Although progress has been made in scaling up the National Diabetes Prevention Program Lifestyle Change (National DPP LCP), innovative engagement strategies are needed. This implementation evaluation leveraged and combined technology, behavior change theory, community-based participatory design approaches to develop, deploy, evaluate a 6-month, bilingual, tailored text message-delivered program (bRIght communities) increase 1) readiness engage key behaviors for diabetes prevention, 2)...

An estimated 60% of individuals prescribed lipid-lowering medications are nonadherent. Failure to adhere increases morbidity, mortality, healthcare utilization, and costs. This study examined the effectiveness a population-based, individualized Transtheoretical Model (TTM) expert system intervention improve adherence increase exercise diet in randomized 18-month trial involving 404 adults. Compared usual care, treatment participants who started pre-action stage were significantly more likely...

Coaction refers to the extent which taking action on one behavior increases odds of a second behavior. This integrative study examines generalization coaction in three studies weight-related behaviors.Data from randomized trials tailored interventions (n = 1,277, n 1,800, and 6,000) were examined determine if change occurred differentially treatment control groups. In each analysis, likelihood progressing Action or Maintenance stages for target behaviors was evaluated using logistic...

Blood pressure is not controlled in as many 50%–75% of hypertensive patients, primarily because inadequate adherence to treatment. This paper examines the efficacy a Transtheoretical Model (TTM)–based expert system intervention designed improve with antihypertensives sample 1227 adults. Participants were proactively recruited and randomly assigned receive usual care or three individualized reports stage-matched manual over 6 months. surveyed at baseline, 6, 12, 18 Significantly more group...

This study tested relationships between health and well-being best practices 3 types of outcomes.A cross-sectional design used data from the HERO Scorecard Benchmark Database.Data were voluntarily provided by employers who submitted web-based survey responses.Analyses limited to 812 organizations that completed January 12, 2015 October 2, 2017.Independent variables included organizational leadership support, program comprehensiveness, integration, incentives. Dependent participation rates,...

The dominant paradigm of changing multiple health behaviors (MHBs) is based on treating, assessing, and studying each behavior separately. This study focused individuals with co-occurring baseline health-risk pairs described whether they changed over time both or only one the within pair. Data from five randomized trials computer-tailored interventions (CTIs) that simultaneously treated MHBs were analyzed. differences between treatment control proportions achieved paired action singular at...

This study examined longitudinal differences in use of transtheoretical model (TTM) behavior change constructs maintainers (who reached and maintained exercise guidelines), relapsers guidelines, then regressed), nonchangers did not reach guidelines). Data from two population-based TTM-tailored randomized trial intervention groups targeting ( N = 1050) were pooled, analyses assessed TTM between the three at baseline, 12 months, 24 months. Findings indicated that tended to variables similarly...

This article describes the development and pilot testing of a computer-based, multiple-behavior obesity prevention program for adolescents. Using Transtheoretical Model as framework, this intervention offers individualized feedback based on readiness to engage in physical activity, consume fruits vegetables, limit television viewing. Focus groups interviews with students, teachers, school administrators, experts guided development. Forty-five students participated baseline session completed...

This article presents and interprets the strong evidence that helping others in meaningful ways generally results a happier, healthier, resilient, even longer life for giver; based on strength of this overall subpopulations including patient groups, it then asserts time has come health-care professionals to prescribe recommend such behavior at sustainable levels range 2 hours per week. The medical justifies prescribing (or recommending) volunteerism activities individuals, schools,...

Abstract Background Penetration and participation of real life implementation lifestyle change programs to prevent type 2 diabetes has been challenging. This is particularly so among low income individuals in the United States. The purpose this study examine effectiveness financial incentives on attendance weight loss Medicaid beneficiaries participating 12-month Diabetes Prevention Program (DPP). Methods a cluster-randomized controlled trial with two incentive arms an attention control arm....

Chronic pain is a significant public health burden affecting more Americans than cardiovascular disease, diabetes, and cancer combined. Veterans are disproportionately affected by chronic pain. Among previously deployed soldiers veterans, the prevalence of estimated between 44% 60%.The objective this research was to develop pilot-test Health eRide: Your Journey Managing Pain, mobile self-management program for musculoskeletal veterans. Based on transtheoretical model behavior change,...

To explore the factor structure of HERO Health and Well-being Best Practices Scorecard in Collaboration with Mercer (HERO Scorecard) to develop a reduced version examine reliability validity that version.A was developed through formal statistical analyses on data collected from 845 organizations completed original Scorecard.The final factors represented content pertaining organizational leadership support, program comprehensiveness, integration, incentives. All four implemented practices...

Improved continuation of oral contraceptive use may decrease the incidence unintended pregnancy. Therefore, identifying predictors is important to informing targeted interventions.A survey conducted in 2003-2005 collected data from young women who sought contraceptives at three family planning clinics New York, Dallas and Atlanta. Cluster analysis 1,245 was used identify distinct groups on basis baseline responses items measuring constructs transtheoretical model health behavior change:...

This article describes the development and pilot testing of a computer-based, multiple-behavior obesity prevention program for adolescents. Using Transtheoretical Model as framework, this intervention offers individualized feedback based on readiness to engage in physical activity, consume fruits vegetables, limit television viewing. Focus groups interviews with students, teachers, school administrators, experts guided development. Forty-five students participated baseline session completed...

To evaluate the effect of continuing medical education (CME) activities on patient reported outcomes with regard to (1) screening for excessive sleepiness (ES) and obstructive sleep apnea (OSA) (2) appropriate referral treatment.A total 725 patients were recruited from 75 providers who either participated or did not participate in Transtheoretical Model (TTM)-based OSA CME activities. Patient participating (n = 36) non-participating 39) compared using generalized estimating equations...