The purpose of this project is to compare the effectiveness of HYPE (Health Years through Physical Exercise), a culturally tailored exercise intervention added to Behavior Choice Treatment (BCT) and Behavior Therapy (BT), with both BCT and Behavior Therapy (BT) plus walking. The primary outcomes are sustained behavioral changes and weight maintenance over two-year follow up. The central hypothesis of the proposed research is that BCT plus HYPE can promote greater continuing weight loss and exercise maintenance over 24 month follow-up. We have formulated this hypothesis based on results of previous studies, which demonstrate that Behavior Choice Treatment was successfully applied to promote continuing weight loss and exercise over 12 month follow-up1 and data with African American women demonstrating weight stabilization out to two years. The objectives of this particular application are (1) to further evaluate the long-term efficacy of Behavior Choice Treatment compared to traditional behavior therapy among African-American women and (2) to examine the impact of using HYPE, an exercise program tailored to African American women, in promoting long-term weight maintenance. This treatment may have far-reaching implications for not only controlling obesity, but for the maintenance of health behavior in other disease states (e.g., hypertension, diabetes) and for health promotion.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZRG1)
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Henry M. Jackson Fdn for the Adv Mil/Med
United States
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Hart, Erica A; Sbrocco, Tracy; Carter, Michele M (2016) Ethnic Identity and Implicit Anti-fat Bias: Similarities and Differences between African American and Caucasian Women. Ethn Dis 26:69-76
Kelley, Claire P; Sbrocco, Geena; Sbrocco, Tracy (2016) Behavioral Modification for the Management of Obesity. Prim Care 43:159-75, x
Cassidy, Omni; Sbrocco, Tracy; Tanofsky-Kraff, Marian (2015) Utilizing non-traditional research designs to explore culture-specific risk factors for eating disorders in African American adolescents. Adv Eat Disord 3:91-102
Carter, Michele M; Sbrocco, Tracy; Tang, Dickson et al. (2014) Psychometric properties of the social phobia and social interaction anxiety scales: evidence of construct equivalence in an African American sample. J Anxiety Disord 28:633-43
Tanofsky-Kraff, Marian; Sbrocco, Tracy; Theim, Kelly R et al. (2013) Obesity and the US military family. Obesity (Silver Spring) 21:2205-20
Cassidy, Omni; Sbrocco, Tracy; Vannucci, Anna et al. (2013) Adapting interpersonal psychotherapy for the prevention of excessive weight gain in rural African American girls. J Pediatr Psychol 38:965-77
Carter, Michele M; Mitchell, Frances E; Sbrocco, Tracy (2012) Treating ethnic minority adults with anxiety disorders: current status and future recommendations. J Anxiety Disord 26:488-501
Osborn, Robyn L; Forys, Kelly L; Psota, Tricia L et al. (2011) Yo-yo dieting in African American women: weight cycling and health. Ethn Dis 21:274-80
Sbrocco, Tracy; Osborn, Robyn; Clark, Robert D et al. (2011) Assessing the Stages of Change Among African American Women in a Weight Management Program. J Black Psychol 38:81-103
Davis, Dawnavan S; Sbrocco, Tracy; Odoms-Young, Angela et al. (2010) Attractiveness in African American and Caucasian women: is beauty in the eyes of the observer? Eat Behav 11:25-32

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