Motivators, Barriers, and Facilitators to Weight Loss and Behavior Change Among African American Adults in Baltimore City: A Qualitative Analysis

Coe, William H.; Redmond, Leslie; Parisi, Jeanine M.; Bowie, Janice V.; Liu, Elizabeth Y.; Ng, Tin Yee; Onyuka, Alberta M.A.; Cort, Marcia

doi:10.1016/j.jnma.2017.01.006

Cited by 10 publications

(10 citation statements)

References 18 publications

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“…However, all interventional studies reported information about barriers and/or motives to habitual PA, not about PA intervention. Almost half of the studies were performed in the United States (k = 13) [ 56 , 58 , 59 , 61 – 63 , 65 , 69 , 70 , 74 , 79 – 81 ], and 37.0% published in the last five years (2015–2020; k = 10) [ 55 , 56 , 65 , 68 – 71 , 74 , 75 , 79 ]. A total of 8,065 participants with obesity were assessed within the included studies (k = 27), with a median age of 46 years old (range 37.8–62.0) (k = 10 because information is missing for people with obesity in 17 studies).…”

Section: Resultsmentioning

confidence: 99%

“…In addition, socioeconomic data of people with obesity are often missing in the included studies, not reported or only reported in all the sample, including people with and without obesity. However, it should be considered that ethnic diversity within the included studies is quite present, with 5 (19.2%) studies performed in ethnic minority groups (Urban Latinas, and African American) [ 56 , 58 , 59 , 62 , 70 ]. Third, the use of a scale to quantify the importance of each barrier and motive is not the most accurate method compared to meta-analysis, but allowed in this context the integration of quantitative and qualitative studies, as well as to compare quantitative results with different kinds of questions (score vs. prevalence, Likert scale vs. yes/no answers).…”

Section: Discussionmentioning

confidence: 99%

“…Table 2 describes studies and participants' characteristics. Briefly, 14 quantitative studies (51.9%) [55][56][57][58][59][60][61][62][63][64][65][66][67][68], 10 qualitative studies (37.0%) [69][70][71][72][73][74][75][76][77][78], and 3 mixed studies (11.1%) [79][80][81] were included. Among quantitative studies, 11 studies were observational [55][56][57][58][59][63][64][65][66][67][68], and 3 were interventional studies [60][61][62].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Baillot

Chenail

Polita³

et al. 2021

PLoS ONE

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Background Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population. Methods Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). Results From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity. Conclusions Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Baillot

Chenail

Polita³

et al. 2021

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…In addition, socioeconomic data of people with obesity are often missing in the included studies, not reported or only reported in all the sample, including people with and without obesity. However, it should be considered that ethnic diversity within the included studies is quite present, with 5 (19.2%) studies performed in ethnic minority groups (Urban Latinas, and African American) (55,57,58,61,68). Third, the use of a scale to quantify the importance of each barrier and motive is not the most accurate method compared to meta-analysis, but allowed in this context the integration of quantitative and qualitative studies, as well as to compare quantitative results with different kinds of questions (score vs. prevalence, Likert scale vs. yes/no answers).…”

Section: Discussionmentioning

confidence: 99%

Motives, barriers and preferences to physical activity in people with obesity: a systematic review

Baillot¹,

Chenail²,

Polita³

et al. 2021

Preprint

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Background. Although the benefits of physical activity (PA) are well known, physical inactivity is high in people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population.Methods. Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched until June 2020 by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2. Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). Results. From 5,898 papers identiﬁed, 13 quantitative, 10 qualitative and 3 mixed studies were included (k=26). About 31% of studies have a MMAT score below 50 % (k=8). The three most reported PA motives in people with obesity were weight management, followed by energy/physical fitness and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity.Conclusions. Weight management, lack of motivation and pain are keys PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.

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“…Some facilitators from the patients' point of view included accountability to others, social support, planning ahead, awareness and mindfulness of food choices, basic nutrition education, portion control, exercise, and self-motivation [35]. Other facilitators from a study focusing on African American adults included creating specific goals and strategies, offering a program with access to healthy foods, expanding community resources, and streamlining healthcare services [36].…”

Section: Introductionmentioning

confidence: 99%

Building a Patient-Centered Weight Management Program: A Mixed Methods Project to Obtain Patients’ Information Needs and Ideas for Program Structure

2019

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Achieving and maintaining weight loss for large segments of the population remains elusive, despite evidence demonstrating the value of many weight management programs. This study aimed to gather patients’ perceptions on weight management education needs, and ideas for the structure of a weight management program to be delivered in community pharmacies. This was an exploratory mixed methods study combining qualitative focus group interviews with a cross-sectional survey. Three focus group interviews were conducted, along with a brief survey based on focus groups findings and sent to all eligible participants. The survey allowed for individual responses on the program components and narrowing down of focus group findings. Nearly half of the respondents (45.9%) wanted further education on limiting carbohydrate and sugar intake. Participants were most interested in identifying different exercises appropriate for those with physical limitations (48.6%). Most participants preferred 1 h meetings (70.3%) that contain a mix of one-on-one and group meeting formats (67.6%). The results of the study suggest a three-month weight management program, with a combination of group and individual in-person meetings occurring twice per month, would be of most interest to patients.

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Motivators, Barriers, and Facilitators to Weight Loss and Behavior Change Among African American Adults in Baltimore City: A Qualitative Analysis

Cited by 10 publications

References 18 publications

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Motives, barriers and preferences to physical activity in people with obesity: a systematic review

Building a Patient-Centered Weight Management Program: A Mixed Methods Project to Obtain Patients’ Information Needs and Ideas for Program Structure

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