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：: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
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abstract：BACKGROUND:This study was undertaken to determine the effects of month-long whole grain oat and wheat cereal supplementation on endothelial function following a fatty meal as measured by brachial artery reactivity studies. METHODS:Fifty healthy adult subjects underwent brachial artery reactivity studies before and aft...
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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...
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journal_title：Preventive medicine
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更新日期：1994-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
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更新日期：2016-08-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
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更新日期：2011-10-01 00:00:00
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更新日期：2013-09-01 00:00:00
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journal_title：Preventive medicine
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doi：10.1016/j.ypmed.2012.03.008
更新日期：2012-05-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2009-02-01 00:00:00
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doi：10.1006/pmed.2002.1009
更新日期：2002-05-01 00:00:00
abstract：OBJECTIVE:To compare European students' personal use and approval of illicit substance use with their perceptions of peer behaviours and attitudes, and investigate whether perceptions of peer norms are associated with personal use of illicit substances and attitudes. METHOD:This study used baseline data from the Socia...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.07.039
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to determine the follow-up for women after receiving an abnormal Pap test before and after the updated American Society of Colposcopic and Cervical Pathology (ASCCP) guidelines for management of abnormal cytology. METHODS:In 1999 and 2004, women who had been enrolled in a US h...
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doi：10.1016/j.ypmed.2009.11.005
更新日期：2010-01-01 00:00:00
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journal_title：Preventive medicine
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pub_type： 杂志文章
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journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
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更新日期：2014-04-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2012-11-01 00:00:00
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更新日期：2003-07-01 00:00:00
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pub_type： 杂志文章
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更新日期：2001-12-01 00:00:00
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更新日期：1984-05-01 00:00:00
abstract：BACKGROUND:The impact of maternal employment on preventive child health practices has not been studied empirically. Using a household production model, we investigated the relationship between level of maternal employment and child immunization status, use of automobile seat belts, and use of bicycle helmets. METHODS:...
journal_title：Preventive medicine
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doi：10.1006/pmed.1998.0312
更新日期：1998-05-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2006.03.012
更新日期：2006-11-01 00:00:00
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journal_title：Preventive medicine
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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.2019.03.001
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:This study aims to measure the associations of physical activity and one of its components, sport and exercise, with at-risk substance use in a population of young men. METHOD:Baseline (2010-2012) and follow-up (2012-2013) data of 4748 young Swiss men from the Cohort Study on Substance Use Risk Factors (C-SU...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.03.022
更新日期：2014-07-01 00:00:00
