Abstract：
BACKGROUND:This paper describes decisions about the experimental design for the Youth, Osteoporosis, and Understanding Total Health Project (YOUTH), a trial designed to test the efficacy of a health plan-based lifestyle intervention for increasing bone mineral density among adolescent women 14 to 16 years of age. METHODS:This randomized controlled trial recruited adolescent women who were at higher risk for developing osteoporosis (body mass index 16-23) from a large HMO in the Pacific Northwest. The intervention focused on improving diet (high calcium foods, fruits, and vegetables) and increasing physical activity (high impact and spinal motion). The intervention included both group and individual activities. The primary endpoint in the study was total bone mineral density as measured by dual-energy X-ray absorptiometry (DEXA). RESULTS:Baseline data were collected on the trial cohort of 228 adolescent women and their families. This paper discusses how researchers met the following challenges in designing and implementing the trial: determining appropriate dietary and exercise targets to affect bone mineral density in adolescents; choosing suitable assessments; and developing an intervention well suited for implementation in a non-school (health plan) setting. We also discuss the rationale for the specific study population chosen (females, younger adolescents). CONCLUSIONS:The YOUTH project is one of very few preventive research interventions with adolescents conducted in a health plan setting. Many of the recruitment and intervention strategies used in this trial may be appropriate for adoption in other health plan-based prevention studies.
journal_name
Prev Medjournal_title
Preventive medicineauthors
DeBar LL,Ritenbaugh C,Vuckovic N,Stevens VJ,Aickin M,Elliot D,Moe E,Orwoll E,Ernst D,Irving LMdoi
10.1016/j.ypmed.2004.04.010subject
Has Abstractpub_date
2004-11-01 00:00:00pages
1047-55issue
5eissn
0091-7435issn
1096-0260pii
S0091743504001999journal_volume
39pub_type
临床试验,杂志文章,随机对照试验abstract：BACKGROUND:Walkable urban form predicts physical activity and lower body mass index, which lower C-reactive protein (CRP). However, urban form is also related to pollution, noise, social and health behavior, crowding, and other stressors, which may complement or contravene walkability effects. PURPOSE:This paper asses...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.09.019
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abstract：:METHODS. One hundred six smokers seen in a family practice received brief physician advice and a prescription for nicotine gum. Smokers were randomly assigned to pay $20, $6, or $0/box of nicotine gum and followed for 6 months. RESULTS. Decreased cost increased the incidence of obtaining gum, the amount of gum used, a...
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(91)90046-7
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abstract：BACKGROUND:Studies of the cardiovascular consequences of combat stress are few and inconclusive. OBJECTIVE:The association between combat exposure and subclinical atherosclerosis at Atherosclerosis Risk in Communities (ARIC) Study visits 1 (1987-1989) and 2 (1990-1992) was assessed among 5347 men from four U.S. commun...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.02.009
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abstract：OBJECTIVES:Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009-2010 influenza season physicians': 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticipated and experienced barriers...
journal_title：Preventive medicine
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doi：10.1016/j.ypmed.2012.04.014
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abstract：BACKGROUND:The goal of this study is to better understand factors related to physician treatment of tobacco as a chronic medical condition. METHODS:In the fall of 2000, we conducted a mail survey of primary care physicians in a large mid-western health plan. The response rate was 61% (750/1235). The survey assessed ph...
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pub_type： 杂志文章
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abstract：:As a major public health issue, human trafficking (HT) affects individuals, families, communities, and societies around the world. A public health approach to combating HT has been advocated. Such an approach seeks to prevent HT by engaging diverse stakeholder groups in addressing risk factors at multiple levels. As a...
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pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.07.006
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abstract：BACKGROUND:Cancer-related health behaviours may be affected by barriers to healthcare seeking and beliefs about cancer. The aim was to assess anticipated barriers to healthcare seeking and beliefs about cancer in a sample of the Danish population and to assess the association with socio-economic position. METHODS:A po...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.12.007
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abstract：BACKGROUND:Cold air stimulates upper airway cold receptors causing a reflex depressive effect on respiratory activity. Menthol, in low concentrations can also stimulate these same cold receptors causing a depressive effect on respiratory activity. Menthol cigarettes when smoked, deliver enough menthol to stimulate cold...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2004.01.019
更新日期：2004-06-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.05.021
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1997.0163
更新日期：1997-07-01 00:00:00
abstract：BACKGROUND:The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the risk of breast cancer is unclear. We assessed the association in a hospital-based case-control study. METHODS:The cases (n = 6558) were compared with cancer controls (n = 3296) and noncancer controls admitted for trauma or acute infection (n...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1006/pmed.1999.0518
更新日期：1999-08-01 00:00:00
abstract：OBJECTIVE:This study was undertaken to evaluate a smoking cessation intervention provided to women smokers as follow-up to cervical cancer screening. METHODS:Women who had had a Pap test in the prior month (N = 4,053) were called to complete a survey that assessed smoking status; 580 identified smokers were randomized...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1006/pmed.1999.0514
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:Many estimates of cancer screening are based on self-reported screening behavior. There is growing concern that self-reported screening measures may be less accurate among members of racial and ethnic minority groups. This would have considerable implications for research on racial and ethnic disparities in ...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2008.11.014
更新日期：2009-02-01 00:00:00
abstract：:The impact of social participation on older adults' health may differ by individual socioeconomic status (SES). Consequently, we examined SES effect modification on the associations between types of social activity participation and incident functional disability. Cohort data from the 2003 Japan Gerontological Evaluat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.05.006
更新日期：2016-08-01 00:00:00
abstract：:Tumin and Bhalla mentioned challenges associated with the use of population-based survey and machine learning (ML) results on adolescent opioid misuse to clinical settings. In a clinical setting, medical providers do know patient's identity. So, it is not surprising that drug misuse is rarely identified through patien...
journal_title：Preventive medicine
pub_type： 评论,信件
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更新日期：2020-02-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.11.001
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to explore the relationship between TV/video viewing, as a measure of sedentary behavior, and risk of incident stroke in a large prospective cohort of men and women. METHODS:This analysis involved 22,257 participants from the REasons for Geographic And Racial Differences in Str...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.02.013
更新日期：2016-06-01 00:00:00
abstract：BACKGROUND:Raised serum uric acid (SUA) levels are associated with conditions at high risk for coronary heart disease. SUA levels can be partly modified by the diet, but little is known about the association of SUA with several dietary factors, particularly the quality of ingested lipids. METHODS:The associations betw...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1996.0096
更新日期：1996-09-01 00:00:00
abstract：:Electronic cigarettes ("e-cigs") have recently gained in popularity, but their health risks, including dependence potential are unclear. This study analyzed the adult database from the Wave 1 Population Assessment of Tobacco and Health (PATH) Study, a nationally representative survey of tobacco use in the United State...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.04.001
更新日期：2017-11-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(87)90065-x
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.01.017
更新日期：2008-06-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0880
更新日期：2001-10-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.11.010
更新日期：2011-02-01 00:00:00
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journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1999.0502
更新日期：1999-07-01 00:00:00
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journal_title：Preventive medicine
pub_type： 信件
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更新日期：2016-10-01 00:00:00
abstract：:In this paper we review the published literature with respect to cervical cancer screening intervention research. Mass media campaigns appear to work best in promoting cervical cancer screening when multiple media are used, when they promote specific screening programs that eliminate or reduce access barriers, or when...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1997.0251
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:This study assesses the relative validity of a diet history interview in 56 free-living individuals with Type II diabetes mellitus. METHODS:The diet history interview was compared to a 3-day food record in a 1-year dietary intervention trial. The plausibility of energy intake data was examined throughout th...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章
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更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to assess public support for a smoking cessation policy involving financial incentives. METHODS:We conducted a randomized controlled trial using an experimental survey design. One of four questionnaire versions was distributed to participants. Each version described a smoking cessati...
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
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
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abstract：:The objective of this paper is to estimate the impact of county-level public transit usage on obesity prevalence in the United States and assess the potential for public transit usage as an intervention for obesity. This study adopts an instrumental regression approach to implicitly control for potential selection bia...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.03.010
更新日期：2017-06-01 00:00:00
