Dempsey A.R.,Medical University of South Carolina |
Johnson S.S.,Pro-Change Behavior Systems, Inc. |
Westhoff C.L.,Columbia University
Perspectives on Sexual and Reproductive Health | Year: 2011
CONTEXT: Improved continuation of oral contraceptive use may decrease the incidence of unintended pregnancy. Therefore, identifying predictors of continuation is important to informing targeted interventions. METHODS: A survey conducted in 2003-2005 collected data from young women who sought oral contraceptives at three family planning clinics in New York, Dallas and Atlanta. Cluster analysis of data from 1,245 women was used to identify three distinct groups on the basis of baseline responses to items measuring constructs from the transtheoretical model of health behavior change: perceived advantages of pill use, perceived disadvantages and self-confidence in ability to sustain use. Logistic regression was used to assess the likelihood of continuation among the clusters. RESULTS: Participants who were confident in their ability to use the pill and who considered both its advantages and its disadvantages important were more likely to continue use for six months than were those who gave low scores to the method's advantages and their ability to use it (odds ratio, 1.4). The same appeared to be true for those who gave high scores to the pill's advantages and their ability to use it, but a low score to the method's disadvantages (1.3); however, this finding was only marginally significant. Demographic variables were not significant after adjustment for cluster membership. CONCLUSIONS: Cluster membership based on transtheoretical model constructs helps predict oral contraceptive continuation. Women who undervalue the advantages of pill use and have low confidence in their ability to use the method represent a target for interventions and future research. © 2010 by the Guttmacher Institute.
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase II | Award Amount: 686.75K | Year: 2010
DESCRIPTION (provided by applicant): Pregnant women, particularly those from underserved populations, often have a multitude of behavioral risks that threaten positive pregnancy and birth outcomes, as well as the future health of mother and baby. This application represents innovative research for impacting the promotion of healthy behaviors among pregnant women. The objective is to develop and test the first computer tailored intervention for pregnant women to address multiple behavioral risks. Healthy Pregnancy: Step by Step offers tailored guidance on the adoption and maintenance of smoking cessation, stress management, and fruit and vegetable consumption. This application offers innovation through the use of varying levels of tailoring across behaviors and a co-variation design through which multiple behaviors can be treated effectively and efficiently. The successful completion of Phase I demonstrates that a stage-matched computer tailored intervention is acceptable to pregnant women, feasible to disseminate in health clinics in conjunction with prenatal care, and has initial efficacy with multiple behaviors. The primary goals of Phase II are to complete and enhance the development of the intervention and to assess the efficacy in a randomized clinical trial involving 368 pregnant women from two non-profit health centers that treat underserved populations. In addition, supplemental intervention components will be created including printed feedback reports, a multiple behavior stage-based manual, and Spanish versions of all intervention materials. This intervention offers a cost-effective, science- based, and easily deliverable solution to improve multiple health behaviors, and overall health and well-being, of populations of pregnant women. Support from several distribution channels bolsters the commercial potential for this program and the promise for widespread dissemination. PUBLIC HEALTH RELEVANCE: Promoting healthy behaviors during pregnancy and postpartum is of great public health importance. This research proposes to develop and test a population-based, multiple health behavior change program for pregnant women that offers guidance on the adoption and maintenance of smoking cessation, stress management, and fruit and vegetable consumption. This computer tailored intervention offers a cost- effective, science-based, and easily deliverable solution to improve multiple health behaviors, and overall health and well-being, of populations of pregnant women.
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase II | Award Amount: 1.55M | Year: 2012
DESCRIPTION (provided by applicant): Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves. However, research assessing the efficacy of interventions for young offenders show, on average, only small effects on recidivism, substance abuse, and other behavioral outcomes. A major problem with existing interventions is that they tend to neglect individual differences in motivation and readiness to make positive changes. In earlier research, we used an empirically validated model of behavior change, the Transtheoretical Model (TTM, the stage model), and expert system technology to develop the Rise Above Your Situation program (RAYS), a prototype of a multimedia computerized tailored intervention designed as an adjunct to traditional juvenile justice programs. The intervention delivers assessments and individualized feedback matched to readiness to stay out of trouble with the law and quit alcohol and drugs. At the end each session the program also generates counselor report that summarizes the youth's feedback and presents concrete, easy-to-implement strategies counselors can use to reinforce stage-matched concepts. In the current research, the goals are to complete development of the computerized tailored intervention; develop training and other support materials for counselors; and assess the efficacy of the intervention package in a randomized clinical trial involving 1,000 court-involved juveniles aged 13-17. Primary outcomes will be criminal recidivism and substance abuse abstinence at 6 and 12 months follow-up. PUBLIC HEALTH RELEVANCE: Juvenile crime imposes enormous costs on victims, on society, and on juvenile offenders themselves. The RAYS TTM-based intervention, which delivers assessments, individualized feedback, and counselor reports matched to youths' readiness to stay out of trouble with the law and reduce substance use, has the potential to increase programs' responsivity to youths' needs; make more efficient use of scarce program resources; improve professional adherence to evidence-based practices; and improve outcomes.
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase II | Award Amount: 883.07K | Year: 2012
DESCRIPTION (provided by applicant): Excessive alcohol use is associated with a range of serious and costly health, social, and economic consequences at the individual and societal level. This program of research serves as a venue by which to produce and test an innovative, science-based, and cost-effective means to intervene in a private, convenient, and individualized way with employed adults who report non-dependent levels of risky drinking. Responsible Drinking offers computer-tailored intervention sessions directed at increasing readiness to limit drinking to national guidelines for low-risk drinking and a complementary dynamic web portal providing additional information, activities, and strategies designed to activate and reinforce the change process.Both e-Health intervention components are stage-matched, individually tailored based on theoretically grounded behavior change strategies, and designed to be interactive and engaging. Mobile health (m-Health) technologies, including theoretically tailoredand stage-matched text messaging and mobile device browsing optimization, will be integrated to support the behavior change process, engagement in the program, and convenient delivery. The successful completion of Phase I demonstrates that Responsible Drinking is acceptable to risky drinkers, capable of producing intention to make behavior changes, and feasible to disseminate via the Internet to employed adults. The primary goals of Phase II are to complete and enhance the development of the e- Health intervention components, to add m-Health technologies, and to assess the effectiveness in a randomized clinical trial involving 614 employed adults who exceed low-risk drinking levels. This application offers innovation through offering a population-based approach, a sophisticated level of tailoring on theoretically grounded constructs, and combining e-Health and m-Health technologies. An evidence-based secondary prevention program will offer tremendous commercial benefit to help employers, insurers, disease management, and wellness companies reduce the financial, personal, and societal costs of excessive alcohol use. PUBLIC HEALTH RELEVANCE: Given the range and severity of health, social, and economic consequences of excessive alcohol use, promoting responsible drinking among non-dependent drinkers is of great public health importance. This research proposes to develop and test an Internet-based, individualized, and interactive program for employed adults who exceed the national guidelines for low-risk drinking. With a theoretical and science-based foundation and a cost-effective and easily deliverable platform, this intervention offers great promise to improve the health and well-being of populations of risky drinkers.
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 149.60K | Year: 2015
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 1.50M | Year: 2015
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase II | Award Amount: 999.50K | Year: 2015
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 149.87K | Year: 2014
The overarching objective of this project is to develop an innovative technological tool that will facilitate the implementation of an evidence-based substance abuse prevention program and related health behavior risk programs among military personnel. PUBLIC HEALTH RELEVANCE
Pro-Change Behavior Systems, Inc. | Date: 2012-09-28
Pro-Change Behavior Systems, Inc. | Date: 2013-04-08
Instruction, education, and teaching materials, including print, online, tablet, and smart phone applications, in teaching the principles and processes of change. Education services, namely, providing evidence-based programs for use in helping individuals learn the change process and in turn be able to change their behaviors, organizations, and others.