title: Tailored interventions for multiple risk behaviors.
abstract: The prevention and management of chronic disease necessitates the effective treatment of health risk behaviors. Evaluating methods for maximizing change among individuals with a combination of these behaviors is an area of continued research. The University of Michigan's Health Media Research Laboratory, in collaboration with the Henry Ford Health System (HFHS), is testing a computer-based tailored print material intervention and complementary telecounseling intervention among individuals served by the HFHS. Both interventions are informed by theoretical constructs, particularly those derived from the Transtheoretical Framework and the Health Belief Model. Through a randomized, 2x2 factorial trial, we intend to determine effectiveness of the two interventions in achieving behavior change of three health risk behaviors: cigarette smoking, low vegetable consumption and sedentary behavior. Participants with at least two of these behavioral risk factors will receive four treatments over an 18-week intervention period. Follow-up at 3 and 12 months will assess both short- and long-term behavioral effects of the individual and combined treatments against a group receiving generic print materials. Through this research, we intend to develop a better understanding of how the presence of multiple risk behaviors affects the probability of behavior change and to evaluate the joint action of these behaviors.
authors.forename: Victor
authors.initials: V
authors.lastname: Strecher
authors.forename: Catharine
authors.initials: C
authors.lastname: Wang
authors.forename: Holly
authors.initials: H
authors.lastname: Derry
authors.forename: Kevin
authors.initials: K
authors.lastname: Wildenhaus
authors.forename: Christine
authors.initials: C
authors.lastname: Johnson
mesh_terms: D000328:Adult; D000368:Aged; D003194:Computer-Assisted Instruction; D003376:Counseling; D005260:Female; D015438:Health Behavior; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008297:Male; D008824:Michigan; D008875:Middle Aged; D008962:Models, Theoretical; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D012307:Risk Factors; D013689:Telephone