{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T10:45:47Z","timestamp":1791715547132,"version":"4.3.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Black women are diagnosed, disabled, and die from obesity and associated chronic diseases at higher rates than any other sex or race. Advanced practice registered nurses (APRN) can potentially improve culturally relevant health education and counseling by using health literacy communication tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Explore individualized barriers and APRNs\u2019 role in providing obesity prevention education and counseling by assessing the efficacy of the Teach-Back Method (TBM) to understand health habits and attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Black women aged 18\u201345, previously diagnosed as overweight or obese, and identified with perceived barriers were recruited from a predominantly Black church in Atlanta. They engaged in weekly, 1-hour educational sessions via Zoom, addressing four common barriers identified in the literature. Sessions ended with a 5\u201310 minute Teach-Back session. Pre- and post-intervention Readiness to Change Questionnaire (RCQ) were completed. Descriptive statistics and quantitative data from surveys and pre- and post-RCQ were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty women completed the intervention. Paired sample t-test revealed no statistical significance or correlation between pre- and post-RCQ scores after using TBM in educational sessions. However, Pearson\u2019s correlation showed positive associations between elevated body mass index levels as one advances their education and annual income, with a p-value of 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Increased rates of obesity are experienced despite higher educational attainment or pay. Stress and high-coping mechanisms contributed to disordered eating, decreased physical activity engagement, and decreased motivation toward habit change. Clinicians should be held accountable for delivering culturally sensitive care using the TBM, addressing social determinants of health, performing routine stress assessments, and checking their implicit biases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15248399231221767","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T04:39:42Z","timestamp":1706071182000},"page":"1082-1091","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Stress of Advancement: A Nurse Practitioner\u2019s Exploration in Providing Culturally Competent Obesity Prevention Counseling in Black Women"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7236-0764","authenticated-orcid":false,"given":"Jasmine A.","family":"Berry","sequence":"first","affiliation":[{"name":"VA Tennessee Valley Healthcare System, Geriatric Research Education and Clinical Center (GRECC), Nashville, TN, USA"},{"name":"Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Cranford","sequence":"additional","affiliation":[{"name":"Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Powell","sequence":"additional","affiliation":[{"name":"Georgia State University, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"bibr1-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003692"},{"key":"bibr2-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1007\/s12170-013-0328-7"},{"key":"bibr3-15248399231221767","unstructured":"Agency for Healthcare Research and Quality. (2017). Teach-back: Interactive module slides. https:\/\/www.ahrq.gov\/patient-safety\/reports\/engage\/interventions\/teachback-mod.html"},{"key":"bibr4-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1177\/0890117117690853"},{"key":"bibr5-15248399231221767","doi-asserted-by":"publisher","DOI":"10.5888\/pcd14.170153"},{"key":"bibr6-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000301"},{"key":"bibr7-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317753588"},{"key":"bibr8-15248399231221767","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2015.00511"},{"key":"bibr9-15248399231221767","unstructured":"Centers for Disease Control and Prevention. (2017). African American health. Vital Signs. https:\/\/www.cdc.gov\/vitalsigns\/aahealth\/index.html"},{"key":"bibr10-15248399231221767","unstructured":"Centers for Disease Control and Prevention. (2022a, May 17). Adult obesity facts. https:\/\/www.cdc.gov\/obesity\/data\/adult.html"},{"key":"bibr11-15248399231221767","unstructured":"Centers for Disease Control and Prevention. (2022b, December 8). Social determinants of health at CDC. https:\/\/www.cdc.gov\/about\/sdoh\/index.html"},{"key":"bibr12-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12300"},{"key":"bibr13-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwu004"},{"key":"bibr14-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-019-00663-z"},{"key":"bibr15-15248399231221767","doi-asserted-by":"publisher","DOI":"10.5888\/pcd14.160573"},{"key":"bibr16-15248399231221767","unstructured":"Gonzalo A. (2021). Nola pender: Health promotion model. Nurseslabs. https:\/\/nurseslabs.com\/nola-pender-health-promotion-model\/"},{"key":"bibr17-15248399231221767","first-page":"52","volume-title":"You just need to lose weight: And 19 others myths about fat people","author":"Gordon A.","year":"2023"},{"key":"bibr18-15248399231221767","unstructured":"Hales C. M., Carroll M. D., Fryar C. D., Ogden C. L. (2020). Prevalence of obesity and severe obesity among adults: United States, 2017\u20132018 (NCHS data brief, no. 360). National Center for Health Statistics. https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db360-h.pdf"},{"key":"bibr19-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1177\/0095798414567757"},{"issue":"1","key":"bibr20-15248399231221767","first-page":"76","volume":"10","author":"Knox-Kazimierczuk F.","year":"2017","journal-title":"Journal of Pan African Studies"},{"key":"bibr21-15248399231221767","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.38.4.7"},{"key":"bibr22-15248399231221767","unstructured":"Office of Minority Health. (2020). Obesity and African Americans. https:\/\/minorityhealth.hhs.gov\/omh\/browse.aspx?lvl=4&lvlid=25"},{"key":"bibr23-15248399231221767","unstructured":"Pender N. (2011). The health promotion model (Manual). University of Michigan. https:\/\/deepblue.lib.umich.edu\/bitstream\/handle\/2027.42\/85350\/HEALTH_PROMOTION_MANUAL_Rev_5-2011.pdf"},{"key":"bibr24-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1177\/00957984221084779"},{"key":"bibr25-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1080\/09581596.2017.1307323"},{"key":"bibr26-15248399231221767","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:106273"},{"key":"bibr27-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1086\/681773"},{"key":"bibr28-15248399231221767","doi-asserted-by":"publisher","DOI":"10.18574\/nyu\/9781479831098.001.0001"},{"key":"bibr29-15248399231221767","doi-asserted-by":"publisher","DOI":"10.1177\/1090198113492768"},{"key":"bibr30-15248399231221767","unstructured":"Wells L., Gowda A. (2020). A legacy of mistrust: African Americans and the U.S. healthcare system (Vol. 24). 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