Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients.

Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Research Abstract Details 

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Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Abstract Text:

Kimberly A Kaphingst,Rebecca Lobb,Martha E Fay,Mary K Hunt,Elizabeth Gonzalez Suarez,Robert H Fletcher,Karen M Emmons,

PURPOSE: To examine the relationship between intervention dose and health behavior change in Healthy Directions-Health Centers, an intervention designed to reduce cancer risk factors. DESIGN. Analysis of intervention condition participant data from a randomized controlled trial. SETTING: Community health centers in Massachusetts. SUBJECTS: Patients residing in low-income, working-class, multiethnic neighborhoods. INTERVENTION: Components were clinician endorsement, in-person counseling session and four telephone counseling sessions with a trained health advisor, and social-contextual tailored materials. MEASURES: Intervention dose was number of six possible intervention components completed by each participant. Changes in fruit and vegetable consumption, red meat consumption, physical activity, and multivitamin intake between baseline (n=1088) and 8-month follow-up (n=967; 89% of baseline sample) were determined. ANALYSIS: Bivariate and multivariate associations between intervention dose and change in health behaviors were examined. Results: In multivariate analysis, the association between intervention dose and increase in multivitamin intake approached significance (p < .07). Seventy percent of participants completed all intervention activities. In bivariate analysis, completion of four telephone counseling calls was associated with decrease in red meat consumption (p < .05). CONCLUSION: These findings indicate that future studies should examine the number, content, and length of contacts needed for behavior change. The results also suggest that health centers are a channel for reaching diverse populations, as shown by the high level of intervention implementation.

Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Publishing Authors By Initials

KA Kaphingst,R Lobb,ME Fay,MK Hunt,EG Suarez,RH Fletcher,KM Emmons,

For similar quality of health care: outcome and process assessment (health care): process assessment (health care) research abstracts see: quality of health care: outcome and process assessment (health care): process assessment (health care) research

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Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: American journal of health promotion : AJHP

VOLUME: 21

Page Numbers: 262-6

Journal Abbreviation:

ISSN: 0890-1171

DAY: 3

MONTH: 12

YEAR: 2007

Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Information

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LANGUAGE: eng

NlmUniqueID: 8701680

Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Keywords Mesh Terms:

KEYWORDS: Process Assessment (Health Care)

MESH TERMS: prevention & control

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Grant and Affiliation Information for Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients.

AFFILIATION: National Human Genome Research Institute, Social and Behavioral Research Branch, 2 Center Drive, MSC 0249, Building 2, Room 4E30, Bethesda, MD 20892, USA. kkaphing@mail.nih.gov

Country: United States

AGENCY: United States NCI

GRANT: 5 P01 CA75308

ACRONYM: CA

MEDLINETA: Am J Health Promot

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