Abstract
BACKGROUND: Research shows that media-based dietary and behavioral strategies can aid weight loss, but limited studies have been conducted among Black/African American adults. OBJECTIVE: This review examines the literature on dietary and behavioral strategies for weight loss and maintenance among Black/African American adults, identifying the types of media used alongside these strategies. METHODS: The PubMed, Web of Science, CINAHL, and Communication & Mass Media databases were searched for peer-reviewed articles with no restrictions on the publication date. Two reviewers conducted the screening. Studies were included if they had >75% Black/African American adult participants (18 years and older), included behavioral or dietary strategies, had a media component, weight loss or maintenance as an outcome, and published in English language. RESULTS: Nine studies (randomized control trials (n = 5), mixed-method studies (n = 2) and qualitative studies (n = 2)) were included. Behavioral strategies used to lose and maintain weight included goal setting (n = 4), self-monitoring (n = 5), and weekly self-weighing (n = 2). Limiting sugary drinks (n = 3), limiting junk and high fat foods (n = 5), aiming for a set number of calories per day (n = 3), portion control (n = 4), and increasing fruits and vegetable intake (n = 3) were the most common dietary strategies used to lose and maintain weight. Media used in the intervention studies included mHealth text messaging (n = 2), Facebook (n = 2), a website (n = 1), television (n = 1) and a mobile app (n = 1). CONCLUSIONS: The findings highlight the limited research on the utilization of media for behavioral and dietary weight loss strategies among Black/African American adults, indicating a need for future studies to explore and optimize media-based strategies for this population.