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 behavioralchanges and weight maintenance over two-year follow up. The central hypothesis of the proposed research isthat BCT plus HYPE can promote greater continuing weight loss and exercise maintenance over 24 monthfollow-up. We have formulated this hypothesis based on results of previous studies, which demonstrate thatBehavior Choice Treatment was successfully applied to promote continuing weight loss and exercise over 12month 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 ChoiceTreatment compared to traditional behavior therapy among African-American women and (2) to examine theimpact of using HYPE, an exercise program tailored to African American women, in promoting long-termweight maintenance. This treatment may have far-reaching implications for not only controlling obesity, but forthe maintenance of health behavior in other disease states (e.g., hypertension, diabetes) and for healthpromotion.
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