Latent Class Analysis of Stages of Change for Multiple Health Behaviors: Results from the Special Diabetes Program for Indians Diabetes Prevention Program

2012 ◽  
Vol 13 (5) ◽  
pp. 449-461 ◽  
Author(s):  
Luohua Jiang ◽  
◽  
Janette Beals ◽  
Lijing Zhang ◽  
Christina M. Mitchell ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Latent Class Analysis ◽  
Stages Of Change ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Latent Class ◽  
Diabetes Prevention Program ◽  
Class Analysis ◽  
Multiple Health Behaviors ◽  
Multiple Health

Brief Report: A Latent Class Analysis of Guideline Compliance Across Nine Health Behaviors

2021 ◽  
Author(s):  
Simone Pettigrew ◽  
Liyuwork M. Dana ◽  
Alison McAleese ◽  
Alice Bastable ◽  
Catherine Drane ◽  
...  
Keyword(s):  
Health Behaviors ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Class Analysis ◽  
Guideline Compliance

scholarly journals Better Me Within Randomized Trial: Faith-Based Diabetes Prevention Program for Weight Loss in African American Women

2020 ◽  
pp. 089011712095854
Author(s):  
Heather Kitzman ◽  
Abdullah Mamun ◽  
Leilani Dodgen ◽  
Donna Slater ◽  
George King ◽  
...  
Keyword(s):  
Weight Loss ◽  
African American ◽  
Health Behaviors ◽  
Randomized Trial ◽  
African American Women ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
American Women ◽  
Faith Based

Purpose: Previous DPP translations in African American women have been suboptimal. This trial evaluated a community-based participatory research developed faith-based diabetes prevention program (DPP) to improve weight loss in African American women. Design: This cluster randomized trial allocated churches to faith-based (FDPP) or standard (SDPP) DPP interventions. Setting. African American churches. Subjects. Eleven churches with 221 African American women (aged 48.8 ± 11.2 years, BMI = 36.7 ± 8.4) received the FDPP (n = 6) or SDPP (n = 5) intervention. Intervention: FDPP incorporated 5 faith-based components, including pastor involvement, into the standard DPP curriculum. The SDPP used the standard DPP curriculum. Lay health leaders facilitated interventions at church sites. Measures: Weight and biometrics were collected by blinded staff at baseline, 4- and 10-months. Analysis: A multilevel hierarchical regression model compared the FDPP and SDPP groups on outcomes. Results: FDPP and SDPP churches significantly lost weight at 10-months (overall −2.6%, p < .01). Women in FDPP churches who attended at least 15 sessions lost an additional 6.1 pounds at 4-months compared to SDPP corresponding to a 5.8% reduction at 10-months (p < .05). Both groups had significant improvements in health behaviors and biometrics. Conclusions: Faith-based and standard DPP interventions led by lay health leaders successfully improved weight, health behaviors, and chronic disease risk. However, the faith-based DPP when fully implemented met the CDC’s recommendation for weight loss for diabetes prevention in African American women.

Empowering Native Adolescents: Responsibility for Their Health Behaviors

2021 ◽  
Vol 45 (1) ◽  
pp. 3-16
Author(s):  
Rachel A. Chambers ◽  
Dane Hautala ◽  
Anne Kenney ◽  
Summer Rosenstock ◽  
Marissa Begay ◽  
...  
Keyword(s):  
Native American ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Latent Class ◽  
Diabetes Prevention Program ◽  
Transition Analysis ◽  
Home Based ◽  
The Impact ◽  
Diabetes And Obesity

Objectives: In this study, we assess the impact of a home-based diabetes prevention program, Together on Diabetes (TOD), on adolescent responsibility-taking for tasks related to diabetes risk. Methods: Participants were Native American youth ages 10-19 with or at risk of type 2 diabetes who participated in a 12-session, 6-month diabetes prevention program with an adult caretaker. Assessments completed at baseline, 6-month, and 12-month follow-up include demographics and the Diabetes and Obesity Task Sharing (DOTS) Questionnaire. We used latent class analysis (LCA) at baseline to examine heterogeneity in DOTS responses. We identified 3 classes (adolescent, shared, caretaker). We used latent transition analysis to examine stability and change in latent status at baseline, 6- and 12-month follow-up. Results: At baseline, the mean age of participants was 13.6 years and 55.9% were boys. From baseline to 6-month follow-up, the adolescent class was most stable, whereas the shared and caretaker classes were less stable. For participants who transition from the adolescent class, most transition to shared class compared to caretaker class. Conclusions: TOD helps to empower Native American adolescents to take responsibility for their health and engage with their caregivers in these decisions.

Tailoring and Targeting a Worksite Health Promotion Program to Address Multiple Health Behaviors among Blue-Collar Women

2000 ◽  
Vol 14 (5) ◽  
pp. 306-313 ◽  
Author(s):  
Marci Kramish Campbell ◽  
Irene Tessaro ◽  
Brenda DeVellis ◽  
Salli Benedict ◽  
Kristine Kelsey ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Behaviors ◽  
Health Risks ◽  
Stages Of Change ◽  
Fruits And Vegetables ◽  
Worksite Health Promotion ◽  
Blue Collar ◽  
Multiple Health Behaviors ◽  
Worksite Health ◽  
Multiple Health

Purpose. This study examined the relationship between health risks, health behaviors, stages-of-change, and behavior change priorities among blue-collar women participating in a worksite health promotion study. Design. Cross-sectional. Setting. Rural manufacturing worksites in North Carolina. Subjects. Participants were 859 women aged 18 and over. Measures. The self-administered questionnaire assessed smoking, exercise, nutrition (fat, fruits, and vegetables), and breast and cervical cancer screening behaviors. In addition, demographics, body weight, perceived health, stages-of-change, and priority for behavior change were measured. Chi-square tests and regression analysis were used to assess statistical significance. Results. Overall, 28% of women smoked, 37% were completely sedentary, 82% consumed less than five daily servings of fruits and vegetables, and the majority were overweight. The dominant stage of change for each of the lifestyle behaviors was contemplation, whereas most women were in the action stage for cancer screening. When asked to prioritize the behavior they most wanted to change, the majority of women chose healthy eating and/or exercise. Conclusions. The findings suggest that blue-collar women in this study had multiple health risks and were interested in changing multiple health behaviors. Allowing women to choose the behavior(s) on which they are ready to focus may be a promising approach to tailoring interventions for this population.

scholarly journals Latent Class Analysis of Multiple Health Risk Behaviors among Australian University Students and Associations with Psychological Distress

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 425 ◽  
Author(s):  
Melinda J. Hutchesson ◽  
Mitch J. Duncan ◽  
Stina Oftedal ◽  
Lee M. Ashton ◽  
Christopher Oldmeadow ◽  
...  
Keyword(s):  
Psychological Distress ◽  
University Students ◽  
Health Risk ◽  
Health Behaviors ◽  
Latent Class Analysis ◽  
Risk Behaviors ◽  
Latent Class ◽  
Health Risk Behaviors ◽  
Demographic Characteristics ◽  
Class Analysis

University students have high rates of health risk behaviors and psychological distress. This study explores patterns of health behaviors among a sample of Australian university students, and determines whether patterns of health behaviors are associated with psychological distress and demographic characteristics. Cross-sectional data from the University of Newcastle Student Healthy Lifestyle Survey 2019 were analyzed. Fruit and vegetable intake, sugar-sweetened beverage intake, physical activity, sitting time, smoking, alcohol intake, drug use, sleep and psychological distress were assessed. Latent class analysis (LCA) was used to identify patterns of health risk behaviors, and latent class regression to explore associations between psychological distress and demographic characteristics with health behavior classes. Analysis included 1965 students (mean age 25.8 ± 8.6 years, 70.7% female). Three patterns of health behaviors were identified: healthier (48.6%), moderate (40.2%) and unhealthy (11.2%) lifestyle classes. Students in the moderate and unhealthy lifestyle classes had higher odds of moderate (OR 1.43 and 2.37) and high/very high psychological distress risk (OR 2.71 and 11.69). Students in the unhealthy and moderate lifestyle classes had a higher odds of being male, younger, enrolled in transition to university and English language courses, Aboriginal or Torres Strait Islander descent and to report some financial difficulty. Study findings may be used to inform the design of mental health interventions for university students that target key health risk behaviors.

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