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dc.contributor.authorStaley, Linda Len_US
dc.date.accessioned2017-06-14T08:01:53Z
dc.date.available2017-06-14T08:01:53Z
dc.date.issued2017-06-13en_US
dc.identifier.othervt_gsexam:11845en_US
dc.identifier.urihttp://hdl.handle.net/10919/78193
dc.description.abstractBecause of the prevalence and associated health-care costs of obesity, it is widely recognized today as a serious public health issue. The Affordable Care Act (ACA) passed in 2010 includes provisions for all adults to be screened and behavioral intervention offered to those with a body mass index (BMI) of > 30 kg/m2. While the measure is intended to improve access to weight-loss resources for millions of Americans affected, it may not achieve its intended effect in part because of the inability of disadvantaged populations for whom the burden of obesity is the greatest to access ACA-supported services. The objectives of this study were to identify the characteristics that, paired with an evidence-based weight-loss intervention, will have the highest potential reach while achieving a clinically meaningful weight loss, and whether likely participation differs by gender, race, ethnicity or socioeconomic status. Using characteristics from the most effective adult weight-loss studies that use technology to expand reach, three alternative interventions were examined. Findings show that, while the majority of participants favor the traditional ACA face-to-face model, a program delivered completely online may appeal to racial and ethnic minority groups, which were more likely to choose alternative program structures. Alternative program structures should continue to be explored as an important next step toward developing viable referral options for primary care physicians and could have far-reaching impact toward reducing the disparity of obesity and obesity-related disease among disadvantaged populations.en_US
dc.format.mediumETDen_US
dc.publisherVirginia Techen_US
dc.rightsThis item is protected by copyright and/or related rights. Some uses of this item may be deemed fair and permitted by law even without permission from the rights holder(s), or the rights holder(s) may have licensed the work for use under certain conditions. For other uses you need to obtain permission from the rights holder(s).en_US
dc.subjectObesityen_US
dc.subjectoverweighten_US
dc.subjectweight lossen_US
dc.subjectcomputeren_US
dc.subjectInterneten_US
dc.subjecteHealthen_US
dc.subjectreachen_US
dc.titleFeature-based Designs to Increase the Reach of Effective Weight-loss Programsen_US
dc.typeThesisen_US
dc.contributor.departmentHuman Nutrition, Foods, and Exerciseen_US
dc.description.degreeMSen_US
thesis.degree.nameMSen_US
thesis.degree.levelmastersen_US
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen_US
thesis.degree.disciplineHuman Nutrition, Foods, and Exerciseen_US
dc.contributor.committeechairDavy, Brenda Muelleren_US
dc.contributor.committeememberYou, Wenen_US
dc.contributor.committeememberFrisard, Madlyn Ireneen_US
dc.contributor.committeememberEstabrooks, Paul Andrewen_US


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