abstract: 'Background: Behavioral interventions for weight loss have been less

  effective in lower income and black women. These poorer outcomes may in

  part be related to these women having more frequent exposures to social

  and physical situations that are obesogenic, i.e., eating and sedentary

  cues or situations.

  Objectives: Working with obese, lower income Black and White Women,

  Addressing People and Place Microenvironments (APP-Me) was designed to

  create awareness of self-behavior at times and places of frequent eating

  and sedentary behavior.

  Design: APP-Me is being evaluated in a randomized controlled trial with

  240 participants recruited from federally qualified health centers

  located in a single Midwestern city. All participants complete four

  weeks of ecological momentary assessments (EMA) of situations and

  behavior. At the end of the four weeks, participants are randomized to

  enhanced usual care (UC) or UC plus APP-Me.

  Methods: APP-Me is an automated short messaging system (SMS). Messages

  are text, image, audio, or a combination, and are delivered to

  participants'' mobile devices with the intent of creating awareness at

  the times and places of frequent eating or sedentary behavior. The EMA

  data inform the timing of message deliveries.

  Summary: This project aims to create and test timely awareness messages

  in a subpopulation that has not responded well to traditional behavioral

  interventions for weight loss. Novel aspects of the study include the

  involvement of a low income population, the use of data on time and

  place of obesogenic behavior, and message delivery time tailored to an

  individual''s behavioral patterns.'
affiliation: 'Clark, DO (Corresponding Author), 1101 West 10th St, Indianapolis, IN
  46202 USA.

  Clark, Daniel O.; Keith, NiCole; Tu, Wanzhu, Indiana Univ, Ctr Aging Res, Indianapolis,
  IN 46204 USA.

  Clark, Daniel O.; Srinivas, Preethi; Bodke, Kunal; Keith, NiCole; Tu, Wanzhu, Regenstrief
  Inst Inc, Indianapolis, IN USA.

  Clark, Daniel O., Indiana Univ Sch Med, Dept Med, Div Gen Internal Med \& Geriatr,
  Indianapolis, IN 46202 USA.

  Hood, Sula; Tu, Wanzhu, Indiana Univ, Richard M Fairbanks Sch Publ Hlth, Indianapolis,
  IN 46204 USA.'
author: Clark, Daniel O. and Srinivas, Preethi and Bodke, Kunal and Keith, NiCole
  and Hood, Sula and Tu, Wanzhu
author-email: daniclar@iupui.edu
author_list:
- family: Clark
  given: Daniel O.
- family: Srinivas
  given: Preethi
- family: Bodke
  given: Kunal
- family: Keith
  given: NiCole
- family: Hood
  given: Sula
- family: Tu
  given: Wanzhu
da: '2023-09-28'
doi: 10.1016/j.cct.2018.01.006
eissn: 1559-2030
files: []
issn: 1551-7144
journal: CONTEMPORARY CLINICAL TRIALS
keywords: 'Randomized controlled trial; Weight loss; Mobile health; Health

  disparities; User-centered design'
keywords-plus: 'AFRICAN-AMERICAN ADULTS; PRIMARY-CARE; MANAGEMENT PROGRAM; TEXT

  MESSAGES; LIFE; OBESITY; FOOD; INTERVENTIONS; PREVENTION; LITERACY'
language: English
month: APR
number-of-cited-references: '56'
orcid-numbers: Hood, Sula/0000-0002-9607-5714
pages: 74-80
papis_id: baafdc1087ba6fc527656b22a6f303e4
ref: Clark2018addressingpeople
times-cited: '5'
title: 'Addressing people and place microenvironments in weight loss disparities (APP-Me):
  Design of a randomized controlled trial testing timely messages for weight loss
  behavior in low income Black and White Women'
type: article
unique-id: WOS:000430768200010
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '67'
web-of-science-categories: Medicine, Research \& Experimental; Pharmacology \& Pharmacy
year: '2018'