Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME).
The Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) study evaluates the efficacy of two intervention strategies for improving nutrition and physical activity practices in fire fighters: a team-centered program and a one-on-one format targeting the individual. PHLAME compares these two behavior change models (the team-based versus the one-on-one approaches) against a usual-care control group. As a group, fire fighters have a concentration of the same harmful behaviors and health risks commonly afflicting the US population. Fire fighters have a unique work structure which is ideal for a team-centered model of behavior change. This strategy, based on Social Learning Theory, focuses on a team of fire fighters who work together on the same shift. If this team-centered model proves successful, it could provide a cost-effective method to impact behavior, and be disseminated among fire bureaus and in other team settings. The one-on-one intervention incorporates the Transtheoretical Model of behavior change, uses Motivational Interviewing for its counseling strategy and could be used in the more typical provider-client clinic setting. Findings from PHLAME will provide information about the process and outcomes of these models' ability to achieve health behavior change.
Moe
Esther L
EL
Division of Health Promotion and Sports Medicine, Oregon Health and Science University, Portland 97201, USA.
Elliot
Diane L
DL
Goldberg
Linn
L
Kuehl
Kerry S
KS
Stevens
Victor J
VJ
Breger
Rosemary K R
RK
DeFrancesco
Carol L
CL
Ernst
Denise
D
Duncan
Terry
T
Dulacki
Kristen
K
Dolen
Sara
S
D004032:Diet; D015444:Exercise; D006293:Health Promotion; D006801:Humans; D008962:Models, Theoretical; D009790:Occupations; D010865:Pilot Projects; D012107:Research Design; D016896:Treatment Outcome; D014481:United States