Abstract:
BACKGROUND:Patient-centered Assessment and Counseling on Exercise plus nutrition (PACE+) is an intervention based in primary care settings to help patients change physical activity and dietary behaviors. METHODS:One hundred seventy-three adults were assessed before and after a 4-month intervention. All patients completed a computerized assessment and created tailored "action plans" to change one physical activity and one nutrition behavior that they then discussed with their provider. After the visit, subjects were randomized to one of four extended intervention conditions: control, mail only, infrequent phone and mail, and frequent phone and mail. Self-report of five target behaviors (moderate and vigorous physical activity stage of change, dietary fat, fruit/vegetable intake, and overeating behaviors) was collected at baseline and 4 months. Acceptability measures were also taken. RESULTS:Participants in all conditions improved on all behaviors over time, supporting the utility of the computer and provider counseling components. The extended intervention did not produce differential results with respect to mode (phone or mail) or intensity (frequent or infrequent). However, for each behavior, participants who targeted the behavior to change improved significantly more than those who did not target the behavior. Acceptability of the intervention was high. CONCLUSIONS:Primary care-based, interactive health communication to improve physical activity and dietary behavior is feasible and has promising initial results.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Calfas KJ,Sallis JF,Zabinski MF,Wilfley DE,Rupp J,Prochaska JJ,Thompson S,Pratt M,Patrick Kdoi
10.1006/pmed.2001.0964subject
Has Abstractpub_date
2002-02-01 00:00:00pages
153-61issue
2eissn
0091-7435issn
1096-0260pii
S0091743501909648journal_volume
34pub_type
临床试验,杂志文章,随机对照试验abstract::Use of five early disease detection tests was examined in relation to history of specific chronic disease and other health habits, as part of a cohort study including 11,888 residents of a retirement community in Southern California. Self-reported utilization rates by residents in the year preceding study entry were a...
journal_title:Preventive medicine
pub_type: 杂志文章
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abstract:BACKGROUND:Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or inf...
journal_title:Preventive medicine
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abstract:BACKGROUND:Although patterns of utilization of complementary and alternative medicine (CAM) in the community have begun to be described, few studies have addressed the relationships between dispositional psychological factors and the use of CAM. The aim of this study was to examine the associations between CAM use and ...
journal_title:Preventive medicine
pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
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journal_title:Preventive medicine
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journal_title:Preventive medicine
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doi:10.1006/pmed.2000.0697
更新日期:2000-09-01 00:00:00
abstract:BACKGROUND:Blood pressure (BP) reduction is crucial in reducing cardiovascular (CV) morbidity and mortality in the community. Subjects aged 20-65 seldom visit the primary care clinics, so they are unlikely to be detected without an active outreach screening program. The aim of the project was to prepare a professional ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.09.003
更新日期:2003-12-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2015-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-04-01 00:00:00
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abstract:BACKGROUND:The Women's Health Trial (WHT) was a feasibility study for a randomized controlled trial designed to test the hypothesis that a reduction in dietary fat reduces breast cancer incidence among women age 45 to 69. Between 1984 and 1988, 2,064 women participated in its two phases. METHODS:A follow-up study of 5...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1992-05-01 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2013-01-01 00:00:00
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更新日期:2002-10-01 00:00:00
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更新日期:2018-01-01 00:00:00
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journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1999-05-01 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:2013-10-01 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:2008-07-01 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
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更新日期:2004-04-01 00:00:00
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更新日期:2004-08-01 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:2013-08-01 00:00:00