The Need for Cultural Adaptations to Health Interventions for African American Women: A Qualitative Analysis

• Published in: Cultural diversity & ethnic minority psychology 2019-07, Vol.25 (3), p.331-341
• Main Authors: Scott, Tamara N., Gil-Rivas, Virginia, Cachelin, Fary M.
• Format: Article
• Language: English
• Subjects: Binge Eating Disorder; Black People; Cross Cultural Treatment; Distress; Eating Behavior; Evidence Based Practice; Female; Human; Intervention; Obesity; Test Construction
• ISSN: 1099-9809; 1939-0106
• DOI: 10.1037/cdp0000228

Objective: Binge eating disorder (BED) is associated with obesity and psychological distress. Although rates in African American (AA) and White women are similar, AA women report more severity of symptoms and higher frequency of binge eating episodes. However, few AA women seek help due to a lack of acknowledgment of sociocultural influences that shape experiences and behaviors related to BED in currently available interventions. Culturally adapted interventions are an important way to acknowledge these sociocultural factors and produce expected outcomes within a specific group. This qualitative study begins the process of culturally adapting evidence-based treatment for AA women to reduce BED. Method: Sixteen AA women with BED participated in focus groups to determine the need for adaptations to an evidence-based intervention. Thematic content analysis was used to analyze data from focus groups. Results: The unique experiences of AA women including lack of awareness of BED, cultural deviation from the "thin ideal," influence of family on eating practices, social meanings of food, role of religion, binge eating as coping, skepticism about weight standards, and the importance of motivation to change are highlighted. Conclusion: This research adds to the current discourse on the importance of culturally adapting interventions for more targeted use and helps to expand what is known about AA women with BED and associated obesity.