OBJECTIVE: PHLAME's (Promoting Healthy Lifestyles: Alternative Models' Effects) objective was to assess and compare two means to promote healthy lifestyles. METHODS: Prospective trial among 599 firefighters randomized by station to 1) team-centered curriculum, 2) one-on-onemotivational interviewing (MI), and 3) controls. Assessment included dietary behavior, physical activity, weight, and general well-being at baseline and 12 months. Program effects were determined using an analysis of covariance (ANCOVA) based approach, and models for relationships were evaluated with path analysis. RESULTS: Both interventions were acceptable and delivered with high fidelity. The team and MI programs increased fruit and vegetable consumption (P < 0.01 and 0.05, respectively) and general well-being (P < 0.01). Significantly less weight gain occurred in both (P < 0.05). A cross-sectional model was consistent with mediation differing between interventions. CONCLUSIONS: Both a team-centered and individual-oriented intervention promoted healthy behaviors. The scripted team curriculum is innovative, exportable, and may enlist influences not accessed with individual formats.
RCT Entities:
OBJECTIVE:PHLAME's (Promoting Healthy Lifestyles: Alternative Models' Effects) objective was to assess and compare two means to promote healthy lifestyles. METHODS: Prospective trial among 599 firefighters randomized by station to 1) team-centered curriculum, 2) one-on-one motivational interviewing (MI), and 3) controls. Assessment included dietary behavior, physical activity, weight, and general well-being at baseline and 12 months. Program effects were determined using an analysis of covariance (ANCOVA) based approach, and models for relationships were evaluated with path analysis. RESULTS: Both interventions were acceptable and delivered with high fidelity. The team and MI programs increased fruit and vegetable consumption (P < 0.01 and 0.05, respectively) and general well-being (P < 0.01). Significantly less weight gain occurred in both (P < 0.05). A cross-sectional model was consistent with mediation differing between interventions. CONCLUSIONS: Both a team-centered and individual-oriented intervention promoted healthy behaviors. The scripted team curriculum is innovative, exportable, and may enlist influences not accessed with individual formats.
Authors: Diane L Elliot; David P Mackinnon; Linda Mabry; Yasemin Kisbu-Sakarya; Carol A Defrancesco; Stephany J Coxe; Kerry S Kuehl; Esther L Moe; Linn Goldberg; Kim C Favorite Journal: Transl Behav Med Date: 2012-06 Impact factor: 3.046
Authors: Stephanie A P Schuette; Evelyn Cordero; Katherine Slosburg; Elizabeth L Addington; David Victorson Journal: Am J Lifestyle Med Date: 2017-05-05
Authors: Fan-Yun Lan; Alejandro Fernandez-Montero; Ioanna Yiannakou; Orestes Marinos-Iatrides; Jacob T Ankeny; Jeffrey Kiser; Costas A Christophi; David C Christiani; Mercedes Sotos-Prieto; Stefanos N Kales Journal: J Occup Environ Med Date: 2020-07 Impact factor: 2.162
Authors: Glorian Sorensen; Deborah L McLellan; Erika L Sabbath; Jack T Dennerlein; Eve M Nagler; David A Hurtado; Nicolaas P Pronk; Gregory R Wagner Journal: Prev Med Date: 2016-08-12 Impact factor: 4.018
Authors: Marci Kramish Campbell; Carol Carr; Brenda Devellis; Boyd Switzer; Andrea Biddle; M Ahinee Amamoo; Joan Walsh; Bingqing Zhou; Robert Sandler Journal: Ann Behav Med Date: 2009-10
Authors: Diane L Elliot; Kuehl S Kerry; Esther L Moe; Carol A Defrancesco; Linn Goldberg; David P Mackinnon; Jeanne Enders; Kim C Favorite Journal: Implement Sci Date: 2010-10-08 Impact factor: 7.327