2023-09-28 14:46:10 +00:00
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abstract: 'Background: Behavioral interventions for weight loss have been less
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effective in lower income and black women. These poorer outcomes may in
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part be related to these women having more frequent exposures to social
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and physical situations that are obesogenic, i.e., eating and sedentary
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cues or situations.
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Objectives: Working with obese, lower income Black and White Women,
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Addressing People and Place Microenvironments (APP-Me) was designed to
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create awareness of self-behavior at times and places of frequent eating
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and sedentary behavior.
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Design: APP-Me is being evaluated in a randomized controlled trial with
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240 participants recruited from federally qualified health centers
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located in a single Midwestern city. All participants complete four
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weeks of ecological momentary assessments (EMA) of situations and
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behavior. At the end of the four weeks, participants are randomized to
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enhanced usual care (UC) or UC plus APP-Me.
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Methods: APP-Me is an automated short messaging system (SMS). Messages
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are text, image, audio, or a combination, and are delivered to
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participants'' mobile devices with the intent of creating awareness at
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the times and places of frequent eating or sedentary behavior. The EMA
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data inform the timing of message deliveries.
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Summary: This project aims to create and test timely awareness messages
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in a subpopulation that has not responded well to traditional behavioral
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interventions for weight loss. Novel aspects of the study include the
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involvement of a low income population, the use of data on time and
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place of obesogenic behavior, and message delivery time tailored to an
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individual''s behavioral patterns.'
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affiliation: 'Clark, DO (Corresponding Author), 1101 West 10th St, Indianapolis, IN
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46202 USA.
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Clark, Daniel O.; Keith, NiCole; Tu, Wanzhu, Indiana Univ, Ctr Aging Res, Indianapolis,
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IN 46204 USA.
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Clark, Daniel O.; Srinivas, Preethi; Bodke, Kunal; Keith, NiCole; Tu, Wanzhu, Regenstrief
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Inst Inc, Indianapolis, IN USA.
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Clark, Daniel O., Indiana Univ Sch Med, Dept Med, Div Gen Internal Med \& Geriatr,
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Indianapolis, IN 46202 USA.
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Hood, Sula; Tu, Wanzhu, Indiana Univ, Richard M Fairbanks Sch Publ Hlth, Indianapolis,
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IN 46204 USA.'
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author: Clark, Daniel O. and Srinivas, Preethi and Bodke, Kunal and Keith, NiCole
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and Hood, Sula and Tu, Wanzhu
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author-email: daniclar@iupui.edu
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author_list:
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- family: Clark
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given: Daniel O.
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- family: Srinivas
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given: Preethi
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- family: Bodke
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given: Kunal
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- family: Keith
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given: NiCole
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- family: Hood
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given: Sula
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- family: Tu
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given: Wanzhu
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da: '2023-09-28'
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doi: 10.1016/j.cct.2018.01.006
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eissn: 1559-2030
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files: []
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issn: 1551-7144
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journal: CONTEMPORARY CLINICAL TRIALS
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keywords: 'Randomized controlled trial; Weight loss; Mobile health; Health
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disparities; User-centered design'
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keywords-plus: 'AFRICAN-AMERICAN ADULTS; PRIMARY-CARE; MANAGEMENT PROGRAM; TEXT
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MESSAGES; LIFE; OBESITY; FOOD; INTERVENTIONS; PREVENTION; LITERACY'
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language: English
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month: APR
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number-of-cited-references: '56'
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orcid-numbers: Hood, Sula/0000-0002-9607-5714
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pages: 74-80
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papis_id: baafdc1087ba6fc527656b22a6f303e4
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ref: Clark2018addressingpeople
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times-cited: '5'
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title: 'Addressing people and place microenvironments in weight loss disparities (APP-Me):
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Design of a randomized controlled trial testing timely messages for weight loss
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behavior in low income Black and White Women'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000430768200010
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '67'
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web-of-science-categories: Medicine, Research \& Experimental; Pharmacology \& Pharmacy
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year: '2018'
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