Healthy Weight in Lesbian and Bisexual Women: Striving for - PowerPoint Presentation

Slide1

Healthy Weight in Lesbian and Bisexual Women: Striving for a Healthy CommunityOut, Proud, and Healthy

NORC at the University of ChicagoUniversity of Missouri – Columbia Slide2

Project Director: Elizabeth Hair, PhDPI: Jane McElroy, PhDSenior AdvisorsCatherine

JefcoatDan Kasprzyk

Project LeadershipSlide3

SAGE Metro St. LouisNPO committed to

enhance the quality of life of LGBT elders through service, advocacy and community awareness.The Center ProjectGrassroots NPO focused on needs of LGBTQ that provides a safe and open space for social justice community

Optimus: The Center for HealthSGM friendly fitness center in Columbia, MOLab Gym

SGM friendly fitness center in St. Louis, MO

Partner SitesSlide4

Form advisory committee who will provide expertise throughout projectConvene at 6, 12, and 18 months of EDOC

Potential members (LB community members or allies):Susan Pereira, Family PhysicianCarol Cox, Health educator and Health and Exercise Department faculty at Truman State (NC MO)Maureen “Mo” Costello, the owner of

MoKaBe’s CoffeehouseJeanette Mott-Oxford, ED of MO Association for Social Welfare

Melinda

Hemmelgarn

, MS, RD, LD, “Food Sleuth” columnist

Anna Lingo, Lawyer

Geri Dickey, Director of Social Work program at

Missouri Western State University

Advisory CommitteeSlide5

Project Site & Enrollment2 sites (The Center Project & SAGE Metro St. Louis)

ParticipantsEligibility Criteria40 years or olderSelf-identify as lesbian or bisexualAt risk of morbidities associated with obesity (e.g. heart disease, cancer, diabetes)

Interested in getting healthy/healthierMedical clearance to participantAbility to commit to study

Task 2 – Out, Proud & Healthy Fitness Project Intervention PlanSlide6

Retention Plan

To include culturally appropriate messaging, periodic cards, reminders and incentivesIntervention Phase: 3 arms 5 weeks for culturally sensitive fitness education classes to orient then 16 weeks of weekly support group meetings

Full Gym Intervention group: (10 personal health fitness sessions; 6 nutritional classes, gym membership)Smart Pedometer Intervention group (smart pedometer)16 weeks of weekly educational classes on health

Attention Control group

Celebratory

Event and periodic “gifts” to reward participation

Sustainability

Component

Workout routines, support group, website/facebook

promotion

Task 2 ContinuedSlide7

The Full Gym Intervention group:Fitness-education classes (10 sessions) prior to starting the fitness program

Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate variability and VO2 max to provide individualized information for goal setting of work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline, Month 4, and Month 12)

Support group meetings (16-one hour sessions) in groups of approximately 10 with a trained facilitatorMembership to the gym during intervention and follow-up period

Fitness Mentor Package of 10-sessions with a personal trainer to be used during the 4 month intervention phase

6 session package with a nutritionist to be used during the 4 month intervention phase

Weekly standardized workout routines involving resistance training, aerobic exercise, and flexibility will be designed by a team of

Optimus

Personal Health Fitness Mentors

Celebratory event at the end of the study

$25 for Month 12 assessment to encourage participation

Intervention Phase: 3 arms Slide8

The Smart Pedometer Intervention group:Fitness-education classes (10 sessions) prior to starting the fitness program

Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate varibility

and VO2 max to provide individualized information for goal setting of work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline, Month 4, and Month 12)Support group meetings (16-one hour sessions) in groups of approximately 10 with a trained facilitator

Given Smart Pedometer, such as

Striiv

, to encourage physical activity

Celebratory event at the end of the study

$25 for Month 12 assessment to encourage participation

Attention Control group:

Health-education classes (16 sessions), meeting weekly

Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate

varibility

and VO2 max to provide information for self-determined work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (

Baseline,Month

4, and Month 12)

$25 for each assessment, for a total of $75 dollars

Celebratory event at the end of the study

Intervention Phase: 3 arms Slide9

Random Assignment Procedures

During ongoing rolling enrollmentOutcomesPrimary OutcomeWeight Goal 1: Reduction in BMI of LB women Weight Goal 2: Reduction in the waist to hip ratio of LB women

Fitness Goal: Improved fitness in LB womenSecondary OutcomesDiet Goal: Increase healthy diet of LB womenPhysical Activity Goal: Increase physical activity in LB women

Task 3 – Evaluation Slide10

Impact AnalysisCompare outcomes of treatment group against control group

Special ConsiderationsITT vs. TOT analysesSelecting CovariatesCombine data across award sites for analyses of common measures?

Focus Groups2 focus groups in conjunction with celebratory event1 Full gym group & 1 Smart Pedometer group

Task 3 ContinuedSlide11

Questions/CommentsSlide12

Thank you!

NORC at the University of ChicagoUniversity of Missouri – Columbia

OUT, PROUD

AND HEALTHY