Promoting Healthy Living: Assessing More Effects

促进健康生活：评估更多效果

• 批准号: 6739989
• 负责人: Diane Louise Elliot
• 金额: $ 59.97万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6739989
• 关键词: adult human (21+); body physical activity; cardiovascular stress test; clinical research; electrocardiography; exercise; health; health behavior; human subject; interview; lifestyle; longitudinal human study; nutrition; outcomes research; physical fitness; questionnaires

DESCRIPTION (provided by applicant): Regular physical activity and a healthy diet can prevent and treat illnesses and prolong life, yet most Americans do neither. This proposal, PHLAME II (Promoting Healthy Living: Assessing More Effects), extends our original Behavior Change Consortium, NIH-funded study PHALME (Promoting Healthy Lifestyles: Alternative Models' Effects). With PHLAME II, we make optimal use of the resources expended with PHLAME to continue to serially assess our fire fighter participants, and further advance the two interventions (the team-centered, peer led, scripted TEAM curriculum and one-on-one motivational interviewing (MI) for health promotion) shown to significantly promote participants' healthy nutrition and physical activity habits, albeit by different mechanisms. The proposal's three primary components are 1) serial assessment and analyses of the original PHLAME participants' health behaviors, using advanced statistical techniques to compare the original three groups, define mediators of durability and lapses for immediate and longer-term outcomes and identify for whom and under what conditions interventions appear most effective; 2) analyses of previously taped motivational interviews, from a population ideally suited to define determinants of effective MI for health promotion; and 3) dissemination of the PHLAME TEAM program in distant real-world sites, with attention to individual outcomes and program implementation, and with aid of a web-based infrastructure and partnering with national organizations of fire fighters. The PHLAME investigator team will continue for PHLAME II, and the group greatly benefits from their PHLAME experience; established credibility with their subjects; predefined protocols; in-place techniques for streamlining data management; and strong ties among researchers, MI and statistical collaborators and recently established qualitative consultants. Although PHLAME II involves the simultaneous conduct of different projects, we have confidence that the current research team, our existing lines of communication and demonstrated willingness to collaborate and shift responsibilities, when needed, will allow our success in adhering to the proposed timeline and achieving PHAME II's study AIMS. We welcome the opportunity to continue our collaborations with other health promotion researchers in address compelling questions and advancing these critical aspects of our nation's health.

描述（由申请人提供）：定期的体育活动和健康的饮食可以预防和治疗疾病并延长寿命，但大多数美国人两者都没有做到。这项提案 PHLAME II（促进健康生活：评估更多效果）扩展了我们最初的行为改变联盟、NIH 资助的研究 PHALME（促进健康生活方式：替代模型的效果）。通过 PHLAME II，我们充分利用了 PHLAME 所花费的资源，继续对我们的消防员参与者进行系列评估，并进一步推进两种干预措施（以团队为中心、同伴主导、脚本化的 TEAM 课程和用于健康促进的一对一动机访谈 (MI)），尽管机制不同，但它们可以显着促进参与者的健康营养和身体活动习惯。该提案的三个主要组成部分是 1) 对原始 PHLAME 参与者的健康行为进行系列评估和分析，使用先进的统计技术来比较原始的三组，定义短期和长期结果的持久性和失误的中介因素，并确定干预措施对谁和在什么条件下最有效； 2) 对之前录制的动机访谈进行分析，这些访谈来自非常适合定义健康促进有效 MI 的决定因素的人群； 3) 在遥远的现实世界中传播 PHLAME TEAM 计划，关注个人成果和计划实施，并借助基于网络的基础设施并与国家消防员组织合作。 PHLAME 研究团队将继续开展 PHLAME II，该团队从 PHLAME 经验中受益匪浅；与对象建立信誉；预定义协议；简化数据管理的就地技术；研究人员、MI 和统计合作者以及最近成立的定性顾问之间的紧密联系。尽管 PHLAME II 涉及同时进行不同的项目，但我们相信，当前的研究团队、我们现有的沟通渠道以及在需要时表现出的合作和转移责任的意愿，将使我们成功遵守拟议的时间表并实现 PHAME II 的研究目标。我们欢迎有机会继续与其他健康促进研究人员合作，解决紧迫的问题并推进我们国家健康的这些关键方面。