Treatment-enhanced paired action contributes substantially to change across multiple health behaviors: Secondary analyses of five randomized trials
Document Type
Article
Date of Original Version
3-1-2013
Abstract
The dominant paradigm of changing multiple health behaviors (MHBs) is based on treating, assessing, and studying each behavior separately. This study focused on individuals with co-occurring baseline health-risk behavior pairs and described whether they changed over time on both or only one of the behaviors within each pair. Data from five randomized trials of computer-tailored interventions (CTIs) that simultaneously treated MHBs were analyzed. The differences between treatment and control proportions that achieved paired action and singular action at 24 months follow-up, and the proportional contribution of paired action to overall change on each behavior, were assessed across 12 behavior pairs (including energy balance, addictive, and appearance-related behaviors). CTIs consistently produced more paired action across behavior pairs. Paired action contributed substantially more to the treatment-related outcomes than singular action. Studying concurrent changes on MHBs as demonstrated allows the effect of simultaneously treating MHBs to be assessed. © 2013 Society of Behavioral Medicine.
Publication Title, e.g., Journal
Translational Behavioral Medicine
Volume
3
Issue
1
Citation/Publisher Attribution
Yin, Hui Qing, James O. Prochaska, Joseph S. Rossi, Colleen A. Redding, Andrea L. Paiva, Bryan Blissmer, Wayne F. Velicer, Sara S. Johnson, and Hisanori Kobayashi. "Treatment-enhanced paired action contributes substantially to change across multiple health behaviors: Secondary analyses of five randomized trials." Translational Behavioral Medicine 3, 1 (2013): 62-71. doi: 10.1007/s13142-013-0193-4.