Process and development of a culturally adapted healthy lifestyle manual for overweight and obese Latina women with binge eating disorder.

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Phimphasone, P. (2017). Process and development of a culturally adapted healthy lifestyle manual for overweight and obese Latina women with binge eating disorder. Unc Charlotte Electronic Theses And Dissertations.
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Abstract

Obesity remains one of the greatest public health threats in the 21st century, increasing the risk for many chronic illnesses, including Type 2 diabetes and CVD, with economic costs associated with treatments for obesity reaching $147 billion/year in 2008 for inpatient and outpatient treatments and prescription drugs. Despite an increase in prevention and intervention efforts to reduce the health and economic burden associated with obesity and binge eating in the past decade, treatments are still disproportionate among women and/or racial/ethnic minority groups. In particular, overweight and obese Latina women with binge eating disorder are less likely to seek and receive treatment for problematic eating behaviors and have a higher risk of chronic illnesses. Therefore, there is still a need to identify psycho- and sociocultural determinants that will influence treatment engagement and success among overweight and obese Latina women with binge eating disorder. This study identified culturally appropriate modifications of an evidenced-based behavioral weight loss program, The LEARN Program for Weight Management,10th Edition (LEARN; Brownell, 2004). Through constant comparative analysis, participants (n = 20, MAGE = 30, SD = 9.87, MBMI = 34.40, SD = 6.64, Mbinge eating episodes= 4, SD = 4.92) identified surface and deep level changes needed for the LEARN manual. Surface level changes included: redundancy of lesson content, positive remarks and critiques of content, need for culturally relevant examples, and structure of self-monitoring forms. Deep level changes included a consideration of diversity factors, Latino health beliefs and expectations, environmental facilitators and barriers, cultural significance of food and physical activity, and unique individual factors (e.g., family dynamics, past experiences with health monitoring and chronic illness management, and responsibilities as a caregiver). With cultural modifications, participants reported that the LEARN manual could be an effective and feasible method to address psychological and sociological factors associated with obesity and binge eating disorder. Suggestions to improve adherence to a healthy lifestyle manual are offered. In order to address health disparities and reduce the prevalence rates of obesity and binge eating disorder among Latina women, it is crucial that treatments emphasize a healthy lifestyle change approach while considering key cultural factors to more effectively recruit and retain this understudied and undertreated population.

Details
Author

Phimphasone, Phoutdavone

Title

Process and development of a culturally adapted healthy lifestyle manual for overweight and obese Latina women with binge eating disorder.

Physical Description

1 online resource (154 pages) : PDF

Date

2017

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

Obesity remains one of the greatest public health threats in the 21st century, increasing the risk for many chronic illnesses, including Type 2 diabetes and CVD, with economic costs associated with treatments for obesity reaching $147 billion/year in 2008 for inpatient and outpatient treatments and prescription drugs. Despite an increase in prevention and intervention efforts to reduce the health and economic burden associated with obesity and binge eating in the past decade, treatments are still disproportionate among women and/or racial/ethnic minority groups. In particular, overweight and obese Latina women with binge eating disorder are less likely to seek and receive treatment for problematic eating behaviors and have a higher risk of chronic illnesses. Therefore, there is still a need to identify psycho- and sociocultural determinants that will influence treatment engagement and success among overweight and obese Latina women with binge eating disorder. This study identified culturally appropriate modifications of an evidenced-based behavioral weight loss program, The LEARN Program for Weight Management,10th Edition (LEARN; Brownell, 2004). Through constant comparative analysis, participants (n = 20, MAGE = 30, SD = 9.87, MBMI = 34.40, SD = 6.64, Mbinge eating episodes= 4, SD = 4.92) identified surface and deep level changes needed for the LEARN manual. Surface level changes included: redundancy of lesson content, positive remarks and critiques of content, need for culturally relevant examples, and structure of self-monitoring forms. Deep level changes included a consideration of diversity factors, Latino health beliefs and expectations, environmental facilitators and barriers, cultural significance of food and physical activity, and unique individual factors (e.g., family dynamics, past experiences with health monitoring and chronic illness management, and responsibilities as a caregiver). With cultural modifications, participants reported that the LEARN manual could be an effective and feasible method to address psychological and sociological factors associated with obesity and binge eating disorder. Suggestions to improve adherence to a healthy lifestyle manual are offered. In order to address health disparities and reduce the prevalence rates of obesity and binge eating disorder among Latina women, it is crucial that treatments emphasize a healthy lifestyle change approach while considering key cultural factors to more effectively recruit and retain this understudied and undertreated population.

Genre

doctoral dissertations

Subjects--Topics

Public health
Clinical psychology

Degree

Ph.D.

Keywords

Binge Eating Disorder
Cultural Adaptation
Latina
Obesity

Subject Area

Health Psychology

Advisor(s)

Cachelin, Faryaneh

Committee Members

Gil-Rivas, Virginia
Webb, Jennifer
Coffman, Maren

Degree Note

Thesis (Ph.D.)--University of North Carolina at Charlotte, 2017.

Rights Statement

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). For additional information, see http://rightsstatements.org/page/InC/1.0/.

Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Phimphasone_uncc_0694D_11485

Permalink

http://hdl.handle.net/20.500.13093/etd:333