Randomized trial of a clinic-based, community-supported, lifestyle intervention to improve physical activity and diet: The North Carolina enhanced WISEWOMAN project

Keyserling, Thomas C.; Samuel‐Hodge, Carmen D.; Jilcott, Stephanie B.; Johnston, Larry F.; Garcia, Beverly A.; Gizlice, Ziya; Gross, Myron D.; Saviñon, Carla E.; Bangdiwala, Shrikant I.; Will, Julie C.; Farris, Rosanne P.; Trost, Stewart G.; Ammerman, Alice S.

doi:10.1016/j.ypmed.2008.02.011

Cited by 81 publications

(105 citation statements)

References 37 publications

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“…Our findings suggest that motivational interviewing is effective in facilitating physical activity behavior change in lower socio-economic status groups and is in contrast with previous research that has found interventions to increase physical activity in low socio-economic status groups to be of limited effectiveness or ineffective (Yancey et al, 2006;Dutton et al, 2007;Keyserling et al, 2008). Although the current sample was recruited from areas with overall high social deprivation, we went to some effort to ensure that our participants could be characterised as members of a 'lower' socio-economic status group; the majority (69 %) of the sample were classified into this group based on our primary criterion of household income, followed by employment status and education.…”

Section: Discussioncontrasting

confidence: 99%

The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community

Hardcastle

Blake²,

Hagger

2012

J Behav Med

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Little research exists on the impact of behavior change interventions in disadvantaged communities. We conducted a prospective study to explore the effectiveness of motivational interviewing on physical activity change within a deprived community and the social- psychological and motivational predictors of change in physical activity including stage of change, self-efficacy, social support, and variables from self-determination theory and the theory of planned behavior. Five motivational interviewing counsellors recruited 207 patients and offered motivational interviewing sessions to support physical activity behavior change. At 6-months there were significant improvements in physical activity, stage of change, and social support. A dose-response relationship was evident; those who attended 2 or more consultations increased their total physical activity, stage of change and family social support more than those who attended just one. Hierarchical regression analyses indicated that number of sessions and change in stage of change predicted 28.4% of the variance in change in total physical activity and, with social support from friends, 21.0% of the variance in change walking time. Change in perceived behavioral control and attitudes, friend social support, and number of sessions predicted 16.8% of the variance in change in vigorous physical activity. Motivational interviewing is an effective approach for promoting physical activity amongst lower socio-economic status groups in the short term. The study demonstrates good translational efficacy, and contributes to a limited number of physical activity interventions targeting low income groups in the UK.

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Section: Discussioncontrasting

confidence: 99%

The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community

Hardcastle

Blake²,

Hagger

2012

J Behav Med

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“…The lifestyle change interventions are locally tailored and vary in intensity and have been evaluated in several studies, including randomized controlled trials, quasi-experiments, case studies, and mixed-method evaluations (14,15,30,54,61,64,92,102,110). The data clearly show that lifestyle interventions delivered in WISEWOMAN are feasible and acceptable for reaching socially and medically vulnerable women (46, 118).…”

Section: Women's Health Programsmentioning

confidence: 99%

The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions

Glanz

Bishop

2010

Annu. Rev. Public Health

1,737

1,408

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Increasing evidence suggests that public health and health-promotion interventions that are based on social and behavioral science theories are more effective than those lacking a theoretical base. This article provides an overview of the state of the science of theory use for designing and conducting health-promotion interventions. Influential contemporary perspectives stress the multiple determinants and multiple levels of determinants of health and health behavior. We describe key types of theory and selected often-used theories and their key concepts, including the health belief model, the transtheoretical model, social cognitive theory, and the ecological model. This summary is followed by a review of the evidence about patterns and effects of theory use in health behavior intervention research. Examples of applied theories in three large public health programs illustrate the feasibility, utility, and challenges of using theory-based interventions. This review concludes by identifying cross-cutting themes and important future directions for bridging the divides between theory, practice, and research.

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“…Fast food consumption is one of the most crucial risk factors causing cardiovascular diseases (3). Fast food is a kind of food made easily and fast, mostly out of the house by some unhealthy foodstuff.…”

Section: Introductionmentioning

confidence: 99%

“…However, such an increase in fast food consumption rate among teenagers is not typical of developed societies and is also observed in the developing countries such as Iran. Studies reported that 29% of Iranian students consume fast food weekly; students within the age range of 6 to 18 years have fast food twice a week (3,8).…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Social Cognitive Theory-Based Intervention on Fast Food Consumption Among Students

Ahmadi

Pirzadeh

Hasanzadeh

et al. 2018

Iran J Psychiatry Behav Sci

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Background: Modification of nutritional behaviors in adolescents is of high importance and can prevent nutrition-related diseases in adulthood. Objectives: The current study aimed at determining the effect of a social cognitive theory (SCT)-based intervention on fast food consumption among students. Methods: The current quasi-experimental study was carried out on 92 students randomly divided into the intervention and control groups. Data gathering tool consisted of food frequency questionnaire (FFQ) and SCT questionnaire filled out using self-reporting method at 2 times (before and after the intervention). Intervention was performed based on SCT in 4 sessions. SPSS version 20 was used to analyze the data (independent t test and paired samples t test).A 2-tailed P-value, lower than 0.05, was considered statistically significant.

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Randomized trial of a clinic-based, community-supported, lifestyle intervention to improve physical activity and diet: The North Carolina enhanced WISEWOMAN project

Cited by 81 publications

References 37 publications

The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community

The effectiveness of a motivational interviewing primary-care based intervention on physical activity and predictors of change in a disadvantaged community

The Role of Behavioral Science Theory in Development and Implementation of Public Health Interventions

The Effect of a Social Cognitive Theory-Based Intervention on Fast Food Consumption Among Students

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