A randomized clinical trial of a population- and transtheoretical model-based stress-management intervention
Document Type
Article
Date of Original Version
7-1-2006
Abstract
Stress has been associated with a variety of chronic and acute conditions and with higher use of health care services. This research reports on 18-month outcomes of a randomized clinical trial of a stress-management program based on the transtheoretical model (TTM; J. O. Prochaska & C. C. DiClemente, 1986). A national sample of 1,085 individuals participated (age range = 18-91 years, M = 55.33; 68.9% female, 31.1% male; 84.8% Caucasian; 15.2% non-Caucasian). Both the treatment and control groups received assessments at 0, 6, 12, and 18 months. In addition to the assessments, the treatment group received 3 individualized reports (0, 3, 6 months) and a manual. The 18-month assessment was completed by 778 individuals (72%). A random effects model indicated that participants completing the study in the treatment group had significantly more individuals reporting effective stress management at follow-up time points than did completers in the control group. Results also indicate that the intervention had significant effects on stress, depression, and specific stress-management behaviors. Results provide evidence for the effectiveness of this TTM population-based stress-management intervention. Copyright 2006 by the American Psychological Association.
Publication Title, e.g., Journal
Health Psychology
Volume
25
Issue
4
Citation/Publisher Attribution
Evers, Kerry E., James O. Prochaska, Janet L. Johnson, Leanne M. Mauriello, Julie A. Padula, and Janice M. Prochaska. "A randomized clinical trial of a population- and transtheoretical model-based stress-management intervention." Health Psychology 25, 4 (2006): 521-529. doi: 10.1037/0278-6133.25.4.521.