Health coaching and genetic risk testing in primary care: Randomized controlled trial.

Wolever, Ruth Q.; Yang, Qing; Maldonado, Carlos J.; Armitage, Nicole H.; Musty, Michael; Kraus, William E.; Chang, Jianhong; Ginsburg, Geoffrey S.; Vorderstrasse, Allison

doi:10.1037/hea0001183

Cited by 4 publications

(4 citation statements)

References 67 publications

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“…The baseline includes data for 200 patients (47.7 ± 11.56 years old) at primary care clinics with at least 1 risk factor for either coronary heart disease or type 2 diabetes. Further details on this previous trial including the inclusion and exclusion criteria can be found elsewhere (blinded for review) 27 . We received institutional review board approval at the university medical center of the coordinating site and participating clinical sites.…”

Section: Methodsmentioning

confidence: 99%

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Network Psychometrics of the 10-Item Perceived Stress Scale Among Patients With High Cardiovascular and Type 2 Diabetes Risk Using Exploratory Graph Analysis

et al. 2023

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Background: No studies have explored the internal structure of the 10-item Perceived Stress Scale in patients with high cardiovascular and diabetes risk. Objective: We scrutinized the dimensionality of the scale in this patient group using exploratory graph analysis, a technique within the developing field of network psychometrics. Methods: Analyses were conducted on 200 primary care patients. A bootstrap version of exploratory graph analysis assessed the stability of the dimensions based on structural consistency, item stability, and network loadings. Results: Exploratory graph analysis revealed a 2-dimensional structure; structural consistency of the first dimension was high (0.863), whereas that for the second was low (0.667). Items belonging to the latter dimension did not cluster consistently with each other (ie, low item stability) and were not strongly associated with any particular dimension (ie, weak network loadings). Conclusion: Exploratory graph analysis offers unique outputs, making it easy to assess the dimensional integrity of scales. Further research is warranted regarding the second dimension of the Perceived Stress Scale.

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Section: Methodsmentioning

confidence: 99%

“…Further details on this previous trial including the inclusion and exclusion criteria can be found elsewhere (blinded for review). 27 We received institutional review board approval at the university medical center of the coordinating site and participating clinical sites.…”

Section: Study Design and Samplementioning

confidence: 99%

Network Psychometrics of the 10-Item Perceived Stress Scale Among Patients With High Cardiovascular and Type 2 Diabetes Risk Using Exploratory Graph Analysis

et al. 2023

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“…Additionally, digital health interventions (including mHealth) and centralized telephonic interventions have the potential to reach patients where they are and when they are available in resource-sparing manner. An example of the latter is the remote health coaching intervention, which had positive effects on physical activity and mental health outcomes, evaluated in the randomized controlled trial (RCT) by Wolever and colleagues (2022). We also endorse a pragmatic trial approach (Patsopoulos, 2011) (testing interventions under real-world conditions for the patients, providers, health care systems, and so on).…”

Section: We Need To Refocus Our Science On the Clinical Research And ...mentioning

confidence: 99%

If not us, who? If not now, when? Paths forward in science, patient care, and training to maximize the impact of cardiovascular behavioral medicine.

Burg¹,

Stewart²

2022

Health Psychology

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“…Several studies demonstrate the utility of CVBM within diverse areas of clinical practice, including preventative cardiology, heart failure, and cardiac rehabilitation. Wolever et al (2022) present a randomized controlled trial that investigates the interactive effects of genetic risk testing and health coaching on diet, exercise behaviors, and several secondary psychological outcomes in at-risk Air Force personnel. Vela and Feingold (2022) discuss the value and challenges of implementing CVBM within a heart transplant clinic in collaboration with key leaders and stakeholders.…”

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confidence: 99%

Value, implementation, and opportunities for cardiovascular behavioral medicine: A special issue commentary.

Vela¹,

Whited²,

Busch³

2022

Health Psychology

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Behavioral and psychosocial factors related to the incidence, progression, and treatment of cardiovascular health, have seen increased attention in recent years, from scientific statements to a robust and growing body of literature. Despite this attention, and clear need to prevent and treat cardiovascular disease (CVD) the world over, implementation of cardiovascular behavioral medicine, specialty care that addresses behavioral and psychosocial risk factors among those with, or at risk for, CVD, remains limited. The current commentary discusses the contributions of the diverse body of science published in the Cardiovascular Behavioral Medicine Special Issue of Health Psychology. The authors outline how the special issue articles highlight the value of behavioral medicine education, science, and clinical practice for cardiology and cardiovascular subspecialities, such as heart failure, as well as opportunities for growth and implementation. This commentary outlines the ways in which the special issue furthers understanding of the current and future possibilities for cardiovascular behavioral medicine to grow as a field and influence cardiovascular health and wellbeing.

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Health coaching and genetic risk testing in primary care: Randomized controlled trial.

Abstract: Objective: Accessible interventions are needed to prevent coronary heart disease (CHD) and Type 2 diabetes (T2D). This prospective, randomized, controlled trial evaluated remote health coaching (HC),

Cited by 4 publications

References 67 publications

Network Psychometrics of the 10-Item Perceived Stress Scale Among Patients With High Cardiovascular and Type 2 Diabetes Risk Using Exploratory Graph Analysis

Network Psychometrics of the 10-Item Perceived Stress Scale Among Patients With High Cardiovascular and Type 2 Diabetes Risk Using Exploratory Graph Analysis

If not us, who? If not now, when? Paths forward in science, patient care, and training to maximize the impact of cardiovascular behavioral medicine.

Value, implementation, and opportunities for cardiovascular behavioral medicine: A special issue commentary.

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