Innovative care delivery model to address obesity in older African-American women: Senior Wellness Initiative and Take Off Pounds Sensibly collaboration for health (SWITCH).

Journal Article

To determine the feasibility and acceptability of integrating Take Off Pounds Sensibly (TOPS), a national nonprofit weight-loss program through which people have lost a clinically significant amount of weight, into a community program that serves African Americans (AAs) and to determine weight change.Single-group pilot design.Denver, Colorado.Community-dwelling participants aged 51 to 85.Participants were recruited through a program that serves AAs, and new TOPS chapters were started at a church, senior center, and senior residence for independent living.Feasibility was measured by determining the ease of recruitment and acceptability was measured according to retention. The secondary outcome was weight change.Sixty-four percent of people who were referred to the program or attended an information session participated in the study. The retention rate at 52 weeks was 79%. At 52 weeks, 16 of 48 participants had lost 5% or more of their initial weight, and 23 had lost 0% to 4.9% of their initial weight.Recruiting AA women through the Center for African American Health was feasible, and the program was acceptable. One-third of participants lost a clinically significant amount of weight. TOPS may be one way to combat the health disparity of obesity in AA women.

Full Text

Duke Authors

Cited Authors

  • Mitchell, NS; Polsky, S

Published Date

  • November 2013

Published In

Volume / Issue

  • 61 / 11

Start / End Page

  • 1971 - 1975

PubMed ID

  • 24219198

Electronic International Standard Serial Number (EISSN)

  • 1532-5415

International Standard Serial Number (ISSN)

  • 0002-8614

Digital Object Identifier (DOI)

  • 10.1111/jgs.12444


  • eng