Initial efficacy of MI, TTM tailoring and HRI's with multiple behaviors for employee health promotion
Initial efficacy of MI, TTM tailoring and HRI's with multiple behaviors for employee health promotion
复制标题
DOI：
10.1016/j.ypmed.2007.11.007
复制
发表时间：
2008-03-01
影响因子：
5.1
通讯作者：
Prochaska, Janice M.
中科院分区：
文献类型：
--
作者：
Prochaska, James O.;Butterworth, Susan;Prochaska, Janice M.
Objective.本研究旨在比较动机访谈（MI）、在线跨理论模型（TTM）定制沟通和简短健康风险干预（HRI）对工作场所样本中4个健康风险因素（不活动、BMI、压力和吸烟）的初始有效性。一项随机临床试验将员工分配到三种招聘策略之一和三种治疗方法之一。治疗方案包括每个人的HRI疗程，此外还包括推荐的三次TTM在线疗程或三次MI面对面或电话疗程，为期6个月。在最初的治疗后6个月的评估中，比较各组从风险中进展到对四种风险中的每一种采取有效措施的百分比。与仅HRI组相比，MI和TTM组在6个月时有更多的参与者处于运动和有效压力管理的行动阶段，并且风险行为显著减少。MI组和TTM组的结局无差异。这是第一个证明MI和在线TTM可以产生显着的多种行为变化的研究。未来的研究将审查每种治疗的长期影响，其成本效益，对生产力和生活质量的影响以及介导结果的过程变量。(c)2007年由Elsevier Inc.出版
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. (c) 2007 Published by Elsevier Inc.