Compounding effects of stress on diet, physical activity, and wellbeing among African American parents: a qualitative study to inform the LEADS health promotion trial
The purpose of the study was to conduct in-depth qualitative interviews to understand the lived experiences of African American parents of overweight adolescents who had previously participated in a family-based weight loss program and to utilize these insights to inform the essential elements of th...
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| Veröffentlicht in: | Journal of behavioral medicine 2024-08, Vol.47 (4), p.647-661 |
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| creator | Kipp, Colby Wilson, Dawn K. Brown, Asia Quattlebaum, Mary Loncar, Haylee Sweeney, Allison M. Abshire, Demetrius A. |
| description | The purpose of the study was to conduct in-depth qualitative interviews to understand the lived experiences of African American parents of overweight adolescents who had previously participated in a family-based weight loss program and to utilize these insights to inform the essential elements of the LEADS trial, an integrated resilience stress management and health promotion intervention. Participants (
N
= 30) were African American parents and/or caregivers (96.7% female;
M
age
= 49.73,
SD
= 10.88;
M
BMI
= 37.63,
SD
= 8.21) of adolescents with overweight and/or obesity. Interviews were transcribed and coded using inductive and deductive approaches for themes by two independent coders. Inter-rater reliability was acceptable (
r
= 0.70–0.80) and discrepancies were resolved to 100% agreement. Prominent stress themes included caregiver responsibilities, work, interpersonal family conflict, and physical and emotional consequences of chronic stress. Participants also noted decreases in physical activity and poor food choices due to stress. Coping mechanisms included prayer/meditation, church social support, and talking with family/partner. Results highlight the importance of mitigating stress among African American parents through stress management and cultural/familial resilience approaches to increase the likelihood of engagement in behavioral strategies in health promotion programs. Future studies should assess the utility of incorporating stress management components and health promotion techniques to improve health outcomes among African American families. |
| doi_str_mv | 10.1007/s10865-024-00477-3 |
| format | Article |
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N
= 30) were African American parents and/or caregivers (96.7% female;
M
age
= 49.73,
SD
= 10.88;
M
BMI
= 37.63,
SD
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r
= 0.70–0.80) and discrepancies were resolved to 100% agreement. Prominent stress themes included caregiver responsibilities, work, interpersonal family conflict, and physical and emotional consequences of chronic stress. Participants also noted decreases in physical activity and poor food choices due to stress. Coping mechanisms included prayer/meditation, church social support, and talking with family/partner. Results highlight the importance of mitigating stress among African American parents through stress management and cultural/familial resilience approaches to increase the likelihood of engagement in behavioral strategies in health promotion programs. Future studies should assess the utility of incorporating stress management components and health promotion techniques to improve health outcomes among African American families.</description><identifier>ISSN: 0160-7715</identifier><identifier>ISSN: 1573-3521</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-024-00477-3</identifier><identifier>PMID: 38460063</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation, Psychological ; Adolescent ; Adolescents ; Adult ; African Americans ; Black or African American - psychology ; Body weight ; Body weight loss ; Caregiver burden ; Caregivers ; Coping strategies ; Diet ; Discrepancies ; Exercise ; Exercise - psychology ; Families & family life ; Family conflict ; Family Medicine ; Female ; General Practice ; Health behavior ; Health promotion ; Health Promotion - methods ; Health Psychology ; Health status ; Healthy food ; Humans ; Interpersonal conflict ; Interviews ; Male ; Medicine ; Medicine & Public Health ; Meditation ; Middle Aged ; Obesity ; Occupational stress ; Overweight ; Overweight - ethnology ; Overweight - psychology ; Overweight - therapy ; Parents & parenting ; Parents - psychology ; Physical activity ; Qualitative Research ; Reliability ; Resilience ; Social interactions ; Social support ; Stress ; Stress management ; Stress, Psychological - psychology ; Talking ; Weight control ; Weight loss</subject><ispartof>Journal of behavioral medicine, 2024-08, Vol.47 (4), p.647-661</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-7f725dbfce341bc20eb8cf0fcf4e029da14f45aa57e0d9a8b76d403bb294ad653</cites><orcidid>0000-0001-6433-8463</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10865-024-00477-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10865-024-00477-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,30986,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38460063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kipp, Colby</creatorcontrib><creatorcontrib>Wilson, Dawn K.</creatorcontrib><creatorcontrib>Brown, Asia</creatorcontrib><creatorcontrib>Quattlebaum, Mary</creatorcontrib><creatorcontrib>Loncar, Haylee</creatorcontrib><creatorcontrib>Sweeney, Allison M.</creatorcontrib><creatorcontrib>Abshire, Demetrius A.</creatorcontrib><title>Compounding effects of stress on diet, physical activity, and wellbeing among African American parents: a qualitative study to inform the LEADS health promotion trial</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><addtitle>J Behav Med</addtitle><description>The purpose of the study was to conduct in-depth qualitative interviews to understand the lived experiences of African American parents of overweight adolescents who had previously participated in a family-based weight loss program and to utilize these insights to inform the essential elements of the LEADS trial, an integrated resilience stress management and health promotion intervention. Participants (
N
= 30) were African American parents and/or caregivers (96.7% female;
M
age
= 49.73,
SD
= 10.88;
M
BMI
= 37.63,
SD
= 8.21) of adolescents with overweight and/or obesity. Interviews were transcribed and coded using inductive and deductive approaches for themes by two independent coders. Inter-rater reliability was acceptable (
r
= 0.70–0.80) and discrepancies were resolved to 100% agreement. Prominent stress themes included caregiver responsibilities, work, interpersonal family conflict, and physical and emotional consequences of chronic stress. Participants also noted decreases in physical activity and poor food choices due to stress. Coping mechanisms included prayer/meditation, church social support, and talking with family/partner. Results highlight the importance of mitigating stress among African American parents through stress management and cultural/familial resilience approaches to increase the likelihood of engagement in behavioral strategies in health promotion programs. Future studies should assess the utility of incorporating stress management components and health promotion techniques to improve health outcomes among African American families.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>African Americans</subject><subject>Black or African American - psychology</subject><subject>Body weight</subject><subject>Body weight loss</subject><subject>Caregiver burden</subject><subject>Caregivers</subject><subject>Coping strategies</subject><subject>Diet</subject><subject>Discrepancies</subject><subject>Exercise</subject><subject>Exercise - psychology</subject><subject>Families & family life</subject><subject>Family conflict</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Health behavior</subject><subject>Health promotion</subject><subject>Health Promotion - methods</subject><subject>Health Psychology</subject><subject>Health status</subject><subject>Healthy food</subject><subject>Humans</subject><subject>Interpersonal conflict</subject><subject>Interviews</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meditation</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Occupational stress</subject><subject>Overweight</subject><subject>Overweight - ethnology</subject><subject>Overweight - psychology</subject><subject>Overweight - therapy</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Physical activity</subject><subject>Qualitative Research</subject><subject>Reliability</subject><subject>Resilience</subject><subject>Social interactions</subject><subject>Social support</subject><subject>Stress</subject><subject>Stress management</subject><subject>Stress, Psychological - psychology</subject><subject>Talking</subject><subject>Weight control</subject><subject>Weight loss</subject><issn>0160-7715</issn><issn>1573-3521</issn><issn>1573-3521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kc1u1DAUhSMEotPCC7BAltiwaMB_sRN2o6EFpJFYAGvLca47rhI7tZ2ieSGeEw8pILFgY98rf-dc26eqXhD8hmAs3yaCW9HUmPIaYy5lzR5VG9JIVrOGksfVBhOBaylJc1adp3SLMRYd755WZ6zlojRsU_3YhWkOix-cv0FgLZicULAo5QipVB4NDvIlmg_H5IwekTbZ3bt8vETaD-g7jGMPJ62eQlm3NhbKo-0EazHrCD6nd0iju0WPLusih2K_DEeUA3LehjihfAC0v9q-_4IOoMd8QHMMU8iuzM_R6fFZ9cTqMcHzh_2i-nZ99XX3sd5__vBpt93XhlGRa2klbYbeGmCc9IZi6FtjsTWWA6bdoAm3vNG6kYCHTre9FAPHrO9px_UgGnZRvV59y_y7BVJWk0umPFJ7CEtStGvKRzetEAV99Q96G5boy-0UK7lwwSRlhaIrZWJIKYJVc3STjkdFsDqlqNYUVUlR_UpRnUQvH6yXfoLhj-R3bAVgK5DKkb-B-Hf2f2x_AniTquQ</recordid><startdate>20240801</startdate><enddate>20240801</enddate><creator>Kipp, Colby</creator><creator>Wilson, Dawn K.</creator><creator>Brown, Asia</creator><creator>Quattlebaum, Mary</creator><creator>Loncar, Haylee</creator><creator>Sweeney, Allison M.</creator><creator>Abshire, Demetrius A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6433-8463</orcidid></search><sort><creationdate>20240801</creationdate><title>Compounding effects of stress on diet, physical activity, and wellbeing among African American parents: a qualitative study to inform the LEADS health promotion trial</title><author>Kipp, Colby ; Wilson, Dawn K. ; Brown, Asia ; Quattlebaum, Mary ; Loncar, Haylee ; Sweeney, Allison M. ; Abshire, Demetrius A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-7f725dbfce341bc20eb8cf0fcf4e029da14f45aa57e0d9a8b76d403bb294ad653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>African Americans</topic><topic>Black or African American - psychology</topic><topic>Body weight</topic><topic>Body weight loss</topic><topic>Caregiver burden</topic><topic>Caregivers</topic><topic>Coping strategies</topic><topic>Diet</topic><topic>Discrepancies</topic><topic>Exercise</topic><topic>Exercise - psychology</topic><topic>Families & family life</topic><topic>Family conflict</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Health behavior</topic><topic>Health promotion</topic><topic>Health Promotion - methods</topic><topic>Health Psychology</topic><topic>Health status</topic><topic>Healthy food</topic><topic>Humans</topic><topic>Interpersonal conflict</topic><topic>Interviews</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meditation</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Occupational stress</topic><topic>Overweight</topic><topic>Overweight - ethnology</topic><topic>Overweight - psychology</topic><topic>Overweight - therapy</topic><topic>Parents & parenting</topic><topic>Parents - psychology</topic><topic>Physical activity</topic><topic>Qualitative Research</topic><topic>Reliability</topic><topic>Resilience</topic><topic>Social interactions</topic><topic>Social support</topic><topic>Stress</topic><topic>Stress management</topic><topic>Stress, Psychological - psychology</topic><topic>Talking</topic><topic>Weight control</topic><topic>Weight loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kipp, Colby</creatorcontrib><creatorcontrib>Wilson, Dawn K.</creatorcontrib><creatorcontrib>Brown, Asia</creatorcontrib><creatorcontrib>Quattlebaum, Mary</creatorcontrib><creatorcontrib>Loncar, Haylee</creatorcontrib><creatorcontrib>Sweeney, Allison M.</creatorcontrib><creatorcontrib>Abshire, Demetrius A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kipp, Colby</au><au>Wilson, Dawn K.</au><au>Brown, Asia</au><au>Quattlebaum, Mary</au><au>Loncar, Haylee</au><au>Sweeney, Allison M.</au><au>Abshire, Demetrius A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compounding effects of stress on diet, physical activity, and wellbeing among African American parents: a qualitative study to inform the LEADS health promotion trial</atitle><jtitle>Journal of behavioral medicine</jtitle><stitle>J Behav Med</stitle><addtitle>J Behav Med</addtitle><date>2024-08-01</date><risdate>2024</risdate><volume>47</volume><issue>4</issue><spage>647</spage><epage>661</epage><pages>647-661</pages><issn>0160-7715</issn><issn>1573-3521</issn><eissn>1573-3521</eissn><abstract>The purpose of the study was to conduct in-depth qualitative interviews to understand the lived experiences of African American parents of overweight adolescents who had previously participated in a family-based weight loss program and to utilize these insights to inform the essential elements of the LEADS trial, an integrated resilience stress management and health promotion intervention. Participants (
N
= 30) were African American parents and/or caregivers (96.7% female;
M
age
= 49.73,
SD
= 10.88;
M
BMI
= 37.63,
SD
= 8.21) of adolescents with overweight and/or obesity. Interviews were transcribed and coded using inductive and deductive approaches for themes by two independent coders. Inter-rater reliability was acceptable (
r
= 0.70–0.80) and discrepancies were resolved to 100% agreement. Prominent stress themes included caregiver responsibilities, work, interpersonal family conflict, and physical and emotional consequences of chronic stress. Participants also noted decreases in physical activity and poor food choices due to stress. Coping mechanisms included prayer/meditation, church social support, and talking with family/partner. Results highlight the importance of mitigating stress among African American parents through stress management and cultural/familial resilience approaches to increase the likelihood of engagement in behavioral strategies in health promotion programs. Future studies should assess the utility of incorporating stress management components and health promotion techniques to improve health outcomes among African American families.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>38460063</pmid><doi>10.1007/s10865-024-00477-3</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-6433-8463</orcidid></addata></record> |
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| ispartof | Journal of behavioral medicine, 2024-08, Vol.47 (4), p.647-661 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Springer Nature - Complete Springer Journals |
| subjects | Adaptation, Psychological Adolescent Adolescents Adult African Americans Black or African American - psychology Body weight Body weight loss Caregiver burden Caregivers Coping strategies Diet Discrepancies Exercise Exercise - psychology Families & family life Family conflict Family Medicine Female General Practice Health behavior Health promotion Health Promotion - methods Health Psychology Health status Healthy food Humans Interpersonal conflict Interviews Male Medicine Medicine & Public Health Meditation Middle Aged Obesity Occupational stress Overweight Overweight - ethnology Overweight - psychology Overweight - therapy Parents & parenting Parents - psychology Physical activity Qualitative Research Reliability Resilience Social interactions Social support Stress Stress management Stress, Psychological - psychology Talking Weight control Weight loss |
| title | Compounding effects of stress on diet, physical activity, and wellbeing among African American parents: a qualitative study to inform the LEADS health promotion trial |
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