Weight Loss and Maintenance for Rural, African American Communities of Faith (The WORD)

Study Overview
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Brief Summary
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The WORD (Wholeness, Oneness, Righteousness, Deliverance) is a faith-based weight loss study in rural, African American adults of faith. The study will see whether a weight loss + maintenance intervention will cause participants to maintain their weight better than a weight loss only intervention.

Official Title
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Weight Loss and Maintenance for Rural, African American Communities of Faith (The WORD)

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: Weight loss core
* Behavioral: Weight loss core plus maintenance


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: African American Aged 18 and older Have a BMI ) > 25 kg/m² Associated with a participating church through membership or participation in a church activity Free of medical problems that might contraindicated participation in a behavioral weight reduction program containing an exercise component Individuals taking sulfonylureas who have a letter from their doctor supporting their participation in the study will be considered eligible Exclusion Criteria Not had a heart attack or stroke in the past 6 months Not currently on medication that might affect weight loss or require medical monitoring (i.e. insulin) Not pregnant, not pregnant in the previous six months, or lactating Not enrolled in another weight reduction program Agree to complete the program assigned to them Never had weight loss surgery Not have lost more than 10% body weight in the previous 6 months Not have a clinically significant medical condition likely to impact weight or any condition that makes it unlikely the participant would be available to follow the protocol for 18 months

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Weight loss core<br>Participants will receive a culturally adapted version of the Diabetes Prevention Program core (16 session) program. | Behavioral: Weight loss core<br>* The weight loss core is a culturally adapted version of the Diabetes Prevention Program core 16 week session program.<br>|
| Experimental: Weight loss core plus maintenance<br>Participants will receive a culturally adapted version of the Diabetes Prevention Program core (16 session) program PLUS 12 maintenance sessions. | Behavioral: Weight loss core<br>* The weight loss core is a culturally adapted version of the Diabetes Prevention Program core 16 week session program.<br>Behavioral: Weight loss core plus maintenance<br>* The intervention is a culturally adapted version of the Diabetes Prevention Program core 16 sessions plus 12 maintenance sessions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in weight from 6 months to 18 months |  | Change from 6 months to 18 months |