Addressing the World Epidemic of Obesity: Utilization of Evidence-Based Practice Guidelines to Develop an Intervention for Underserved Racial Minority Women

Tuesday, 14 July 2009: 9:10 AM

Susan J. Kimble, DNP, RN, ANP-BC
School of Nursing, University of Missouri Kansas City, Kansas City, MO

Learning Objective 1: Develop cost effective activities to promote physical activity.

Learning Objective 2: Recall that social support factors contribute to participation in physical activity in underserved populations.

Background: According to Ogden and associates (2006) obesity is epidemic throughout the world. Candib (2007) uses the tem syndemic to describe the genetic, physiological, psychological, familiar, social and political variables that contribute to this health problem. Data from the National Institutes of Health ([NIH] 2000) reveal that obesity reduces life expectancy and is the second leading cause of preventable death in the U.S. Purpose: This project examined weight reduction interventions described by evidence based practice literature and government practice guidelines.
Aim: To incorporate best practice(s) when developing a health promotion project for underserved, racial minority women residing in a homeless shelter. Results: There is a paucity of weight loss research among women of various ethnic, racial and socioeconomic backgrounds. Research findings of Van Duyn and colleagues (2007) hypothesize that there are cultural influences, specifically social support and economic circumstances, which influence the desire and ability to be physically active, specifically among minority populations. Weight reduction strategies recommended by the National Heart Lung and Blood Institute (NHLBI, NIH, 1998) provided the best evidence, and were used to develop the intervention.
Intervention: The healthy lifestyles project named called Project Me was presented to 16 volunteer women. This 8-week no-cost intervention provided weight reduction strategies that were culturally and ethnically respectful.
Conclusions: Culture, ethnicity and cost need to be considered when developing or providing interventions to underserved populations. Including these aspects increases the chance that the intervention will be successful and valued.
References: Candib, L.B. (2007). Annals of Family Medicine.
Odgen, C., Carrol, M.D., etal (2006). JAMA.
Van Duyn, M.A, McCrae, T., etal. (2007). Preventing Chronic Disease.
NIH (1998). NHLBI Obesity Education Initiative.