Transtheoretical Model-based multiple behavior intervention for weight management: Effectiveness on a population basis

Johnson, Sara S.; Paiva, Andrea L.; Cummins, Carol O.; Johnson, Janet L.; Dyment, Sharon; Wright, Julie; Prochaska, James O.; Prochaska, Janice M.; Sherman, Karen J.

doi:10.1016/j.ypmed.2007.09.010

Cited by 277 publications

(253 citation statements)

References 30 publications

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“…MHBC interventions also address covariation/ coaction concepts that individuals taking effective action on one target behavior are much more likely to take effective action on a second behavior and that individuals are likely to take effective action on untreated behaviors that are related to the treated behaviors [13]. Moreover, success in changing one or more lifestyle behaviors also may increase confidence or self-efficacy to improve risk behaviors in individuals who have a lower motivation to change [22].…”

Section: Single Vs Multiple Behavior Change Approachmentioning

confidence: 99%

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

Nigg

Long

2012

Behav. Med. Pract. Policy Res.

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Multiple behavior change is widely used to reduce targeted health behaviors; however, its effect on behaviors such as physical activity, nutrition, and alcohol and tobacco use among older adults remains inconclusive. The primary purpose of this systematic review was to evaluate the effects of single health behavior change (SHBC) interventions vs. multiple health behavior change (MHBC) interventions among older age individuals. PubMed was searched for publications on health behavior interventions from 2006 to 2011. Twenty-one randomized clinical trials assessed the effects of health behavior change in older individuals. Results were reviewed by a number of health behaviors and effectiveness. Results revealed that within SHBC interventions, physical activity or exercise behavior revealed that interventions were the most common and showed the most promise in influencing positive outcomes in physical activity behavior among community-dwelling older adults. There were too few MHBC studies identified to allow confident comparison to SHBC interventions. The MHBC field is still at an early stage within the older adult literature, and more attention is recommended to investigate if the benefits of MHBC apply to this age group. KEYWORDSHealth behavior change, Older adults, Physical activity, Nutrition, Tobacco, Alcohol According to the Center for Disease Control, National Center for Health Statistics (CDC), 80 % of older adults have one chronic condition, and 50 % have at least two [4]. In 2007, the top four major causes of death among older adults were heart disease (28.2 %), cancer (22.2 %), stroke (6.6 %), and chronic lower respiratory disease (6.2 %). This demonstrates the need for more focused public health research that identifies effective chronic disease prevention efforts.Additionally, CDC projects that by 2030, the number of U.S. adults aged 65 or older will more than double to about 71 million adults [4]. These estimates have led the CDC to make several recommendations for efforts that target to improve the mental and physical health of all Americans in their later years [4]. The National Report Card for the State of Aging and Health in America depicts data on 15 key indicators related to the health of adults aged 65 years and older for the United States. Key indicators for health risk behaviors for older adults include lack of activity, eating less than five fruits and vegetables per day, obesity, and current smoking. In 2009, data for persons 65 and older revealed that 32.7 % of older adults engaged in no leisure time activity, 72.5 % were eating less than five fruits and vegetables daily, 23.8 % were obese, and 8.3 % were currently smoking [5]. The United States met five of the ten healthy people 2010 targets for older adults ahead of schedule. The targets included oral health/complete tooth loss, people currently smoking, mammograms within the past 2 years, colorectal cancer screenings, and cholesterol checked within the past 5 years; however, only one target (people currently smoking) was from the ...

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Section: Single Vs Multiple Behavior Change Approachmentioning

confidence: 99%

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

Nigg

Long

2012

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

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“…Because these behaviors are associated in individuals; combined PA, inactivity, and nutrition interventions hold promise for effectively influencing multiple outcomes. In a PA and healthy eating intervention evaluation on adults, a multiple behavior intervention was 3 times as successful as a single behavior intervention (Johnson et al 2008). In another study on children, a combined nutrition and PA group scored significantly better than a control group on measures of nutrition knowledge.…”

Section: Introductionmentioning

confidence: 93%

Physical Activity, Inactivity, and Nutrition Behavior Among Children: Investigating Compensation and Transfer Effects

Väth¹,

Amato²,

Nigg³

2012

Public Health - Social and Behavioral Health

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“…TTM-based CTI's tend to generate much higher rates of participation (e.g., 65% to 85%) for problems like smoking, stress, and obesity than the 2% to 20% rates commonly found with action-oriented clinic-based treatments (46,48,60,64). Further, participants who are traditionally at the greatest risk for dropping out in the precontemplation stage completed CTIs at the same high rate as those ready to take action (65).…”

Section: Rationale For a Multiple Behavior Approachmentioning

confidence: 98%

“…The TTM provides a framework for intervening when individuals are not ready or ambivalent to change unhealthy behaviors or adhere to traditional treatments such as CBT used in the treatment of PTSD. Multiple behavior change interventions based on TTM for a common health objective, e.g., cancer prevention, diabetes selfmanagement, and weight management, have been shown to have significant impact on entire populations (50,51,(59)(60)(61)(62)(63). For example, smokers treated for two or three behaviors were as effective in being abstinent at long-term follow-up as those treated for only smoking (52).…”

Section: Rationale For a Multiple Behavior Approachmentioning

confidence: 99%

A computerized, tailored intervention to address behaviors associated with PTSD in veterans: rationale and design of STR2IVE

Jordan

Evers

Burke

et al. 2011

Behav. Med. Pract. Policy Res.

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Combat exposure among military personnel results in increased risk of posttraumatic stress disorder (PTSD), major depression, substance use, and related health risks. PTSD symptoms require innovative approaches to promote effective coping postdeployment. PTSD's nature and scope requires an approach capable of integrating multiple health risks while reaching large populations. This article provides the rationale and approach to adapt and evaluate a Pro-Change computerized tailored intervention (CTI) targeted at behavioral sequelae (i.e., smoking, stress, and depression) for veterans with or at risk for PTSD. The three-phase approach includes: 1) focus groups to review and, subsequently, adapt content of the existing CTI programs; 2) usability testing; and 3) feasibility testing using a three-month pre-postdesign. Effective, theory-based, real-time, multiple behavior interventions targeting veterans' readiness to quit smoking, manage stress, and depression are warranted to provide potential health impact, opportunities for learning veteran-specific issues, and advance multiple health behavior change knowledge.

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Transtheoretical Model-based multiple behavior intervention for weight management: Effectiveness on a population basis

Cited by 277 publications

References 30 publications

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

Physical Activity, Inactivity, and Nutrition Behavior Among Children: Investigating Compensation and Transfer Effects

A computerized, tailored intervention to address behaviors associated with PTSD in veterans: rationale and design of STR2IVE

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