Reducing Weight and Elevated Stress Levels Using Educational and Behavioral Tools

The purpose of this protocol is to test the effects on weight of an evidence-based behavioral weight loss program enhanced with culturally targeted stress management strategies compared to the evidence-based weight loss program alone among adult black females with obesity and elevated stress levels. Participants will be randomized to receive either a behavioral weight loss intervention with a focus on stress management or the weight loss intervention alone for 26 sessions.

Inclusion Criteria: * BMI of at least 30 kg/m\^2 * elevated stress levels based on perceived stress scale score * self-identified as black race Exclusion Criteria: * pregnant or are planning to become pregnant in the next year * known major medical or psychological condition known to influence body weight loss (e.g., medicated or poorly controlled diabetes (fasting blood glucose \> 126 mg/dL), cardiovascular event in the preceding 12 months, history of gastric bypass surgery, bariatric surgery, or eating disorder) * history of psychiatric hospitalization in past 2 years * history of substance abuse or eating disorder * any condition for which a medical professional has suggested diet modification, physical activity, and/or weight reduction would be contraindicated. * currently taking medications for weight loss