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Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review.

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Title: Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review.
Authors: Olaoye, Itse (AUTHOR), Myrissa, Kyriaki (AUTHOR), Kelaiditi, Eirini (AUTHOR), Tsofliou, Fotini (AUTHOR), Brown, Nicola (AUTHOR)
Source: Psychology & Health. May2026, Vol. 41 Issue 5, p603-634. 32p.
Subjects: Obesity treatment, Weight loss, Behavior modification, Body mass index, Self-efficacy, Regulation of body weight, Developed countries, CINAHL database, Culture, Psychology of women, Treatment effectiveness, Behavior, Goal (Psychology), Problem solving, Body image, Patient-centered care, Systematic reviews, MEDLINE, Social learning theory, Black Africans, Health behavior, Medical databases, Food habits, Counseling, Online information services, Data analysis software, Social support, Food preferences, Psychology information storage & retrieval systems, Physical activity, Social classes, Evaluation
Abstract: Objective: Client-centred counselling, a collaborative approach, aims at reducing ambivalence and enhancing behavioural change for weight loss. This systematic review assessed the effectiveness of client-centred counselling for weight management in Black African women with overweight and obesity in high-income countries, identifying culturally tailored strategies and theoretical underpinnings. Methods and Measures: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with nine databases searched from 1970 to June 2022. Results: Twenty-two studies were included, 91% (n = 20) of which reported positive effects on weight loss. Face-to-face and a combination of in-person and telephone client-centred counselling were found effective. Although the optimal treatment duration was unclear, interventions lasting six to twelve months were most beneficial. Interventions were delivered by registered dietitians, physicians, nutritionists, and health coaches. Most interventions (n = 14) were informed by social cognitive theory, with 19 studies incorporating cultural adaptations such as language considerations, socio-cultural values, constituent involvement, and leveraging target group experiences. Studies using at least two cultural adaptation strategies were more likely to be effective. Conclusion: Client-centred counselling appears promising for weight management in Black African women with overweight or obesity. Long-term follow-up studies are needed to ensure the sustainability and effectiveness of these interventions in this population over time. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review.
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Health%22">Psychology & Health</searchLink>. May2026, Vol. 41 Issue 5, p603-634. 32p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Client-centred counselling, a collaborative approach, aims at reducing ambivalence and enhancing behavioural change for weight loss. This systematic review assessed the effectiveness of client-centred counselling for weight management in Black African women with overweight and obesity in high-income countries, identifying culturally tailored strategies and theoretical underpinnings. Methods and Measures: This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with nine databases searched from 1970 to June 2022. Results: Twenty-two studies were included, 91% (n = 20) of which reported positive effects on weight loss. Face-to-face and a combination of in-person and telephone client-centred counselling were found effective. Although the optimal treatment duration was unclear, interventions lasting six to twelve months were most beneficial. Interventions were delivered by registered dietitians, physicians, nutritionists, and health coaches. Most interventions (n = 14) were informed by social cognitive theory, with 19 studies incorporating cultural adaptations such as language considerations, socio-cultural values, constituent involvement, and leveraging target group experiences. Studies using at least two cultural adaptation strategies were more likely to be effective. Conclusion: Client-centred counselling appears promising for weight management in Black African women with overweight or obesity. Long-term follow-up studies are needed to ensure the sustainability and effectiveness of these interventions in this population over time. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193251223
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/08870446.2025.2475161
    Languages:
      – Code: eng
        Text: English
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        PageCount: 32
        StartPage: 603
    Subjects:
      – SubjectFull: Obesity treatment
        Type: general
      – SubjectFull: Weight loss
        Type: general
      – SubjectFull: Behavior modification
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Regulation of body weight
        Type: general
      – SubjectFull: Developed countries
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Culture
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Behavior
        Type: general
      – SubjectFull: Goal (Psychology)
        Type: general
      – SubjectFull: Problem solving
        Type: general
      – SubjectFull: Body image
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Systematic reviews
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      – SubjectFull: MEDLINE
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      – SubjectFull: Social learning theory
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      – SubjectFull: Black Africans
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      – SubjectFull: Health behavior
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      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: Food habits
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      – SubjectFull: Counseling
        Type: general
      – SubjectFull: Online information services
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      – SubjectFull: Data analysis software
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      – SubjectFull: Food preferences
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      – SubjectFull: Psychology information storage & retrieval systems
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      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: Evaluation
        Type: general
    Titles:
      – TitleFull: Effectiveness of client-centred counselling on weight management among Black African women with overweight and obesity in high-income countries: a systematic review.
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              Text: May2026
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