technical skills, experience, or social connections that could help them search for health information using the Internet. The focus of our research is to investigate the challenges in the implementation of a project to improve health information seeking among low SEP groups. The goal of the project is not to promote health information seeking as much as to understand the barriers and facilitators to computer and Internet use, beyond access, among members of lower SEP groups in an urban setting. OBJECTIVE: The purpose was to qualitatively describe participants' self-identified barriers and facilitators to computer and Internet use during a 1-year pilot study as well as the challenges encountered by the research team in the delivery of the intervention. METHODS: Between August and November 2005, 12 low-SEP urban individuals with no or limited computer and Internet experience were recruited through a snowball sampling. Each participant received a free computer system, broadband Internet access, monthly computer training courses, and technical support for 1 year as the intervention condition. Upon completion of the study, participants were offered the opportunity to complete an in-depth semistructured interview. Interviews were approximately 1 hour in length and were conducted by the project director. The interviews were held in the participants' homes and were tape recorded for accuracy. Nine of the 12 study participants completed the semistructured interviews. Members of the research team conducted a qualitative analysis based on the transcripts from the nine interviews using the crystallization/immersion method. RESULTS: Nine of the 12 participants completed the in-depth interview (75% overall response rate), with three men and six women agreeing to be interviewed. Major barriers to Internet use that were mentioned included time constraints and family conflict over computer usage. The monthly training classes and technical assistance components of the intervention surfaced as the most important facilitators to computer and Internet use. The concept of received social support from other study members, such as assistance with computer-related questions, also emerged as an important facilitator to overall computer usage. CONCLUSIONS: This pilot study offers important insights into the self-identified barriers and facilitators in computer and Internet use among urban low-SEP novice users as well as the challenges faced by the research team in implementing the intervention.}, Language = {eng}, Doi = {10.2196/jmir.9.4.e31}, Key = {fds200786} } @article{fds200788, Author = {KA Kaphingst and GG Bennett and G Sorensen and KM Kaphingst and AE O'Neil, K McInnis}, Title = {Body mass index, physical activity, and dietary behaviors among members of an urban community fitness center: a questionnaire survey.}, Journal = {BMC public health}, Volume = {7}, Number = {4}, Pages = {181}, Year = {2007}, ISSN = {1471-2458}, url = {http://dx.doi.org/10.1186/1471-2458-7-181}, Keywords = {Adult • Body Mass Index* • Exercise • Female • Fitness Centers • Food Habits • Fruit • Health Behavior* • Health Surveys • Humans • Male • Massachusetts • Middle Aged • Motor Activity • Overweight • Questionnaires • Self Efficacy • Socioeconomic Factors • Urban Health Services • Vegetables • physiology* • psychology* • utilization*}, Abstract = {BACKGROUND: Development of effective behavioral interventions to promote weight control and physical activity among diverse, underserved populations is a public health priority. Community focused wellness organizations, such as YMCAs, could provide a unique channel with which to reach such populations. This study assessed health behaviors and related characteristics of members of an urban YMCA facility. METHODS: We surveyed 135 randomly selected members of an urban YMCA facility in Massachusetts to examine self-reported (1) physical activity, (2) dietary behaviors, (3) body mass index, and (4) correlates of behavior change among short-term (i.e., one year or less) and long-term (i.e., more than one year) members. Chi-square tests were used to assess bivariate associations between variables, and multivariate linear regression models were fit to examine correlates of health behaviors and weight status. RESULTS: Eighty-nine percent of short-term and 94% of long-term members reported meeting current physical activity recommendations. Only 24% of short-term and 19% of long-term members met fruit and vegetable consumption recommendations, however, and more than half were overweight or obese. Length of membership was not significantly related to weight status, dietary behaviors, or physical activity. Most respondents were interested in changing health behaviors, in the preparation stage of change, and had high levels of self-efficacy to change behaviors. Short-term members had less education (p = 0.02), lower household incomes (p = 0.02), and were less likely to identify as white (p = 0.005) than long-term members. In multivariate models, females had lower BMI than males (p = 0.003) and reported less physical activity (p = 0.008). Physical activity was also inversely associated with age (p = 0.0004) and education (p = 0.02). CONCLUSIONS: Rates of overweight/obesity and fruit and vegetable consumption suggested that there is a need for a weight control intervention among members of an urban community YMCA. Membership in such a community wellness facility alone might not be sufficient to help members maintain a healthy weight. The data indicate that YMCA members are interested in making changes in their dietary and physical activity behaviors. Targeting newer YMCA members might be an effective way of reaching underserved populations. These data will help inform the development of a weight control intervention tailored to this setting.}, Language = {eng}, Doi = {10.1186/1471-2458-7-181}, Key = {fds200788} } @article{fds250709, Author = {Bennett, GG and Wolin, KY}, Title = {Satisfied or unaware? Racial differences in perceived weight status}, Journal = {International Journal of Behavioral Nutrition and Physical Activity}, Volume = {3}, Number = {1}, Pages = {40}, Year = {2006}, Month = {November}, ISSN = {1479-5868}, url = {http://dx.doi.org/10.1186/1479-5868-3-40}, Keywords = {Adult • African Americans* • Body Mass Index • Body Weight • Cross-Sectional Studies • Educational Status • Female • Humans • Longitudinal Studies • Male • Middle Aged • Multivariate Analysis • Obesity • Predictive Value of Tests • Risk Factors • Sex Factors • Social Class* • Socioeconomic Factors • economics* • epidemiology • ethnology* • etiology • physiology*}, Abstract = {Background: Obesity is disproportionately prevalent among many racial/ ethnic minority communities. The efficacy of weight control efforts in these groups may depend on individual's ability to accurately perceive their weight status. We examined whether racial/ethnic differences exist in weight status misperception among overweight adults. Methods: Nationally-representative data from the National Health and Nutrition Examination Survey (NHANES) 1999-2002 were examined. Participants included overweight and obese adult men (n = 3115) and women (n = 3437). Weight status misperception was identified among respondents who self-reported being "about the right weight/ underweight." Results: Blacks (OR = 2.06, 95% CI: 1.71, 2.54) were twice as likely and Hispanics (OR = 1.70, 95%CI: 1.33, 2.17) were 70-percent more likely than Whites to misperceive their weight, in models adjusted for age, education, income, marital status, self-reported health, and self-reported medical diagnosis of overweight. Black overweight (OR = 2.03, 95% CI: 1.26, 3.26) and obese (OR = 3.56, 95% CI: 1.57, 8.11) women were considerably more likely to exhibit misperception compared to their White female counterparts. Odds of misperception were higher among overweight Black (OR = 2.20, 95%CI: 1.54, 3.15), Hispanic (OR = 1.89, 95% CI: 1.30, 2.75), and obese Black men (OR = 2.84, 95% CI: 1.54, 5.22), compared to White men. Conclusion: Weight status misperceptions among the overweight are more common among Blacks, and Hispanic men. The persistence of racial/ethnic differences after adjustment for medical diagnosis of overweight may suggest some resistance to physician weight counseling. Identifying strategies to correct weight status misperceptions status may be necessary to ensure the efficacy of clinical and public health obesity interventions conducted among these groups. © 2006 Bennett and Wolin; licensee BioMed Central Ltd.}, Language = {eng}, Doi = {10.1186/1479-5868-3-40}, Key = {fds250709} } @article{pmid17019918, Author = {Edwards, C. L. and Primm, A. and Johnson, S. and Feliu, M. and O'Garo, K. and Bennett, G. G. and Robinson, E. and McDougald, C. and Byrd, G. and Harrison, O. and Whitfield, K. and Killough, A. L.}, Title = {{R}econsideration of the training of psychiatrists and mental health professionals: helping to make soup}, Journal = {J Natl Med Assoc}, Volume = {98}, Pages = {1498--1500}, Year = {2006}, Month = {September}, Abstract = {For many years, we have known of deficits in our system of training mental health professionals, particularly in recognizing and integrating diversity. Recently, we have begun to understand that our literature must more authentically reflect the experiences of all people that we serve. The current paper suggests that a comprehensive biopsychosocial conceptualization of normal and abnormal behavior for all individuals is necessary to truly begin to reduce mental health disparities. The authors argue that factors such as racial, ethnic and cultural differences must be integrated into research before the literature will begin to change in a fashion that is beneficial to the mental health training process.}, Key = {pmid17019918} } @article{fds200795, Author = {GG Bennett and KY Wolin and K Viswanath and S Askew and E Puleo and KM Emmons}, Title = {Television viewing and pedometer-determined physical activity among multiethnic residents of low-income housing.}, Journal = {American journal of public health}, Volume = {96}, Number = {9}, Pages = {1681-5}, Year = {2006}, Month = {September}, ISSN = {1541-0048}, url = {http://dx.doi.org/10.2105/AJPH.2005.080580}, Keywords = {Activities of Daily Living* • Adult • African Americans • Aged • Cross-Sectional Studies • Data Collection • Female • Health Promotion • Hispanic Americans • Humans • Male • Middle Aged • Physical Fitness* • Poverty • Television* • Urban Population • Walking}, Abstract = {OBJECTIVE: We evaluated the association between television viewing and pedometer-determined physical activity among predominantly racial/ethnic minority residents of low-income housing in metropolitan Boston in 2005. METHODS: We used mixed models to analyze the association between reported hours of television viewing and pedometer-determined steps per day among 486 adults. We also examined whether television viewing was associated with the achievement of 10000 steps per day. RESULTS: There was a mean 3.6 hours of average daily television watching. In multivariable analyses, each hour of television viewing on an average day was associated with 144 (95% confidence interval [CI]= -276, -12) fewer steps per day and a decreased likelihood of accumulating 10,000 steps per day (odds ratio [OR]=0.84; 95% CI=0.71, 0.99). Weekday and weekend television viewing were each also associated with fewer steps per day. CONCLUSIONS: Average daily television viewing was associated with reductions in total pedometer-determined physical activity levels (approximately 520 steps per day) in this lower-income sample. As part of a comprehensive physical activity promotion plan, recommendations to reduce television viewing should be made.}, Language = {eng}, Doi = {10.2105/AJPH.2005.080580}, Key = {fds200795} } @article{fds250754, Author = {Edwards, CL and Primm, A and Johnson, S and Feliu, M and O'Garo, K and Bennett, GG and Robinson, E and McDougald, C and Byrd, G and Harrison, O and Whitfield, K and Killough, AL}, Title = {Reconsideration of the training of psychiatrists and mental health professionals: helping to make soup.}, Journal = {J Natl Med Assoc}, Volume = {98}, Number = {9}, Pages = {1498-1500}, Year = {2006}, Month = {September}, ISSN = {1943-4693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/17019918}, Keywords = {Cultural Diversity* • Ethnic Groups • Humans • Mental Health Services* • Psychiatry • Psychology • education* • psychology*}, Abstract = {For many years, we have known of deficits in our system of training mental health professionals, particularly in recognizing and integrating diversity. Recently, we have begun to understand that our literature must more authentically reflect the experiences of all people that we serve. The current paper suggests that a comprehensive biopsychosocial conceptualization of normal and abnormal behavior for all individuals is necessary to truly begin to reduce mental health disparities. The authors argue that factors such as racial, ethnic and cultural differences must be integrated into research before the literature will begin to change in a fashion that is beneficial to the mental health training process.}, Language = {eng}, Doi = {10.1186/1479-5868-3-40}, Key = {fds250754} } @article{pmid16873736, Author = {Bennett, GG and Wolin, KY and Viswanath, K and Askew, S and Puleo, E and Emmons, KM}, Title = {Television viewing and pedometer-determined physical activity among multiethnic residents of low-income housing.}, Journal = {American journal of public health}, Volume = {96}, Number = {9}, Pages = {1681-1685}, Year = {2006}, Month = {September}, ISSN = {0090-0036}, url = {http://dx.doi.org/10.2105/ajph.2005.080580}, Abstract = {<h4>Objectives</h4>We evaluated the association between television viewing and pedometer-determined physical activity among predominantly racial/ethnic minority residents of low-income housing in metropolitan Boston in 2005.<h4>Methods</h4>We used mixed models to analyze the association between reported hours of television viewing and pedometer-determined steps per day among 486 adults. We also examined whether television viewing was associated with the achievement of 10000 steps per day.<h4>Results</h4>There was a mean 3.6 hours of average daily television watching. In multivariable analyses, each hour of television viewing on an average day was associated with 144 (95% confidence interval [CI]= -276, -12) fewer steps per day and a decreased likelihood of accumulating 10,000 steps per day (odds ratio [OR]=0.84; 95% CI=0.71, 0.99). Weekday and weekend television viewing were each also associated with fewer steps per day.<h4>Conclusions</h4>Average daily television viewing was associated with reductions in total pedometer-determined physical activity levels (approximately 520 steps per day) in this lower-income sample. As part of a comprehensive physical activity promotion plan, recommendations to reduce television viewing should be made.}, Doi = {10.2105/ajph.2005.080580}, Key = {pmid16873736} } @article{fds200796, Author = {GG Bennett and KY Wolin and JS Avrunin and AM Stoddard and G Sorensen and E Barbeau, KM Emmons}, Title = {Does race/ethnicity moderate the association between job strain and leisure time physical activity?}, Journal = {Annals of behavioral medicine : a publication of the Society of Behavioral Medicine}, Volume = {32}, Number = {1}, Pages = {60-7}, Year = {2006}, Month = {August}, ISSN = {0883-6612}, url = {http://dx.doi.org/10.1207/s15324796abm3201_7}, Keywords = {Adult • Burnout, Professional • Ethnic Groups • Female • Humans • Leisure Activities* • Male • Motor Activity* • Questionnaires • Socioeconomic Factors • Workplace • epidemiology* • psychology* • statistics & numerical data*}, Abstract = {BACKGROUND: Racial/ethnic minorities report myriad barriers to regular leisure time physical activity (LTPA), including the stress and fatigue resulting from their occupational activities. OBJECTIVE: We sought to investigate whether an association exists between job strain and LTPA, and whether it is modified by race or ethnicity. METHODS: Data were collected from 1,740 adults employed in 26 small manufacturing businesses in eastern Massachusetts. LTPA and job strain data were self-reported. Adjusted mean hours of LTPA per week are reported. RESULTS: In age and gender adjusted analyses, reports of job strain were associated with LTPA. There was a significant interaction between job strain and race or ethnicity (p = .04). Whites experiencing job strain reported 1 less hr of LTPA per week compared to Whites not reporting job strain. Collectively, racial/ethnic minorities reporting job strain exhibited comparatively higher levels of LTPA compared to their counterparts with no job strain, although patterns for individual groups did not significantly differ. CONCLUSIONS: Job strain was associated with LTPA in a lower income, multiethnic population of healthy adult men and women. The association between job strain and LTPA was modified by race or ethnicity, highlighting the importance of investigating the differential effects of psychosocial occupational factors on LTPA levels by race or ethnicity.}, Language = {eng}, Doi = {10.1207/s15324796abm3201_7}, Key = {fds200796} } @article{pmid16827630, Author = {Bennett, GG and Wolin, KY and Avrunin, JS and Stoddard, AM and Sorensen, G and Barbeau, E and Emmons, KM}, Title = {Does race/ethnicity moderate the association between job strain and leisure time physical activity?}, Journal = {Annals of behavioral medicine : a publication of the Society of Behavioral Medicine}, Volume = {32}, Number = {1}, Pages = {60-67}, Year = {2006}, Month = {August}, ISSN = {0883-6612}, url = {http://dx.doi.org/10.1207/s15324796abm3201_7}, Abstract = {<h4>Background</h4>Racial/ethnic minorities report myriad barriers to regular leisure time physical activity (LTPA), including the stress and fatigue resulting from their occupational activities.<h4>Purpose</h4>We sought to investigate whether an association exists between job strain and LTPA, and whether it is modified by race or ethnicity.<h4>Methods</h4>Data were collected from 1,740 adults employed in 26 small manufacturing businesses in eastern Massachusetts. LTPA and job strain data were self-reported. Adjusted mean hours of LTPA per week are reported.<h4>Results</h4>In age and gender adjusted analyses, reports of job strain were associated with LTPA. There was a significant interaction between job strain and race or ethnicity (p = .04). Whites experiencing job strain reported 1 less hr of LTPA per week compared to Whites not reporting job strain. Collectively, racial/ethnic minorities reporting job strain exhibited comparatively higher levels of LTPA compared to their counterparts with no job strain, although patterns for individual groups did not significantly differ.<h4>Conclusions</h4>Job strain was associated with LTPA in a lower income, multiethnic population of healthy adult men and women. The association between job strain and LTPA was modified by race or ethnicity, highlighting the importance of investigating the differential effects of psychosocial occupational factors on LTPA levels by race or ethnicity.}, Doi = {10.1207/s15324796abm3201_7}, Key = {pmid16827630} } @article{pmid16895300, Author = {Edwards, C. and Wood, M. and Robinson, E. and Byrd, G. and Bennett, G. G. and Whitfield, K.}, Title = {{R}esponse to "{T}he need for logical application-based extensions in sickle cell disease research findings to changing lives in the ethnic context"}, Journal = {J Natl Med Assoc}, Volume = {98}, Pages = {1207}, Year = {2006}, Month = {July}, Key = {pmid16895300} } @article{fds250708, Author = {Edwards, C and Wood, M and Robinson, E and Byrd, G and Bennett, GG and Whitfield, K}, Title = {Response to "The need for logical application-based extensions in sickle cell disease research findings to changing lives in the ethnic context".}, Journal = {Journal of the National Medical Association}, Volume = {98}, Number = {7}, Pages = {1207}, Year = {2006}, Month = {July}, ISSN = {1943-4693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16895300}, Keywords = {Adaptation, Psychological* • Anemia, Sickle Cell • Case-Control Studies • Female • Humans • Male • Pain • Parents • Research Design • Substance-Related Disorders • complications • psychology*}, Abstract = {For many years, we have known of deficits in our system of training mental health professionals, particularly in recognizing and integrating diversity. Recently, we have begun to understand that our literature must more authentically reflect the experiences of all people that we serve. The current paper suggests that a comprehensive biopsychosocial conceptualization of normal and abnormal behavior for all individuals is necessary to truly begin to reduce mental health disparities. The authors argue that factors such as racial, ethnic and cultural differences must be integrated into research before the literature will begin to change in a fashion that is beneficial to the mental health training process.}, Language = {eng}, Doi = {10.1186/1479-5868-3-40}, Key = {fds250708} } @article{pmid16719608, Author = {Merritt, M. M. and Bennett, G. G. and Williams, R. B. and Edwards, C. L. and Sollers, J. J.}, Title = {{P}erceived racism and cardiovascular reactivity and recovery to personally relevant stress}, Journal = {Health Psychol}, Volume = {25}, Pages = {364--369}, Year = {2006}, Month = {May}, Abstract = {This study evaluated cardiovascular responses (CVR) to an active speech task with blatantly discriminatory (BRC) versus neutral (NRC) stimuli and an anger recall task in a sample of Black men (N = 73; age 18 to 47). Diastolic blood pressure scores were higher for NRC versus BRC stimuli during anger recall (p = .05). Moreover, persons in the NRC group who perceived high levels of racism (vs. no racism or BRC group) during active speech showed larger increases in blood pressure across postspeech rest, anger recall, and subsequent rest (p = .03). The notable elevation in CVR in response to an ambiguous event extends current models of racism suggesting that subtle racism is a psychosocial stressor that erodes health through chronically elevated CVR.}, Key = {pmid16719608} } @article{fds250740, Author = {Merritt, MM and Bennett, GG and Williams, RB and Edwards, CL and Sollers, JJ}, Title = {Perceived racism and cardiovascular reactivity and recovery to personally relevant stress.}, Journal = {Health Psychol}, Volume = {25}, Number = {3}, Pages = {364-369}, Year = {2006}, Month = {May}, ISSN = {0278-6133}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16719608}, Keywords = {Adolescent • Adult • African Americans • Cardiovascular System* • Heart Rate • Humans • Hypertension • Male • Middle Aged • Prejudice* • Questionnaires • Social Perception* • Stress, Psychological • United States • diagnosis • physiopathology*}, Abstract = {This study evaluated cardiovascular responses (CVR) to an active speech task with blatantly discriminatory (BRC) versus neutral (NRC) stimuli and an anger recall task in a sample of Black men (N = 73; age 18 to 47). Diastolic blood pressure scores were higher for NRC versus BRC stimuli during anger recall (p = .05). Moreover, persons in the NRC group who perceived high levels of racism (vs. no racism or BRC group) during active speech showed larger increases in blood pressure across postspeech rest, anger recall, and subsequent rest (p = .03). The notable elevation in CVR in response to an ambiguous event extends current models of racism suggesting that subtle racism is a psychosocial stressor that erodes health through chronically elevated CVR.}, Language = {eng}, Doi = {10.1037/0278-6133.25.3.364}, Key = {fds250740} } @article{fds200798, Author = {GG Bennett and KY Wolin and E Puleo and KM Emmons}, Title = {Pedometer-determined physical activity among multiethnic low-income housing residents.}, Journal = {Medicine and science in sports and exercise}, Volume = {38}, Number = {4}, Pages = {768-73}, Year = {2006}, Month = {April}, ISSN = {0195-9131}, url = {http://dx.doi.org/10.1249/01.mss.0000210200.87328.3f}, Keywords = {Adult • Aged • Boston • Female • Health Behavior • Humans • Male • Middle Aged • Monitoring, Ambulatory • Motor Activity • Population Surveillance • Poverty • Public Housing* • Risk Factors • ethnology* • instrumentation* • physiology*}, Abstract = {OBJECTIVE: We sought to characterize pedometer-determined physical activity among a predominantly racial and ethnic minority sample of adults residing in low-income housing. METHODS: Data were collected from 433 participants at baseline in a randomized colon cancer prevention intervention trial conducted within low-income housing communities. Using random effects models to control for clustering within housing sites, we examined variation in daily steps by several sociodemographic characteristics. RESULTS: Participants recorded a mean of 5326 (+/- 3871 SD) daily steps over a 5-d sampling period. Significantly lower levels of pedometer-determined physical activity were found among older-aged participants (P < 0.0001), women (P = 0.02), those who were overweight and obese (P = 0.03), those reporting no weekly exercise (P = 0.04), as well as among nonworking individuals (P < 0.0001). No significant differences were found by education or income. In multivariable analyses, age, gender, body mass index, and employment status remained significantly associated with steps. CONCLUSIONS: These findings suggest a high prevalence of physical inactivity among low-income housing residents. These data, derived from a well-characterized sample, provide useful estimates for the investigation of pedometers as measures of total accumulated physical activity among lower-income, racial and ethnic minority populations.}, Language = {eng}, Doi = {10.1249/01.mss.0000210200.87328.3f}, Key = {fds200798} } @article{pmid16623079, Author = {Whitfield, KE and Brandon, DT and Robinson, E and Bennett, G and Merritt, M and Edwards, C}, Title = {Sources of variability in John Henryism.}, Journal = {Journal of the National Medical Association}, Volume = {98}, Number = {4}, Pages = {641-647}, Year = {2006}, Month = {April}, ISSN = {1943-4693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16623079}, Abstract = {<h4>Objectives</h4>To decompose sources of individual differences in coping as measured by John Henryism among African Americans.<h4>Methods</h4>Analyses described in this study are based on the pairwise responses from 180 pairs of same-sex, African-American twin pairs who participated in the Carolina African-American Twins Study of Aging (CAATSA). The sample consisted of 85 monozygotic (MZ) and 95 dizygotic (DZ) twin pairs.<h4>Results</h4>Environmental factors account for most of the variance (65%) in John Henryism scores, with the remaining variance attributable to additive genetic factors (35%). The test of the genetic component suggested that the 35% represented a statistically significant proportion of variance.<h4>Conclusions</h4>The vast majority of recent studies on African Americans and health outcomes have focused on the impact of psychosocial factors on diseases such as hypertension and diabetes, with relatively little attention to possible genetic contributors. Previous research on psychosocial indices and their relationship to cardiovascular health among African Americans has focused on assessment and epidemiological explorations rather than understanding the etiology of variability in such measures.}, Key = {pmid16623079} } @article{pmid16679995, Author = {Bennett, GG and Wolin, KY and Puleo, E and Emmons, KM}, Title = {Pedometer-determined physical activity among multiethnic low-income housing residents.}, Journal = {Medicine and science in sports and exercise}, Volume = {38}, Number = {4}, Pages = {768-773}, Year = {2006}, Month = {April}, ISSN = {0195-9131}, url = {http://dx.doi.org/10.1249/01.mss.0000210200.87328.3f}, Abstract = {<h4>Purpose</h4>We sought to characterize pedometer-determined physical activity among a predominantly racial and ethnic minority sample of adults residing in low-income housing.<h4>Methods</h4>Data were collected from 433 participants at baseline in a randomized colon cancer prevention intervention trial conducted within low-income housing communities. Using random effects models to control for clustering within housing sites, we examined variation in daily steps by several sociodemographic characteristics.<h4>Results</h4>Participants recorded a mean of 5326 (+/- 3871 SD) daily steps over a 5-d sampling period. Significantly lower levels of pedometer-determined physical activity were found among older-aged participants (P < 0.0001), women (P = 0.02), those who were overweight and obese (P = 0.03), those reporting no weekly exercise (P = 0.04), as well as among nonworking individuals (P < 0.0001). No significant differences were found by education or income. In multivariable analyses, age, gender, body mass index, and employment status remained significantly associated with steps.<h4>Conclusions</h4>These findings suggest a high prevalence of physical inactivity among low-income housing residents. These data, derived from a well-characterized sample, provide useful estimates for the investigation of pedometers as measures of total accumulated physical activity among lower-income, racial and ethnic minority populations.}, Doi = {10.1249/01.mss.0000210200.87328.3f}, Key = {pmid16679995} } @article{pmid16573309, Author = {Edwards, C and Whitfield, K and Sudhakar, S and Pearce, M and Byrd, G and Wood, M and Feliu, M and Leach-Beale, B and DeCastro, L and Whitworth, E and Abrams, M and Jonassaint, J and Harrison, MO and Mathis, M and Scott, L and Johnson, S and Durant, L and Holmes, A and Presnell, K and Bennett, G and Shelby, R and Robinson, E}, Title = {Parental substance abuse, reports of chronic pain and coping in adult patients with sickle cell disease.}, Journal = {J Natl Med Assoc}, Volume = {98}, Number = {3}, Pages = {420-428}, Year = {2006}, Month = {March}, ISSN = {1943-4693}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16573309}, Abstract = {There is increasing interest from a social learning perspective in understanding the role of parental factors on adult health behaviors and health outcomes. Our review revealed no studies, to date, that have evaluated the effects of parental substance abuse on reports of chronic pain and coping in adult patients with sickle cell disease (SCD). We explored the effects of parental substance (alcohol or drug) abuse on reports of the sensory, affective and summary indices of pain in 67 adult patients, mean age 38.9 (13.5), with SCD. We also explored the effects of parental substance abuse on psychopathology associated with pain and active coping. Twenty-four percent of patients reported that their parent(s) abused substances. Patients whose parent(s) were characterized as substance abusers reported greater sensory (p=0.02), affective (p=0.01) and summary (VAS; p=0.02) indices of pain as compared to their counterparts, whose parent(s) were not characterized as substance abusers. Patients did not differ in average age, education or the propensity to respond in a socially acceptable manner. There was a significant trend towards patients who characterized their parents as abusers scoring higher than their counterparts on active coping. We propose a Social Learning Theory to explain the current findings and suggest a need for additional prospective research to simultaneously explore biological (genetic) and social factors that influence the interpretation, experience and reporting of chronic pain in adult patients with chronic disease.}, Key = {pmid16573309} } @article{fds200799, Author = {GG Bennett and KY Wolin and M Goodman and M Samplin-Salgado and P Carter, S Dutton and R Hill and K Emmons}, Title = {Attitudes Regarding Overweight, Exercise, and Health among Blacks (United States).}, Journal = {Cancer causes & control : CCC}, Volume = {17}, Number = {1}, Pages = {95-101}, Year = {2006}, Month = {February}, ISSN = {0957-5243}, url = {http://dx.doi.org/10.1007/s10552-005-0412-5}, Keywords = {Adolescent • Adult • African Continental Ancestry Group • Aged • Aged, 80 and over • Attitude to Health* • Exercise • Female • Humans • Logistic Models • Male • Middle Aged • Overweight* • United States • psychology*}, Abstract = {OBJECTIVE: To investigate Blacks'views regarding the connections among overweight, exercise, and health. METHODS: A national randomized telephone survey of 986 US Blacks, conducted between 6 July 2004 and 15 July 2004. RESULTS: The majority (65%) of respondents reported their weight as average or underweight. Most participants also reported being regularly physically active in the last month (84.5%). The majority of participants reported believing that it is possible to be overweight and healthy. Most acknowledged the connection between exercise and health, and just over half of respondents identified the association between overweight and cancer risk. There was little sociodemographic variation in responses, although findings differed by self-reported overweight and physical activity. CONCLUSIONS: Some Blacks may underestimate the extent of their overweight, perhaps resulting from the high prevalence of the condition in the population. Gaps exist in Blacks' recognition of the connection between weight and health, although the importance of exercise for health promotion was widely acknowledged. These data may highlight an important target for intervention attention.}, Language = {eng}, Doi = {10.1007/s10552-005-0412-5}, Key = {fds200799} } @article{pmid16411058, Author = {Bennett, GG and Wolin, KY and Goodman, M and Samplin-Salgado, M and Carter, P and Dutton, S and Hill, R and Emmons, K}, Title = {Attitudes Regarding Overweight, Exercise, and Health among Blacks (United States).}, Journal = {Cancer causes & control : CCC}, Volume = {17}, Number = {1}, Pages = {95-101}, Year = {2006}, Month = {February}, ISSN = {0957-5243}, url = {http://dx.doi.org/10.1007/s10552-005-0412-5}, Abstract = {<h4>Objective</h4>To investigate Blacks'views regarding the connections among overweight, exercise, and health.<h4>Methods</h4>A national randomized telephone survey of 986 US Blacks, conducted between 6 July 2004 and 15 July 2004.<h4>Results</h4>The majority (65%) of respondents reported their weight as average or underweight. Most participants also reported being regularly physically active in the last month (84.5%). The majority of participants reported believing that it is possible to be overweight and healthy. Most acknowledged the connection between exercise and health, and just over half of respondents identified the association between overweight and cancer risk. There was little sociodemographic variation in responses, although findings differed by self-reported overweight and physical activity.<h4>Conclusions</h4>Some Blacks may underestimate the extent of their overweight, perhaps resulting from the high prevalence of the condition in the population. Gaps exist in Blacks' recognition of the connection between weight and health, although the importance of exercise for health promotion was widely acknowledged. These data may highlight an important target for intervention attention.}, Doi = {10.1007/s10552-005-0412-5}, Key = {pmid16411058} } @article{pmid17096859, Author = {Bennett, G. G. and Wolin, K. Y.}, Title = {{S}atisfied or unaware? {R}acial differences in perceived weight status}, Journal = {Int J Behav Nutr Phys Act}, Volume = {3}, Pages = {40}, Year = {2006}, Abstract = {Weight status misperceptions among the overweight are more common among Blacks, and Hispanic men. The persistence of racial/ethnic differences after adjustment for medical diagnosis of overweight may suggest some resistance to physician weight counseling. Identifying strategies to correct weight status misperceptions status may be necessary to ensure the efficacy of clinical and public health obesity interventions conducted among these groups.}, Key = {pmid17096859} } @article{fds200800, Author = {CH Kroenke and GG Bennett and C Fuchs and E Giovannucci and I Kawachi and E Schernhammer, MD Holmes and LD Kubzansky}, Title = {Depressive symptoms and prospective incidence of colorectal cancer in women.}, Journal = {American journal of epidemiology}, Volume = {162}, Number = {9}, Pages = {839-48}, Year = {2005}, Month = {November}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/aje/kwi302}, Keywords = {Adenoma • Aged • Colonoscopy • Colorectal Neoplasms • Depression • Female • Follow-Up Studies • Health Surveys • Humans • Incidence • Middle Aged • Prospective Studies • United States • complications • epidemiology • epidemiology* • pathology • psychology*}, Abstract = {The authors examined depressive symptoms and prospective incidence of colorectal cancer and distal colorectal adenomas in 81,612 women without prior cancer from the Nurses' Health Study; 400 cases of colorectal cancer and 680 distal colorectal adenomas accrued between 1992 and the year 2000. Depressive symptoms were assessed in 1992 and 1996 with the five-question Mental Health Index (MHI-5), a subscale of the Short-Form 36 health status survey. Scores ranged from 0 to 100, and women with scores between 0 and 52 were defined as having significant depressive symptomatology. The authors also created four categories across the range of Mental Health Index scores: 0-52, 53-75, 76-85, and 86-100 (referent). Cox proportional hazards models were used to analyze the extent of depressive symptoms and colorectal events. Analyses were stratified by body mass index. In multivariate analyses with updated exposure, women with the highest levels of depressive symptoms had an elevated risk of incident colorectal cancer (hazard ratio = 1.43, 95% confidence interval: 0.97, 2.11) compared with women with the lowest levels of symptoms (p(trend) = 0.04). Associations appeared stronger in overweight women. However, depressive symptoms were unrelated to risk of colorectal adenomas. Associations are consistent with a possible role in late promotion of the disease.}, Language = {eng}, Doi = {10.1093/aje/kwi302}, Key = {fds200800} } @article{pmid16207809, Author = {Kroenke, CH and Bennett, GG and Fuchs, C and Giovannucci, E and Kawachi, I and Schernhammer, E and Holmes, MD and Kubzansky, LD}, Title = {Depressive symptoms and prospective incidence of colorectal cancer in women.}, Journal = {American journal of epidemiology}, Volume = {162}, Number = {9}, Pages = {839-848}, Year = {2005}, Month = {November}, ISSN = {0002-9262}, url = {http://dx.doi.org/10.1093/aje/kwi302}, Abstract = {The authors examined depressive symptoms and prospective incidence of colorectal cancer and distal colorectal adenomas in 81,612 women without prior cancer from the Nurses' Health Study; 400 cases of colorectal cancer and 680 distal colorectal adenomas accrued between 1992 and the year 2000. Depressive symptoms were assessed in 1992 and 1996 with the five-question Mental Health Index (MHI-5), a subscale of the Short-Form 36 health status survey. Scores ranged from 0 to 100, and women with scores between 0 and 52 were defined as having significant depressive symptomatology. The authors also created four categories across the range of Mental Health Index scores: 0-52, 53-75, 76-85, and 86-100 (referent). Cox proportional hazards models were used to analyze the extent of depressive symptoms and colorectal events. Analyses were stratified by body mass index. In multivariate analyses with updated exposure, women with the highest levels of depressive symptoms had an elevated risk of incident colorectal cancer (hazard ratio = 1.43, 95% confidence interval: 0.97, 2.11) compared with women with the lowest levels of symptoms (p(trend) = 0.04). Associations appeared stronger in overweight women. However, depressive symptoms were unrelated to risk of colorectal adenomas. Associations are consistent with a possible role in late promotion of the disease.}, Doi = {10.1093/aje/kwi302}, Key = {pmid16207809} } @article{pmid16164814, Author = {Stoddard, A. M. and Krieger, N. and Barbeau, E. M. and Bennett, G. G. and Fay, M. E. and Sorensen, G. and Emmons, K.}, Title = {{M}ethods and baseline characteristics of two group-randomized trials with multiracial and multiethnic working-class samples}, Journal = {Prev Chronic Dis}, Volume = {2}, Pages = {A10}, Year = {2005}, Month = {October}, Abstract = {The two studies were successful in recruiting multiracial and multiethnic working-class participants. Researchers will find the estimates of the primary outcomes and their ICCs useful for planning future studies.}, Key = {pmid16164814} } @article{fds250707, Author = {Stoddard, AM and Krieger, N and Barbeau, EM and Bennett, GG and Fay, ME and Sorensen, G and Emmons, K}, Title = {Methods and baseline characteristics of two group-randomized trials with multiracial and multiethnic working-class samples.}, Journal = {Preventing chronic disease}, Volume = {2}, Number = {4}, Pages = {A10}, Year = {2005}, Month = {October}, ISSN = {1545-1151}, url = {http://dx.doi.org/10.1093/aje/kwi302}, Keywords = {Adolescent • Adult • Aged • Ambulatory Care Facilities • European Continental Ancestry Group • Female • Health Behavior • Hispanic Americans • Humans • Income • Male • Massachusetts • Middle Aged • Occupational Health • Outcome and Process Assessment (Health Care)* • Patient Selection* • Randomized Controlled Trials as Topic • Socioeconomic Factors • United States • ethnology* • statistics & numerical data • utilization}, Abstract = {<h4>Introduction</h4>Few papers address the methodological challenges in recruiting participants for studies of cancer prevention interventions designed for multiracial and multiethnic working-class populations. This paper reports the results of the sample selection and survey methods for two group-randomized intervention studies.<h4>Methods</h4>The two group-randomized intervention studies, Healthy Directions-Small Business (HD-SB) and Healthy Directions-Health Centers (HD-HC), included a worksite-based study in 26 small manufacturing businesses and a study in 10 outpatient health centers. We used selection and recruitment methods to obtain a multiracial and multiethnic working-class study sample. In 2000 and 2001, we assessed baseline measures of sociodemographic characteristics and behavioral outcomes by self-report. We then computed intraclass correlation coefficients (ICCs).<h4>Results</h4>Of the 1740 participants in the HD-SB study, 68% were non-Hispanic whites, and 76% had working-class occupations. In the HD-HC study, 59% of 2219 participants were non-Hispanic whites. Among those who worked, 51% had working-class occupations. Large percentages of both samples reported not meeting recommended guidelines for the target behaviors. For example, 86% of members of both samples consumed fewer than the recommended five servings of fruits and vegetables per day. The ICCs for the four target behaviors in HD-SB were between 0.006 and 0.02. In the HD-HC study, the ICCs ranged from 0.0004 to 0.003.<h4>Conclusion</h4>The two studies were successful in recruiting multiracial and multiethnic working-class participants. Researchers will find the estimates of the primary outcomes and their ICCs useful for planning future studies.}, Language = {eng}, Doi = {10.1093/aje/kwi302}, Key = {fds250707} } @article{pmid15671457, Author = {Bennett, G. G. and Wolin, K. Y. and Robinson, E. L. and Fowler, S. and Edwards, C. L.}, Title = {{P}erceived racial/ethnic harassment and tobacco use among {A}frican {A}merican young adults}, Journal = {Am J Public Health}, Volume = {95}, Pages = {238--240}, Year = {2005}, Month = {February}, Abstract = {We examined the association between perceived racial/ethnic harassment and tobacco use in 2129 African American college students in North Carolina. Age-adjusted and multivariate analyses evaluated the effect of harassment on daily and less-than-daily tobacco use. Harassed participants were twice as likely to use tobacco daily (odds ratio = 2.01; 95% confidence interval=1.94, 2.08) compared with those with no reported harassment experiences. Experiences of racial/ethnic harassment may contribute to tobacco use behaviors among some African American young adults.}, Key = {pmid15671457} } @article{fds250761, Author = {Bennett, GG and Wolin, KY and Robinson, EL and Fowler, S and Edwards, CL}, Title = {Perceived racial/ethnic harassment and tobacco use among African American young adults.}, Journal = {American journal of public health}, Volume = {95}, Number = {2}, Pages = {238-240}, Year = {2005}, Month = {February}, ISSN = {0090-0036}, url = {http://www.ncbi.nlm.nih.gov/pubmed/15671457}, Keywords = {Adolescent • Adult • African Americans • Cross-Cultural Comparison • Female • Health Knowledge, Attitudes, Practice • Health Surveys • Humans • Male • Middle Aged • North Carolina • Prejudice* • Questionnaires • Social Behavior* • Social Perception* • Tobacco Use Disorder • epidemiology • ethnology* • psychology*}, Abstract = {We examined the association between perceived racial/ethnic harassment and tobacco use in 2129 African American college students in North Carolina. Age-adjusted and multivariate analyses evaluated the effect of harassment on daily and less-than-daily tobacco use. Harassed participants were twice as likely to use tobacco daily (odds ratio = 2.01; 95% confidence interval=1.94, 2.08) compared with those with no reported harassment experiences. Experiences of racial/ethnic harassment may contribute to tobacco use behaviors among some African American young adults.}, Language = {eng}, Doi = {10.2105/ajph.2004.037812}, Key = {fds250761} } @article{fds343263, Author = {Stoddard, AM and Krieger, N and Barbeau, EM and Bennett, GG and Fay, ME and Sorensen, G and Emmons, K}, Title = {Methods and baseline characteristics of two group-randomized trials with multiracial and multiethnic working-class samples}, Journal = {Preventing Chronic Disease}, Volume = {2}, Number = {4}, Year = {2005}, Month = {January}, Abstract = {Introduction Few papers address the methodological challenges in recruiting participants for studies of cancer prevention interventions designed for multiracial and multiethnic working-class populations. This paper reports the results of the sample selection and survey methods for two grouprandomized intervention studies. Methods The two group-randomized intervention studies, Healthy Directions-Small Business (HD-SB) and Healthy Directions-Health Centers (HD-HC), included a worksitebased study in 26 small manufacturing businesses and a study in 10 outpatient health centers. We used selection and recruitment methods to obtain a multiracial and multiethnic working-class study sample. In 2000 and 2001, we assessed baseline measures of sociodemographic characteristics and behavioral outcomes by self-report. We then computed intraclass correlation coefficients (ICCs). Results Of the 1740 participants in the HD-SB study, 68% were non-Hispanic whites, and 76% had working-class occupations. In the HD-HC study, 59% of 2219 participants were non-Hispanic whites. Among those who worked, 51% had working-class occupations. Large percentages of both samples reported not meeting recommended guidelines for the target behaviors. For example, 86% of members of both samples consumed fewer than the recommended five servings of fruits and vegetables per day. The ICCs for the four target behaviors in HD-SB were between 0.006 and 0.02. In the HD-HC study, the ICCs ranged from 0.0004 to 0.003. Conclusion The two studies were successful in recruiting multiracial and multiethnic working-class participants. Researchers will find the estimates of the primary outcomes and their ICCs useful for planning future studies.}, Key = {fds343263} } @article{pmid16083320, Author = {Edwards, C. L. and Scales, M. T. and Loughlin, C. and Bennett, G. G. and Harris-Peterson, S. and De Castro and L. M. and Whitworth, E. and Abrams, M. and Feliu, M. and Johnson, S. and Wood, M. and Harrison, O. and Killough, A.}, Title = {{A} brief review of the pathophysiology, associated pain, and psychosocial issues in sickle cell disease}, Journal = {Int J Behav Med}, Volume = {12}, Pages = {171--179}, Year = {2005}, Abstract = {Sickle cell disease (SCD) is the most common genetic disorder of the blood. The disease produces significantly abnormal hemoglobin (Hgb) molecules in red blood cells (RBCs). The sickling of RBCs occurs when partially or totally deoxygenated Hgb molecules distort their normal disk shape, producing stiff, sticky, sickle-shaped cells that obstruct small blood vessels and produce vasoocclusion as well as the disruption of oxygen to body tissues. Because tissue damage can occur at multiple foci, patients with SCD are at risk for other medical complications including, but not limited to, delayed growth and sexual maturation; acute and chronic pulmonary dysfunction; stroke; aseptic necrosis of the hip, shoulders, or both; sickle cell retinopathy; dermal ulcers; and severe chronic pain. The chronicity of the illness combined with frequent hospitalizations for pain and other medical management can contribute significantly to impaired psychosocial functioning, altered intra- and interpersonal relationships, and reduced quality of life. Unlike previous qualitative reviews of SCD, this article describes the relevant clinical and research data on the relation between psychosocial functioning and SCD in adult and child populations. The authors discuss the significant role of psychosocial issues in the trajectory and management of the disease and conclude that understanding the pathophysiology of SCD without thoroughly understanding the equally important psychosocial influences is misunderstanding SCD.}, Key = {pmid16083320} } @article{fds250741, Author = {Edwards, CL and Scales, MT and Loughlin, C and Bennett, GG and Harris-Peterson, S and De Castro and LM and Whitworth, E and Abrams, M and Feliu, M and Johnson, S and Wood, M and Harrison, O and Killough, A}, Title = {A brief review of the pathophysiology, associated pain, and psychosocial issues in sickle cell disease.}, Journal = {Int J Behav Med}, Volume = {12}, Number = {3}, Pages = {171-179}, Year = {2005}, ISSN = {1070-5503}, url = {http://www.ncbi.nlm.nih.gov/pubmed/16083320}, Keywords = {Adolescent • Adult • Anemia, Sickle Cell • Child • Child Development • Chronic Disease • Family Relations • Humans • Interpersonal Relations* • Mental Health • Pain • Peer Group • Quality of Life* • Risk Factors • Social Support • complications* • etiology* • psychology*}, Abstract = {Sickle cell disease (SCD) is the most common genetic disorder of the blood. The disease produces significantly abnormal hemoglobin (Hgb) molecules in red blood cells (RBCs). The sickling of RBCs occurs when partially or totally deoxygenated Hgb molecules distort their normal disk shape, producing stiff, sticky, sickle-shaped cells that obstruct small blood vessels and produce vasoocclusion as well as the disruption of oxygen to body tissues. Because tissue damage can occur at multiple foci, patients with SCD are at risk for other medical complications including, but not limited to, delayed growth and sexual maturation; acute and chronic pulmonary dysfunction; stroke; aseptic necrosis of the hip, shoulders, or both; sickle cell retinopathy; dermal ulcers; and severe chronic pain. The chronicity of the illness combined with frequent hospitalizations for pain and other medical management can contribute significantly to impaired psychosocial functioning, altered intra- and interpersonal relationships, and reduced quality of life. Unlike previous qualitative reviews of SCD, this article describes the relevant clinical and research data on the relation between psychosocial functioning and SCD in adult and child populations. The authors discuss the significant role of psychosocial issues in the trajectory and management of the disease and conclude that understanding the pathophysiology of SCD without thoroughly understanding the equally important psychosocial influences is misunderstanding SCD.}, Language = {eng}, Doi = {10.1207/s15327558ijbm1203_6}, Key = {fds250741} } @article{pmid15570679, Author = {Bennett, G. G. and Merritt, M. M. and Wolin, K. Y.}, Title = {{E}thnicity, education, and the cortisol response to awakening: a preliminary investigation}, Journal = {Ethn Health}, Volume = {9}, Pages = {337--347}, Year = {2004}, Month = {November}, Abstract = {These preliminary findings demonstrate significant ethnic and education-related differences in awakening cortisol secretion responses. Our data highlight the importance of considering ethnicity and the moderating effects of social class when examining the associations among social contextual factors and cortisol secretion.}, Key = {pmid15570679} } @article{fds200804, Author = {GG Bennett and MM Merritt and KY Wolin}, Title = {Ethnicity, education, and the cortisol response to awakening: a preliminary investigation.}, Journal = {Ethnicity & health}, Volume = {9}, Number = {4}, Pages = {337-47}, Year = {2004}, Month = {November}, ISSN = {1355-7858}, url = {http://dx.doi.org/10.1080/1355785042000285366}, Keywords = {Adolescent • Adult • African Continental Ancestry Group* • Aged • Analysis of Variance • Biological Markers • Educational Status* • European Continental Ancestry Group* • Female • Humans • Hydrocortisone • Male • Middle Aged • Saliva • Stress, Psychological • Wakefulness • analysis • analysis* • chemistry • physiology* • physiopathology}, Abstract = {OBJECTIVE: To explore the associations among ethnicity, educational attainment, and cortisol secretion. METHODS: Participants include 63 white (n = 31) and African-American (n = 32) adult men and women. Subjects provided salivary cortisol samples immediately upon awakening and again, 30 minutes later. RESULTS: Analyses adjusted for relevant covariates revealed a steeper awakening response among whites with higher education compared to other groups. Cortisol levels were significantly lower among African-American participants with lower levels of education. All effects were independent of perceived stress. CONCLUSIONS: These preliminary findings demonstrate significant ethnic and education-related differences in awakening cortisol secretion responses. Our data highlight the importance of considering ethnicity and the moderating effects of social class when examining the associations among social contextual factors and cortisol secretion.}, Language = {eng}, Doi = {10.1080/1355785042000285366}, Key = {fds200804} } @article{fds250706, Author = {Bennett, GG and Merritt, MM and Wolin, KY}, Title = {Ethnicity, education, and the cortisol response to awakening: a preliminary investigation.}, Journal = {Ethnicity & health}, Volume = {9}, Number = {4}, Pages = {337-347}, Year = {2004}, Month = {November}, url = {http://dx.doi.org/10.1080/1355785042000285366}, Abstract = {<h4>Objective</h4>To explore the associations among ethnicity, educational attainment, and cortisol secretion.<h4>Design</h4>Participants include 63 white (n = 31) and African-American (n = 32) adult men and women. Subjects provided salivary cortisol samples immediately upon awakening and again, 30 minutes later.<h4>Results</h4>Analyses adjusted for relevant covariates revealed a steeper awakening response among whites with higher education compared to other groups. Cortisol levels were significantly lower among African-American participants with lower levels of education. All effects were independent of perceived stress.<h4>Conclusions</h4>These preliminary findings demonstrate significant ethnic and education-related differences in awakening cortisol secretion responses. Our data highlight the importance of considering ethnicity and the moderating effects of social class when examining the associations among social contextual factors and cortisol secretion.}, Doi = {10.1080/1355785042000285366}, Key = {fds250706} } @article{fds250705, Author = {Bennett, GG and Merritt, MM and Sollers, JJ and Edwards, CL and Whitfield, KE and Brandon, DT and Tucker, RD}, Title = {Stress, coping, and health outcomes among African-Americans: A review of the John Henryism hypothesis}, Journal = {Psychology and Health}, Volume = {19}, Number = {3}, Pages = {369-383}, Publisher = {Informa UK Limited}, Year = {2004}, Month = {June}, ISSN = {0887-0446}, url = {http://dx.doi.org/10.1080/0887044042000193505}, Abstract = {The John Henryism (JH) hypothesis argues that prolonged high-effort coping with chronic psychosocial stressors may be associated with elevated risk for negative health outcomes among those without sufficient socioeconomic resources. Early JH studies found a significant association between high JH, low socioeconomic status, and hypertension among African-Americans. More recently, these findings have been extended to a wide array of health status outcomes, including cardiovascular reactivity, neurohormonal secretion, and negative health behaviors. The present review provides a comprehensive overview of JHs conceptual bases and empirical support. Limitations of the construct are discussed and recommendations are made to guide future theoretical and research efforts in the area.}, Doi = {10.1080/0887044042000193505}, Key = {fds250705} } @article{fds200805, Author = {MM Merritt and GG Bennett and RB Williams and JJ Sollers 3rd and JF Thayer}, Title = {Low educational attainment, John Henryism, and cardiovascular reactivity to and recovery from personally relevant stress.}, Journal = {Psychosomatic medicine}, Volume = {66}, Number = {1}, Pages = {49-55}, Year = {2004}, Month = {March}, ISSN = {1534-7796}, url = {http://dx.doi.org/10.1080/1355785042000285366}, Keywords = {Adaptation, Psychological* • Adult • African Continental Ancestry Group • Anger • Blood Pressure Monitoring, Ambulatory • Blood Pressure* • Cardiovascular System • Educational Status* • Heart Rate* • Humans • Hypertension • Income • Male • Middle Aged • Models, Psychological • North Carolina • Occupations • Prejudice • Risk Factors • Socioeconomic Factors • Speech • Stress, Psychological • epidemiology • genetics • physiopathology* • psychology • psychology*}, Abstract = {OBJECTIVE: The John Henryism hypothesis proposes that a high level of John Henryism (JH: high-effort coping with psychosocial demands) is predictive of hypertension at low but not high socioeconomic status (SES). The objectives of the present study were to determine whether high JH and low SES (education, income, job status, and job strain) were associated with increased cardiovascular responses to laboratory social stressors. METHODS: Subjects were 58 normotensive, healthy black men age 23 to 47 years. The procedure included the completion of psychosocial questionnaires and participation in a psychophysiological reactivity protocol. The reactivity protocol involved the following experimental tasks and associated recovery periods: an active speech task and an anger recall task. Measures of systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and rate pressure product (RPP) were obtained continuously using a Finapres beat-to-beat blood pressure monitor throughout the reactivity protocol. RESULTS: At high JH, low (compared with high) education level was linked with higher DBP during anger recall and final recovery, higher SBP during final recovery, and higher HR and RPP during speech preparation and final recovery (p <.05). Among subjects with low education, high (vs. low) JH was associated with higher SBP, HR, and RPP during final recovery (p <.05). CONCLUSIONS: John Henryism may increase the risk of cardiovascular disease among people with low education by increased cardiovascular reactivity and prolonged recovery to stress.}, Language = {eng}, Doi = {10.1080/1355785042000285366}, Key = {fds200805} } @article{fds250768, Author = {Bennett, GG and Merritt, MM and Edwards, CL and Sollers, JJ}, Title = {Perceived Racism and Affective Responses to Ambiguous Interpersonal Interactions among African American Men}, Journal = {American Behavioral Scientist}, Volume = {47}, Number = {7}, Pages = {963-976}, Publisher = {SAGE Publications}, Year = {2004}, Month = {March}, ISSN = {0002-7642}, url = {http://dx.doi.org/10.1177/0002764203261070}, Abstract = {The current study examined affective responses to ambiguous interpersonal interactions containing both ambiguous and overtly racist content. Participants included 74 African American males (ages 18-47), half of whom heard a depiction of a negative social interaction with blatantly racist content (BRC). The remaining participants heard a similar scenario containing no racist content (NRC). Negative affect scores were higher for those in the BRC group, yet individuals in the ambiguous (NRC) condition who reported perceptions of racism in the scenario showed greater negative affect reactivity than those who saw no racism in the scenario. Among those in the NRC group, self-reported past experiences with racial discrimination moderated the effect of perceived racism on negative affect. The authors conclude that the perception of racial discrimination, in particular when evaluating ambiguous situations, may have profound affective consequences for Black men.}, Doi = {10.1177/0002764203261070}, Key = {fds250768} } @article{pmid14747637, Author = {Merritt, MM and Bennett, GG and Williams, RB and Sollers, JJ and Thayer, JF}, Title = {Low educational attainment, John Henryism, and cardiovascular reactivity to and recovery from personally relevant stress.}, Journal = {Psychosom Med}, Volume = {66}, Number = {1}, Pages = {49-55}, Year = {2004}, url = {http://www.ncbi.nlm.nih.gov/pubmed/14747637}, Abstract = {OBJECTIVE: The John Henryism hypothesis proposes that a high level of John Henryism (JH: high-effort coping with psychosocial demands) is predictive of hypertension at low but not high socioeconomic status (SES). The objectives of the present study were to determine whether high JH and low SES (education, income, job status, and job strain) were associated with increased cardiovascular responses to laboratory social stressors. METHODS: Subjects were 58 normotensive, healthy black men age 23 to 47 years. The procedure included the completion of psychosocial questionnaires and participation in a psychophysiological reactivity protocol. The reactivity protocol involved the following experimental tasks and associated recovery periods: an active speech task and an anger recall task. Measures of systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and rate pressure product (RPP) were obtained continuously using a Finapres beat-to-beat blood pressure monitor throughout the reactivity protocol. RESULTS: At high JH, low (compared with high) education level was linked with higher DBP during anger recall and final recovery, higher SBP during final recovery, and higher HR and RPP during speech preparation and final recovery (p <.05). Among subjects with low education, high (vs. low) JH was associated with higher SBP, HR, and RPP during final recovery (p <.05). CONCLUSIONS: John Henryism may increase the risk of cardiovascular disease among people with low education by increased cardiovascular reactivity and prolonged recovery to stress.}, Doi = {10.1097/01.psy.0000107909.74904.3d}, Key = {pmid14747637} } @article{fds290502, Author = {Merritt, MM and Bennett, GG and Williams, RB}, Title = {Religiosity enhances cardiovascular reactivity among black males with low education}, Journal = {PSYCHOSOMATIC MEDICINE}, Volume = {62}, Number = {1}, Pages = {139-139}, Publisher = {LIPPINCOTT WILLIAMS & WILKINS}, Year = {2000}, Month = {January}, ISSN = {0033-3174}, url = {http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000085423800227&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=47d3190e77e5a3a53558812f597b0b92}, Key = {fds290502} } @article{pmid10611780, Author = {Lasane, T. P. and Howard, W. L. and Czopp, A. M. and Sweigard, P. N. and Bennett, G. G. and Carvajal, F.}, Title = {{H}ypermasculinity and academic goal-setting: an exploratory study}, Journal = {Psychol Rep}, Volume = {85}, Pages = {487--496}, Year = {1999}, Month = {October}, Abstract = {The relation between gender-role percepts and academic goal-setting was explored. An inventory examining the aspects of masculinity that would facilitate or inhibit academic goal-setting was developed based on a literature review of how masculinity relates to academic behaviors. A diverse sample of students (120 male, 147 female, 14 not indicating sex) was measured on three aspects of sex and academic goal-setting behavior. Factor analysis confirmed the content validity of masculine factors having facilitative (Mastery Competitiveness) and inhibitory (Antisocial Competitiveness) academic properties. Regression analyses indicated that sex-role orientations (Competitiveness and Hypermasculinity) significantly predicted academic goal-setting behaviors (R2 = .136). Finally, men scored higher than women on the subscales measuring Hypermasculinity and Antisocial or Competitiveness, while there were no sex differences on the Mastery Competitiveness subscale. The implications of these findings and suggestions for research are discussed.}, Key = {pmid10611780} } @article{fds250704, Author = {Lasane, TP and Howard, WL and Czopp, AM and Sweigard, PN and Bennett, GG and Carvajal, F}, Title = {Hypermasculinity and academic goal-setting: an exploratory study.}, Journal = {Psychological reports}, Volume = {85}, Number = {2}, Pages = {487-496}, Year = {1999}, Month = {October}, ISSN = {0033-2941}, url = {http://dx.doi.org/10.2466/pr0.1999.85.2.487}, Keywords = {Adolescent • Competitive Behavior • Female • Gender Identity* • Goals* • Humans • Learning* • Male • Questionnaires • Self Concept*}, Abstract = {The relation between gender-role percepts and academic goal-setting was explored. An inventory examining the aspects of masculinity that would facilitate or inhibit academic goal-setting was developed based on a literature review of how masculinity relates to academic behaviors. A diverse sample of students (120 male, 147 female, 14 not indicating sex) was measured on three aspects of sex and academic goal-setting behavior. Factor analysis confirmed the content validity of masculine factors having facilitative (Mastery Competitiveness) and inhibitory (Antisocial Competitiveness) academic properties. Regression analyses indicated that sex-role orientations (Competitiveness and Hypermasculinity) significantly predicted academic goal-setting behaviors (R2 = .136). Finally, men scored higher than women on the subscales measuring Hypermasculinity and Antisocial or Competitiveness, while there were no sex differences on the Mastery Competitiveness subscale. The implications of these findings and suggestions for research are discussed.}, Language = {eng}, Doi = {10.2466/pr0.1999.85.2.487}, Key = {fds250704} } @article{fds250769, Author = {Detenber, BH and Simons, RF and Bennett, GG}, Title = {Roll 'em!: The effects of picture motion on emotional responses}, Journal = {Journal of Broadcasting and Electronic Media}, Volume = {42}, Number = {1}, Pages = {113-127}, Publisher = {Informa UK Limited}, Year = {1998}, Month = {January}, ISSN = {0883-8151}, url = {http://dx.doi.org/10.1080/08838159809364437}, Abstract = {An experiment investigated the effects of picture motion on individuals' emotional reactions to images. Participants in the study viewed moving and still versions of 27 different images extracted from a variety of film and television programs. Subjective measures (self-reports) and physiological data (skin conductance and heart rate) were obtained to provide convergent data on affective responses. Results indicate that picture motion significantly increased arousal, particularly when the image was already arousing. Both skin conductance and self-report data supported this finding. Picture motion also tended to prompt more heart-rate deceleration, most likely reflecting a greater allocation of attention to the more arousing images. In this study, the influence of picture motion on affective valence was evident only in the self-report measures; positive images were experienced as more positive and negative images as more negative when the image contained motion. © 1998 Broadcast Education Association.}, Doi = {10.1080/08838159809364437}, Key = {fds250769} } | |
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