Conceptual Model of Weight Management in Overweight and Obese African-American Females

Nurs Forum. 2017 Apr;52(2):73-87. doi: 10.1111/nuf.12165. Epub 2016 Jun 16.

Abstract

Problem: Weight management of overweight and obese (OWO) African-American females (AAFs) is a poorly defined concept, leading to ineffective treatment of overweight and obesity, prevention of health sequelae, and risk reduction.

Methods: A conceptual model of the phenomenon of weight management in OWO AAFs was developed through dimensional analysis of the literature. Constructs were identified and sorted into the dimensions of perspective, context, conditions, process, and consequences and integrated into an explanatory matrix.

Findings: Through dimensional analysis, weight management in OWO AAFs was characterized as a multidimensional concept, defined from the perspective of weight loss in community-dwelling AAFs. Behaviors associated with weight management are strongly influenced by intrinsic factors and extrinsic conditions, which influence engagement in the processes and consequences of weight management.

Conclusions: The resulting conceptual model of weight management in OWO AAFs provides a framework for research interventions applicable in a variety of settings.

Keywords: Cultural diversity; nursing model; public health; women's health.

Publication types

  • Review

MeSH terms

  • Black or African American / ethnology
  • Body Image / psychology
  • Disease Management*
  • Female
  • Grounded Theory
  • Health Behavior / ethnology
  • Humans
  • Obesity / ethnology
  • Obesity / therapy*
  • Overweight / ethnology
  • Overweight / therapy*
  • United States / ethnology
  • Weight Loss*