NORC at the University of Chicago University of Missouri – Columbia

1. Healthy Weight in Lesbian and Bisexual Women: Striving for a Healthy CommunityOut, Proud, and Healthy NORC at the University of Chicago University of Missouri – Columbia

2. Project Leadership • Project Director: Elizabeth Hair, PhD • PI: Jane McElroy, PhD • Senior Advisors • Catherine Jefcoat • Dan Kasprzyk

3. Partner Sites • SAGE Metro St. Louis • NPO committed to enhance the quality of life of LGBT elders through service, advocacy and community awareness. • The Center Project • Grassroots NPO focused on needs of LGBTQ that provides a safe and open space for social justice community • Optimus: The Center for Health • SGM friendly fitness center in Columbia, MO • Lab Gym • SGM friendly fitness center in St. Louis, MO

4. Advisory Committee • Form advisory committee who will provide expertise throughout project • Convene at 6, 12, and 18 months of EDOC • Potential members (LB community members or allies): • Susan Pereira, Family Physician • Carol Cox, Health educator and Health and Exercise Department faculty at Truman State (NC MO) • Maureen “Mo” Costello, the owner of MoKaBe’sCoffeehouse • Jeanette Mott-Oxford, ED of MO Association for Social Welfare • Melinda Hemmelgarn, MS, RD, LD, “Food Sleuth” columnist • Anna Lingo, Lawyer • Geri Dickey, Director of Social Work program at Missouri Western State University

5. Task 2 – Out, Proud & Healthy Fitness Project Intervention Plan • Project Site & Enrollment • 2 sites (The Center Project & SAGE Metro St. Louis) • Participants • Eligibility Criteria • 40 years or older • Self-identify as lesbian or bisexual • At risk of morbidities associated with obesity (e.g. heart disease, cancer, diabetes) • Interested in getting healthy/healthier • Medical clearance to participant • Ability to commit to study

6. Task 2 Continued • Retention Plan • To include culturally appropriate messaging, periodic cards, reminders and incentives • Intervention Phase: 3 arms • 5 weeks for culturally sensitive fitness education classes to orient then 16 weeks of weekly support group meetings • Full Gym Intervention group: (10 personal health fitness sessions; 6 nutritional classes, gym membership) • Smart Pedometer Intervention group (smart pedometer) • 16 weeks of weekly educational classes on health • Attention Control group • Celebratory Event and periodic “gifts” to reward participation • Sustainability Component • Workout routines, support group, website/facebook promotion

7. Intervention Phase: 3 arms The Full Gym Intervention group: • Fitness-education classes (10 sessions) prior to starting the fitness program • Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate variability and VO2 max to provide individualized information for goal setting of work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline, Month 4, and Month 12) • Support group meetings (16-one hour sessions) in groups of approximately 10 with a trained facilitator • Membership to the gym during intervention and follow-up period • Fitness Mentor Package of 10-sessions with a personal trainer to be used during the 4 month intervention phase • 6 session package with a nutritionist to be used during the 4 month intervention phase • Weekly standardized workout routines involving resistance training, aerobic exercise, and flexibility will be designed by a team of Optimus Personal Health Fitness Mentors • Celebratory event at the end of the study • $25 for Month 12 assessment to encourage participation

8. Intervention Phase: 3 arms The Smart Pedometer Intervention group: • Fitness-education classes (10 sessions) prior to starting the fitness program • Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate varibility and VO2 max to provide individualized information for goal setting of work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline, Month 4, and Month 12) • Support group meetings (16-one hour sessions) in groups of approximately 10 with a trained facilitator • Given Smart Pedometer, such as Striiv, to encourage physical activity • Celebratory event at the end of the study • $25 for Month 12 assessment to encourage participation Attention Control group: • Health-education classes (16 sessions), meeting weekly • Evaluation of body composition, ventilator threshold, exercise metabolism, heart rate varibility and VO2 max to provide information for self-determined work-outs and diet (optimal caloric intake since resting metabolic rate will be measured); 3 measurements over a year period (Baseline,Month 4, and Month 12) • $25 for each assessment, for a total of $75 dollars • Celebratory event at the end of the study

9. Task 3 – Evaluation • Random Assignment Procedures • During ongoing rolling enrollment • Outcomes • Primary Outcome • Weight Goal 1: Reduction in BMI of LB women • Weight Goal 2: Reduction in the waist to hip ratio of LB women • Fitness Goal: Improved fitness in LB women • Secondary Outcomes • Diet Goal: Increase healthy diet of LB women • Physical Activity Goal: Increase physical activity in LB women

10. Task 3 Continued • Impact Analysis • Compare outcomes of treatment group against control group • Special Considerations • ITT vs. TOT analyses • Selecting Covariates • Combine data across award sites for analyses of common measures? • Focus Groups • 2 focus groups in conjunction with celebratory event • 1 Full gym group & 1 Smart Pedometer group

11. Questions/Comments

12. OUT, PROUD AND HEALTHY Thank you! NORC at the University of Chicago University of Missouri – Columbia