Promoting Healthy Living: Assessing More Effects

描述(申请人提供)：有规律的体育锻炼和健康的饮食可以预防和治疗疾病并延长寿命，但大多数美国人都没有做到这一点。这项名为PHLAME II(促进健康生活：评估更多影响)的提案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：另类模式的影响)。在PHLAME II中，我们充分利用PHLAME花费的资源，继续对我们的消防员参与者进行连续评估，并进一步推进两项干预措施(以团队为中心、同行主导、脚本化的团队课程和用于促进健康的一对一动机访谈(MI))，这两种干预措施被证明显著促进了参与者的健康营养和体育活动习惯，尽管机制不同。该建议的三个主要组成部分是：1)对最初的PHLAME参与者的健康行为进行一系列评估和分析，使用先进的统计技术来比较最初的三组人，定义短期和长期结果的耐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)分析以前录制的激励性访谈，这些访谈来自非常适合确定有效MI的决定因素的人群；以及3)在遥远的现实世界地点传播PHLAME团队计划，关注个人结果和计划的实施，并借助基于网络的基础设施和与国家消防员组织的合作。PHLAME调查组将继续为PHLAME II工作，该小组将大大受益于他们的PHLAME经验；与受试者建立的可信度；预定义的方案；简化数据管理的就地技术；以及研究人员、MI和统计合作者以及最近建立的定性顾问之间的密切联系。虽然PHAME II涉及同时进行不同的项目，但我们有信心，目前的研究团队、我们现有的沟通渠道以及在需要时表现出的合作和责任转移的意愿，将使我们能够成功地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，解决迫在眉睫的问题并推进我国健康的这些关键方面。

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.