Treatment-enhanced paired action contributes substantially to change across multiple health behaviors: secondary analyses of five randomized trials

Yin, Hui-Qing; Prochaska, James O.; Rossi, Joseph S.; Redding, Colleen A.; Paiva, Andrea L.; Blissmer, Bryan; Velicer, Wayne F.; Johnson, Sara S.; Kobayashi, Hisanori

doi:10.1007/s13142-013-0193-4

Cited by 32 publications

(32 citation statements)

References 37 publications

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“…In the CHOICES IPC condition – consistent with recent research by Yin and colleagues (2013) suggesting that TTM interventions are more likely to result in paired action (the change of two targeted behaviors being more common than one) compared to control conditions- a larger proportion of women no longer at risk of AEP (47.3%) chose to reduce their risky drinking and engage in effective contraception use compared with 34.8% who did both in the control condition. Similar proportions of women in both groups chose to change only their contraceptive behavior (32.8% in the CHOICES IPC condition and 31.1% in the IO control group).…”

Section: Discussionsupporting

confidence: 79%

Processes of change in preventing alcohol exposed pregnancy: A mediation analysis.

Parrish¹,

Sternberg²,

Castro³

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective To examine mechanisms of the treatment effect for CHOICES, a motivational intervention to reduce risk of alcohol exposed pregnancy (AEP). Grounded in constructs from the Transtheoretical Model (TTM) and Motivational Interviewing (MI), the intervention targeted: risk drinking (>4 drinks/day or >7 drinks/week); ineffective contraception; and AEP risk (both behaviors). The experiential and behavioral processes of change (POC), posited to describe the mechanisms through which individual behavior change occurs, were examined. It was hypothesized that each of the targeted treatment outcomes at 9-month follow-up would be mediated by the experiential POC at 3-months, and that these would then be mediated by the behavioral POC at 9-months. Method 830 women at-risk for AEP were randomized to CHOICES (Information Plus Counseling; IPC) condition (n=416) or Information Only (IO) condition (n=414). Primary outcomes and proposed mediators (POC) were assessed at 3- and 9-months. Path analyses using weighted least squares estimation with mean- and variance-adjusted chi-square statistic were conducted separately for each outcome. Results Model fit indices indicated good fit, and the indirect effect of treatment on outcome via POC was significant for hypothesized models predicting risky drinking and ineffective contraception. The indirect effect of treatment on AEP risk through POC for ineffective contraception was significant, but the indirect effect of POC for risky drinking was not. Conclusions These findings support the temporal relationship between experiential and behavioral POC consistent with the TTM. Opportunistic, motivation-based interventions may benefit from directly targeting experiential POC early in treatment and behavioral POC later in treatment.

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Section: Discussionsupporting

confidence: 79%

Processes of change in preventing alcohol exposed pregnancy: A mediation analysis.

Parrish¹,

Sternberg²,

Castro³

et al. 2016

Journal of Consulting and Clinical Psychology

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“…Yin et al [17] explore methods to determine the consistency, robustness, and synergy in patterns of multiple concurrent behavior change outcomes. They describe the phenomenon of paired action and discuss how changes over time on one behavior may influence change on the other behavior.…”

mentioning

confidence: 99%

Advances in multiple health behavior change research

Evers

Quintiliani

2013

Behav. Med. Pract. Policy Res.

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“…The multi-behavioral TTM is a promising strategy for the promotion of healthy lifestyles, and positive results for multiple behaviors in various scenarios have been reported (1,7,29,30). However, methodological differences among the studies persist, which hinders the demonstration of their effectiveness and their use in theoretical and practical applications.…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated that 15% of the population account for 60% of health care costs due to multiple healthrisk behaviors (1). Considering the relevance of maximized costeffectiveness interventions, multi-behavioral TTM is promising for promoting coaction or paired actions, in which the change on one behavior can have a potential to change another behavior (29,30). The interventions evaluated in this review were included because they were multi-behavioral.…”

Section: Discussionmentioning

confidence: 99%

Interventions directed at eating habits and physical activity using the Transtheoretical Model: a systematic review

Menezes

Bedeschi

Santos³

et al. 2016

Nutr Hosp

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Palabras clave:Modelos Teóricos. Hábitos alimenticios. Ejercicio. Estudios de intervención. Revisión. ResumenIntroducción: el Modelo Tranteórico multiconductual aborda distintas conductas y es una estrategia prometedora para el abordaje de patologías multifactoriales, sobre todo en las enfermedades crónicas. Los resultados iniciales de su empleo han sido favorables, pero no han sido probados con rigor. Objetivos: el objetivo de este estudio fue realizar una revisión sistemática de la efi cacia del Modelo Transteórico en el cambio de hábitos dietéticos y en el grado de actividad física con intervenciones en varias áreas de la conducta. Métodos: se realizó una búsqueda en PubMed y SCieLO utilizando como criterios de búsqueda estudios de intervención realizados antes de 2016 y que incluyeran más de un hábito, incluyendo hábitos alimentarios y/o actividad física. Resultados y conclusión: se identifi caron 18 estudios, con un predominio de ensayos clínicos aleatorizados, estudios realizaos en Estados Unidos de Norteamérica, y uso de Internet y/o teléfono. Los estudios seleccionados tenían como meta el cambio en los hábitos dietéticos. En 5 de los estudios no se incluía la actividad física. El principal resultado de la intervención fue la disminución en el consumo de grasa y el aumento en la ingestión de frutas y verduras, así como un aumento en la actividad física. Estos cambios supusieron progresos en la pérdida de peso. Sin embargo, los trabajos eran metodológicamente débiles, incluyendo una alta tasa de abandonos, y falta de información sobre la aleatorización y cómo se realizó el estudio ciego. AbstractIntroduction: The multi-behavioral Transtheoretical Model (TTM) addresses multiple behaviors and it is a promising strategy to control multifactorial morbidities, such as chronic diseases. The results obtained using the TTM are positive, but are not consistently methodical. Objectives: The aim of this study was to systematically review the effectiveness of the Transtheoretical Model in multi-behavioral interventions for changing eating habits and levels of physical activity. Methods: A search on PubMed and SciELO databases was performed with inclusion criteria set for intervention studies before 2016 using the Transtheoretical Model for more than one behavior, including eating habits and/or engaging in physical activity. Results and conclusion: Eighteen studies were identifi ed; there was a predominance of randomized clinical trials, studies conducted in the United States, and the use of the Internet and/or telephone. The selected studies were aimed at changing eating behaviors; fi ve of the studies did not address physical activity. The main results were reduction of fat consumption, an increase in the consumption of fruit and vegetables, and increases in physical activity, which are progressions in the stages of change and weight loss identifi ed by the Transtheoretical Model. However, the studies showed methodological weaknesses, including high participant loss and the omission of information about randomization...

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Treatment-enhanced paired action contributes substantially to change across multiple health behaviors: secondary analyses of five randomized trials

Cited by 32 publications

References 37 publications

Processes of change in preventing alcohol exposed pregnancy: A mediation analysis.

Processes of change in preventing alcohol exposed pregnancy: A mediation analysis.

Advances in multiple health behavior change research

Interventions directed at eating habits and physical activity using the Transtheoretical Model: a systematic review

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