Treated individuals who progress to action or maintenance for one behavior are more likely to make similar progress on another behavior: Coaction results of a pooled data analysis of three trials

Treated individuals who progress to action or maintenance for one behavior are more likely to make similar progress on another behavior: Coaction results of a pooled data analysis of three trials
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DOI:
10.1016/j.ypmed.2012.02.017
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发表时间:
2012-05-01
影响因子:
5.1
通讯作者:
Horiuchi, Satoshi
Horiuchi, Satoshi
中科院分区:
医学2区
文献类型:
--
作者:
Paiva, Andrea L.;Prochaska, James O.;Horiuchi, Satoshi

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Objective.本研究比较了治疗组和对照组的共同作用现象,即对一种行为采取有效行动与对第二种行为采取有效行动有关的概率。对1999年在美国完成的三项跨理论模型(TTM)定制干预(n = 9461)的随机试验的汇总数据进行分析,以评估三种行为对(饮食和防晒,饮食和吸烟,防晒和吸烟)的协同作用。比值比(OR)比较了对第二行为采取行动的可能性与仅对一种行为采取行动的可能性。在12个月和24个月的行为对中,治疗组的OR在绝对基础上大于对照组,其中2个具有显著性。治疗组12个月和24个月的合并OR分别为1.63和1.85,对照组分别为1.20和1.10。本研究的结果与成瘾,能量平衡和外观相关的行为是一致的结果发现在三个研究中应用TTM剪裁能量平衡行为。在所有研究中,治疗组内有更多的协同作用。未来的研究应确定在更多的行为改变干预的共同作用的预测。爱思唯尔公司出版
Objective. This study compared, in treatment and control groups, the phenomena of coaction, which is the probability that taking effective action on one behavior is related to taking effective action on a second behavior.Methods. Pooled data from three randomized trials of Transtheoretical Model (TTM) tailored interventions (n = 9461), completed in the U.S. in 1999, were analyzed to assess coaction in three behavior pairs (diet and sun protection, diet and smoking, and sun protection and smoking). Odds ratios (ORs) compared the likelihood of taking action on a second behavior compared to taking action on only one behavior.Results. Across behavior pairs, at 12 and 24 months, the ORs for the treatment group were greater on an absolute basis than for the control group, with two being significant. The combined ORs at 12 and 24 months, respectively, were 1.63 and 1.85 for treatment and 1.20 and 1.10 for control.Conclusions. The results of this study with addictive, energy balance and appearance-related behaviors were consistent with results found in three studies applying TTM tailoring to energy balance behaviors. Across studies, there was more coaction within the treatment group. Future research should identify predictors of coaction in more multiple behavior change interventions. Published by Elsevier Inc.