Abstract：
OBJECTIVE:To evaluate the effectiveness of the Healthy Directions 2 (HD2) intervention in the primary care setting. METHODS:HD2 was a cluster randomized trial (conducted 3/09-11/11). The primary sampling unit was provider (n=33), with secondary sampling of patients within provider (n=2440). Study arms included: 1) usual care (UC); 2) HD2--a patient self-guided intervention targeting 5 risk behaviors; and 3) HD2 plus 2 brief telephone coaching calls (HD2+CC). The outcome measure was the proportion of participants with a lower multiple risk behavior (MRB) score by follow-up. RESULTS:At baseline, only 4% of the participants met all behavioral recommendations. Both HD2 and HD2+CC led to improvements in MRB score, relative to UC, with no differences between the two HD2 conditions. Twenty-eight percent of the UC participants had improved MRB scores at 6 months, vs. 39% and 43% in HD2 and HD2+CC, respectively (ps≤.001); results were similar at 18 months (p≤.05). The incremental cost of one risk factor reduction in MRB score was $310 for HD2 and $450 for HD2+CC. CONCLUSIONS:Self-guided and coached intervention conditions had equivalent levels of effect in reducing multiple chronic disease risk factors, were relatively low cost, and thus are potentially useful for routine implementation in similar health settings.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Emmons KM,Puleo E,Greaney ML,Gillman MW,Bennett GG,Haines J,Sprunck-Harrild K,Viswanath Kdoi
10.1016/j.ypmed.2014.03.011subject
Has Abstractpub_date
2014-07-01 00:00:00pages
96-102eissn
0091-7435issn
1096-0260pii
S0091-7435(14)00105-4journal_volume
64pub_type
杂志文章,随机对照试验abstract：OBJECTIVE:To investigate whether political mistrust in the Riksdag (the national parliament in Sweden) is an independent characteristic of cannabis smokers, or whether it reflects low confidence in people in general, and therefore low social capital. METHOD:The 2004 public health survey in Skåne is a cross-sectional p...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.02.003
更新日期：2008-06-01 00:00:00
abstract：:Current treatment for depression is not considered effective among all cases and, thus far, nutritional protocols are minimal within depression treatment guidelines. Recently, there has been increasing interest in a possible protective and modifiable role of diet in common mental disorders, including depression, due t...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.03.016
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Recent studies find lesbians at greater risk for overweight and obesity than heterosexual women. While this may reflect differences in attitudes concerning weight and body shape, little is actually known about risk factors within this group. This study examines correlates of obesity and exercise frequency am...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(03)00020-3
更新日期：2003-06-01 00:00:00
abstract：BACKGROUND:Although colorectal cancer is not one of the major tobacco-related cancers, a possible association with tobacco has been suggested following the observation of a relationship between cigarette smoking and colorectal adenomas. The issue of a long latency of tobacco on colorectal carcinogenesis has also been s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1091
更新日期：1995-11-01 00:00:00
abstract：OBJECTIVE:To assess the association between socioeconomic status (SES) and inflammatory markers using two different European population samples. METHODS:We used data from the CoLaus (N=6412, Lausanne, Switzerland) and EPIPorto (N=1205, Porto, Portugal) studies. Education and occupational position were used as indicato...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.11.031
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Physicians prescribing nicotine replacement therapy (NRT), or health plans covering NRT, often want their patients to receive adjuvant behavioral treatment. However, how to do that in a "real world" is unclear. This paper reports results from a public health program that uses proactive telephone counseling a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2000.0720
更新日期：2000-10-01 00:00:00
abstract：:Social inequities compromise health-related quality of life (HR-QoL) among women living with HIV (WLWH). Little is known about health impacts of intersecting stigma based on HIV status, race and gender among WLWH or potential mechanisms to promote HR-QoL. We tested pathways from multiple types of stigma (HIV-related, ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.12.018
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Factors associated with participation in breast and cervix cancer screening among elderly black women of low socioeconomic status were determined. METHODS:Data from a baseline cross-sectional random survey were used together with data on whether screening was subsequently completed or refused. The subjects ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1002
更新日期：1993-01-01 00:00:00
abstract：OBJECTIVE:Obesity was not identified as a risk factor for influenza until the recent 2009 H1N1 pandemic. Based on a cohort of 66,820 subjects aged 65 years and over with the follow-up period from July 1998 to December 2010 in Hong Kong, we assessed the modifying effect of obesity on mortality risks specifically attribu...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.11.017
更新日期：2013-02-01 00:00:00
abstract：:Despite substantial declines since the 1960's, heart disease remains the leading cause of death in the United States (US) and geographic disparities in heart disease mortality have grown. State-level socioeconomic factors might be important contributors to geographic differences in heart disease mortality. This study ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.04.009
更新日期：2018-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1006/pmed.1996.0052
更新日期：1996-05-01 00:00:00
abstract：:The Human Genome Project has made it easier to genetically map and clone mutant genes which predispose to a great many human diseases. In addition to diseases inherited in a simple Mendelian fashion, there are many degenerative and infectious diseases, and sensitivities to environmental insults, in which the genetic m...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1994.1094
更新日期：1994-09-01 00:00:00
abstract：OBJECTIVE:To explore the association of changes in perceived safety and police-recorded crime with changes in transport and leisure walking using longitudinal data from Chicago residents participating in the Multi-Ethnic Study of Atherosclerosis (2000-2012). METHOD:Main exposures included perceived safety (self-report...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.01.017
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:The relationship between physical activity (PA) and the development of hip/knee osteoarthritis (OA) has not been clearly defined. The purpose of this study was to develop a method to quantify PA-related joint stress and to assess its influence on the risk of hip/knee OA. METHODS:Participants in a large long...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(03)00018-5
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVE:Rural women have limited exercise opportunities and significant barriers to engaging in physical activity. This study assessed the effect of a brief primary care based walking intervention in rural women. METHODS:The participants were recruited in March, 2003 by a primary care nurse at three locations in rur...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2006.10.009
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To determine the association between self-reported diabetes and posttraumatic stress disorder (PTSD) among adults in the community and to investigate the specificity of this link. METHOD:Data were drawn from the National Comorbidity Survey (NCS), a household probability sample of adults ages 15-54 in the Uni...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.07.013
更新日期：2005-05-01 00:00:00
abstract：:Measures of well-being have proliferated over the past decades. Very little guidance has been available as to which measures to use in what contexts. This paper provides a series of recommendations, based on the present state of knowledge and the existing measures available, of what measures might be preferred in whic...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2020.106004
更新日期：2020-02-01 00:00:00
abstract：:The role of dietary fat in human blood pressure control was studied among 84 middle-aged subjects (mainly couples) in two semirural communities in North Karelia, Finland. The families were randomly allocated into two groups that, after a baseline period of 2 weeks, changed their diet for a 12-week intervention period ...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0091-7435(85)90078-7
更新日期：1985-09-01 00:00:00
abstract：OBJECTIVE:To investigate associations between employees' health locus of control (HLOC) and self-perceived health, health behaviors, and participation in health promotion programs (HPPs) and the mediating effect of self-perceived health and health behaviors on the relation between HLOC and participation. METHOD:Betwee...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.07.037
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:Local parks are an important community resource that may influence levels of physical activity among youth. However, few population-based studies have investigated park-based physical activity among youth. PURPOSE:This study examines sociodemographic, family, and neighborhood characteristics associated with...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.04.001
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVES:Although the harms of tobacco use are widely accepted, few studies have examined the relationship between access to tobacco outlets and hospital admissions. This study aimed to examine the relationship between neighbourhood access to tobacco outlets, smoking and hospital admissions and self-reported morbidit...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.05.003
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Despite established links among heavy alcohol consumption, other poor health behaviors, and poor health status, no Canadian study has specifically addressed the relationship between drinking and the use of preventive healthcare services. This study examines the relationship between drinking and female-specif...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(03)00141-5
更新日期：2003-10-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.03.012
更新日期：2010-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.12.002
更新日期：2016-02-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.09.011
更新日期：2017-12-01 00:00:00
abstract：:A cigarette-smoking questionnaire to examine behavior, attitudes, and beliefs related to cigarette use was administered to children, ages 8-17, in a biracial community. Children who experimented with cigarettes but did not adopt the habit (experimental nonadopters) and children who continued to smoke (adopters) were i...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(85)90026-x
更新日期：1985-01-01 00:00:00
abstract：OBJECTIVE:The objective of this study is to examine depressive symptom trajectories during adolescence as predictors of physical activity (PA) in young adulthood. METHODS:Adolescents residing in Montreal, Canada (n=860) reported their depressive symptoms every 3-4 months during high school in 20 data collections. Thre...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.11.013
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:U.S. Latino adults have experienced an 80% increase in obesity in the last decade. METHODS:A cross-sectional survey of 18-64-year-old Latino women (N = 380) and men (N = 335) from a community sample, and men (N = 186) from an agricultural labor camp sample in Monterey County, California, provided data on co...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.09.001
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVES:Students, faculty, and staff at a Pacific Northwest public university were surveyed one year after enactment of a smoke-free campus policy. Objectives were to assess levels of support for a smoke-free campus, ascertain exposure levels to outdoor tobacco smoke, and identify correlates of policy support. METH...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.12.018
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Neonatal abstinence syndrome (NAS) occurs following prenatal opioid exposure. It is characterized by signs and symptoms indicating central nervous system hyperirritability and autonomic nervous system, gastrointestinal tract, and respiratory system dysfunction. OBJECTIVE:This article: (1) briefly reviews NA...
journal_title：Preventive medicine
pub_type： 历史文章,杂志文章
doi：10.1016/j.ypmed.2015.07.017
更新日期：2015-11-01 00:00:00
