A Randomized Trial of a Tailored, Self-Help Dietary Intervention: The Puget Sound Eating Patterns Study

Kristal, Alan R.; Curry, Susan J.; Shattuck, Ann L.; Feng, Ziding; Li, Sue

doi:10.1006/pmed.2000.0711

Cited by 114 publications

(80 citation statements)

References 25 publications

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“…Subjects were classified as low risk (<2 risk factors), moderate risk (≥ 2 risk factors and <10% risk), moderate-high risk (10-20% risk), or high risk (>20% risk) (Gillespie et al, 2007). Dietary and physical activity patterns were estimated using the National Institutes of Health Fruit and Vegetable Screener (Thompson et al, 2000), the Kristal Fat and Fiber Behavior Questionnaire (Kristal et al, 1990(Kristal et al, , 2000, and the International Physical Activity Questionnaire (IPAQ) (Booth, 2000;Craig et al, 2003). Reported reliability estimates for the latter two instruments were 0.63 and 0.80, respectively.…”

Section: Methodsmentioning

confidence: 99%

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

Racette¹,

Deusinger²,

Inman³

et al. 2009

Preventive Medicine

111

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Objective-To evaluate the effectiveness of a worksite health promotion program on improving cardiovascular disease risk factors. overweight/obese) participated in a cohort-randomized trial comparing assessments + intervention (worksite A) with assessments only (worksite B) for 1 year. All participants received personal health reports containing their assessment results. The intervention was designed to promote physical activity and favorable dietary patterns using pedometers, healthy snack cart, WeightWatchers® meetings, group exercise classes, seminars, team competitions, and participation rewards. Outcomes included BMI, body composition, blood pressure, fitness, lipids, and Framingham 10-year coronary heart disease risk. Methods-InResults-123 participants, aged 45 ± 9 yr, with BMI 32.9 ± 8.8 kg/m 2 completed 1 year. Improvements (P ≤ 0.05) were observed at both worksites for fitness, blood pressure, and total-, HDL-, and LDL-cholesterol. Additional improvements occurred at worksite A in BMI, fat mass, Framingham risk score, and prevalence of the metabolic syndrome; only the changes in BMI and fat mass were different between worksites.Conclusion-A multi-faceted worksite intervention promoted favorable changes in cardiovascular disease risk factors, but many of the improvements were achieved with worksite health assessments and personalized health reports in the absence of an intervention.

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Section: Methodsmentioning

confidence: 99%

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

Racette¹,

Deusinger²,

Inman³

et al. 2009

Preventive Medicine

111

View full text Add to dashboard Cite

show abstract

“…Using the PRECEED/PROCEED planning model as a guide (17), we designed an 11-page questionnaire focused on demographic, psychosocial, and behavioral factors related to cancer prevention. Questions were adapted from the Behavioral Risk Factor Surveillance System and other surveys (18,19) and were modified as needed to be salient for African Americans. We pretested the questionnaire on a small sample (n = 13) and made necessary modifications.…”

Section: Methodsmentioning

confidence: 99%

Methods and Strategies to Recruit African Americans into Cancer Prevention Surveillance Studies

Satia

Galanko

Rimer

2005

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Objective: Recruitment of African Americans into health research studies is a major challenge. This report describes a study of different methods and strategies to recruit African Americans into a population-based assessment of cancer behavioral risk factors. Methods: African Americans ages 18 to 70 years in North Carolina (n = 5,000) were randomly selected from the Department of Motor Vehicle rosters and assigned at random to one of five different recruitment strategies based on variations of approach letters (generic versus culturally sensitive) and inclusion, exclusion, or promise of a small incentive. Prospective participants were sent an 11-page questionnaire by mail but could complete it by telephone or Internet as well as by mail. Results: The overall response rate was 17.5% (747 completed surveys of 4,276 delivered): 655, 84, and 8 by mail, Internet, and telephone, respectively. Among eligible respondents, response was significantly higher for incentive-based than nonincentive strategies; 23.9% for the generic letter plus incentive compared with 15.8% for the generic letter only (P < 0.001). The culturally sensitive letter had little effect on participation (15.8% for both the generic and culturally sensitive letters). The mean age of eligible respondents was 43.9 years, 41% were male, 37% were college graduates, and 75% were overweight/obese. There were no differences in respondent characteristics by assigned recruitment strategy.

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“…Tailoring has generally been found to be more successful than nontailored methods in changing dietary behavior (Campbell et al 1994;Delichatsios et al 2001;Kristal et al 2000). In a study conducted by Tuomilehto et al (2001) participants were randomly assigned to one group that received individualized counseling aimed at reducing weight, increasing physical activity, and participating in sessions with nutritionists (intervention group), and another group that only received general information about diet and exercise (control group).…”

Section: Information and Knowledgementioning

confidence: 99%

The Rise of Noncommunicable Diseases in Latin America and the Caribbean: Challenges for Public Health Policies

2015

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Abstract:The health landscape in Latin America and the Caribbean is changing quickly.The region is undergoing a demographic and epidemiological transition in which health problems are highly concentrated on noncommunicable diseases (NCDs). In light of this, the region faces two main challenges: (1) develop cost-effective policies to prevent NCD risk factors, and (2) increase access to quality healthcare in a scenario in which a large share of the labor force is employed in the informal sector. This paper describes both alternative interventions to expand health insurance coverage and their tradeoff with labor informality and moral hazard problems. The paper also focuses on obesity as a case example of a NCD, and emphasizes how lack of knowledge along with self-control problems would lead people to make suboptimal decisions related to food consumption, which may later manifest in obesity problems. Keywords IntroductionThe developing world, and in particular Latin America and the Caribbean (LAC), has experienced both a secular decline in mortality and significant improvements in the health of its population over the last 200 years. As we start the 21st century, a key observation is that the pattern and nature of mortality and morbidity has changed over recent decades and continues changing today. Health systems in developing countries are facing major challenges mainly because of growing epidemiological diversity as a consequence of economic development, technological change in medicine, and population aging.Although LAC is not completely free of infectious diseases, is well advanced in its demographic and epidemiological transitions, with health problems highly concentrated on noncommunicable diseases (NCDs). People in the region are equally likely to die prematurely from just one NCD than from all communicable diseases combined. Half of years of life lost in the region, as well as the leading causes of mortality and morbidity, are attributable to NCDs (Anderson et al. 2009). Furthermore, there is little doubt that the levels of NCDs will substantially increase in the near future. It is predicted that by 2020, NCDs will cause 7 of every 10 deaths in developing countries (Boutayeb 2006). Two of the factors believed to be central drivers of this trend are aging populations and the stark and simultaneous increase in rates of obesity worldwide (WHO 2013a).NCDs, which are characterized by shared risk factors, multi-morbidity, and chronicity, pose several challenges for the organization of healthcare. In order to address these challenges, policymakers must define a health policy frontier that identifies the primary interventions according to current health priorities. Taking into account where LAC stands in term of both its demographic and ezpidemiological transition, the health 3 policy frontier in the region must include (1) public health policies that reduce the risk factors that cause NCDs by promoting healthy behavior; and (2) health insurance programs that offer households access to quality healthcare at costs t...

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A Randomized Trial of a Tailored, Self-Help Dietary Intervention: The Puget Sound Eating Patterns Study

Cited by 114 publications

References 25 publications

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

Methods and Strategies to Recruit African Americans into Cancer Prevention Surveillance Studies

The Rise of Noncommunicable Diseases in Latin America and the Caribbean: Challenges for Public Health Policies

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