Initial efficacy of MI, TTM tailoring and HRI's with multiple behaviors for employee health promotion

PREVENTIVE MEDICINE

卷:46

Article

Prochaska, James O.¹  Butterworth, Susan²  Redding, Colleen A.¹  Burden, Verna²  Perrin, Nancy²  Leo, Michael²  Flaherty-Robb, Mama² 

[1] Univ Rhode Isl, Canc Prevent Res Ctr, Kingston, RI 02881 USA

[2] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

关键词: multiple behavior change;    motivational interviewing;    TTM tailoring;    exercise;    stress;    smoking;    BMI;   

DOI  :  10.1016/j.ypmed.2007.11.007

来源: Elsevier

【 摘 要 】

Objective. This study was designed to compare the initial efficacy of Motivational Interviewing (MI), Online Transtheoretical Model (TTM)tailored communications and a brief Health Risk Intervention (HRI) on four health risk factors (inactivity, BMI, stress and smoking) in a worksite sample. Method. A randomized clinical trial assigned employees to one of three recruitment strategies and one of the three treatments. The treatment protocol included an HRI session for everyone and in addition either a recommended three TTM online sessions or three MI in person or telephone sessions over 6 months. At the initial post-treatment assessment at 6 months, groups were compared on the percentage who had progressed from at risk to taking effective action on each of the four risks. Results. Compared to the HRI only group, the MI and TTM groups had significantly more participants in the Action stage for exercise and effective stress management and significantly fewer risk behaviors at 6 months. MI and TTM group outcomes were not different. Conclusion. This was the first study to demonstrate that MI and online TTM could produce significant multiple behavior changes. Future research will examine the long-term impacts of each treatment, their cost effectiveness, effects on productivity and quality of life and process variables mediating outcomes. (c) 2007 Published by Elsevier Inc.

【 授权许可】

Free