Abstract:
BACKGROUND:Well-being encompasses physical, psychological, and social aspects of health and predicts healthcare utilization and expenditures. Despite their potential clinical impact, interventions that leverage social network effects to target well-being are uncommon. PURPOSE:Using a pragmatic design, to evaluate the effectiveness of an online well-being intervention as part of ongoing program development. DESIGN:Randomized, placebo-controlled, parallel-group trial with longitudinal outcome measurements at baseline, 30 days, and 90 days. PARTICIPANTS/SETTING:A total of 1503 U.S.-based adults were enrolled. Recruitment, eligibility verification, and baseline data collection were conducted entirely online; follow-up took place online or by phone. The study was conducted in 2012. INTERVENTION:A multimodal e-mail-, web-, and mobile-based intervention (Daily Challenge), in which participants receive daily suggestions of small health actions that they complete in a social environment. A traditional weekly health newsletter served as control. MAIN OUTCOME MEASURE:Overall well-being as measured by the Individual-level Well-Being Assessment and Scoring Method (scale: 0 to 100). RESULTS:Follow-up rates reached 68.7% (n=1032) at 30 days and 62.6% (n=940) at 90 days. Overall, 84.6% of treatment group participants visited the website, and 76.5% opened program e-mails (vs 51.1% in the control group). Daily Challenge improved well-being significantly more than control at 30 days (2.27 points, p=0.004) and at 90 days (2.35 points, p=0.004). A dose response for intensity of use was observed at 30 days (p=0.001) and 90 days (p=0.003). Well-being improvement was greater in participants with than without social ties in the program (at 30 days: p=0.02; at 90 days: p=0.003). CONCLUSIONS:A multimodal online intervention leveraging social network effects significantly improved well-being over control. Higher levels of participation as well as increasing levels of social integration were associated with greater improvement in well-being. TRIAL REGISTRATION:www.clinicaltrials.gov (NCT01586949).
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Cobb NK,Poirier Jdoi
10.1016/j.amepre.2013.08.018subject
Has Abstractpub_date
2014-01-01 00:00:00pages
41-8issue
1eissn
0749-3797issn
1873-2607pii
S0749-3797(13)00527-8journal_volume
46pub_type
杂志文章,随机对照试验abstract::For three consecutive years, beginning in 1986, we evaluated cardiovascular disease (CVD) risk factors of medical students as part of the teaching program in a Preventive Cardiology Academic Award. Entering students in three consecutive classes were screened on the first day of orientation to medical school. The first...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract::Family history represents the contributions and interactions of unique genomic and ecologic factors that affect the metabolic profile and life course of a family and its members. It is well known that a family history of coronary heart disease (CHD) is a significant predictor of an individual's risk for CHD even after...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/s0749-3797(02)00587-1
更新日期:2003-02-01 00:00:00
abstract:INTRODUCTION:There is an association between strength and health among adolescents, yet, what remains to be determined is sex-specific cut points for low strength in the detection of risk in this population. The purpose of this study was to determine thresholds of low grip strength in a large cohort (N=1,326) of adoles...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.09.019
更新日期:2016-05-01 00:00:00
abstract:CONTEXT:Concern over liability is a barrier to allowing community use of school property for the purpose of engaging in active sport and recreational activities. Recreational user statutes have the potential to limit liability for public schools when use occurs outside of regular school hours, reduce the fear of liabil...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2010.02.019
更新日期:2010-07-01 00:00:00
abstract:INTRODUCTION:Fall-related injuries and health risks associated with reduced mobility or physical inactivity account for significant costs to the U.S. healthcare system. The widely disseminated lay-led A Matter of Balance (MOB) program aims to help older adults reduce their risk of falling and associated activity limita...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.07.004
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Previous studies on physical activity interventions in preschools have reported limited effectiveness. Participatory community-based approaches hold promise for increasing intervention effectiveness and involving parents as key stakeholders in a sustainable way. PURPOSE:To assess whether a participatory par...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2013.01.032
更新日期:2013-07-01 00:00:00
abstract:INTRODUCTION:Environmental and policy approaches to promote physical activity, such as walking trail construction and promotion, are being widely recommended, yet sparse data exist on their effectiveness. In conjunction with ongoing community-intervention projects in Missouri, walking trails are being built, promoted, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(99)00165-8
更新日期:2000-04-01 00:00:00
abstract:INTRODUCTION:Various built environment factors might influence certain health behaviors and outcomes. Reliable, resource-efficient methods that are feasible for assessing built environment characteristics across large geographies are needed for larger, more robust studies. This paper reports the item response prevalenc...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.08.032
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Convincing pregnant women who smoke to give up this behavior is one of the few universally agreed upon methods for improving pregnancy outcomes. An exploratory study was conducted to determine what public and quasi-public facilities serving pregnant women were doing to assist pregnant smokers in quitting, th...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(03)00117-x
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Enjoyment has been implicated as a determinant of physical activity among youth, but advances in understanding its importance have been limited by the use of measures that were not adequately validated. The present study examined: (1) the factorial validity of the Physical Activity Enjoyment Scale (PACES), a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00326-9
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:The central evaluative question about a national HIV prevention program is whether that program affects HIV incidence. Numerous factors may influence incidence, including public investment in HIV prevention. Few studies, however, have examined the relationship between public investment and the HIV epidemic i...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.08.033
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:The long-term effect of most interventions has not been studied. Changes due to interventions to improve patient care may revert to baseline after the intervention stimulus ends. This analysis reports the 24-month follow-up of a practice-tailored intervention to increase preventive service delivery rates. D...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(03)00219-8
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Few investigations have examined whether associations between the apolipoprotein E genotype (apo E) and total cholesterol or LDL-C are modified or explained by other characteristics. The objective of this study was to explore effects of behavioral characteristics, physical growth, body composition, sexual ma...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.04.009
更新日期:2009-07-01 00:00:00
abstract:INTRODUCTION:The relationships among food access, foods consumed, and nutritional status and health in developing countries are not well understood. Between 2013 and 2018, differences in the rural food environment and access to food, nutritional status, and body size in the rural villages where the Pune Maternal Nutrit...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.10.017
更新日期:2020-05-01 00:00:00
abstract:CONTEXT:The risk of chronic kidney disease (CKD) in the U.S. is higher in individuals with low SES than in those with high SES. However, differences in these risks between African Americans and whites are unclear. EVIDENCE ACQUISITION:Studies published through August 30, 2016 in Medline and EMBASE were searched. From ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.amepre.2017.06.036
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:The public health enterprise has a people problem. An aging workforce coupled with a sustained, strong economy and healthcare sector has made the recruitment and retention of young, educated staff challenging. Approximately one third of public health staff aged 33 years and younger are considering leaving ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.03.017
更新日期:2020-10-01 00:00:00
abstract::Levels and trends in blood pressure (BP), as well as prevalence and treatment of hypertension, were studied in The Netherlands between 1987 and 1991. BP was measured continuously using a standardized method in 36,273 men and women 20-59 years of age. The data were weighted for the age distribution of the general Dutch...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::Editors' Note: We invited a sample of AJPM's Editorial Board, supplement guest editors, and longtime colleagues and contributors to share their experiences and impressions of the impact of AJPM on their respective domains. We were particularly fond of Ken Powell's analogy to being "tenders of the planted seed"--as pla...
journal_title:American journal of preventive medicine
pub_type: 历史文章,信件
doi:10.1016/j.amepre.2013.09.006
更新日期:2013-12-01 00:00:00
abstract:INTRODUCTION:Two issues remain elusive in weight management programs: significant, long-term weight-loss maintenance and widely accessible programs that produce significant weight loss for reasonable costs. The purpose of this study is to determine the long-term weight loss of participants who consecutively renew their...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.011
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Smokers may react to cigarette excise tax increases by engaging in price-minimization strategies (i.e., finding ways to reduce the cost of cigarette smoking) rather than by quitting or reducing their cigarette use, thereby reducing the public health benefits of such tax increases. PURPOSE:To evaluate the st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.01.019
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Alcohol-impaired driving caused 10,839 deaths in 2009. Alcohol-impaired driving fatalities as a percentage of all motor vehicle fatalities decreased from 1982 to 1999 but have remained stable since. Understanding characteristics of those who engage in this behavior is critical to achieving future reductions....
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.10.015
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Approximately 1% of U.S. women may have an undiagnosed bleeding disorder, which can diminish quality of life and lead to life-threatening complications during menstruation, childbirth, and surgery. PURPOSE:To understand young women's knowledge, attitudes, and perceptions about bleeding disorders and determi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.07.040
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Physicians have limited time for weight-loss counseling, and there is a lack of resources to which they can refer patients for assistance with weight loss. Weight-loss mobile applications (apps) have the potential to be a helpful tool, but the extent to which they include the behavioral strategies included i...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.04.025
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Physical activity is important for children's health, and identifying factors associated with their physical activity is important for future interventions and public health programs. PURPOSE:This study sought to identify multidimensional correlates of preschool children's physical activity. METHODS:The so...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.04.020
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Knowledge of the association between the neighborhood physical environment and adults' readiness to encourage children's use of local playgrounds, and the extent to which perceived safety acts as a mediator, can inform efforts to increase children's physical activity. METHODS:Data were obtained from seven E...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.01.007
更新日期:2008-04-01 00:00:00
abstract:INTRODUCTION:Heated tobacco products, also referred to as heat-not-burn tobacco, are among the latest products introduced to the market by the tobacco industry. However, data on heated tobacco product awareness and use from population-based probability surveys are limited. This study examines heated tobacco product awa...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.11.011
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Many health behaviors and physiologic indicators can be used to estimate one's likelihood of illness or premature death. Methods have been developed to assess this risk, most notably the use of a health-risk assessment or biometric screening tool. This report provides recommendations on the effectiveness of ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2009.10.030
更新日期:2010-02-01 00:00:00
abstract:INTRODUCTION:The emerging trends and rapid growth of electronic cigarettes (e-cigarettes) among adolescents are being monitored closely. The trends are critical as policy to prevent uptake among adolescents is considered. The purpose of this study is to describe the prevalence of e-cigarette use and potential correlate...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.013
更新日期:2015-08-01 00:00:00
abstract::Identification and application of appropriate analytic methods are critical pieces of the foundation of science. Because of the increasingly complex issues federal agencies face and the increasing importance of addressing those issues with multi-disciplinary teams that offer knowledge and skills in many methods areas,...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00174-4
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Recognition of health disparities among underserved individuals, whose demographic, geographic, or economic characteristics impede access to health-related services, has led to calls for the development of medical school curricula that address care for the underserved, but reports of the development and eval...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.06.024
更新日期:2006-10-01 00:00:00