1
40
3
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1038/oby.2005.106" target="_blank" rel="noreferrer noopener">http://doi.org/10.1038/oby.2005.106</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
917-927
Issue
5
Volume
13
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Transtheoretical Model-chronic Disease Care For Obesity In Primary Care: A Randomized Trial
Publisher
An entity responsible for making the resource available
Obesity Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-05
Subject
The topic of the resource
chronic disease; clinical-trials; cognitive-behavioral therapy; dietary-fat intake; Endocrinology & Metabolism; exercise behavior; intervention; motivational readiness; Nutrition & Dietetics; physical-activity; program; randomized controlled trial; self-efficacy; services task-force; treatment; weight management; weight loss
Creator
An entity primarily responsible for making the resource
Logue E E; Sutton K; Jarjoura D; Smucker W; Baughman K; Capers C
Description
An account of the resource
Objective: To compare health benefits achieved in a transtheoretical model-chronic disease (TM-CD) minimal intervention for obesity vs. augmented usual care (AUC). Research Method and Procedures: This was a 2-year, randomized clinical trial with overweight or obese men and women from 15 primary care sites. AUC (n = 336) included dietary and exercise advice, prescriptions, and three 24-hour dietary recalls every 6 months. TM-CD care (n = 329) included AUC elements plus "stage of change" (SOC) assessments for five target behaviors every other month, mailed SOC and target behavior-matched-workbooks, and monthly telephone calls from a weight-loss advisor. Weight change was the primary outcome. Results: Repeated measures models under the missing at random assumption yielded nonsignificant adjusted differences between. the AUC and TM-CD groups for weight change, waist circumference, energy intake or expenditure, blood pressure, and blood lipids. The pattern of change over time suggested that TM-CD participants were trying harder to impact target behaviors during the first 6 to 12 months of the trial but relapsed afterward. Sixty percent of trial participants maintained their baseline weights for 18 to 24 months. Discussion: A combination of mailed patient materials and monthly telephone calls based on, the transtheoretical model and some elements of chronic disease care is not powerful enough, relative to AUC, to alter target behaviors among overweight primary care patients in an obesogenic environment. AUC may be sufficient to maintain weights among at-risk primary care patients.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1038/oby.2005.106" target="_blank" rel="noreferrer noopener">10.1038/oby.2005.106</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2005
Baughman K
Capers C
Chronic Disease
clinical-trials
cognitive-behavioral therapy
Department of Family & Community Medicine
dietary-fat intake
Endocrinology & Metabolism
exercise behavior
Intervention
Jarjoura D
Journal Article or Conference Abstract Publication
Logue E E
motivational readiness
NEOMED College of Medicine
Nutrition & Dietetics
Obesity Research
physical-activity
program
randomized controlled trial
self-efficacy
services task-force
Smucker W
Sutton K
Treatment
Weight Loss
weight management
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/s0091-7435(03)00095-1" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/s0091-7435(03)00095-1</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
129-137
Issue
2
Volume
37
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Biopsychosocial characteristics of overweight and obese primary care patients: do psychosocial and behavior factors mediate sociodemographic effects?
Publisher
An entity responsible for making the resource available
Preventive Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-08
Subject
The topic of the resource
intervention; social support; obesity; self-efficacy; exercise; balance; primary care; General & Internal Medicine; Environmental & Occupational Health; Public; Health; women; behavior; body-mass index; body-mass index; physical-activity; weight management; 7-day recall; decisional; energy intake; energy intake; motivational readiness; physical-activity
Creator
An entity primarily responsible for making the resource
Baughman K; Logue E E; Sutton K; Capers C; Jarjoura D; Smucker W
Description
An account of the resource
Background. The increasing prevalence of obesity and obesity-related conditions in primary care settings challenges the health care system. Thus. we used available baseline data from an on-going clinical trial to examine the biopsychosocial characteristics of overweight and obese primary care patients. The primary research objective was to ascertain whether theoretically important psychosocial and behavioral variables mediate the empirical relationships between sociodemographic factors and body mass index (BMI). Methods. Overweight or obese primary care patients (n = 665) enrolled in an on-going trial of a cognitive-behavioral obesity intervention provided baseline sociodemographic, psychosocial, nutritional, physical activity, and anthropometric data that were analyzed via multiple regression. Results. Lower educational attainment was associated with a higher BMI after controlling for decisional balance, social support, self-efficacy, energy intake, and energy expenditure (P < 0.05). In contrast, ethnicity was not associated with BMI after controlling for the psychosocial and behavioral variables. Decisional balance and social support variables were associated with BMI and energy intake, but the directions of some of the associations were not consistent with a priori expectations. Conclusions. Overall, we found some evidence of mediation by the psychosocial and behavioral variables of the relationship between ethnicity and BMI, but not for the relationship between education and BMI. In addition, some of the relationships between the psychosocial variables and BMI were opposite of our expectations. (C) 2003 American Health Foundation and Elsevier Science (USA). All rights reserved.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0091-7435(03)00095-1" target="_blank" rel="noreferrer noopener">10.1016/s0091-7435(03)00095-1</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2003
7-day recall
Balance
Baughman K
Behavior
body-mass index
Capers C
decisional
Department of Family & Community Medicine
Energy Intake
Environmental & Occupational Health
Exercise
General & Internal Medicine
Health
Intervention
Jarjoura D
Journal Article or Conference Abstract Publication
Logue E E
motivational readiness
NEOMED College of Medicine
Obesity
physical-activity
Preventive Medicine
primary care
Public
self-efficacy
Smucker W
Social Support
Sutton K
weight management
Women
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1038/oby.2003.92" target="_blank" rel="noreferrer noopener">http://doi.org/10.1038/oby.2003.92</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
641-652
Issue
5
Volume
11
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Assessing dietary and exercise stage of change to optimize weight loss interventions
Publisher
An entity responsible for making the resource available
Obesity Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
2003-05
Subject
The topic of the resource
assessment; behaviors; diet and exercise; Endocrinology & Metabolism; expert-system intervention; fat; minority women; model; nutrient database; Nutrition & Dietetics; obesity; older-adults; physical-activity; population; smoking cessation; stage of change; Transtheoretical; weight loss intervention
Creator
An entity primarily responsible for making the resource
Sutton K; Logue E; Jarjoura D; Baughman K; Smucker W; Capers C
Description
An account of the resource
Objective: According to the Transtheoretical Model (TM), tailoring interventions to patients' readiness to change can enhance patient progress and help patients use therapeutic resources more effectively. However, tailoring an intervention depends on accurate assessment of patients' stage of change (SOC). This study describes a multi-item algorithm of SOC (M-SOC) for weight loss-related behaviors that attempts to overcome some of the conceptual and methodological difficulties encountered in previously SOC assessments. Research Methods: Data were collected from participants randomly assigned to the treatment arm of a clinical trial comparing a TM-based, cognitive-behavioral intervention with enhanced usual care for weight loss. Results: The stair-step relationships hypothesized by the TM between assessed SOC and key behavioral measures were found for all algorithms (p < 0.05), indicating that the M-SOC algorithm performs as well as single item algorithms. However, 50% fewer patients were classified in action or maintenance for dietary fat intake and portion control (p < 0.05) by the multiple-item algorithms, providing staging more consistent with the clinical presentation of obese individuals. In addition, logistic regression analyses indicated that the single-item algorithms were not sufficient predictors of these behavioral domains. Discussion: To the extent that treatment is guided by assessed SOC, there is potential for a considerable variability in interventions with different approaches to staging. For weight-loss interventions that target portion control and decreased fat intake, the multi-item SOC algorithms seem to be better guides for matching treatments to SOC.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1038/oby.2003.92" target="_blank" rel="noreferrer noopener">10.1038/oby.2003.92</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2003
assessment
Baughman K
behaviors
Capers C
Department of Family & Community Medicine
diet and exercise
Endocrinology & Metabolism
expert-system intervention
fat
Jarjoura D
Journal Article
Logue E
minority women
model
NEOMED College of Medicine
nutrient database
Nutrition & Dietetics
Obesity
Obesity Research
older-adults
physical-activity
Population
Smoking Cessation
Smucker W
stage of change
Sutton K
Transtheoretical
weight loss intervention