A pilot study of Keto Prescribed+: A healthy thinking and eating educational program for African American women.
Audra Hanners, Bernadette Melnyk, Teryn Bedell and 4 others
PMID 38967613WHAT IT FOUND
Ten African American women completed an eight-week keto and mindfulness program, losing an average of 10 pounds and lowering blood pressure.
All who finished rated it feasible, but high dropout and small numbers mean this only tests if the program is workable, not if it works.
Key findings
01Ten of the fifteen participants who attended completed the eight-week program, with attrition due to family death and time conflicts.
02Among completers, average weight decreased by 10 pounds and systolic blood pressure decreased by 6 mm Hg.
03All ten completers rated the program as feasible and satisfied with the in-person component, with technology usability scores above the threshold.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was extremely small, with only ten participants completing the intervention, which limits the generalizability of any observed effects. There was no control group, so changes in weight and blood pressure cannot be definitively attributed to the intervention rather than natural variation or other unmeasured factors. The study was not powered to detect statistically significant differences, relying instead on effect sizes and descriptive trends. Attrition was high, with half of the enrolled participants not completing the study, potentially introducing selection bias toward those who could engage fully. The psychosocial measures used did not capture specific stressors known to affect African American women, such as those outlined in the Black Superwomen Schema.
Declared interests
The text does not explicitly state funding sources or author conflicts of interest in the provided sentences.
The easy way to misread this
Do not interpret the average weight loss of 10 pounds as evidence that this program causes weight loss. The study was a small pilot with no control group, and the results are preliminary indicators of feasibility, not proven efficacy.