A comparative effectiveness education trial for lifestyle health behavior change in African Americans

Halbert, Chanita Hughes; Bellamy, Scarlett L.; Briggs, Vanessa; Delmoor, Ernestine; Purnell, Joseph; Rogers, Rodney; Weathers, Benita; Johnson, Jerry

doi:10.1093/her/cyx039

Cited by 8 publications

(6 citation statements)

References 36 publications

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“…Men who reported no physical activity during the past month, those who reported that they had been physically active during the past month, but had not been active during the past week, and those who reported physical activity, but did not meet the physical activity guidelines (eg, less than 150 minutes/week) were coded as not meeting guidelines. 17 The remaining participants were coded as having met the guidelines for physical activity. 17…”

Section: Methodsmentioning

confidence: 99%

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

et al. 2020

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Objective: To characterize rates of co-morbidity among prostate cancer patients treated with radical prostatectomy and to examine the association between co-morbidity status and race, clinical factors, and health behaviors for cancer control.Design/Study Participants: Retrospective cohort study among prostate cancer patients treated with radical prostatectomy.Setting: Academic medical center located in the southeastern region of the United States.Main Outcome Measure: Patients with at least one of five co-morbid conditions considered were categorized as having a co-morbidity, and those without any were categorized as not having a co-morbid condition. Co-morbid conditions considered were hypertension, diabetes, heart problems, stroke, and high cholesterol, which had been recorded in the electronic medical record as part of their past medical history.Results: Fifty-one percent of participants had a co-morbidity, with hypertension being the most common. The average number of co-morbidities among study participants was .87. In a multivariate logistic regression analysis, being diagnosed with prostate cancer within the past four years was associated with an increased likelihood of having a co-morbidity (OR=4.71, 95% CI=2.69, 8.25, P=.0001) compared with diagnosis five or more years ago. Age was also associated with an increased likelihood of having a co-morbidity (OR=1.30, 95% CI=1.005, 1.68, P=.05). In this study cohort, race, stage at diagnosis, and PSA level were not statistically associated with co-morbidity status.Conclusion: Better chronic disease management is needed among prostate cancer survivors through more effective survivorship care planning and interventions that promote health behaviors.Ethn Dis. 2020;30(Suppl 1):185-192; doi:10.18865/ed.30.S1.185

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Section: Methodsmentioning

confidence: 99%

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

et al. 2020

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“…These items were adapted from our previous research on integrated risk factor education. 15 Specifically, participants were asked how ready they were to start trying to lose weight or keeping their weight the same (1 = not at all/have not thought about it, 2 = a little ready, 3 = somewhat ready, 4 = very ready, 5 = already trying to lose weight/keep weight the same) to measure readiness for weight loss. Responses to this item were re-coded into a dichotomous variable that reflected ready (very ready/already trying to lose or keep weight the same) or not ready (not at all/a little ready/somewhat ready).…”

Section: Methodsmentioning

confidence: 99%

Provider Advice About Weight Loss in a Primary Care Sample of Obese and Overweight Patients

Halbert

Jefferson

Melvin

et al. 2017

J Prim Care Community Health

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Objective: Primary care providers play an important role in obesity prevention and reduction by advising patients about weight loss strategies. This study examined receipt of provider advice to lose weight among primary care patients who were overweight and obese. Methods: Observational study conducted among primary care patients (n = 282) who completed a survey that measured receipt of provider advice about weight loss/management, chronic health conditions, perceived weight status, and perceptions about shared decision making about weight loss/management. Results: Fifty-nine percent of participants had been advised by their physician to lose weight. Participants who were obese were more likely than those who were overweight to report provider advice (odds ratio [OR] = 1.31, 95% CI = 1.25-4.34, P = .001). Similarly, participants who believed they were obese/overweight had a greater likelihood of reporting provider advice compared with those who did not believe they were obese/overweight (OR = 1.40, 95% CI = 2.43-6.37, P = .0001). Shared decision making about weight loss/management was associated with an increased likelihood of reporting provider advice (OR = 3.30, 95% CI = 2.62-4.12, P = .0001). Conclusions: Patient beliefs about their weight status and perceptions about shared decision-making are important to receiving provider advice about weight loss/management among primary care patients. Practice Implications: Continued efforts are needed to enhance provider advice about weight loss/management among obese/overweight patients.

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“…During the initial project period, the partnership conducted formative research to understand the needs and preferences of African American residents [ 40 ], translated these data into interventions that targeted these needs and priorities [ 41 ], and evaluated the feasibility and reach of these approaches [ 42 ]. For instance, the Consortium developed two approaches for motivating behavior change in terms of fruit and vegetable intake and physical activity and conducted a comparative effectiveness trial that evaluated the effects of integrated (INT) versus disease-specific (DSE) risk education on changes in dietary behaviors and physical activity in a community sample of African American men and women [ 43 ]. An important goal for the INT intervention was to help participants to see the connection between risk factors for cancer and CVD to motivate health behavior changes.…”

Section: Community Based Participatory Research For Health Behavior Changementioning

confidence: 99%

Basic behavioral science research priorities in minority health and health disparities

Halbert

Allen

2021

Translational Behavioral Medicine

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Achieving health equity among disparity populations has been a national, regional, and local priority for several years. Health promotion and disease prevention behaviors play an important role in achieving health equity; the first generation of behavioral science studies in minority health and health disparities have provided important insights about the nature and distribution of risk exposure behaviors in disparity populations. Interventions have also been developed to enhance health promotion and disease prevention behaviors using behavioral counseling, tailored health communications, and interventions that are developed collaboratively with community stakeholders. Although intervention development and evaluation are components of transdisciplinary translational behavior research, discovery science is a critical first step in translational research. Consistent with this, conceptual models and frameworks of minority health and health disparities have evolved to include multilevel determinants that include basic behavioral mechanisms such as stress responses and stress reactivity that have physiological, psychological, and behavioral components that are relevant to minority health and health disparities. This report describes priorities, opportunities, and barriers to conducting transdisciplinary translational behavioral research during the next generation of minority health and health disparities research.

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A comparative effectiveness education trial for lifestyle health behavior change in African Americans

Cited by 8 publications

References 36 publications

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

Co-morbidities in a Retrospective Cohort of Prostate Cancer Patients

Provider Advice About Weight Loss in a Primary Care Sample of Obese and Overweight Patients

Basic behavioral science research priorities in minority health and health disparities

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