A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity
The purpose of this study was to conduct in-depth individual interviews with 30 African American adolescents with overweight and obesity and their families (caregiver/adolescent dyads) to gain a better understanding of how to integrate stress and coping essential elements into an existing family-bas...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/7/2247 |
| _version_ | 1797528336555048960 |
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| author | Mary Quattlebaum Colby Kipp Dawn K. Wilson Allison Sweeney Haylee Loncar Asia Brown Sydney Levine Nicole Zarrett |
| author_facet | Mary Quattlebaum Colby Kipp Dawn K. Wilson Allison Sweeney Haylee Loncar Asia Brown Sydney Levine Nicole Zarrett |
| author_sort | Mary Quattlebaum |
| collection | DOAJ |
| description | The purpose of this study was to conduct in-depth individual interviews with 30 African American adolescents with overweight and obesity and their families (caregiver/adolescent dyads) to gain a better understanding of how to integrate stress and coping essential elements into an existing family-based health promotion program for weight loss. Interview data from 30 African American adolescents with overweight and obesity (<i>M</i>age = 15.30 ± 2.18; <i>M</i>BMI%-ile = 96.7 ± 3.90) were transcribed and coded for themes using inductive and deductive approaches by two independent coders. Inter-rater reliability was acceptable (<i>r</i> = 0.70–0.80) and discrepancies were resolved to 100% agreement. The themes were guided by the Relapse Prevention Model, which focuses on assessing barriers of overall coping capacity in high stress situations that may undermine health behavior change (physical activity, diet, weight loss). Prominent themes included feeling stressed primarily in response to relationship conflicts within the family and among peers, school responsibilities, and negative emotions (anxiety, depression, anger). A mix of themes emerged related to coping strategies ranging from cognitive reframing and distraction to avoidant coping. Recommendations for future programs include addressing sources of stress and providing supportive resources, as well as embracing broader systems such as neighborhoods and communities. Implications for future intervention studies are discussed. |
| first_indexed | 2024-03-10T09:56:47Z |
| format | Article |
| id | doaj.art-79854519ed254fccb307c44e88fdddb6 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T09:56:47Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-79854519ed254fccb307c44e88fdddb62023-11-22T02:17:41ZengMDPI AGNutrients2072-66432021-06-01137224710.3390/nu13072247A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and ObesityMary Quattlebaum0Colby Kipp1Dawn K. Wilson2Allison Sweeney3Haylee Loncar4Asia Brown5Sydney Levine6Nicole Zarrett7Department of Psychology, University of South Carolina, Columbia, SC 29208, USADepartment of Psychology, University of South Carolina, Columbia, SC 29208, USADepartment of Psychology, University of South Carolina, Columbia, SC 29208, USACollege of Nursing, University of South Carolina, Columbia, SC 29208, USADepartment of Psychology, University of South Carolina, Columbia, SC 29208, USADepartment of Psychology, University of South Carolina, Columbia, SC 29208, USADepartment of Psychology, University of South Carolina, Columbia, SC 29208, USADepartment of Psychology, University of South Carolina, Columbia, SC 29208, USAThe purpose of this study was to conduct in-depth individual interviews with 30 African American adolescents with overweight and obesity and their families (caregiver/adolescent dyads) to gain a better understanding of how to integrate stress and coping essential elements into an existing family-based health promotion program for weight loss. Interview data from 30 African American adolescents with overweight and obesity (<i>M</i>age = 15.30 ± 2.18; <i>M</i>BMI%-ile = 96.7 ± 3.90) were transcribed and coded for themes using inductive and deductive approaches by two independent coders. Inter-rater reliability was acceptable (<i>r</i> = 0.70–0.80) and discrepancies were resolved to 100% agreement. The themes were guided by the Relapse Prevention Model, which focuses on assessing barriers of overall coping capacity in high stress situations that may undermine health behavior change (physical activity, diet, weight loss). Prominent themes included feeling stressed primarily in response to relationship conflicts within the family and among peers, school responsibilities, and negative emotions (anxiety, depression, anger). A mix of themes emerged related to coping strategies ranging from cognitive reframing and distraction to avoidant coping. Recommendations for future programs include addressing sources of stress and providing supportive resources, as well as embracing broader systems such as neighborhoods and communities. Implications for future intervention studies are discussed.https://www.mdpi.com/2072-6643/13/7/2247stresshealth behaviorscopingAfrican American adolescents |
| spellingShingle | Mary Quattlebaum Colby Kipp Dawn K. Wilson Allison Sweeney Haylee Loncar Asia Brown Sydney Levine Nicole Zarrett A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity Nutrients stress health behaviors coping African American adolescents |
| title | A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity |
| title_full | A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity |
| title_fullStr | A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity |
| title_full_unstemmed | A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity |
| title_short | A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity |
| title_sort | qualitative study of stress and coping to inform the leads health promotion trial for african american adolescents with overweight and obesity |
| topic | stress health behaviors coping African American adolescents |
| url | https://www.mdpi.com/2072-6643/13/7/2247 |
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