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Effects of a Behavior-Based Weight Management Program Delivered Through a State Cooperative Extension and Local Public Health Department Network, North Carolina, 2008-2009

dc.contributor.authorMacKenzie Whetstone, Lauren
dc.contributor.authorKolasa, Kathryn M.
dc.contributor.authorDunn, Carolyn Kusbit
dc.contributor.authorJayaratne, K. S. U.
dc.contributor.authorAggarwal, Surabhi
dc.contributor.authorVodicka, Sherée
dc.contributor.authorSchneider, Lori
dc.contributor.authorThomas, Cathy
dc.contributor.authorvan Staveren, Meg
dc.contributor.authorLackey, Carolyn
dc.date.accessioned2016-06-27T15:41:01Z
dc.date.available2016-06-27T15:41:01Z
dc.date.issued2011-07
dc.description.abstractIntroduction Eat Smart, Move More, Weigh Less (ESMMWL) is an adult weight management program developed in response to North Carolina Obesity Plan recommendations to make weight management interventions accessible to underserved populations. ESMMWL was designed to be delivered through the North Carolina Cooperative Extension and North Carolina Division of Public Health. Program coursework included content on evidence-based eating and physical activity behaviors and incorporated mindful eating concepts. The objectives of this study were to describe participant changes in weight and behaviors and to document the effectiveness of the program. Methods In this prospective pilot study, courses were delivered and data collected from January 2008 through June 2009. Instructors provided feedback about implementation. For participants, height, weight, and waist circumference were measured at baseline and completion. Participants completed a questionnaire about changes in their eating and physical activity behaviors, changes in their confidence to engage in weight management behaviors, and their satisfaction with the course. Results Seventy-nine instructors delivered 101 ESMMWL courses in 48 North Carolina counties. Most of the 1,162 completers were white women. Approximately 83% reported moving toward or attaining their goal. The average weight loss was 8.4 lb. Approximately 92% reported an increase in confidence to eat healthfully, and 82% reported an increase in confidence to be physically active. Instructors made suggestions for program standardization. Conclusion This study demonstrated the effectiveness, diffusion, and implementation of a theoretically based weight management program through a state extension and local public health department network. Study of the sustainability of changes in eating and physical activity behaviors is needed.en_US
dc.identifier.citationPreventing Chronic Disease; 8:4 p. 1-9en_US
dc.identifier.issn1545-1151
dc.identifier.pmidpmc3136981en_US
dc.identifier.urihttp://hdl.handle.net/10342/5752
dc.relation.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3136981/en_US
dc.titleEffects of a Behavior-Based Weight Management Program Delivered Through a State Cooperative Extension and Local Public Health Department Network, North Carolina, 2008-2009en_US
dc.typeArticleen_US
ecu.journal.issue4en_US
ecu.journal.namePreventing Chronic Diseaseen_US
ecu.journal.pages1-9en_US
ecu.journal.volume8en_US

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