scholarly journals Setting the policy, education, and research agenda to reduce tobacco use. Workshop I. AHA Prevention Conference III. Behavior change and compliance: keys to improving cardiovascular health.

Circulation ◽  
1993 ◽  
Vol 88 (3) ◽  
pp. 1381-1386 ◽  
Author(s):  
D M Becker ◽  
R Windsor ◽  
J K Ockene ◽  
B Berman ◽  
J A Best ◽  
...  
Addiction ◽  
2021 ◽  
Author(s):  
Neal L. Benowitz ◽  
Evangelia Liakoni

2003 ◽  

In April 2003, the Horizons Program sponsored a one-day technical meeting to develop and set priorities for an operations research agenda to study effective behavior change strategies for HIV risk reduction, particularly those that focus on the “ABC” behaviors: abstinence or delaying sex, being faithful or partner reduction, and condom use. Representatives from more than 20 organizations and programs involved in prevention research and programming discussed epidemiological, behavioral, psychosocial, and structural factors that may help determine the effectiveness of promoting the ABCs and other prevention programs. During the meeting, specific opportunities for collaborations and areas of particular interest for each group were discussed, with the goal of permitting each organization to focus on its strengths while working together toward similar outcomes. As noted in this report, the Horizons partnership plans to pursue some of the key operations research questions that were identified by the technical experts.


2003 ◽  
Vol 1 (SI) ◽  
pp. 54-64 ◽  
Author(s):  
Jay E. Maddock ◽  
Carrie S. Marshall ◽  
Claudio R. Nigg ◽  
Jodi D. Barnett

Chronic diseases account for 7 out of 10 deaths in the United States and 60% of the Nation’s health care expenses. Tobacco use, lack of physical activity and poor nutrition account for one third of US mortality. Behavioral surveillance systems such as the Behavioral Risk Factor Surveillance System (BRFSS) provide information on rates of behavior in the population and among different demographic categories. While these systems are essential for health promotion they do not assist the health educator in understanding psychosocial factors which may be related to the rates. A psychosocial surveillance system can aid in understanding the behavior change process and in the readiness of the population for behavior change. Results can assist states and localities in targeting health promotion messages and programs and can help in the allocation of often scarce health promotion funds. In 2000, the Hawaii Department of Health launched the Healthy Hawaii Initiative, a statewide program to reduce tobacco use, increase physical activity, and improve nutrition. As part of the evaluation, researchers at the University of Hawaii implemented a psychosocial surveillance system for the three target behaviors to assess changes in hypothesized mediators including stage of change, self efficacy, attitude and social norms. A random digit dial survey was conducted in the Spring and Fall of 2002 with 4,706 and 4,555 participants, respectively. Results show stability in the demographic characteristics and health behaviors of the sample but changes in the psychosocial variables. Several possible areas for interventions and messaging are demonstrated. A psychosocial surveillance system can be an important tool for health promotion and can lead to better understanding of health behaviors and attitudes.


Circulation ◽  
1993 ◽  
Vol 88 (3) ◽  
pp. 1391-1396 ◽  
Author(s):  
S T St Jeor ◽  
K D Brownell ◽  
R L Atkinson ◽  
C Bouchard ◽  
J Dwyer ◽  
...  

1999 ◽  
Vol 69 (8) ◽  
pp. 320-325 ◽  
Author(s):  
Paul C. Lewis ◽  
Joanne S. Harrell ◽  
Shibing Deng ◽  
Chyrise Bradley

2020 ◽  
Vol 10 (3) ◽  
pp. 555-564
Author(s):  
Patricia M Smith ◽  
Lisa D Seamark ◽  
Katie Beck

Abstract Integrating tobacco cessation interventions into substance use disorder (SUD) programs is recommended, yet few are implemented into practice. This translational research implementation study was designed to integrate an evidence-based tobacco cessation intervention into a 2-week hospital outpatient SUD program that served a rural municipality and 33 remote Indigenous communities. Objectives included determining tobacco use prevalence, intervention uptake, and staffing resources required for intervention delivery. A series of 1-hr tobacco and health/well-being interactive education and behavior-change groups were developed for the SUD program to create a central access point to offer an evidence-based, intensive tobacco cessation intervention that included an initial counseling/planning session and nine post-SUD treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12 months). Group sign-in data included age, gender, community, tobacco use, and interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to February 2019) were attended by 105 people from 22 communities—56% were female, mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the intensive tobacco cessation intervention. The age-standardized tobacco use ratio was two times higher than would be expected in the general rural population in the region. Average staff time to provide the intervention was 1.5–2.5 hr/week. Results showed that a Healthy Living group integrated into SUD programming provided a forum for tobacco education, behavior-change skills development, and access to an intensive tobacco cessation intervention for which enrollment was high yet the intervention could be delivered with only a few staff hours a week.


Circulation ◽  
1993 ◽  
Vol 88 (3) ◽  
pp. 1402-1405 ◽  
Author(s):  
S N Blair ◽  
K E Powell ◽  
T L Bazzarre ◽  
J L Early ◽  
L H Epstein ◽  
...  

2015 ◽  
Vol 11 (2) ◽  
pp. 114
Author(s):  
Robert F Kushner ◽  
Jeffrey I Mechanick ◽  
◽  

Unhealthful lifestyle behaviors are a primary source of the global burden of noncommunicable diseases (NCDs) and account for about 63 % of all global deaths. Recently, there has been an increased interest in evaluating the benefit of adhering to low-risk lifestyle behaviors and ideal cardiovascular health metrics. Although a healthful lifestyle has repeatedly been shown to improve mortality, the population prevalence of healthy living remains low. The new discipline of lifestyle medicine has recently emerged as a systematized approach for the management of chronic disease. The practice of lifestyle medicine requires skills and competency in addressing multiple health risk behaviors and improving self-management. This article focuses on the effects of a healthful lifestyle on chronic disease and defining lifestyle medicine as a unique discipline. It also reviews the role of effective provider–patient communication as an essential element for fostering behavior change—the main component of lifestyle medicine. The principles of communication and behavior change are skill based and are grounded in scientific theories and models. Communication and counseling must be contextualized to the patients’ economic situation, access to care, social support, culture, and health literacy.


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