Effects of the mediterranean lifestyle program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease

Toobert, Deborah J.; Strycker, Lisa A.; Glasgow, Russell E.; Barrera, Manuel; Angell, Karyn

doi:10.1207/s15324796abm2902_7

Cited by 80 publications

(85 citation statements)

References 48 publications

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“…Based on these promising results, we again modified the intervention and conducted two randomized clinical trials to test the program's effectiveness in women with type 2 diabetes who were at high risk for CHD, but who did not have CHD. In the first of these trials, the MLP, significant changes in the targeted behaviors of diet, physical activity, stress management, smoking cessation, and social support were achieved with a lower-intensity Ornish-type intervention [11,12]: The retreat was shortened from 1 week to 2½ days; meetings were held on a fading schedule over 24 months and were facilitated by lay leaders once established by professional leaders, and the less-restrictive Mediterranean-style diet was recommended.…”

Section: Adaptation Of the Ornish Programmentioning

confidence: 99%

“…Can the costs and burden required for this intense intervention be reduced without sacrificing significant and lasting lifestyle change in high-risk populations? In a series of randomized clinical trials [9][10][11][12], we adapted the Ornish program-which was efficacious for men with CHD-for older women with type 2 diabetes at risk of CHD, and answered questions about (a) the feasibility of recommending such a restrictive diet; (b) adherence to treatment recommendations and techniques to increase adherence in less closely supervised contexts; and (c) public health concerns related to the intensity, cost, reach, generalizability, time demands, and extreme lifestyle changes Implications Practice: Having a consistent set of criteria or implementation factors against which to judge programs and to guide adaptation can be helpful in balancing fidelity and adaptation, and in planning for dissemination.…”

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confidence: 99%

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Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Toobert

Glasgow²,

Strycker

et al. 2012

Behav. Med. Pract. Policy Res.

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Coronary heart disease is a pervasive public health problem with a heavy burden among older women. There is a need for developing effective interventions for addressing this problem and for evaluating the dissemination potential of such interventions. A multiple-behavior-change program originally designed for men with heart disease was adapted for women at high risk of heart disease in two randomized clinical trials-the Mediterranean Lifestyle Program and ¡Viva Bien!. Results from these two trials, including readiness for dissemination, are evaluated using the RE-AIM framework in terms of Reach, Effectiveness, Adoption, Implementation, and Maintenance. Program adaptations produced relative high reach as well as consistent and replicated effectiveness and maintenance, and were adopted by a high percentage of primary care offices and clinicians approached. We discuss key findings, lessons learned, future directions for related research, and use of RE-AIM for program development, adaptation, scale-up, and evaluation.

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Section: Adaptation Of the Ornish Programmentioning

confidence: 99%

mentioning

confidence: 99%

Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Toobert

Glasgow²,

Strycker

et al. 2012

Behav. Med. Pract. Policy Res.

Self Cite

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“…They probably have less infl uence than the impact of cumulative material affl uence/deprivation on 'embodied' social and cultural capital (Bourdieu, 1984), on how confi dent they are, their literacy and their capacity to make bridges between their experience and medical knowledge. Yet they may be more likely to learn and to change their pre-existing behaviour if they are able to fi nd appropriate information by themselves and have their learning reinforced by their peers (Toobert et al, 2005). Patients' trust in experts tends to decline following a heart attack (Stout et al, 2001) and so 'interactive learning' approach to chronic disease management may be particularly effective (Stout et al, 2001;Nguyen et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Enabling healthy choices: is ICT the highway to health improvement?

et al. 2008

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a b s t r a c t The White Paper Choosing health acknowledges that there is no lack of information in the system about healthy lifestyles, but the manner of communication of risk and the level of support for lifestyle change need improvement. Action also has to be taken to address inequalities in health and to focus on securing better access to healthier choices for people in disadvantaged groups or areas. Accordingly, this randomized controlled trial examined whether access to a purpose-built health portal for heart disease could enable patients to manage better their heart conditions. We recruited 108 men and women aged 50-74 from coronary heart disease registries from a deprived area of Greater Manchester. Every participant received a new computer and one-year broadband subscription; however, only the experimental group received access to the Hearts of Salford health portal. Our results indicate that the experimental group changed their diet significantly. Specifi cally, they reported eating 'bad foods' (such as chips, sweets, crisps, fried foods, ready meals and cakes/biscuits) signifi cantly less often compared to the controls.

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“…program is an adaptation for Latinas of previously successful research [20] targeting diet, physical activity, stress management, social support, and smoking cessation in women 40 years of age and older with type 2 diabetes. KPCO's EMR was used to identify potential subjects who had been diagnosed with type 2 diabetes for at least six months.…”

Section: Setting and Study Populationsmentioning

confidence: 99%

Variation in Hispanic Self-Identification, Spanish Surname, and Geocoding: Implications for Ethnicity Data Collection

Ritzwoller¹,

Carroll²,

Gaglio³

et al. 2008

TOHSPJ

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This study examines the variation in surname analysis and geocoding, and their association with self-identified Hispanics in an HMO. We collected ethnicity data from three studies, and employed Spanish surname software and census tract level geocoding to create proxies for Hispanic ethnicity. We computed sensitivity, specificity, and estimated multivariate logistic regression models to examine the variation in the likelihood of a match between self-identified Hispanics and surname. Sensitivity and specificity with respect to surname varied across the three studies, ranging from 57%-91% and 89%-96%, respectively. Relative to self-report, the sensitivity of the census tract measure of density of Hispanics, varied from 5%-15%. Multivariate models suggest that the likelihood of a match between self-identified Hispanics and surname was not associated with age or gender. Self-identified Hispanics living in neighborhoods with the highest density of Hispanics were less likely than those in more mixed neighborhoods to have a Spanish surname. Employing the Spanish surname software on only densely populated Hispanic census tracts may not always improve the likelihood of correctly identifying Hispanic subjects.

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Effects of the mediterranean lifestyle program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease

Cited by 80 publications

References 48 publications

Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Adapting and RE-AIMing a heart disease prevention program for older women with diabetes

Enabling healthy choices: is ICT the highway to health improvement?

Variation in Hispanic Self-Identification, Spanish Surname, and Geocoding: Implications for Ethnicity Data Collection

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