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Table 2 Excerpt of results from formative assessments identifying stressors that are relevant to adult Black females and weight management

From: Rationale and study protocol for a randomized controlled trial to determine the effectiveness of a culturally relevant, stress management enhanced behavioral weight loss intervention on weight loss outcomes of black women

Sample Responses

Theme

Examples of Resulting Stress Management Enhancements

Q1. Taking care of everyone

Q2. Child care as a single parent

Q3. No time to eat right because I do for everyone else

Daily/Caregiver stress

-Benefits of massage

-Time management

-Social support/collectivism

Q1. Advancing in my career

Q2. Job discrimination and being the only Black woman in the office

Work stress

-Challenging dichotomous thinking

-Diaphragmatic breathing

Q1. Women don’t get the same chances as men

Q2. I’m always worried about safety raising Black boys and being married to a Black man

Stigma, Discrimination, Bias

-Positive self-statements with pride in race and sex

-Guided imagery

Q1. Paying for college as a single mother

Q2. Not making as much money on jobs as men or white women

Q3. Being healthy is expensive and hard for people with limited money

Financial stress

-Financial management and spiritual messages about provision

Q1. Trying to be in a good, happy relationship

Q2. It’s hard for Black women to find a good Black man

Q3. A lot of what I eat is just because of my husband

Relationship stress

-Distraction techniques

-Meditation with focus on peace, spirituality, and pride