OBJECTIVE: This study was designed to compare the initial efficacy of Motivational Interviewing (MI), Online Transtheoretical Model (TTM)-tailored communications and a brief Health Risk Intervention (HRI) on four health risk factors (inactivity, BMI, stress and smoking) in a worksite sample. METHOD: A randomized clinical trial assigned employees to one of three recruitment strategies and one of the three treatments. The treatment protocol included an HRI session for everyone and in addition either a recommended three TTM online sessions or three MI in person or telephone sessions over 6 months. At the initial post-treatment assessment at 6 months, groups were compared on the percentage who had progressed from at risk to taking effective action on each of the four risks. RESULTS: Compared to the HRI only group, the MI and TTM groups had significantly more participants in the Action stage for exercise and effective stress management and significantly fewer risk behaviors at 6 months. MI and TTM group outcomes were not different. CONCLUSION: This was the first study to demonstrate that MI and online TTM could produce significant multiple behavior changes. Future research will examine the long-term impacts of each treatment, their cost effectiveness, effects on productivity and quality of life and process variables mediating outcomes.
RCT Entities:
OBJECTIVE: This study was designed to compare the initial efficacy of Motivational Interviewing (MI), Online Transtheoretical Model (TTM)-tailored communications and a brief Health Risk Intervention (HRI) on four health risk factors (inactivity, BMI, stress and smoking) in a worksite sample. METHOD: A randomized clinical trial assigned employees to one of three recruitment strategies and one of the three treatments. The treatment protocol included an HRI session for everyone and in addition either a recommended three TTM online sessions or three MI in person or telephone sessions over 6 months. At the initial post-treatment assessment at 6 months, groups were compared on the percentage who had progressed from at risk to taking effective action on each of the four risks. RESULTS: Compared to the HRI only group, the MI and TTM groups had significantly more participants in the Action stage for exercise and effective stress management and significantly fewer risk behaviors at 6 months. MI and TTM group outcomes were not different. CONCLUSION: This was the first study to demonstrate that MI and online TTM could produce significant multiple behavior changes. Future research will examine the long-term impacts of each treatment, their cost effectiveness, effects on productivity and quality of life and process variables mediating outcomes.
Authors: James O Prochaska; Wayne F Velicer; Joseph S Rossi; Colleen A Redding; Geoffrey W Greene; Susan R Rossi; Xiaowu Sun; Joseph L Fava; Robert Laforge; Brett A Plummer Journal: Health Psychol Date: 2004-09 Impact factor: 4.267
Authors: J O Prochaska; W F Velicer; J S Rossi; M G Goldstein; B H Marcus; W Rakowski; C Fiore; L L Harlow; C A Redding; D Rosenbloom Journal: Health Psychol Date: 1994-01 Impact factor: 4.267
Authors: Helen Jones; Lynn Edwards; T Michael Vallis; Laurie Ruggiero; Susan R Rossi; Joseph S Rossi; Geoffrey Greene; James O Prochaska; Bernard Zinman Journal: Diabetes Care Date: 2003-03 Impact factor: 19.112
Authors: Amy E Harley; Amy L Sapp; Yi Li; Miguel Marino; Lisa M Quintiliani; Glorian Sorensen Journal: Transl Behav Med Date: 2013-03 Impact factor: 3.046
Authors: Sharon L Manne; Elliot J Coups; Gary Winkel; Arnold Markowitz; Neal J Meropol; Samuel M Lesko; Paul B Jacobsen; Daniel Haller; Lina Jandorf; Susan K Peterson Journal: Health Educ Res Date: 2009-08-04
Authors: Kavita Radhakrishnan; Paul Toprac; Matt O'Hair; Randolph Bias; Miyong T Kim; Paul Bradley; Michael Mackert Journal: Games Health J Date: 2016-10-24
Authors: Judith J Prochaska; Sebastien C Fromont; Kevin Delucchi; Kelly C Young-Wolff; Neal L Benowitz; Stephen Hall; Thomas Bonas; Sharon M Hall Journal: Health Psychol Date: 2014-01-27 Impact factor: 4.267