RNPilotJournal of holistic nursing : official journal of the American Holistic Nurses' Association2018

Claim More™: Empowering African American Women to Make Healthy Choices.

Rifky Tkatch, Shirley Musich, Jennifer Draklellis and 5 others

PMID 29172987

WHAT IT FOUND

Engagement was high in a program completed by 30 women.

It combined daily texts, weekly meetings, peer support, nutrition classes, personal promises, recipes, and small rewards. Health outcomes were not measured.

Key findings

01Thirty women completed the 104-day program.

02Participants responded to 97% of text messages and completed 69% of goals.

03Seven interviewed women reported weight loss, but health outcomes were not measured systematically.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

No health outcomes such as blood sugar, weight, or diabetes risk were measured systematically. The women were selected from applicants based on survey responses and kickoff commitment, so they may have been especially motivated. The program was run in selected churches, so it may not apply elsewhere. Weight loss and other benefits were self-reported in interviews. Several program elements were delivered together, so the contribution of any single component cannot be separated. The study had no baseline measurements beyond survey responses and goals.

Declared interests

The program was sponsored by UnitedHealthcare and AARP Services Inc, and UnitedHealthcare and AARP collaborated with churches to develop and test Claim More.

The easy way to misread this

Do not conclude that text messages, weekly meetings, peer support, nutrition classes, personal promises, recipes, or small rewards prevent diabetes or cause weight loss. The study measured participation and experiences, not blood sugar, weight, or other health outcomes.

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