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A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care.

Publication ,  Journal Article
Emmons, KM; Puleo, E; Greaney, ML; Gillman, MW; Bennett, GG; Haines, J; Sprunck-Harrild, K; Viswanath, K
Published in: Preventive medicine
July 2014

To evaluate the effectiveness of the Healthy Directions 2 (HD2) intervention in the primary care setting.HD2 was a cluster randomized trial (conducted 3/09-11/11). The primary sampling unit was provider (n=33), with secondary sampling of patients within provider (n=2440). Study arms included: 1) usual care (UC); 2) HD2--a patient self-guided intervention targeting 5 risk behaviors; and 3) HD2 plus 2 brief telephone coaching calls (HD2+CC). The outcome measure was the proportion of participants with a lower multiple risk behavior (MRB) score by follow-up.At baseline, only 4% of the participants met all behavioral recommendations. Both HD2 and HD2+CC led to improvements in MRB score, relative to UC, with no differences between the two HD2 conditions. Twenty-eight percent of the UC participants had improved MRB scores at 6 months, vs. 39% and 43% in HD2 and HD2+CC, respectively (ps≤.001); results were similar at 18 months (p≤.05). The incremental cost of one risk factor reduction in MRB score was $310 for HD2 and $450 for HD2+CC.Self-guided and coached intervention conditions had equivalent levels of effect in reducing multiple chronic disease risk factors, were relatively low cost, and thus are potentially useful for routine implementation in similar health settings.

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Published In

Preventive medicine

DOI

EISSN

1096-0260

ISSN

0091-7435

Publication Date

July 2014

Volume

64

Start / End Page

96 / 102

Related Subject Headings

  • Telemedicine
  • Smoking Cessation
  • Self Care
  • Risk Reduction Behavior
  • Public Health
  • Program Evaluation
  • Primary Health Care
  • Neoplasms
  • Motor Activity
  • Middle Aged
 

Citation

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Chicago
ICMJE
MLA
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Emmons, K. M., Puleo, E., Greaney, M. L., Gillman, M. W., Bennett, G. G., Haines, J., … Viswanath, K. (2014). A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care. Preventive Medicine, 64, 96–102. https://doi.org/10.1016/j.ypmed.2014.03.011
Emmons, Karen M., Elaine Puleo, Mary L. Greaney, Matthew W. Gillman, Gary G. Bennett, Jess Haines, Kim Sprunck-Harrild, and K. Viswanath. “A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care.Preventive Medicine 64 (July 2014): 96–102. https://doi.org/10.1016/j.ypmed.2014.03.011.
Emmons KM, Puleo E, Greaney ML, Gillman MW, Bennett GG, Haines J, et al. A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care. Preventive medicine. 2014 Jul;64:96–102.
Emmons, Karen M., et al. “A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care.Preventive Medicine, vol. 64, July 2014, pp. 96–102. Epmc, doi:10.1016/j.ypmed.2014.03.011.
Emmons KM, Puleo E, Greaney ML, Gillman MW, Bennett GG, Haines J, Sprunck-Harrild K, Viswanath K. A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care. Preventive medicine. 2014 Jul;64:96–102.
Journal cover image

Published In

Preventive medicine

DOI

EISSN

1096-0260

ISSN

0091-7435

Publication Date

July 2014

Volume

64

Start / End Page

96 / 102

Related Subject Headings

  • Telemedicine
  • Smoking Cessation
  • Self Care
  • Risk Reduction Behavior
  • Public Health
  • Program Evaluation
  • Primary Health Care
  • Neoplasms
  • Motor Activity
  • Middle Aged