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：:In July 2018, Baltimore became the largest US city to prohibit restaurants from including sugar-sweetened beverages on kids' menus. In September 2018, California made history by becoming the first US state to require either water or milk as the default beverage with children's meals at all restaurants. Supporters of c...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究,评审
doi：10.1016/j.ypmed.2019.03.031
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abstract：:Within a quarter century the convergence of geographical and prospective epidemiology, clinical research, and laboratory investigation has provided strongly attested theories of coronary heart disease (CHD) etiology. Evidence that application of these theories will reduce CHD incidence is incomplete but adequate to ju...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90189-5
更新日期：1983-01-01 00:00:00
abstract：BACKGROUND:This article describes the results of studies on the barriers and benefits of cervical cancer screening from the perspective of women, men, and health providers in five Latin American countries and compares them to other findings from the literature. METHODS:Five separate qualitative studies (focus groups a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.03.040
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVE:Despite the burden of colorectal cancer and improved health care outcomes with early detection and treatment, screening rates among eligible adults are low. We previously developed through a series of studies an interactive electronic tool, Colorectal Web, to promote colorectal cancer screening. METHOD:From ...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
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abstract：:Human papillomavirus (HPV) is highly prevalent in men and there is an interest in further understanding the relationship between HPV infection and disease in men, including the development of genital warts, penile intraepithelial neoplasia and invasive penile carcinomas. Genital warts are caused by HPV 6/11 and are th...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
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abstract：OBJECTIVE:To evaluate BMI and direct measures of body fat (BF) and lean body mass (LBM) in relation to fasting serum lipid profiles in a large Chinese population based twin sample using a monozygotic (MZ) co-twin analysis. METHODS:Adiposity measures collected 1998-2000 on 987 MZ female 20-60 year old twin pairs (n=197...
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pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.07.014
更新日期：2007-11-01 00:00:00
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doi：10.1016/0091-7435(91)90009-s
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.05.003
更新日期：2011-09-01 00:00:00
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journal_title：Preventive medicine
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doi：10.1016/0091-7435(92)90056-n
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.04.025
更新日期：2017-12-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：1999-12-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0991
更新日期：2002-03-01 00:00:00
abstract：INTRODUCTION:Data on hospitalization of immigrants to the United States are sparse, but small area analysis may improve the utility of existing data. METHODS:Applying logistic regression analysis to 2000 census and hospitalization data for New York City, we examined the odds of hospital admission by major diagnostic c...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2006.02.014
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:: Little is known of the preventive effects of physical activity in leisure time on neck and upper limb symptoms. METHODS:: A cohort of 1742 employees was selected from a prospective cohort study with a follow-up period of 3 years. Independent variables were sporting activities and physically active commuti...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.11.006
更新日期：2005-07-01 00:00:00
abstract：:Tamoxifen citrate, the most extensively evaluated antiestrogen, acts primarily as a cytostatic agent by binding to the estrogen receptor. In rodent mammary model systems, when tamoxifen is given continuously after exposure to a carcinogen, the majority of expected tumors do not develop. In humans, adjuvant tamoxifen t...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
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更新日期：1989-09-01 00:00:00
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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
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journal_title：Preventive medicine
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pub_type： 杂志文章,meta分析
doi：10.1016/j.ypmed.2019.03.030
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pub_type： 杂志文章,随机对照试验
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.04.003
更新日期：2019-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.07.014
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2021.106429
更新日期：2021-01-19 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.06.015
更新日期：2008-01-01 00:00:00
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journal_title：Preventive medicine
pub_type： 信件
doi：10.1016/j.ypmed.2010.05.004
更新日期：2010-08-01 00:00:00
abstract：METHODS:In the context of an epidemiological investigation of AIDS-related knowledge, attitudes, and practices, 2,006 employees of the Tennessee Mental Health and Mental Retardation residential facilities were surveyed to test the hypothesis that blacks have been differentially sensitized to their disproportionate leve...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(91)90050-e
更新日期：1991-07-01 00:00:00
abstract：BACKGROUND:Previous studies have reported high interest in genetic testing for risk for colon or breast-ovarian cancer. These studies, however, have used samples which might be atypical with regard to level of interest evident among the general U.S. population. METHODS:As part of an annual statewide telephone health s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1996.0086
更新日期：1996-09-01 00:00:00
abstract：:The opioid crisis presents substantial challenges to public health in New England's rural states, where access to pharmacotherapy for opioid use disorder (OUD), harm reduction, HIV and hepatitis C virus (HCV) services vary widely. We present an approach to characterizing the epidemiology, policy and resource environme...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.05.028
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Medical illness has often been thought to provide smokers with motivation to quit smoking. However, the actual impact that illness and hospitalization has on smokers' interest in cessation is not clear. Further, little is known about the role that hospital staff play in encouraging cessation. METHODS:This a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(92)90024-c
更新日期：1992-03-01 00:00:00
abstract：BACKGROUND:This study characterized Oregon households according to type and degree of restrictions on smoking and explored whether smoking restrictions are associated with decreased environmental tobacco smoke (ETS) exposure. METHODS:A population-based, random-digit-dialed cross-sectional telephone survey of 6,199 adu...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2002.1123
更新日期：2003-01-01 00:00:00
