a behavioral weight loss intervention uses journal writing to enhance weight loss

1
Clients’ Perceptions of the Counseling Relationship in a Rural Indiana WIC Program: A Qualitative Study Author(s): R. Osborn; Family and Consumer Sciences, Indiana State University, Terre Haute, IN Learning Outcome: Identify factors in the counseling relationship that influence clients’ adherence to dietary recommendations and increase their willingness to change. The objective of the study was to investigate whether clients developed perceptions of nutritionists’ expectations of their ability to adhere to dietary recommendations and if these perceptions influenced behavior change outcomes. A qualitative study using semi-structured, in-depth interviews was conducted. Two methods of triangulation were used: semi-structured, in-depth interviews were conducted with the nutritionists and SOAP note documentation was analyzed. A non- random, self-selected sample of 27 participants was selected from among clients participating in a rural Indiana WIC Program during a two- month period. A limitation of this sampling method is that those who volunteered may have different characteristics than those who did not volunteer. Out of 27 prospective participants, 25 interviews were completed. A content analysis was conducted to identify themes and sub-themes. It was found that the nutritionists in this study did develop expectations of clients to some degree, but many clients were more influenced by their perceptions of a relationship between themselves and the nutritionists than perceived expectations. The themes that emerged from the content analysis include the following: perceived expectations, relationship/rapport, familiarity/perceived relationship with nutritionist, trust in the nutritionists, credibility of the nutritionists, conflicting dietary beliefs, lifestyle, and parenting style/parenting issues. Among the study participants, nutritionists’ expectations did moderately influence their adherence to dietary recommendations - some clients did report being influenced by what they thought the nutritionists expected. However, more clients were influenced by their perceptions of a relationship between themselves and the nutritionists. Funding Disclosure: Frieda Alice Renfro Fellowship A Behavioral Weight Loss Intervention Uses Journal Writing to Enhance Weight Loss Author(s): K. H. Webber, E. Willett; Nutrition and Food Science, University of Kentucky, Lexington, KY Learning Outcome: Participants will be able to discuss the potential benefits of journal writing in weight loss programs. Purpose: To assess the impact of journaling on weight loss in an Internet behavioral weight loss program. Methods: Eighty females (X (SD) age 48.7 (10.6) years; BMI 32.0 (3.7) kg/ m2; 91% Caucasian) were randomized to one of two intervention groups, Minimal or Enhanced. Both groups received a 16-week Internet behavioral weight loss program and attended two face-to-face group sessions, one at baseline and one at four weeks. The Enhanced sessions included weight loss basics, goal setting, reasons for weight loss, and a guided journal writing activity. The Minimal sessions covered weight loss basics and the importance of whole grains. Participants in the Enhanced group were encouraged to journal on a regular basis throughout the study. Weight was measured at baseline and 16 weeks. Participants self-reported their journaling activity at follow-up. Results: There was significant weight loss at 16-weeks in both groups (p 0.001); however, the group by time interaction was non-significant (p0.57) (Minimal 3.4 (3.6) kg; Enhanced 3.9 (3.4) kg). Weight loss was positively correlated with journaling in the overall sample, r 0.38, p0.001. A comparison of participants which lost 5% or greater baseline weight (n26) and those that did not (n44), found that journaling was more frequent in those who lost a significant amount of weight (23.6 vs. 4.3, p0.01). Conclusions: Participants who reported engaging in more self-reflective journal writing were more likely to lose a significant amount of weight. Implications: Reflective journal writing may be effective as an additional component in behavioral weight loss treatments. Funding Disclosure: None Pistachio Shells Serve as a Visual Cue of Calorie Consumption Author(s): K. J. Kennedy-Hagan, J. E. Painter, C. S. Honsleman, A. Halvorson, K. Rhodes, K. Skwir; School of Family and Consumer Sciences, Eastern Illinois University, Charleston, IL Learning Outcome: Individuals will be able to understand the impact of visual cues of dietary intake on total calorie consumption. It was hypothesized that pistachio shells left in sight as visual cues of consumption will cause individuals to consume fewer calories. A convenience sample of faculty and staff at a mid-western university (n 118) were recruited as subjects for the study. The subjects were told they were going to evaluate a variety of brands of pistachios and were surveyed at the end of each day to determine their fullness and satisfaction. The subjects were offered pistachios on their desks for an eight hour period on two separate days and were able to consume the pistachios at their leisure during that time. Subjects began each day with a sixteen ounce bowl filled with four ounces of pistachios in the shell. They were also provided with a second sixteen ounce bowl, in which they were instructed to place the empty shells from the pistachios they consumed. Every two hours throughout the day pistachios were added in two ounce increments, as needed. In condition one, the shells remained in the bowls until the end of the day, whereas in condition two, the shell bowls were emptied every two hours throughout the day. In condition one, subjects consumed an average of 216 calories. In condition two, subjects consumed an average of 264 calories, a difference of 48 calories. Subjects in condition one consumed significantly (p.05) fewer calories, yet fullness and satisfaction ratings were not significantly (p.05) different between conditions. Leaving pistachio shells as a visual cue may help consumers ingest fewer calories. Funding Disclosure: Paramount Farms Inc. Internal Consistency and Characterization of Psychosocial Constructs Related to Healthy Eating Patterns in Female College Freshmen Author(s): L. E. Kedem, E. L. Mailey, E. M. Evans, E. McAuley, K. Chapman-Novakofski; University of Illinois, Urbana, IL Learning Outcome: Participant will be able to describe internal consistency in survey development, and identify how self-efficacy and outcome expectancy needs can be addressed in college-age females. Project PEER is an intervention to promote healthy lifestyles in female college freshmen. Nutrition questionnaires were analyzed to determine the reliability of psychosocial items and characterize the baseline data. The data (n146, wave-1; n122, wave-2; total n268) included 30 items for outcome expectations (OE) and 48 items for self-efficacy (SE) related to dietary behaviors. As no differences were found between waves for outcomes of interest (p.05, Kolmogorov- Smirnov), data were combined. Reliabilities were good (Cronbach 0.70) for OE for benefits of eating fruits and vegetables (FV), low-fat foods (LF), and high-calcium foods (HC); but not for OE barriers or subjective norms (SN) for FV, LF, HC (Cronbach 0.70). Reliabilities of SE constructs were strong for each food group (Cronbach 0.90). FV were separated for SE because capacity for consumption and preparation could differ whereas expectations would likely be similar. OE for FV, LF, & HC benefits were positive (median 4.5, 4.25, 4.0, respectively; scale 1-5 where 5 was most positive). SE for F, V, LF, and HC were less positive (median 2.42, 2.25, 2.5, 2.15, respectively; scale 1-4 where 1rarely/never and 4almost always), especially for V and HC. Overall, OE and SE items were reliable except for OE barriers and SN; items from the latter constructs should be revised to improve reliability. As SE was not strong (ranged from sometimes to often) for all food groups, interventions in female freshmen may be more effective by including strategies to raise SE, especially for V & HC. Funding Disclosure: USDA – CSREES (2008-55215-18828) MONDAY, NOVEMBER 8 POSTER SESSION: SCIENCE/EDUCATION/MANAGEMENT/FOODSERVICE/CULINARY/RESEARCH A-58 / September 2010 Suppl 2—Abstracts Volume 110 Number 9

Upload: kh-webber

Post on 04-Sep-2016

216 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: A Behavioral Weight Loss Intervention Uses Journal Writing to Enhance Weight Loss

CI

AU

Lti

TpdcisnrcmvvcseitfrtdtirHr

F

AE

AU

Lb

Pb

MmMwblwiewj

R((ppwm4

Cj

Ic

F

P

AAS

Li

Ioc(twsatdtippcdtaacfdm

F

MONDAY, NOVEMBER 8

POSTER SESSION: SCIENCE/EDUCATION/MANAGEMENT/FOODSERVICE/CULINARY/RESEARCH

A

lients’ Perceptions of the Counseling Relationship in a Ruralndiana WIC Program: A Qualitative Study

uthor(s): R. Osborn; Family and Consumer Sciences, Indiana Stateniversity, Terre Haute, IN

earning Outcome: Identify factors in the counseling relationshiphat influence clients’ adherence to dietary recommendations andncrease their willingness to change.

he objective of the study was to investigate whether clients developederceptions of nutritionists’ expectations of their ability to adhere toietary recommendations and if these perceptions influenced behaviorhange outcomes. A qualitative study using semi-structured, in-depthnterviews was conducted. Two methods of triangulation were used:emi-structured, in-depth interviews were conducted with theutritionists and SOAP note documentation was analyzed. A non-andom, self-selected sample of 27 participants was selected from amonglients participating in a rural Indiana WIC Program during a two-onth period. A limitation of this sampling method is that those who

olunteered may have different characteristics than those who did notolunteer. Out of 27 prospective participants, 25 interviews wereompleted. A content analysis was conducted to identify themes andub-themes. It was found that the nutritionists in this study did developxpectations of clients to some degree, but many clients were morenfluenced by their perceptions of a relationship between themselves andhe nutritionists than perceived expectations. The themes that emergedrom the content analysis include the following: perceived expectations,elationship/rapport, familiarity/perceived relationship with nutritionist,rust in the nutritionists, credibility of the nutritionists, conflictingietary beliefs, lifestyle, and parenting style/parenting issues. Amonghe study participants, nutritionists’ expectations did moderatelynfluence their adherence to dietary recommendations - some clients dideport being influenced by what they thought the nutritionists expected.owever, more clients were influenced by their perceptions of a

elationship between themselves and the nutritionists.

unding Disclosure: Frieda Alice Renfro Fellowship

ICC

AK

Lco

PfdbisfS0fsR(cl(p24ilnis

F

Behavioral Weight Loss Intervention Uses Journal Writing tonhance Weight Loss

uthor(s): K. H. Webber, E. Willett; Nutrition and Food Science,niversity of Kentucky, Lexington, KY

earning Outcome: Participants will be able to discuss the potentialenefits of journal writing in weight loss programs.

urpose: To assess the impact of journaling on weight loss in an Internetehavioral weight loss program.

ethods: Eighty females (X (SD) age 48.7 (10.6) years; BMI 32.0 (3.7) kg/2; 91% Caucasian) were randomized to one of two intervention groups,inimal or Enhanced. Both groups received a 16-week Internet behavioraleight loss program and attended two face-to-face group sessions, one ataseline and one at four weeks. The Enhanced sessions included weightoss basics, goal setting, reasons for weight loss, and a guided journalriting activity. The Minimal sessions covered weight loss basics and the

mportance of whole grains. Participants in the Enhanced group werencouraged to journal on a regular basis throughout the study. Weightas measured at baseline and 16 weeks. Participants self-reported their

ournaling activity at follow-up.

esults: There was significant weight loss at 16-weeks in both groupsp � 0.001); however, the group by time interaction was non-significantp�0.57) (Minimal 3.4 (3.6) kg; Enhanced 3.9 (3.4) kg). Weight loss wasositively correlated with journaling in the overall sample, r� 0.38,�0.001. A comparison of participants which lost 5% or greater baselineeight (n�26) and those that did not (n�44), found that journaling wasore frequent in those who lost a significant amount of weight (23.6 vs.

.3, p�0.01).

onclusions: Participants who reported engaging in more self-reflectiveournal writing were more likely to lose a significant amount of weight.

mplications: Reflective journal writing may be effective as an additionalomponent in behavioral weight loss treatments.

unding Disclosure: None

-58 / September 2010 Suppl 2—Abstracts Volume 110 Number 9

istachio Shells Serve as a Visual Cue of Calorie Consumption

uthor(s): K. J. Kennedy-Hagan, J. E. Painter, C. S. Honsleman,. Halvorson, K. Rhodes, K. Skwir; School of Family and Consumerciences, Eastern Illinois University, Charleston, IL

earning Outcome: Individuals will be able to understand thempact of visual cues of dietary intake on total calorie consumption.

t was hypothesized that pistachio shells left in sight as visual cuesf consumption will cause individuals to consume fewer calories. Aonvenience sample of faculty and staff at a mid-western universityn � 118) were recruited as subjects for the study. The subjects wereold they were going to evaluate a variety of brands of pistachios andere surveyed at the end of each day to determine their fullness and

atisfaction. The subjects were offered pistachios on their desks forn eight hour period on two separate days and were able to consumehe pistachios at their leisure during that time. Subjects began eachay with a sixteen ounce bowl filled with four ounces of pistachios inhe shell. They were also provided with a second sixteen ounce bowl,n which they were instructed to place the empty shells from theistachios they consumed. Every two hours throughout the dayistachios were added in two ounce increments, as needed. Inondition one, the shells remained in the bowls until the end of theay, whereas in condition two, the shell bowls were emptied everywo hours throughout the day. In condition one, subjects consumedn average of 216 calories. In condition two, subjects consumed anverage of 264 calories, a difference of 48 calories. Subjects inondition one consumed significantly (p�.05) fewer calories, yetullness and satisfaction ratings were not significantly (p�.05)ifferent between conditions. Leaving pistachio shells as a visual cueay help consumers ingest fewer calories.

unding Disclosure: Paramount Farms Inc.

nternal Consistency and Characterization of Psychosocialonstructs Related to Healthy Eating Patterns in Femaleollege Freshmen

uthor(s): L. E. Kedem, E. L. Mailey, E. M. Evans, E. McAuley,. Chapman-Novakofski; University of Illinois, Urbana, IL

earning Outcome: Participant will be able to describe internalonsistency in survey development, and identify how self-efficacy andutcome expectancy needs can be addressed in college-age females.

roject PEER is an intervention to promote healthy lifestyles inemale college freshmen. Nutrition questionnaires were analyzed toetermine the reliability of psychosocial items and characterize theaseline data. The data (n�146, wave-1; n�122, wave-2; total n�268)ncluded 30 items for outcome expectations (OE) and 48 items forelf-efficacy (SE) related to dietary behaviors. As no differences wereound between waves for outcomes of interest (p�.05, Kolmogorov-mirnov), data were combined. Reliabilities were good (Cronbach � �.70) for OE for benefits of eating fruits and vegetables (FV), low-fatoods (LF), and high-calcium foods (HC); but not for OE barriers orubjective norms (SN) for FV, LF, HC (Cronbach � � 0.70).eliabilities of SE constructs were strong for each food group

Cronbach � � 0.90). FV were separated for SE because capacity foronsumption and preparation could differ whereas expectations wouldikely be similar. OE for FV, LF, & HC benefits were positivemedian� 4.5, 4.25, 4.0, respectively; scale 1-5 where 5 was mostositive). SE for F, V, LF, and HC were less positive (median� 2.42,.25, 2.5, 2.15, respectively; scale 1-4 where 1�rarely/never and�almost always), especially for V and HC. Overall, OE and SEtems were reliable except for OE barriers and SN; items from theatter constructs should be revised to improve reliability. As SE wasot strong (ranged from sometimes to often) for all food groups,

nterventions in female freshmen may be more effective by includingtrategies to raise SE, especially for V & HC.

unding Disclosure: USDA – CSREES (2008-55215-18828)