Www.ncbi.nlm.nih.gov



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ADDIN EN.CITE.DATA 80PAMIG1Counseling4 individual behavioral choice theory-based face-to-face sessions, 30- to 45- min, at 6-week intervals during a 6-month period. Sessions incorporated individual behavior goal-setting, self-efficacy, and MI techniques. Participants set specific, individual goals for change in sedentary behavior by identifying adequate behavior substitutes or choices and initiating small changes in availability and access to sedentary behavior in their daily lives; behavior goals were reviewed and evaluated. Each session also focused on 1 of the 4 key messages: 1) reduce daily TV viewing; 2) substitute sitting with standing when possible, at work and at home (no time restrictions); 3) break up prolonged sitting by standing up frequently; and 4) 30-min maximum of sitting per episode. Written materials containing these key messages, including strategies and suggestions for reduction of sitting time, were given to participants at each session in purposefully developed booklets and on postcards and stickers.97.5% of participants nearly completed all 4 intervention sessions (2/81 unable to attend last session; received materials via mail)BCTXXXXNoneAittasalo, 2006PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5BaXR0YXNhbG88L0F1dGhvcj48WWVhcj4yMDA2PC9ZZWFy

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ADDIN EN.CITE.DATA 81PALIG1Brief counselingOne 5- to 10-min prescription-based counseling session with PCP using the 5As. Key issues of counseling were: 1) patients’ current PA level, their readiness to increase PA, and PA preferences; 2) patient-centered goal-setting; 3) emphasis on lifestyle activities, which may have more long-term effects than structured exercise; and 4) agreement on control visits, most preferably with a preset date. Evidence about the health benefits of PA also presented. Optional activities included PA log for self-monitoring and referral to PA experts.NRNRXUC: Appointment with physician carried out as usualAittasalo, 2006PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5BaXR0YXNhbG88L0F1dGhvcj48WWVhcj4yMDA2PC9ZZWFy

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ADDIN EN.CITE.DATA 83PALIG1Tailored phone counseling plus website17 phone calls with counselor who used MI techniques to problem-solve barriers using culturally sensitive techniques and set future PA goals (incrementally building up to 150 min/week of MVPA), with a pedometer to track and set goals (10,000 steps/day). Participants were referred to a condition-specific, tailored website that included tailored “mom-centric” PA “resource directories,” such as information on parks with paved paths for a stroller; newsletters that included personal factors of self-regulatory behavioral skills and self-efficacy to do regular PA; and enlisting social support for PA from family and friends.Mean, 12.7 min per callOut of 17 planned calls, 70% received ≥13 calls23% did not visit website6% visited once31% visited 2 to 10 times18% visited 11 to 20 times22% visited ≥21 timesNRXXXXXMI: Information on PA benefits via standard website and print materials.Aldana, 2006PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5BbGRhbmE8L0F1dGhvcj48WWVhcj4yMDA2PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 85HD+PAHIG1Group counseling16 2-hr group education sessions over 4 weeks addressing various diet, exercise, lifestyle, and health topics. Participants encouraged to follow preset dietary and exercise goals. Dietary goal was a more plant-based food diet that was low in fat, animal protein, sugar, and salt; very low in cholesterol; and high in fiber. Exercise goal was walking ≥30 min/day. Participants also received a workbook with assignments, a pedometer, and were encouraged to keep an exercise log and had access to shopping trips with dietitians and cooking demonstrations.Average of 89% of classes attendedNRXXWLAlexander, 2010PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5BbGV4YW5kZXI8L0F1dGhvcj48WWVhcj4yMDEwPC9ZZWFy

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ADDIN EN.CITE.DATA 86HDMIG1Tailored web- based + email counseling4 tailored web sessions offered 1, 3, 13, and 15 weeks after enrollment. 4 sets of email counseling sessions based on MI, initiated by a study counselor within a week following a new web session visit. Counseling was linked to the most current session and included feedback on current intake levels and reflection on participant’s plan. Behavioral web sessions were tailored to the participant’s stage of change and designed to increase motivation and self-efficacy for eating fruits and vegetables, including expanded goal intake of 5 to 9 daily servings, and a goal-setting tool was available to aid in planning for change. Each session included 4 to 5 pages of core content, illustrations, optional links to more detailed explanations, and special features designed to supplement session content. Once available, all program components were accessible throughout the 12-month study period. Optional features: individually tailored menus; 60-second video clips of recipe preparation; create own menus from the recipe library.Counselor-initiated emails ranged from 0 to 17 emails per participant (mean, 6).Participation rate in email support: 22% had no exchanges, 29% had 1 to 3, 17% had 4 to 8, 33% had ≤9. SCT, TTM, HBMXXXXXMI: 4 nontailored web sessions provided general fruit and vegetable nutrition information.Alexander, 2010PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5BbGV4YW5kZXI8L0F1dGhvcj48WWVhcj4yMDEwPC9ZZWFy

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ADDIN EN.CITE.DATA 86HDMIG2Tailored web-based counseling4 tailored web sessions offered 1, 3, 13, and 15 weeks after enrollment. Behavioral web sessions were tailored to the participant’s stage of change and designed to increase motivation and self-efficacy for eating fruits and vegetables, including expanded goal intake of 5 to 9 daily servings, and a goal-setting tool was available to aid in planning for change. Each session included 4 to 5 pages of core content, illustrations, optional links to more detailed explanations, and special features designed to supplement session content. Once available, all program components were accessible throughout the 12-month study period. Optional features: individually tailored menus; 60-second video clips of recipe preparation; create own menus from the recipe library.NRXXXXBaron, 1990PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CYXJvbjwvQXV0aG9yPjxZZWFyPjE5OTA8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 90HDMIG1CounselingParticipants completed a self-administered questionnaire concerning general health, smoking habits, and present diet and given instruction on optimal body weight and diet by a nurse in the practice. Counseling sessions were done individually or in small groups and lasted about 30 min per session; dietary advice was focused on making modest decreases in total fat intake from an expected level of >40% of calories to 30% to 35% of calories, increase in ratio of polyunsaturated to saturated fats to about 0.4 from an expected level of <0.3, and stressed the value of increased dietary fiber, including soluble fiber. Potential benefits of PA and moderation of salt, alcohol, and tobacco intake were also mentioned but not emphasized. A booklet was given that summarized basic ideas of diet, provided recipes, and offered advice concerning local restaurants. Study nurse also provided support and encouragement on dietary modification at 2 brief FU counseling sessions. Promotional materials were also on display at the practice.NRNRXUC: Participants were told they were part of a nutrition survey and were followed up on the same schedule by the same nurse, but without dietary adviceBennett, 2013 ADDIN EN.CITE <EndNote><Cite><Author>Bennett</Author><Year>2013</Year><RecNum>12029</RecNum><DisplayText><style face="superscript">91</style></DisplayText><record><rec-number>12029</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="1429121468">12029</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Bennett, G. G.</author><author>Foley, P.</author><author>Levine, E.</author><author>Whiteley, J.</author><author>Askew, S.</author><author>Steinberg, D. M.</author><author>Batch, B.</author><author>Greaney, M. L.</author><author>Miranda, H.</author><author>Wroth, T. H.</author><author>Holder, M. G.</author><author>Emmons, K. M.</author><author>Puleo, E.</author></authors></contributors><titles><title>Behavioral treatment for weight gain prevention among black women in primary care practice: A randomized clinical trial</title><secondary-title>JAMA Intern Med</secondary-title></titles><pages>1770-1777</pages><volume>173</volume><number>19</number><keywords><keyword>adult // article // behavior change // behavior modification // body mass // breast abscess // cancer diagnosis // cardiometabolic risk // comparative study // controlled study // female // health care practice // human // income // knee arthroplasty //</keyword></keywords><dates><year>2013</year></dates><accession-num>Cn-00908922</accession-num><urls><related-urls><url> 1 - CENTRAL 20150410</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2</custom3><custom4>KQ1E4, KQ2I1, KQ3E4, KQ4I1</custom4><electronic-resource-num>, tailored print materials, and self-monitoringGoal was slight (<200 kcal) daily energy deficit to offset weight gain. 3 behavior change goals were assigned using the interactive obesity treatment approach (iOTA) at baseline and new goals at months 2 and 4; each goal assignment included printed personalized feedback reports with previous goal results and tailored prescriptions for new goals. Pedometers and tracking logs were used daily and reported during weekly interactive voice response (IVR) calls. Individually tailored intervention materials were delivered 22 times over 1 year, including 1 initial set at baseline followed by 5 bimonthly mailings during months 3 to 12 and quarterly newsletters. Also 12 monthly 20-min counseling calls with a registered dietician trained in MI and 12-month membership to local YMCA.81.9% completed counseling calls during 12-month period, IVR call completion rate ranged from 65.2% to 89.5% per week with a mean (SD) of 72% (28%). 70.3% initiated free YMCA membership and 40.7% visited more than once.SCTXXXXXUC: 3 newsletters covering general wellness topics, not including weight, nutrition, or PA, sent every 6 monthsBeresford, 1997PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CZXJlc2ZvcmQ8L0F1dGhvcj48WWVhcj4xOTk3PC9ZZWFy

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ADDIN EN.CITE.DATA 92HDLIG1Brief counseling and self-help materialSelf-help booklet and brief physician endorsement of dietary change at routine scheduled medical appointment. Physicians introduced the booklet to the participant in a standardized fashion, taking <3 min during the encounter. The booklet contained a brief self-test of current dietary behavior, suggestions for small, sequential behavior change, self-assessment questionnaires, and sections for recording short- and long-term goals. 2 weeks later, a reminder letter signed by the physician was mailed to participants. Booklet and script to introduce it were placed in patient chart.95% of participants who attended their appointment received their bookletSCTXUC: Not describedBernstein, 2002PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CZXJuc3RlaW48L0F1dGhvcj48WWVhcj4yMDAyPC9ZZWFy

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ADDIN EN.CITE.DATA 93HDHIG1Home-based educationIn-depth, home-based, personalized education program that stressed increasing fruit and vegetable intake to a minimum of 5 servings/day and calcium-rich foods to a minimum of 3 servings/day. Provided through 8 home visits, biweekly phone contacts, and monthly letters over 6 months. Subjects were given an education book. Topics included good nutrition at any age, health benefits of eating more fruits and vegetables, importance of calcium-rich foods and risk factors for osteoporosis, what constitutes a serving, grocery shopping tips, and nutrient dense recipes. Behavior modification techniques such as goal setting, rewards, food log recording, role-playing games, and trouble shooting were included in home visit sessions.NRNRXXXAC: Home-based exercise programBickmore, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CaWNrbW9yZTwvQXV0aG9yPjxZZWFyPjIwMTM8L1llYXI+

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ADDIN EN.CITE.DATA 94PAMIG1Computer-based counseling2-month intensive intervention phase delivered on take-home computer tablets followed by 10-month maintenance phase delivered on outpatient waiting room kiosk computers. Intervention used an embodied conversational agent (ECA) exercise coach. ECAs are animated computer characters that simulate face-to-face conversation using voice, hand gesture, and gaze cues and other nonverbal behavior to make the computer interface as acceptable and intuitive as possible for people who may have no prior experience with computers and for those with low health literacy. At baseline, participants were instructed on how to use the tablets and to conduct daily 5-min conversations with the ECA for 2 months, focused on increasing walking. The virtual coach reviewed individual progress relative to short- and long-term goals, provided positive reinforcement, problem solving to overcome barriers to PA, and goal setting. Pedometer tracked steps and participants downloaded their data to the virtual system to aid in feedback during conversations. Tablets were returned at 2 months and participants were instructed on how to use an identical computer kiosk program in clinic waiting room when they were attending a routine appointment for the remaining 10 months.Mean number of interactions with take-home tablet (SD): 35.8 (19.7) out of 60 days. Use decreased after first week from average of 4.7 to 4.0 sessions per week and then declined to 3.3 sessions per week at end of 2-month period. Mean (SD): 1.0 (2.9) interaction with outpatient kiosk over 10- month period.NRXXMI: Pedometers and monthly activity logs to track step countsBrekke, 2005PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CcmVra2U8L0F1dGhvcj48WWVhcj4yMDA1PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 97HDHIG1Group counseling (diet)Two 60- to 120-min dietary group education sessions given 1 to 2 weeks apart at start of study; participants were asked to bring another member in their household, preferably the meal preparer. Sessions addressed general dietary advice, food examples, meal patterns and regular meal frequency, and side effects of increased fiber intake. Time was provided to discuss questions and food choices. Dietary advice aimed to reduce saturated fat (10% energy); increase monounsaturated fat and omega-3 fatty acids; increase vegetable, fruit, and fiber intake; increase intake of low glycemic index (GI) foods and reduce intake of high GI foods. For first 4 months, 7 to 9 unannounced phone interviews were performed using 24-hr dietary recall as basis for discussion. After 4 months, phone interviews were conducted every 10 weeks.NRNRXMI: UC for the first year. At 1 year, dietary counseling (minimal intervention with lower intensity FU)Brekke, 2005PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CcmVra2U8L0F1dGhvcj48WWVhcj4yMDA1PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 97HD+PA HIG2Group counseling (diet and PA)Two 60- to 120-min dietary group education sessions given 1 to 2 weeks apart at start of study; participants were asked to bring another member in their household, preferably the meal preparer. Sessions addressed general dietary advice, food examples, meal patterns and regular meal frequency, and side effects of increased fiber intake. Time was provided to discuss questions and food choices. Dietary advice aimed to reduce saturated fat (10% energy); increase monounsaturated fat and omega-3 fatty acids; increase vegetable, fruit, and fiber intake; and increase intake of low glycemic index (GI) foods and reduce intake of high GI foods. Also, sessions included exercise advice and discussion of benefits of PA and how to increase PA. Participants could decide how to personally achieve their goals for ≥30 min of PA 4 or 5 times per week. For first 4 months, 7 to 9 unannounced phone interviews were performed using 24-hr dietary recall and 72-hr PA recall as basis for discussion. After 4 months, phone interviews were conducted every 10 weeks.NRNRXXBryan, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5CcnlhbjwvQXV0aG9yPjxZZWFyPjIwMTM8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 101HDHIG1Group counselingTwenty 75-min group (13 to 15 people) counseling sessions with 2 staff facilitators (weekly for first 16 weeks and biweekly for last 8 weeks). Sessions included a brief check-in, session topic and review of materials, interactive learning strategies to personalize the topic to participants' respective lives, and review of homework. Participants were encouraged to turn in weekly food logs for feedback. Curriculum focused on process of behavior change; facilitators stressed 4 main dietary changes: decreasing fats, increasing whole grains, dairy products, and other calcium-rich foods, and fruits and vegetables. Also received a copy of the American Dietetic Association's Complete Food & Nutrition Guide and contact information of study staff for any questions.NRSCT, TTMXXXXMI: Booklet on healthy dietCarpenter, 2004PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5DYXJwZW50ZXI8L0F1dGhvcj48WWVhcj4yMDA0PC9ZZWFy

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ADDIN EN.CITE.DATA 101HDLIG2Mailed materials and web siteReceived 2 weekly print curriculum sessions twice a month via regular mail with weekly reminders, which focused on teaching the process of behavior change. In addition, had access to a web site through which they could post questions and review responses, read restaurant critiques, obtain recipes, and participate in a weekly live online chat session. Curriculum focused on process of behavior change and focused on 4 main dietary changes: decreasing fats, increasing whole grains, dairy products, and other calcium-rich foods, and fruits and vegetables. Also received a copy of the American Dietetic Association's Complete Food & Nutrition Guide and contact information of study staff for any questions.NRSCT, TTMXXXXCarroll, 2010PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5DYXJyb2xsPC9BdXRob3I+PFllYXI+MjAxMDwvWWVhcj48

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ADDIN EN.CITE.DATA 103PAMIG1Counseling1 initial face-to-face session with professional staff member to discuss health history and motivation for changing behavior, set initial goals, and establish phone counseling appointment times. 14 phone counseling calls over 12 months by a trained professional, twice per month for first 2 months and then monthly for remaining 10 months, in which the Active Choices Program (ACP), a guided self-management program, was delivered. ACP focused on increasing leisure PA to moderate- or vigorous-intensity PA to achieve recommendations of ≥150 min/week. Phone counseling calls were supplemented with monthly newsletter mailings and tip sheets.Across both intervention groups, average of 11/14 (78.6%) calls completed (15 to 16 min per call)SCT, TTMXXXXAC: 1 face-to-face session, followed by 14 FU calls focused on adopting a heart-healthy diet by reducing saturated fat and increasing fruits and vegetables. Participants were asked to track food intake and behavior change efforts, and to maintain usual patterns of PA.Castro, 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5DYXN0cm88L0F1dGhvcj48WWVhcj4yMDExPC9ZZWFyPjxS

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b3RlPn==

ADDIN EN.CITE.DATA 103PAMIG2Peer counseling1 initial face-to-face session with peer mentor to discuss health history and motivation for changing behavior, set initial goals, and establish phone counseling appointment times. 14 phone counseling calls over 12 months by a peer mentor, occurring twice per month for first 2 months and then monthly for remaining 10 months, in which the Active Choices Program (ACP), a guided self-management program, was delivered. ACP focused on increasing leisure PA to moderate- or vigorous-intensity PA to achieve recommendations of ≥150 min/week. Phone counseling calls were supplemented with monthly newsletter mailings and tip sheets.SCT, TTMXXXXXCoates, 1999PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Db2F0ZXM8L0F1dGhvcj48WWVhcj4xOTk5PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 106HDHIG1Group counselingUp to 18 group (8 to 15 people per group) counseling sessions with research nutritionist. Groups met weekly for first 6 weeks, biweekly for next 6 weeks, and monthly thereafter for an additional 9 months or until end of the study. Each session integrated nutritional and behavioral change strategies. Nutritionists encouraged participants to substitute low-fat for high-fat foods and recipes. Group members shared experiences, role played, provided support, and helped each other solve problems. Sessions incorporated regional and ethnic foods and local terminology. Groups reinforced success in changing eating patterns and in bringing interesting low-fat dishes to sessions. Nutritionists invited family members to selected sessions and encouraged a friendly group environment. Each participant monitored dietary intake with a goal for grams of fat equivalent to ~20% of total energy, using self-monitoring tools. For individuals having difficulty making changes or continuing participation, nutritionists provided individualized attention.96% attended at least 1 session83% attended sessions for ≥6 months79% attended sessions for ≥12 monthsAdherence was somewhat lower among Hispanic womenNRXXXMI: Received copy of Dietary Guidelines for Americansde Vet, 2009PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5EZSBWZXQ8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 108PALIG1Self-directed and self-selected activity plan (with repeat planning)All participants asked to increase PA level by 2 hr/week and to explicitly decide and write down their plan (i.e., implementation intentions) for what activity, when, where, and how long they would do it. This group self-selected up to 3 activities and made repeated plans after 2 weeks and 3 months. The plan was set autonomously with no help of an interventionist.Of respondents asked to form implementation intentions, 89%, 89%, and 86% did so at baseline, 2 weeks, and 3 months, respectivelyNRXMI: Questionnaire with information about benefits of exercise and recommended increase in activity level by 2 hr/weekde Vet, 2009PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5EZSBWZXQ8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 108PALIG2Self-directed and self-selected activity plan (one-time plan)All participants asked to increase PA level by 2 hr/week and to explicitly decide and write down their plan (implementation intentions) for what activity, when, where, and how long they would do it. This group self-selected up to 3 activities. Plan was set autonomously with no help of an interventionist.Xde Vet, 2009PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5EZSBWZXQ8L0F1dGhvcj48WWVhcj4yMDA5PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 109HDMIG1Automated phone counselingHome monitoring, education, and counseling delivered via a phone-linked communication system (TLC-Eat) once a week for 6 months, lasting 5 to 7 min, focused on specific food groups or eating behaviors. TLC-Eat monitored the participants’ behaviors and health conditions and provided education and behavioral reinforcement for targeted behaviors, such as diet. It focused on fruits, vegetables, red and processed meats, whole-fat dairy foods, and whole grain foods using SCT as a guide to behavior change, focusing on intrapersonal factors linking eating behaviors to personally valued outcomes. Responses were compared between conversations and provided feedback on change, along with education, advice, and counseling tailored to the participants reported eating behaviors, and FU on goals set in previous conversations. Data were also used to generate written reports for participants and their health care providers as needed.24% never called the system36% called 1 to 10 times23% called 11 to 19 times18% called >20 timesSCTXXXXAC: PA counseling using the same TLC automated technologyElley, 2003PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5FbGxleTwvQXV0aG9yPjxZZWFyPjIwMDM8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 111PAMIG1Counseling with tailored prescriptionOne 10-min consultation with PCP discussing increasing PA and goal setting. Goals, usually home-based PA or walking, were written on a standard green prescription and given to participants. This was followed by three 10- to 20-min phone calls over 3 months from exercise physiologists to encourage and support participants, including MI, and specific advice about exercise or community groups was provided if appropriate. Quarterly newsletters were sent over the course of a year, containing information about community exercise initiatives and motivational material.95% of participants who attended FU recalled receiving a green prescriptionTTMXXUC: Not describedEstabrooks, 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Fc3RhYnJvb2tzPC9BdXRob3I+PFllYXI+MjAxMTwvWWVh

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ADDIN EN.CITE.DATA 112PAMIG1Group counselingThe Move More intervention consisted of two 2-hr group sessions (average 8 participants/group, 4 weeks apart) and 1 phone contact (12 weeks after randomization). Group dynamic principles were used in each session: providing team points and rewards for class attendance, completion of activities between sessions, and tracking behaviors; creating small teams and team goals; discussing barriers of behavior change; identifying strategies to overcome barriers; presenting resources, such as supportive people to achieve their goals; and discussing personal benefits of PA as well as the components of an effective PA plan. In addition, handouts were provided on how to determine exercise intensity and complete stretches and strength training at home, and personal action plan. Instructors led each small team through a series of group strength, flexibility, and cardiovascular exercises that could be completed at home. 8 weeks after second group session, participants received a FU phone call where counselors used the 5As to assess, advise, agree, assist, and arrange strategies for increasing or maintaining PA.NRGroup Dynamics ModelXXXXXMI: 2 print mailings and 1 phone contactFjeldsoe, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5GamVsZHNvZTwvQXV0aG9yPjxZZWFyPjIwMTU8L1llYXI+

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ADDIN EN.CITE.DATA 113PAMIG1Counseling and regular text messagesIntervention began with one 24- to 45-min face-to-face counseling session with a trained MobileMums behavioral counselor, after which participants received 12 weeks of individually tailored theory-based text messages (52 total) and a FU phone counseling session with behavioral counselor at 6 weeks. Participants also received supplementary resources, including a MobileMums participant handbook, a MobileMums goal tracking refrigerator magnet, and standard PA information brochures, as well as details for joining a dedicated Facebook group and web site with a searchable online exercise directory. Each participant was asked to identify a support person who also received 12 weeks of individually tailored, theory-based text messages.98% completed face-to-face counseling session (mean duration, 50 min); 83% completed phone FU (mean duration, 14 min). On average, 58 text messages were sent per participant and 33 sent per support person.SCTXXXXXMI: PA brochures, information-only website and Facebook group, 1-page summary of accelerometer-derived PA Franko, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5GcmFua288L0F1dGhvcj48WWVhcj4yMDA4PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 116HDLIG1Tailored print mailing and brief counseling call1 individually-tailored fat and fiber feedback mailing with physician endorsement, minimal brief counseling call, and 5 low-literacy self-help booklets. Tailored mailing consisted of 2 feedback forms and 2 recommendation forms (1 each for fat and fiber) based on baseline fat and fiber questionnaire plus physician endorsement letter. Feedback categorized into STOP (poor eating habits), YIELD (needs improvement), and GO (good habits) messages. Participants received minimal brief counseling call 2 weeks after mailing; call was designed to remind and reinforce and offer to answer questions. 5 low-literacy self-help booklets mailed during weeks 2 to 6 focused on behavior and skills for healthy eating; booklets adapted from the Eating Patterns Study (Beresford, 1997). Community advisory board provided input for tailoring intervention to rural audience.82% of participants received 1 FU call. 74% reported receiving materials and 63.9% feedback; materials resent to all participants not receiving them.SCT, TTMXXXWLGao, 2016PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HYW88L0F1dGhvcj48WWVhcj4yMDE2PC9ZZWFyPjxSZWNO

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ADDIN EN.CITE.DATA 117PAMIG1Individual counseling and tailored print materialsParticipants attended one 60-min individually-tailored counseling session based on medical conditions identified in their medical record and their baseline assessment. Session included guided goal setting to gradually increase moderate-intensity PA to ≥150 min/week. Subsequently, they received 14 expert system-tailored mailings weekly.NRSCT, TTMXAC: 14 mailed wellness newslettersGell, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HZWxsPC9BdXRob3I+PFllYXI+MjAxNTwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 119PALIG1Targeted text messagesParticipants received 3 text messages per week on personal cell phone via SMS for 24 weeks. While messages were not sent at a specific time each day, the majority were sent based on optimal time availability for PA planning, such as early morning for time management of the day, in the hour prior to the lunch break, which was standard across campus, and in the hour prior to the official close of university offices. All participants received the same content and number of messages. Content included the following: 1) recommended amounts of PA needed to meet guidelines; 2) specific suggestions for ways to meet the guidelines; 3) self-regulation strategies such as goal setting, relapse prevention, engaging social support, self-monitoring, time management and reinforcement; and 4) strategies to address the most common barriers identified from baseline and mid-point self-efficacy instrument. Content was adjusted for weather conditions. In addition, all participants were provided with 3 maps displaying walking routes of 1, 2, and 3 miles from each subject’s worksite location and a fourth map provided an alternative 1-mile route or a parking option about 1 mile from work site. All participants were also provided a link to the intervention web site, which included PA guidelines, PDF versions of all campus walking maps, and links and suggestions on ways to begin an exercise program and increase PA levels. NRBehavior Choice TheoryXXXMI: Walking maps and educational websiteGoldstein, 1999PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Hb2xkc3RlaW48L0F1dGhvcj48WWVhcj4xOTk5PC9ZZWFy

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ADDIN EN.CITE.DATA 122PALIG1Brief counseling1 brief (assumed <15 min) counseling session with PCP using web-based software primarily discussing the benefits of PA and risks of inactivity, including a 4-page nontailored brochure. Patients then offered an optional 15-min FU session to develop a 3-month prescription-based action plan.69.6% received advice only30.4% received advice plus prescriptionHBM, SCTXXUC: UC from primary care physiciansGreen, 2002PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HcmVlbjwvQXV0aG9yPjxZZWFyPjIwMDI8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 123PAMIG1Phone counseling1 nontailored letter from PCP encouraging PA, including reading materials on fitness and a workbook containing self-help materials on how to get 30 min of moderate PA, setting targets, ways to overcome barriers, and measuring progress. Print materials were followed by three 20- to 30-min phone calls with behavioral specialists monthly for 3 months to assess current exercise status and motivational stage, to assist in making a reasonable and measurable goal, to identify and problem solve barriers, and to identify resources and support.Only 38% of intervention participants received the intervention. Of those, 77% received all 3 self-management support calls, 9 (15%) received 2 calls, 3 (5%) received 1 call, and 2 (3%) received no calls.TTMXXMI: One-time delivery of print materials on improving overall health and preventive practices, including PAGreene, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HcmVlbmU8L0F1dGhvcj48WWVhcj4yMDA4PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 125HDMIG1Tailored print mailings and counseling phone callsMonthly print or phone contact over 12 months focused on increasing fruit and vegetable intake, including a tailored manual; 9 monthly mailings of stage-specific tailored newsletters; 3 computer-based expert system generated tailored reports; and three 15-min coaching calls from trained counselors to reinforce the expert systems reports, including MI.NRTTMXXAC: Falls prevention manual or PA intervention.Greenlee, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5HcmVlbmxlZTwvQXV0aG9yPjxZZWFyPjIwMTU8L1llYXI+

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ADDIN EN.CITE.DATA 126HDHIG1Group counseling9 culturally tailored nutritional intervention group sessions (4 to 12 participants per group) conducted entirely in Spanish for 12 weeks for total of 24 hr. Sessions ranged from 1.5 to 3.5 hr. Sessions included 4 interactive nutrition education classes to promote dietary changes, provide information about the potential benefits of dietary change, and improve health literacy; 3 hands-on cooking classes to show new cooking methods of familiar and unfamiliar foods; and 2 field trips to teach how to shop for healthy foods in their neighborhoods. Target behaviors were identified based on the ACS and AICR dietary recommendations for cancer survivors. Targeted behaviors included eating more fruits and vegetables and decreasing fat intake through fewer and leaner meats; fewer and lower-fat dairy products;and using less fat during cooking. Participants also received a 22-page Spanish-language booklet on healthy eating for breast cancer survivors.Out of 9 sessions: 38% attended all 9, 26% attended 7 to 8, 18% attended 1 to 6, 18% attended 0SCT, TTMXXXXMI: Booklet on healthful eatingHalbert, 2000PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IYWxiZXJ0PC9BdXRob3I+PFllYXI+MjAwMDwvWWVhcj48

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ADDIN EN.CITE.DATA 128PAMIG1Counseling1 session with exercise physiologist discussing the benefit of PA, individualized advice, and a pamphlet containing a PA plan for next 3 months. Focus was on incorporating PA into participants’ usual activities and on increasing self-efficacy. Spouses were invited to attend initial session. Individualized advice was also given at 3- and 6-month in-person FU visits to discuss progress.NRNRXXAC: Visit with exercise physiologist discussing nutrition pamphletHargreaves, 2016 ADDIN EN.CITE <EndNote><Cite><Author>Hargreaves</Author><Year>2016</Year><RecNum>22132</RecNum><DisplayText><style face="superscript">130</style></DisplayText><record><rec-number>22132</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="1464378442">22132</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Hargreaves, E. A.</author><author>Mutrie, N.</author><author>Fleming, J. D.</author></authors></contributors><auth-address>Hargreaves,Elaine Anne. School of Physical Education, Sport &amp; Exercise Sciences, University of Otago, Dunedin, New Zealand. elaine.hargreaves@otago.ac.nz.</auth-address><titles><title>A Web-Based Intervention to Encourage Walking (StepWise): Pilot Randomized Controlled Trial</title><secondary-title>JMIR Res Protoc</secondary-title><alt-title>JMIR Res Protoc</alt-title></titles><pages>e14</pages><volume>5</volume><number>1</number><dates><year>2016</year></dates><isbn>1929-0748</isbn><urls><related-urls><url> 20160525 - OvidMedline</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2</custom3><custom4>KQ1E6b, KQ2I1, KQ3I1, KQ4E4</custom4><electronic-resource-num> walking programIntervention consisted of 2 components: 1) individualized pedometer-based walking program with weekly step goals, and 2) website where individuals entered their step counts; received goal feedback, their next weekly goal (from the walking program), and tailored motivational feedback; and created a PA plan. At 1 face-to-face session, intervention components were discussed with each participant and each was given an information sheet summarizing the discussion. The walking program was structured around each participant’s baseline step counts and designed so that PA increased gradually. By week 7, participants had a goal of walking an extra 3000 steps/day over their baseline and meeting the PA guidelines. In addition, participants were sent an email at the end of each week prompting them to log into the website and enter their weekly step counts (read from the pedometer memory). The website algorithm calculated whether they had achieved their weekly step goal and generated a motivational message relating to whether they had been successful or not in achieving their goal. Finally, participants were prompted to use the diary feature to write an action plan for how they would achieve their step goals and a coping plan to overcome any barriers they might face in trying to achieve that plan.82% logged into the website weeklySCT, Self-Regulati-on TheoryXXXMI: Pedometer plus information on PA guidelines, access to a noninteractive PA website, and weekly emails about PA and encourageme-nt to visit the websiteHarland, 1999 ADDIN EN.CITE <EndNote><Cite><Author>Harland</Author><Year>1999</Year><RecNum>41</RecNum><DisplayText><style face="superscript">131</style></DisplayText><record><rec-number>41</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="0">41</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Harland,J.</author><author>White,M.</author><author>Drinkwater,C.</author><author>Chinn,D.</author><author>Farr,L.</author><author>Howel,D.</author></authors></contributors><titles><title>The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care</title><secondary-title>BMJ</secondary-title></titles><periodical><full-title>BMJ</full-title><abbr-1>BMJ</abbr-1><abbr-2>BMJ</abbr-2></periodical><pages>828-32</pages><volume>319</volume><number>7213</number><reprint-edition>In File</reprint-edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>England</keyword><keyword>Exercise</keyword><keyword>Family Practice</keyword><keyword>Female</keyword><keyword>Health</keyword><keyword>Health Promotion</keyword><keyword>Health-Promotion</keyword><keyword>Humans</keyword><keyword>Interviews</keyword><keyword>Male</keyword><keyword>methods</keyword><keyword>Middle Aged</keyword><keyword>organization &amp; administration</keyword><keyword>Patient Acceptance of Health Care</keyword><keyword>Prognosis</keyword><keyword>Research</keyword><keyword>statistics &amp; numerical data</keyword><keyword>Universities</keyword><keyword>Urban Health</keyword><keyword>utilization</keyword></keywords><dates><year>1999</year></dates><label>761</label><urls></urls><custom1>2010 HL Review</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2, X6</custom3><custom4>KQ1E4, KQ2E4, KQ3I1, KQ4E4</custom4><modified-date>10496829</modified-date></record></Cite></EndNote>131PAMIG1Counseling and PA vouchers1 initial brief session where participants received their baseline test results, brief advice comparing their test results with recommended levels, and print materials on the benefits of PA, recommended activity levels, and 19 brochures on leisure facilities and activities available locally. Initial brief session was followed by six 40-min MIs plus offered 30 PA vouchers valid during intervention period for use at local authority leisure center, swimming pool, or other voluntary or leisure center.Among all intervention participants, 82% attended at least 1 interview. Median number of interviews attended was 3 (of 6). Within this group, 44% used the vouchers.TTMXXMI: Brief information and advice on benefits of PA.Harland, 1999 ADDIN EN.CITE <EndNote><Cite><Author>Harland</Author><Year>1999</Year><RecNum>41</RecNum><DisplayText><style face="superscript">131</style></DisplayText><record><rec-number>41</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="0">41</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Harland,J.</author><author>White,M.</author><author>Drinkwater,C.</author><author>Chinn,D.</author><author>Farr,L.</author><author>Howel,D.</author></authors></contributors><titles><title>The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care</title><secondary-title>BMJ</secondary-title></titles><periodical><full-title>BMJ</full-title><abbr-1>BMJ</abbr-1><abbr-2>BMJ</abbr-2></periodical><pages>828-32</pages><volume>319</volume><number>7213</number><reprint-edition>In File</reprint-edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>England</keyword><keyword>Exercise</keyword><keyword>Family Practice</keyword><keyword>Female</keyword><keyword>Health</keyword><keyword>Health Promotion</keyword><keyword>Health-Promotion</keyword><keyword>Humans</keyword><keyword>Interviews</keyword><keyword>Male</keyword><keyword>methods</keyword><keyword>Middle Aged</keyword><keyword>organization &amp; administration</keyword><keyword>Patient Acceptance of Health Care</keyword><keyword>Prognosis</keyword><keyword>Research</keyword><keyword>statistics &amp; numerical data</keyword><keyword>Universities</keyword><keyword>Urban Health</keyword><keyword>utilization</keyword></keywords><dates><year>1999</year></dates><label>761</label><urls></urls><custom1>2010 HL Review</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2, X6</custom3><custom4>KQ1E4, KQ2E4, KQ3I1, KQ4E4</custom4><modified-date>10496829</modified-date></record></Cite></EndNote>131PAMIG2Counseling1 initial brief session where participants received their baseline test results, brief advice comparing their test results with recommended levels, and print materials on the benefits of PA, recommended activity levels, and 19 brochures on leisure facilities and activities available locally. Initial brief session was followed by six 40-min MIs.Among all intervention participants, 82% attended at least 1 interview. Median number attended was 3 (of 6).XXHarland, 1999 ADDIN EN.CITE <EndNote><Cite><Author>Harland</Author><Year>1999</Year><RecNum>41</RecNum><DisplayText><style face="superscript">131</style></DisplayText><record><rec-number>41</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="0">41</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Harland,J.</author><author>White,M.</author><author>Drinkwater,C.</author><author>Chinn,D.</author><author>Farr,L.</author><author>Howel,D.</author></authors></contributors><titles><title>The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care</title><secondary-title>BMJ</secondary-title></titles><periodical><full-title>BMJ</full-title><abbr-1>BMJ</abbr-1><abbr-2>BMJ</abbr-2></periodical><pages>828-32</pages><volume>319</volume><number>7213</number><reprint-edition>In File</reprint-edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>England</keyword><keyword>Exercise</keyword><keyword>Family Practice</keyword><keyword>Female</keyword><keyword>Health</keyword><keyword>Health Promotion</keyword><keyword>Health-Promotion</keyword><keyword>Humans</keyword><keyword>Interviews</keyword><keyword>Male</keyword><keyword>methods</keyword><keyword>Middle Aged</keyword><keyword>organization &amp; administration</keyword><keyword>Patient Acceptance of Health Care</keyword><keyword>Prognosis</keyword><keyword>Research</keyword><keyword>statistics &amp; numerical data</keyword><keyword>Universities</keyword><keyword>Urban Health</keyword><keyword>utilization</keyword></keywords><dates><year>1999</year></dates><label>761</label><urls></urls><custom1>2010 HL Review</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2, X6</custom3><custom4>KQ1E4, KQ2E4, KQ3I1, KQ4E4</custom4><modified-date>10496829</modified-date></record></Cite></EndNote>131PAMIG3Brief counseling and PA vouchers1 initial brief session where participants received their baseline test results, brief advice comparing their test results with recommended levels, and print materials on the benefits of PA, recommended activity levels, and 19 brochures on leisure facilities and activities available locally. Initial brief session was followed by one 40-min in-person MI within 2 weeks to promote safe and effective PA plus offered 30 PA vouchers valid during intervention period for use at local authority leisure center, swimming pool, or other voluntary or leisure center.Among all intervention participants, 82% attended at least 1 interview. Within this group, 27% used vouchers.XXHarland, 1999 ADDIN EN.CITE <EndNote><Cite><Author>Harland</Author><Year>1999</Year><RecNum>41</RecNum><DisplayText><style face="superscript">131</style></DisplayText><record><rec-number>41</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="0">41</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Harland,J.</author><author>White,M.</author><author>Drinkwater,C.</author><author>Chinn,D.</author><author>Farr,L.</author><author>Howel,D.</author></authors></contributors><titles><title>The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care</title><secondary-title>BMJ</secondary-title></titles><periodical><full-title>BMJ</full-title><abbr-1>BMJ</abbr-1><abbr-2>BMJ</abbr-2></periodical><pages>828-32</pages><volume>319</volume><number>7213</number><reprint-edition>In File</reprint-edition><keywords><keyword>Adult</keyword><keyword>Aged</keyword><keyword>England</keyword><keyword>Exercise</keyword><keyword>Family Practice</keyword><keyword>Female</keyword><keyword>Health</keyword><keyword>Health Promotion</keyword><keyword>Health-Promotion</keyword><keyword>Humans</keyword><keyword>Interviews</keyword><keyword>Male</keyword><keyword>methods</keyword><keyword>Middle Aged</keyword><keyword>organization &amp; administration</keyword><keyword>Patient Acceptance of Health Care</keyword><keyword>Prognosis</keyword><keyword>Research</keyword><keyword>statistics &amp; numerical data</keyword><keyword>Universities</keyword><keyword>Urban Health</keyword><keyword>utilization</keyword></keywords><dates><year>1999</year></dates><label>761</label><urls></urls><custom1>2010 HL Review</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2, X6</custom3><custom4>KQ1E4, KQ2E4, KQ3I1, KQ4E4</custom4><modified-date>10496829</modified-date></record></Cite></EndNote>131PAMIG4Brief counseling1 initial brief session where participants received their baseline test results, brief advice comparing their test results with recommended levels, and print materials on the benefits of PA, recommended activity levels, and 19 brochures on leisure facilities and activities available locally. 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ADDIN EN.CITE.DATA 132PAMIG1Counseling and self-monitoringOne 45-min initial PA consultation session with a nurse focused on individual walking/PA plan to encourage adding both steps and time spent walking in moderate-intensity PA in bouts of ≥10 min, followed by three 30-min sessions occurring at weeks 3, 7, and 11, with a nurse focused on feedback from pedometer, activity logs, and accelerometer data. Also, participants wore pedometers and kept activity logs for entire intervention period of 12 weeks, participants also wore an accelerometer for 7 days before each FU session to monitor progress and aid in feedback by relating specific PA log activities to accelerometer-recorded PA intensity. Participants wore an accelerometer for 7 days and completed a questionnaire at 12 months to assess maintenance of PA levels achieved at 3 months.86% attended all 4 nurse-led sessions; accelerometer was worn 98% of requested time before sessions occurredBCTXXXXUC: Received UC from general practiceHellenius, 1993PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IZWxsZW5pdXM8L0F1dGhvcj48WWVhcj4xOTkzPC9ZZWFy

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ADDIN EN.CITE.DATA 135HDMIG1Counseling (diet)1 session with physician with verbal and written dietary advice followed by 1 session with a dietitian at 2 weeks. Wives/partners could be present. Dietary advice was in accordance with National Cholesterol Education Program Step 1 diet: total fat <30%, saturated fat <10%, polyunsaturated fat ≤10%, monounsaturated fat 10% to 15%, carbohydrates 50% to 60%, protein 10% to 20%, cholesterol <300 mg/day.NRNRXUC: Participants were told to maintain normal diet and PA levels.Hellenius, 1993PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IZWxsZW5pdXM8L0F1dGhvcj48WWVhcj4xOTkzPC9ZZWFy

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ADDIN EN.CITE.DATA 135HD+PAMIG3Counseling (Diet and PA)1 session with physician with verbal and written dietary advice and advice about PA followed by 1 session with a dietitian at 2 weeks. Wives/partners could be present. Dietary advice was in accordance with National Cholesterol Education Program Step 1 diet: total fat <30%, saturated fat <10%, polyunsaturated fat ≤10%, monounsaturated fat 10% to 15%, carbohydrates 50% to 60%, protein 10% to 20%, cholesterol <300 mg/day. Participants were advised to gradually increase amount of exercise and advice on shoes and stretching was given, also told to maintain prepared activity logs specifying date, type of activity, duration, and mean Borg intensity; recommended aerobic exercise at 60% to 80% max HR for 30 to 45 min, 2 to 3 times/week, given opportunity to take part in supervised aerobic exercise sessions.26% participated in aerobic training session each week and 44% maintained PA logsXHinderliter, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IaW5kZXJsaXRlcjwvQXV0aG9yPjxZZWFyPjIwMTQ8L1ll

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ADDIN EN.CITE.DATA 137HDHIG1Group counseling on DASH diet2 weeks controlled feeding period followed by 14 weekly 30- to 45-min small group sessions with nutritionist; participants asked not to exercise or attempt to lose weight. During controlled feeding period, provided study meals were isocaloric to prevent weight gain or loss, and participant met twice weekly with nutritionist to learn about the DASH diet (assumed individual session). Following feeding period, participants instructed to maintain DASH diet on their own. The goal of weekly group counseling sessions was to assist participants in learning how to buy and prepare appropriate foods, to enhance motivation to choose to eat those foods, and to overcome obstacles to following the diet. Participants weighed each week to monitor weight and make adjustments in the recommended servings so that weight would remain stable during the intervention period.Median attendance was 12/14 weekly small group sessionsNRXXMI: 2-week controlled feeding period followed by maintenance of usual diet and exercise for 4 months; weight and BP monitored and health habits assessed on biweekly basis.Hivert, 2007PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IaXZlcnQ8L0F1dGhvcj48WWVhcj4yMDA3PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 72HD+PAHIG1Group counseling23 45-min small-group interactive seminars over 2 years for undergraduate students aimed to educate and introduce behavioral modification methods to prevent weight gain. Seminars offered every 2 weeks for first 2 months of the academic calendar and every month thereafter for the remaining 2 years. First 3 seminars aimed at increasing knowledge about weight gain and its complications, national dietary recommendations, exercise categories, and expected benefits and recommendations for the maintenance of health. Remaining seminars were designed to introduce behavioral modification methods such as problem solving, goal setting, and monitoring. Role models introduced to promote a positive image of a healthy lifestyle.53% attended >60% of seminars during the first year and 26% attended >60% in the second yearSCTXXXNoneHPT, 1990PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IeXBlcnRlbnNpb24gUHJldmVudGlvbiBUcmlhbCBSZXNl

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ADDIN EN.CITE.DATA 140HDHIG1Group counseling (potassium and sodium focus)Initial phase consisted of 12 weekly group sessions (60 min; 7 to 22 participants per group) held during a 4-month period. Sessions were conducted by trained nutritionists and behaviorists who provided dietary counseling specific to increasing potassium intake to ≥3,900 mg/day and reducing sodium intake to ≤1,600 mg/day (individual goal: urine sodium excretion ≤70 mmol/day and urine potassium excretion ≥100 mmol/ day). Participants received counseling related to meal planning and preparation, food purchasing, and label reading to assist them in making the required changes. Based on daily food records, participants were encouraged to make further changes or maintain their dietary changes. Maintenance phase continued to end of the study and consisted of 16 group sessions (60 min) every other month and periodic individual counseling sessions. Participants who did not attend the group sessions were contacted by phone. Phone contact included a qualitative assessment of the participant's dietary compliance based on self-report. Participants also received a bimonthly newsletter containing relevant dietary information and recipes.61.5% attended all 12 sessions during the initial phase; maintenance phase NRNRXXXNoneHPT, 1990PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5IeXBlcnRlbnNpb24gUHJldmVudGlvbiBUcmlhbCBSZXNl

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ADDIN EN.CITE.DATA 140HDHIG2Group counseling (sodium focus)Initial phase consisted of 12 weekly group sessions (60 min; 7 to 22 participants per group) held during a 4-month period. Sessions were conducted by trained nutritionists and behaviorists who provided dietary counseling specific to reducing sodium intake to ≤1,600 mg/ day (individual goal: urine sodium excretion ≤70 mmol/day). Counseling sessions were related to meal planning and preparation, food purchasing, and label reading to assist them in making the required changes. Based on daily food records, participants were encouraged to make further changes or maintain their dietary changes. Maintenance phase continued to end of the study and consisted of 16 group sessions (60 min) every other month and periodic individual counseling sessions. Participants who did not attend the group sessions were contacted by phone. Phone contact included a qualitative assessment of the participant's dietary compliance based on self-report. Participants also received a bimonthly newsletter containing relevant dietary information and recipes.59.6% attended all 12 sessions during the initial phase; maintenance phase NRNRXXXJacobs, 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5KYWNvYnM8L0F1dGhvcj48WWVhcj4yMDExPC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 141HD+PAHIG1CounselingInitial phone session with a health psychologist to individually tailor each participant’s intervention and determine delivery mode (email, phone, or face-to- face). Additional access to a tailored web site and 1-on-1 coaching was available. Intervention intensity varied and the delivery mode of coaching was self-selected by participants to allow for a combination of different target behaviors and delivery modes. Counseling sessions were mainly delivered via email (100%) or phone (97%), and less face-to-face (10%), with a mean of 13.7 (22-min) diet sessions and 15.5 (37-min) PA coaching sessions. Intensity varied by dose groups; low (<5 hr, mean 227.8 min), medium (5 to 7 hr, mean 343.7 min), and high (>7 hr, mean 727.0 min).By design, frequency and delivery mode of intervention was self-selected and half of participants chose no- or low-dose (<5 hr). Weighted mean intensity was 380.6 min.SCT, TPBXXXUC: Not describedJeffery, 1999PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5KZWZmZXJ5PC9BdXRob3I+PFllYXI+MTk5OTwvWWVhcj48

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ADDIN EN.CITE.DATA 143HD+PALIG1Nontailored print mailingsIntervention delivered educational messages in 36 monthly newsletters, 2 to 4 pages in length, that encouraged paying attention to weight and making small changes in diet and exercise habits. Education messages emphasized 5 major themes: 1) weighing self regularly (at least once a week); 2) eating more fruit (2 servings/day), 3) eating more vegetables (3 servings/day); 4) reducing consumption of high-fat foods, and 5) increasing exercise, with a particular emphasis on walking. Reduction in energy intake was not specifically recommended. Educational messages also included practical guides for behavior (recipes and locations in the community for walking or other types of PA). Once every 6 months, intervention participants were offered the opportunity to participate in additional low-cost intervention activities. Activities offered during the 3-year study included: 1) 4-session weight control classes staffed by nutritionists at local health departments; 2) educational seminars on PA; 3) aerobics dance; 4) free 1 month membership to a community exercise facility; 5) walking group; 6) mail-based weight loss course; and 7) home-based walking competition.Across both intervention groups, 80% reported having read most or all newsletters and 25% participated in ≥1 of the extra activities that were offeredNRXNoneJeffery, 1999PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5KZWZmZXJ5PC9BdXRob3I+PFllYXI+MTk5OTwvWWVhcj48

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ADDIN EN.CITE.DATA 143HD+PALIG2Nontailored print mailings plus incentivesIntervention delivered educational messages in 36 monthly newsletters, 2 to 4 pages in length, that encouraged paying attention to weight and making small changes in diet and exercise habits. Education messages emphasized 5 major themes: 1) weighing self regularly (at least once a week), 2) eating more fruit (2 servings/day), 3) eating more vegetables (3 servings/day), 4) reducing consumption of high-fat foods, and 5) increasing exercise, with a particular emphasis on walking. Reduction in energy intake was not specifically recommended. Educational messages also included practical guides for behavior (recipes and locations in the community for walking or other types of PA). Once every 6 months, intervention participants were offered the opportunity to participate in additional low-cost intervention activities. Activities offered during the 3-year study included: 1) 4-session weight control classes staffed by nutritionists at local health departments, 2) educational seminars on physical activity, 3) aerobics dance, 4) free 1 month membership to a community exercise facility, 5) walking group, 6) mail-based weight loss course, and 7) home-based walking competition. In addition, participants were asked to return monthly postcards monitoring behavior, and these were used for a $100 lottery drawing each month. The intent of the incentive lottery was to encourage participants to open and read their newsletters and thus to learn more about weight gain prevention.NRXJohn, 2002PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Kb2huPC9BdXRob3I+PFllYXI+MjAwMjwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 144HDMIG1Counseling25-min dietary intervention with research nurse presenting the benefits of eating more fruit and vegetables with a pictorial portion guide; eliciting meal and snack patterns with an eating pattern assessment questionnaire to show where increases in consumption might be made; using the brief negotiation method to encourage participants to identify specific and practical ways that were consistent with their habits and preferences of eating more fruit and vegetables; and discussing possible barriers to eating more fruit and vegetables. 2 weeks after initial intervention, a research nurse phoned participants to reinforce the message and discuss any problems. At 3 months, a letter was sent reinforcing the 5-a-day message, together with a booklet of seasonal recipes and a strategy check list suggesting various ways of incorporating additional portions of fruit and vegetables into the diet. As needed, participants received prepared leaflets that addressed these difficulties. Participants also received a copy of their action plan, a magnet with the 5-a-day logo, a portion guide, and a 2-week self-monitoring record book.96.4% completed the initial sessionNRXXWLKallings, 2009PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LYWxsaW5nczwvQXV0aG9yPjxZZWFyPjIwMDk8L1llYXI+

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ADDIN EN.CITE.DATA 146PAMIG1Counseling with tailored prescriptionOne 30-min individualized patient-centered counseling session based on individual readiness to change and the 5As and written prescription of PA. Participants were provided pedometers, encouraged to keep a PA log for at least 3 months, given written materials on PA and health, and a booklet with ideas for everyday activities. Within 1 month of initial session, one 60-min group session was offered, an individualized letter with advice from PCP on increasing PA, and short FU 3- to 5-min phone call. One 30-min individualized patient-centered counseling session and written PA prescription delivered at the 6 month FU.NR; 65% adhered to the PA prescriptionSCT, TTMXXXXXXUC: UC and 1-time written information about importance of PA for healthKattelmann, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LYXR0ZWxtYW5uPC9BdXRob3I+PFllYXI+MjAxNDwvWWVh

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ADDIN EN.CITE.DATA 147HD+PAMIG1Web-based interventionFirst 10 weeks of intervention consisted of 3 stages-of-change tailored emails with motivational messages. 1 of the 3 weekly emails encouraged participants to visit a tailored website to view a “mini” educational session. Within the website, participants were asked to set goals for 1 to 3 targeted behaviors (eating behavior, PA, stress management); within their personal Web portal, participants could see their progress toward their goal. In weeks 10 to 64 (15 months), the frequency of emails was reduced to 4 per month. The website remained active, but no new lessons were added.NRTTMXWLKatz, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LYXR6PC9BdXRob3I+PFllYXI+MjAwODwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 148PAHIG1Provider trainingPhysicians were trained on the Pressure System Model (PSM), covering a decision algorithm, MI, decisional balance, strategies for overcoming barriers, and role play. Physicians participated in 5 interactive group sessions lasting 1.5 hr over 5 to 6 months led by physician assistant and preventive medicine specialist, with mock patient encounters. Providers applied the PSM during existing patient appointments focused on overcoming barriers to PA with varied patient session frequency.NRNRXXXUC: Providers received their usual residency curriculumKerr, 2016PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LZXJyPC9BdXRob3I+PFllYXI+MjAxNjwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 149HDLIG1Tailored text messages (with booster messages)Participants recorded their food intake for 4 consecutive days, including taking pictures of their meals, using an app on their mobile device. After an analysis of their food intake, they received 2 tailored dietary feedback text messages 1 week apart. 1 text message focused on fruits and vegetables and the other focused on energy-dense, nutrient-poor foods and beverages. Participants also received 32 text messages once or twice weekly for 24 weeks including motivational and informational messages focused on fruits, vegetables, and junk foods and beverages. The messages used an autonomous supportive style of communication using MI principles. Messages also included web links to recipes and nutrition information. Messages were delivered between 4 and 6 pm on different days of the week. Participants were able to stop receiving text messages at any point by replying "stop."NRSDTXXXNoneKerr, 2016PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LZXJyPC9BdXRob3I+PFllYXI+MjAxNjwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 149HDLIG2Tailored text messagesParticipants recorded their food intake for 4 consecutive days, including taking pictures of their meals, using an app on their mobile device. After an analysis of their food intake, they received 2 tailored dietary feedback text messages 1 week apart. 1 text message focused on fruits and vegetables and the other on energy- dense, nutrient-poor foods and beverages.King, 2007PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5nPC9BdXRob3I+PFllYXI+MjAwNzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 153PAMIG1Automated phone counselingInitial in-person 30- to 40-min health educator led session, including individualized plan development focused on gradually increasing frequency, duration, and intensity of PA toward goal of ≥30 min moderate-intensity PA on most days of the week. Followed by brief individualized structured phone calls delivered by automated telephone-linked counseling (TLC) system occurring biweekly and monthly, with each participant receiving 15 total calls over 1 year focused on support and problem solving around barriers to PA based on participant’s ongoing reports of PA levels, goals, and problem areas. Phone calls were supplemented with mailings and pedometer and PA log to track activity and allow feedback provided to participants.11.8 (out of 15 planned) average calls completed; average call length was 6.6 minSCT, TTMXXXXAC: Offered 50 weekly health education classes focused on non-PA topics and not asked to change their usual PA patterns.King, 2007PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5nPC9BdXRob3I+PFllYXI+MjAwNzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 153PAMIG2Human phone counselingInitial in-person 30- to 40-min health educator led session, including individualized plan development focused on gradually increasing frequency, duration, and intensity of PA toward goal of ≥30 min moderate-intensity PA on most days of the week. Followed by brief individualized structured phone calls delivered by health educator occurring biweekly and monthly, with each participant receiving 15 total calls over 1 year focused on support and problem solving around barriers to PA based on participant’s ongoing reports of PA levels, goals, and problem areas. Phone calls were supplemented with mailings and pedometer and PA log to track activity and allow feedback provided to participants.13.1 (out of 15 planned) average calls completed; average call length was 10.7 minXXXXKing, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5nPC9BdXRob3I+PFllYXI+MjAxMzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 152HD+PA MIG1Phone counseling with self-monitoring (PA and Diet simultaneous)1 individual in-person introductory session followed by 15 30- to 40-min phone counseling sessions over 12 months. PA and diet were addressed simultaneously, with half of each call covering each topic. PA goal was to meet national guidelines of ≥150 min/week of MVPA, diet goals were to reduce saturated fat intake and increase fruits and vegetables to 9 servings/day. PA component included mailings and pedometer where participants recorded PA and reported it to advisor during calls. Diet component included recording dietary intake and reporting back during calls; participants given homework and reading materials such as recipes. Intervention focused on facilitating mastery through self-regulatory skill building (social support, realistic expectations, cognitive and behavioral processes of change, problem solving).11.6 (out of 15 planned) average calls completedSCT, TTMXXXXXAC: 15 30- to 40-min phone counseling calls focused on stress managementKing, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5nPC9BdXRob3I+PFllYXI+MjAxMzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 152HD+PAHIG2Phone counseling with self-monitoring (Diet discussions first)1 individual in-person introductory session followed by 21 phone counseling sessions over 12 months. Counseling topics introduced sequentially, beginning with diet for first 4 months (six 15- to 20-min calls). Both diet and PA addressed in remaining 8 months in longer counseling calls (nine 30- to 40-min calls), with six 15- to 20- min booster calls focused on PA to ensure equivalent exposure to each behavior target. PA goal was to meet national guidelines of ≥150 min/week of MVPA, diet goals were to reduce saturated fat intake and increase fruits and vegetables to 9 servings/day. PA component included mailings and pedometer where participants recorded PA and reported it to advisor during calls. Diet component included recording of dietary intake and reporting back during calls; participants given homework and reading materials such as recipes. Intervention focused on facilitating mastery through self-regulatory skill building (social support, realistic expectations, cognitive and behavioral processes of change, problem solving).15.5 (out of 21 planned) average calls completedXXXXXKing, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5nPC9BdXRob3I+PFllYXI+MjAxMzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 152HD+PAHIG3Phone counseling with self-monitoring (PA discussions first)1 individual in-person introductory session followed by 21 phone counseling sessions over 12 months. Counseling topics introduced sequentially, beginning with PA for first 4 months (six 15- to 20- min calls). Both PA and diet addressed in remaining 8 months in longer counseling calls (nine 30- to 40-min calls), with six 15- to 20-min booster calls focused on diet to ensure equivalent exposure to each behavior target. PA goal was to meet national guidelines of ≥150 min/ week of MVPA, diet goals were to reduce saturated fat intake and increase fruits and vegetables to 9 servings/day. PA component included mailings and pedometer where participants recorded PA and reported it to advisor during calls. Diet component included recording dietary intake and reporting back during calls; participants given homework and reading materials such as recipes. Intervention focused on facilitating mastery through self-regulatory skill building (social support, realistic expectations, cognitive and behavioral processes of change, problem solving).15.1 (out of 21 planned) average calls completedXXXXXKinmonth, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5tb250aDwvQXV0aG9yPjxZZWFyPjIwMDg8L1llYXI+

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ADDIN EN.CITE.DATA 154PAMIG1Phone counselingInitial counseling session in participant’s home focused on increasing opportunities and reducing barriers to becoming more physically active using 8 self-regulatory techniques for behavioral change, including goal setting, action planning, self-monitoring, using rewards, goal review, using prompts, building social supports, and prevention of relapses. Four 45-min phone support calls and two 15-min support calls over 5-month intensive phase, followed by monthly mailings for 7 months.88% completed all “core” counseling sessionsTPBXXXXMI: 1-time leaflet by mail with brief motivational advice on benefits of PA.Kinmonth, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5LaW5tb250aDwvQXV0aG9yPjxZZWFyPjIwMDg8L1llYXI+

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ADDIN EN.CITE.DATA 154PAHIG2In-home counselingInitial counseling session in participant’s home focused on increasing opportunities and reducing barriers to becoming more physically active using 8 self-regulatory techniques for behavioral change, including goal setting, action planning, self-monitoring, using rewards, goal review, using prompts, building social supports, and prevention of relapses. Four 60-min home visits and two 15-min support calls over 5-month intensive phase, followed by monthly 30- min FU phone calls for the remaining 7 months.83% completed all "core" counseling sessionsXXXXKolt, 2007PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Lb2x0PC9BdXRob3I+PFllYXI+MjAwNzwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 156HDLIG1Tailored print mailings and counseling callComputer-generated, tailored self-help intervention with 4 components: 1) package of self-help materials, sent within a week of randomization (including “Help-Yourself: A Smart and Simple Guide for Healthy Eating” manual with skills for implementing and maintaining dietary changes, decreasing fat and increasing fruits and vegetables, and modifying specific meals to reduce fat and increase fruits and vegetables); 2) dietary analysis with behavioral feedback, available any time participants returned a food frequency questionnaire, providing positive feedback on current food choices, quantitative goals to reach 30% energy from fat and 5 servings/day of fruits and vegetables, and food sources of fat and fruits and vegetables and recommendations for change; 3) 1 motivational phone call, completed within a month of randomization by a trained health educator; and 4) twice monthly newsletters, sent until 1 year post-randomization to maintain salience of intervention messages; additional, seasonal information on food purchasing and preparation; enhance and reinforce motivation through use of personal stories. Computer programs generated instructions to mailing staff on where to place flags, write notes, and place highlights on intervention materials that were particularly relevant to each participant.90.3% reported reading some to more than half of the print materials90.8% reported receiving FU counseling callSCT, TTMXXNoneLawton, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MYXd0b248L0F1dGhvcj48WWVhcj4yMDA4PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 160PAMIG1Counseling with tailored prescriptionBrief, 7- to 13-min counseling session with primary care nurse using MI techniques to increase PA. Green prescription was given to participants with individualized exercise advice with goal of achieving 30 min of moderate- intensity exercise, such as brisk walking, 5 days/week, and sent to a community- based exercise facilitator who provided phone counseling and support focused on activity choice, goal setting, and overcoming barriers to PA. Average of 5 calls lasting 15 min over 9 months as FU, and 1 additional 30-min visit with the primary care nurse at 6 months occurred.NRNRXUC: Not describedLewis, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MZXdpczwvQXV0aG9yPjxZZWFyPjIwMTM8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 161PALIG1Tailored print mailings11 individually-tailored PA print mailings plus stage-matched manuals, tip sheets, and PA logs. Mailings were weekly in first month, biweekly in months 2 and 3, and monthly in months 4 to 6. PA mailings were 3 pages and computer-tailored based on responses to monthly questionnaires about cognitive and behavioral processes, self-efficacy, and decisional balance. Mailings included motivational, educational, and normative feedback. 14-page stage-matched manual provided at start of intervention and additional manuals given if participant moved to a different stage of change. Participants also given 14 tip sheets covering various PA topics (rewarding yourself, exercising in bad weather) and PA logs.NRSCT, TTMXXXXAC: 11 health and wellness mailings as contact control over 6 monthsLutz, 1999PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MdXR6PC9BdXRob3I+PFllYXI+MTk5OTwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 162HDLIG1Tailored print mailings with tailored prescription4 monthly newsletters with tailored nutrition and goal-setting information based on the baseline survey (intake, eating behaviors, nutrition-related activities, psychosocial factors). Tailored messages determined from a computer algorithm were delivered based on baseline response. Newsletters also provided 3 tailored subgoals to achieve the goal of 5-a-day, based on the baseline survey. Participants were given a specific goal of “increasing fruit and vegetable intake to 5 or more servings each day.”Across all 3 intervention groups, among those who remembered receiving at least 3 newsletters, 71% reported reading most or all 3 newslettersSCT, TTM, HBMXNoneLutz, 1999PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5MdXR6PC9BdXRob3I+PFllYXI+MTk5OTwvWWVhcj48UmVj

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ADDIN EN.CITE.DATA 164PAMIG1Group counselingIntervention consisted of 2 interactive 1.5- to 2-hr group-based sessions, 3 weeks apart, which taught participants behavior modification strategies based on social cognitive principles. Participants in the ‘‘intervention only’’ and ‘‘intervention plus’’ groups were scheduled to attend separate sessions to avoid contamination between groups but each group received identical content, and group results were combined for analyses. Sessions were interactive and incorporated small and large group discussions and problem solving activities. They also received a pedometer and an electronic log for tracking their daily steps to facilitate goal setting and self-monitoring. All participants received a 1-hr session with a personal trainer, who worked with them to devise an exercise program that could be completed at home. All received a handbook containing information, worksheets, and resources that complemented the topics addressed during the workshop sessions. Participants assigned to the intervention plus FU support group received monthly phone support calls from a study investigator to monitor their progress following the structured intervention. These contacts were brief (3 to 8 min) and designed to provide support, feedback, and active problem solving strategies that were individualized based on the participant’s current activity level and goal adherence. Phone calls were semistructured in that they focused on topics specified in an interview guide (barriers encountered or anticipated, pedometer use, goals for the following month) but were flexible to accommodate participants’ individual needs.NRSCTXXWLMarcus, 2007PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJjdXM8L0F1dGhvcj48WWVhcj4yMDA3PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 167PA MIG1Phone counselingInitial 45-min session with health educator, then 14 13-min phone calls over 12 months with a counselor-guided, tailored message generated by an expert system report, stage-matched manual, and tip sheets focused on the goal of increasing moderate-intensity PA to meet CDC/ACSM recommendation of ≥30 min of moderate activity 5 days/week. Phone calls occurred weekly for first month, biweekly for months 2 and 3, monthly for months 4 to 7, and bimonthly for months 8 to 12. Participants also completed a PA log and brief questionnaire each month.90.5% of all scheduled calls were completedSCT, TTMXXXXAC: General health information pamphlets via mail during the intervention period.Marcus, 2007PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJjdXM8L0F1dGhvcj48WWVhcj4yMDA3PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 167PAMIG2Tailored print materialsInitial 45-min session with health educator, then 14 individually tailored printed reports focused on increasing PA to meet CDC/ACSM recommendation of ≥30 min of moderate-intensity exercise 5 days/week. Reports were based on feedback generated by a computer expert system along with manuals matched to participant's stage of motivational readiness for PA adoption, and supplementary materials included stage-targeted booklets and PA-related sheets over 12 months. Mailings occurred weekly for first month, biweekly for months 2 and 3, monthly for months 4 to 7, and bimonthly for months 8 to 12. Participants completed a monthly PA log and brief questionnaire each month.NRXXXXMarcus, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJjdXM8L0F1dGhvcj48WWVhcj4yMDEzPC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 166PALIG1Tailored print mailings and self-monitoring14 culturally adapted, Spanish-language, individually-tailored PA print mailings matched to motivational readiness based on monthly questionnaires and generated by a computer expert system. Mailings were weekly first month, biweekly in months 2 and 3, monthly in months 4 to 6, with booster mailings in months 8, 10, and 12. Intervention emphasized behavioral strategies for increasing activity levels, including: goal setting, self-monitoring, problem solving barriers, increasing social support, and rewarding oneself for meeting PA goals. Mailings included normative feedback and feedback on progress over time. Pedometers and PA logs provided to encourage self-monitoring. Cultural adaptation based on formative research that included modification of intervention based on PA barriers identified by Latinas in focus groups.86.4% reported reading most or all of the print materialsSCT, TTMXXXXXAC: 14 Spanish-language pamphlets on wellness, including heart-healthy behaviors (but not PA) developed by NHLBIMarsaux, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJzYXV4PC9BdXRob3I+PFllYXI+MjAxNTwvWWVhcj48

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ADDIN EN.CITE.DATA 169HD+PALIG1Tailored web-based advice (diet, PA, and phenotype)Web-based personalized advice provided for weight, waist circumference, PA, dietary intake, and blood markers (phenotypic data). Participants received feedback at 4, 8, and 12 weeks on how their intake of specific food groups compared with guideline amounts, as well as tailored advice to increase or maintain PA based on current PA level and BMI and tips on how to be more physically active. Additional information about PA and tips were provided on participant's web account and hyperlinks were included in the tailored report and encouraged to visit website.NRNRXMI: Non-personalized dietary and PA adviceMarsaux, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJzYXV4PC9BdXRob3I+PFllYXI+MjAxNTwvWWVhcj48

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ADDIN EN.CITE.DATA 169HD+PALIG2Tailored web-based advice (diet and PA)Web-based personalized advice provided for weight, PA, and dietary intake (no phenotypic or genotypic data). Participants received feedback at 4, 8, and 12 weeks on how their intake of specific food groups compared with guideline amounts, as well as tailored advice to increase or maintain PA based on current PA level and BMI and tips on how to be more physically active. Additional information about PA and tips were provided on participant's web account and hyperlinks were included in the tailored report and encouraged to visit website.Marsaux, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJzYXV4PC9BdXRob3I+PFllYXI+MjAxNTwvWWVhcj48

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ADDIN EN.CITE.DATA 169HD+PALIG3Tailored web-based advice (diet, PA, phenotype, and genotype)Web-based personalized advice provided for weight, waist circumference, PA, dietary intake, and blood markers (phenotypic data) plus specific information about whether the participant carried the risk allele for the FTO (fat mass and obesity associated) gene (genotypic data). Participants received feedback at 4, 8, and 12 weeks on how their intake of specific food groups compared with guideline amounts, as well as tailored advice to increase or maintain PA based on current PA level and BMI and tips on how to be more physically active. Additional information about physical activity and tips were provided on participant's web account and hyperlinks were included in the tailored report and encouraged to visit website.Marshall, 2003PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5NYXJzaGFsbDwvQXV0aG9yPjxZZWFyPjIwMDM8L1llYXI+

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ADDIN EN.CITE.DATA 172PAHIG1CounselingOne 60-min in-person group orientation session to meet activity coach and review goals and materials, including a course workbook, PA log for recording activity, and pedometer. Initial session was followed by seven 20-min individualized course sessions twice a month delivered over the phone with assigned activity coach focused on current PA level, PA goals, and barriers to PA. Following completion of the 7- session course, participants received monthly FU calls for 8 months, then bimonthly FU calls for the subsequent year. In addition, a lending library of PA books, videos, and DVDs were available, motivational contests, and 4 optional in- person support sessions over 24 months were provided.Out of 7 main intervention sessions, 92% completed ≥1 phone session and 39.8% completed all 7 sessions (mean, 5.12 sessions).SCTXXXMI: Information about the 10,000 steps PA program offered by the health plan, and 4 newsletters focused on general health and wellnessMosca, 2008 ADDIN EN.CITE <EndNote><Cite><Author>Mosca</Author><Year>2008</Year><RecNum>74</RecNum><DisplayText><style face="superscript">176</style></DisplayText><record><rec-number>74</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="0">74</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Mosca,L.</author><author>Mochari,H.</author><author>Liao,M.</author><author>Christian,A.H.</author><author>Edelman,D.J.</author><author>Aggarwal,B.</author><author>Oz,M.C.</author></authors></contributors><titles><title>A novel family-based intervention trial to improve heart health: FIT Heart: results of a randomized controlled trial</title><secondary-title>Circ Cardiovasc Qual Outcomes</secondary-title></titles><periodical><full-title>Circulation: Cardiovascular Quality and Outcomes</full-title><abbr-1>Circ. Cardiovasc. Qual. Outcomes</abbr-1><abbr-2>Circ Cardiovasc Qual Outcomes</abbr-2><abbr-3>Circulation: Cardiovascular Quality &amp; Outcomes</abbr-3></periodical><pages>98-106</pages><volume>1</volume><number>2</number><reprint-edition>In File</reprint-edition><keywords><keyword>family-based intervention</keyword><keyword>Intervention</keyword><keyword>Trial</keyword><keyword>Heart</keyword><keyword>Health</keyword><keyword>randomized</keyword><keyword>Randomized Controlled</keyword><keyword>Randomized Controlled Trial</keyword><keyword>randomized-controlled-trial</keyword><keyword>Controlled</keyword><keyword>Controlled Trial</keyword></keywords><dates><year>2008</year></dates><label>15128</label><urls></urls><custom1>2010 HL Review</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2, X6</custom3><custom4>KQ1E4, KQ2I1, KQ3I1, KQ4E4</custom4><electronic-resource-num> contact between participant and health educator was in person or over phone at 2 weeks, 6 weeks, 3 months, 6 months, and 9 months (30 to 60 min). At each FU, lifestyle changes were reinforced and potential barriers to attaining risk factor goals were discussed. At the 6-week and 6-month FU, a validated dietary assessment of adherence to a therapeutic lifestyle change diet was administered, and results were used to counsel subjects. In addition, at 3, 6, and 9 months, participants with previously abnormal lipid panels were offered testing and immediate feedback of lipid levels. Risk factor results were given to participants’ PCPs in the form of progress reports sent via fax to physician offices. Education focused on avoiding foods that contain saturated fat, cholesterol, partially hydrogenated fats, trans fats, and refined sugars, as well as recommendations to eat ≥2 servings of fruits, ≥3 servings of vegetables, and ≥20 g/day of fiber. Counseling focused on foods and encouraged moderate PA for ≥30 min daily (60 min if weight loss was desired). Smokers were given educational handouts, encouraged to stop smoking, and referred to a hospital-based smoking-cessation program. All participants received a 1-page handout to 1) avoid tobacco, 2) choose good nutrition, and 3) be more active. A report was sent to their health care providers if a critical threshold value for a CVD risk factor was determined (BP ≥140/90 mm Hg, LDL-C ≥190 mg/dL, HDL-C <25 mg/dL, triglycerides ≥500 mg/dL, TC >300 mg/dL).NRTTMXXXXXMI: 1-page handout on tobacco, nutrition, and PA. Report sent to PCP if high risk for CVD risk factor.Napolitano, 2006PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5OYXBvbGl0YW5vPC9BdXRob3I+PFllYXI+MjAwNjwvWWVh

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ADDIN EN.CITE.DATA 177PALIG1Tailored print mailingsCompletion of Jumpstart 65-item questionnaire related to PA readiness; responses were entered into an expert system computer program that generated tailored feedback letters sent to participants. Questionnaire and feedback letters were delivered once at baseline, and months 1, 3, and 6. Tailored feedback letters addressed self-efficacy, barriers, benefits, social support, and goal setting; in addition, a stage-matched booklet and letter explaining how to use materials was included.NRTTMXXXXAC: 1 mailing of women's health informationNapolitano, 2006PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5OYXBvbGl0YW5vPC9BdXRob3I+PFllYXI+MjAwNjwvWWVh

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ADDIN EN.CITE.DATA 177PALIG2Nontailored print mailings1-time mailing of American Heart Association's Choose to Move booklet and letter explaining how to use the materials. Choose to Move is a 12-week program targeted to women, with each week covering a topic of relevance from SCT and TTM.SCT, TTMXXXNorris, 2000 ADDIN EN.CITE <EndNote><Cite><Author>Norris</Author><Year>2000</Year><RecNum>77</RecNum><DisplayText><style face="superscript">179</style></DisplayText><record><rec-number>77</rec-number><foreign-keys><key app="EN" db-id="r9e99dtt1pdps0e0r9p5xv96e5weaf50tpzs" timestamp="0">77</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Norris,S.L.</author><author>Grothaus,L.C.</author><author>Buchner,D.M.</author><author>Pratt,M.</author></authors></contributors><titles><title>Effectiveness of physician-based assessment and counseling for exercise in a staff model HMO</title><secondary-title>Prev Med</secondary-title></titles><periodical><full-title>Preventive Medicine</full-title><abbr-1>Prev. Med.</abbr-1><abbr-2>Prev Med</abbr-2></periodical><pages>513-523</pages><volume>30</volume><number>6</number><reprint-edition>In File</reprint-edition><keywords><keyword>Adult</keyword><keyword>Counseling</keyword><keyword>Exercise</keyword><keyword>Female</keyword><keyword>Health</keyword><keyword>Health Maintenance Organizations</keyword><keyword>Health Promotion</keyword><keyword>Health Status</keyword><keyword>Humans</keyword><keyword>Male</keyword><keyword>Mental Health</keyword><keyword>Mental-Health</keyword><keyword>methods</keyword><keyword>Middle Aged</keyword><keyword>Patient Compliance</keyword><keyword>Patient Education as Topic</keyword><keyword>Physicians</keyword><keyword>Prevalence</keyword><keyword>Telephone</keyword><keyword>Walking</keyword><keyword>Washington</keyword></keywords><dates><year>2000</year></dates><label>771</label><urls></urls><custom1>2010 HL Review</custom1><custom3>KQ1I2, KQ2I2, KQ3I2, KQ4I2, X6</custom3><custom4>KQ1I1, KQ2E4, KQ3I1, KQ4I1</custom4><electronic-resource-num> completion of PACE questionnaire to determine baseline PACE score, followed by receipt of PA information relevant to individual's stage of change containing tips on overcoming barriers to PA. 1-time PCP counseling session using PACE protocol appropriate for stage of change, reviewed informational sheet, and gave written exercise prescription. At 4 weeks, one 15-min FU phone call with research assistant to reinforce counseling, identify any barriers to PA regimen, and arrange mailing of educational materials if requested. One-third of intervention patients were randomly selected to receive booster phone calls at 2, 3, 4, and 5 months; no significant increases were found in PA measures among those receiving booster calls (enhanced PACE protocol).Within the subset of participants scheduled to receive FU phone calls, 64% received ≥3 callsTTMXXXXUC: Not describedParekh, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5QYXJla2g8L0F1dGhvcj48WWVhcj4yMDE0PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 181HD+PALIG1Computer-tailored print mailings (2 contacts)1-page, personalized, computer-tailored feedback letter was mailed after completion of the assessment questionnaire at baseline and at 3 months. Feedback letter was printed on PCP's letterhead and encouraged the participant to improve at least 1 behavior not adhering to health recommendation guidelines by the National Health and Medical Research Council and the National Heart Foundation of Australia. Guidelines focused on 6 dietary behaviors: meat, fish, vegetables and fruits, use of unsaturated fats as spreads, avoidance of added salt, as well as responses to smoking behavior, alcohol intake, PA, and BMI. In addition, 1-page health promotion information sheets were mailed to participants only for behaviors not meeting national guidelines.NRNRXXAC: Mailed 1 to 2 personalized, computer-tailored feedback letters and health promotion information sheets at baseline and/or at 3 months.Parekh, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5QYXJla2g8L0F1dGhvcj48WWVhcj4yMDE0PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 181HD+PALIG2Computer-tailored print mailing (1 contact)1-page, personalized, computer-tailored feedback letter was mailed after completing the assessment questionnaire at baseline only. Feedback letter was printed on the PCP's letterhead and encouraged the participant to improve at least 1 behavior not adhering to health recommendation guidelines by the National Health and Medical Research Council and the National Heart Foundation of Australia. Guidelines focused on 6 dietary behaviors: meat, fish, vegetables and fruits, use of unsaturated fats as spreads, avoidance of added salt, as well as responses to smoking behavior, alcohol intake, PA, and BMI. In addition, 1-page health promotion information sheets were mailed to participants only for behaviors not meeting national guidelines.XXPekmezi, 2009PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5QZWttZXppPC9BdXRob3I+PFllYXI+MjAwOTwvWWVhcj48

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ADDIN EN.CITE.DATA 184PALIG1Tailored print mailings and self-monitoring6 monthly mailings of PA manuals matched to participant's current level of readiness and individually-tailored computer expert-system feedback reports based on monthly questionnaire responses focused on goal setting, self-monitoring, problem solving, barriers, increasing social support, and rewarding self for meeting PA goals. Participants received PA logs and pedometers to track and monitor progress, along with tip sheets on related topics such as stretching.85% reported reading most or all of the print materials72% reported wearing pedometersSCT, TTMXXXXXAC: General nutrition and CVD risk brochuresPinto, 2002PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5QaW50bzwvQXV0aG9yPjxZZWFyPjIwMDI8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 185PAMIG1Automated phone counselingWeekly 10-min phone calls for 12 weeks with a phone-linked communication system (TLC-PA) focused on activity counseling and promoting moderate- intensity PA, followed by bimonthly calls for 3 months. Responses from phone conversations generated 1 initial and 6 monthly individualized printed reports with text and graphs showing PA level based on data collected during phone calls with TLC-PA and pedometer readings. Reports were also sent to PCP with expectation it would prompt PCPs to reinforce the value of PA.24% never called the system36% called 1 to 10 times23% called 11 to 20 times18% called >20 timesSCT, TTMXXXXAC: Dietary counseling using the same TLC automated technologyPinto, 2005PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5QaW50bzwvQXV0aG9yPjxZZWFyPjIwMDU8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 186PAMIG1Counseling with tailored prescriptionThree 30- to 45-min face-to-face counseling sessions with health educator at 0,1, and 3 months; 1-time individually tailored PA prescription, along with 12 10- to 15-min PA counseling phone calls weekly for 3 months and biweekly for next 3 months;, and 12 PA tip sheets mailed at the same time as phone calls. All materials and sessions were tailored to the participant's individual stage of readiness to change PA levels.47% received brief advice from their physician. 100% went to first in-person counseling session, 83% went to second, and 78% went to third. 86% of scheduled calls were completed; mean length of calls was 14.8 minTTMXXXMI: Brief physician counselingRoderick, 1997PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Sb2RlcmljazwvQXV0aG9yPjxZZWFyPjE5OTc8L1llYXI+

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ADDIN EN.CITE.DATA 188HDMIG1Counseling1 dietary advice session (assumed 30 min) based on negotiated change, which aimed for food substitution (nurse and patient negotiated and agreed on up to 5 changes) after review of the type, quantity, and frequency of key foods consumed. Specially designed dietary sheets were given out according to whether weight loss was required; all foods were classified as “to eat plentifully,” “in moderation,” or “on special occasions only.” Special leaflets covering, for example, snacking, were given out when appropriate. Patients who were overweight (BMI> 25 kg/m2) were given special advice, including a self-monitoring chart and choice of a calorie-restricted diet. At 4 to 6 weeks, progress with dietary change was assessed, weight remeasured, and further changes made if appropriate. Patients (n=NR) who had a high baseline serum cholesterol (>6.5 mmol/L in men or >7.0 mmol/L in women) or BMI >27.5 kg/m2 or ≥2 other CHD risk factors (male sex, smoking, hypertension, family or past history of CHD) were asked to return at 3 and 6 months for further assessment. Leaflets of standard health education were given to all participants: “Guide to Healthy Eating,” “Giving Up Smoking,” “Look After Your Heart,” “Heart Disease,” and “Exercise, Why Bother?”NRNRXMI: Standard health education leafletsRuffin, 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5SdWZmaW48L0F1dGhvcj48WWVhcj4yMDExPC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 189HD+PALIG1Computer-tailored web-based interventionParticipants completed an online baseline survey, followed by Family Healthware tool. Participants could log on any time to complete the instruments over multiple sessions. Familial risk assessments and tailored prevention messages were instantly received on-screen that were based on familial risk for CHD; stroke; diabetes; and colorectal, breast, and ovarian cancer. Some participants responded by phone with data entered online by study personnel. Printed reports were either mailed or given to the participants at their scheduled PCP appointment.91% viewed their risk report and messages onlineTTMXXXUC: Standard prevention messagesSacerdote, 2006PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TYWNlcmRvdGU8L0F1dGhvcj48WWVhcj4yMDA2PC9ZZWFy

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ADDIN EN.CITE.DATA 190HDLIG1Brief counselingOne 15-min personalized nutrition counseling session, based on a brochure about diet and health and a short explanation by the PCP. Intervention focused on the importance of more consumption of fruits, vegetables, fish, and olive oil and less consumption of red meat, snacks, and sweets and was modulated on the basis of sex- and age-specific energy consumption and on unbalanced nutritional habits of each subject.NRNRXUC: Simple and non-personalized conversation without use of brochure with PCP at the first visit.Simkin-Silverman, 1995PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TaW1raW4tU2lsdmVybWFuPC9BdXRob3I+PFllYXI+MTk5

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ADDIN EN.CITE.DATA 194HD+PAHIG1Group counselingParticipants attended 15 group sessions (assume 60 min each) held weekly for 10 weeks, then biweekly for remaining 10 weeks. Trained nutritional and behavioral interventionists educated and encouraged participants to lower intake of total fat to 25% of daily calories, saturated fat to 7%, and total cholesterol to 100 mg/day and prevent future weight gain by achieving a modest weight loss goal. Participants were asked to follow a 1300 or 1500 kcal meal plan for 4 weeks, and subsequently encouraged to modify or adapt the meal plan to include favorite foods while still maintaining dietary and caloric goals. Participants kept a dietary log throughout the 20 weeks using a 7-day pocket diary. Participants were given education and guidance on gradually increasing PA level to 1000 kcal/week (walking 10 miles/week over 3 to 5 days). Behavioral strategies, including problem solving, stimulus control, goal setting, assertiveness training, relapse prevention, and cognitive techniques to help implement and maintain dietary and exercise changes. Following 20-week intensive period, participants entered the maintenance phase, which consisted of 6 bimonthly meetings (assume 60 min each). Thereafter, participants were provided group, mail, or phone contact on average every 2 to 3 months. All participants were invited to 6-week refresher programs (between months 14 and 54) and received quarterly newsletters. Social and educational gatherings were held for all participants 2 to 3 times a year. Additional consultation was available to participants who could not attend group meetings and consisted of instruction on additional skills, support, and motivation to help with maintenance of behavior change.Participants attended on average 11.4 of 15 sessions during initial 20-week phase of interventionNRXXXXXNoneSmith, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TbWl0aDwvQXV0aG9yPjxZZWFyPjIwMTQ8L1llYXI+PFJl

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Pn==

ADDIN EN.CITE.DATA 197HD+PAMIG1CounselingOne 1-hr face-to-face counseling session, followed by phone support at 2 weeks, and a second face-to-face counseling session at 4 weeks. An additional 4 monthly short phone calls were made, supplemented by text messages and mailed postcards. Participants were also given pedometers, logbooks, and dietary journals.93.1% received both face-to-face sessions89.7% received 4 phone contacts86.2% received 4 postcard and 4 FU text messagesNRXXXXNoneSpringvloet, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TcHJpbmd2bG9ldDwvQXV0aG9yPjxZZWFyPjIwMTU8L1ll

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ADDIN EN.CITE.DATA 198HDMIG1Web-based tailored education plus feedback4 web-based tailored nutrition modules (fruit, vegetables, high-energy snacks, and fat) structured to target knowledge, awareness, intention, attitude, self-efficacy, goal setting, and action and coping plans, except for the fat module (did not contain methods to target attitude and self-efficacy to limit participant burden). Each module had 3 sessions to be worked during 6 consecutive weeks. Each session arranged according to the self-regulation phases: pre-action, action, and evaluation of the behavioral change. Before first session, participants could choose which behavior(s) they wanted to receive feedback and guidance on and say which supermarket they use. First session (20-40 min) provided tailored feedback on self-selected potential barriers, difficult situations, and availability and price of products in their supermarket. Participants could set a goal and formulate an implementation intention for when, where, and how to make the behavior change, as well as start enacting their plans and performing their new behavior for 2 weeks. Second and third sessions (10-20 min) provided opportunity to evaluate progress of the behavior change. Participants monitored their goal achievement in the past week and provided with feedback on their progress. When the goal was not achieved, attitude and self-efficacy were targeted to stimulate a second attempt. All participants were stimulated to formulate coping plans for expected difficult situations. If necessary, goals could be adapted to make them more achievable or challenging. Third session was on how to maintain the behavior change over time. Completion of all 4 modules took about 160 min. Email reminders sent to prompt returning to the intervention program. Also, environmental-level feedback on the availability and prices of healthy foods nearby was provided.NRTPB, Self regulation theory XXXMI: 4 web-based, nontailored nutrition education modulesSpringvloet, 2015PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TcHJpbmd2bG9ldDwvQXV0aG9yPjxZZWFyPjIwMTU8L1ll

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ADDIN EN.CITE.DATA 198HDMIG2Web-based tailored education4 web-based computer-tailored nutrition education modules (fruit, vegetables, high-energy snacks, and fat) structured to target knowledge, awareness, intention, attitude, self-efficacy, goal setting, and action and coping plans, except for the fat module (did not contain methods to target attitude and self-efficacy to limit participant burden). Each contained 3 sessions to be worked during 6 consecutive weeks. Each session arranged according to the self-regulation phases: pre-action, action, and evaluation of the behavioral change. Before first session, participants could choose which behavior(s) they wanted to receive feedback and guidance on. First session (20-30 min) provided tailored feedback on self-selected potential barriers and difficult situations. Participants could set a goal and formulate an implementation intention for when, where, and how to make the behavior change, as well as start enacting their plans and performing their new behavior for 2 weeks. Second and third sessions (10-20 min) provided the opportunity to evaluate progress of the behavior change. Participants monitored their goal achievement in the past week and provided with feedback on their progress. When the goal was not achieved, attitude and self-efficacy were targeted to stimulate a second attempt. All participants were stimulated to formulate coping plans for expected difficult situations. If necessary, goals could be adapted to make them more achievable or challenging. Third session additionally provided information on how to maintain the behavior change over time. Completion of all 4 modules took about 160 min. Email reminders were sent to prompt returning to the intervention program.TPB, Self regulation theoryXXXStewart, 2001PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5TdGV3YXJ0PC9BdXRob3I+PFllYXI+MjAwMTwvWWVhcj48

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ADDIN EN.CITE.DATA 201PAHIG1Group counseling1 informational meeting, 1 individual planning session, and 10 monthly group workshops focused on discussing participant's readiness to increase PA, ways to overcome barriers to PA, how to exercise safely and avoid injury, and how to engage in appropriate levels of PA given individual health conditions. Participants kept PA diaries, received monthly newsletters, and functional fitness assessments. 2 booklets were provided on PA and benefits of PA and heart health.NRSCTXXWLTaveras, 2011PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5UYXZlcmFzPC9BdXRob3I+PFllYXI+MjAxMTwvWWVhcj48

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ADDIN EN.CITE.DATA 203HD+PAHIG1Postpartum counseling5 brief, focused negotiation sessions with a pediatric PCP using MI to encourage healthful behavior change; four 15- to 20- min individualized coaching and motivational counseling phone calls with a health educator at 3, 6, 12, and 20 weeks postpartum focused on healthful eating, PA, sleep, and TV; invitation to 4 group parenting skills training sessions led by pediatric PCPs and health educators to promote peer support and social networking, in addition to comprehensive educational materials that were individually tailored.NRNRXXUC: Routine standard care for postpartum womenThompson, 2008PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5UaG9tcHNvbjwvQXV0aG9yPjxZZWFyPjIwMDg8L1llYXI+

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ADDIN EN.CITE.DATA 207HD+PAHIG1Group counseling5 group sessions of 2 to 2.5 hr (1 per month for 5 months) using social cognitive theory strategies. Sessions involved written and oral didactic material and small-group discussions; topics included learning to read food labels, strategies for healthy food choices when eating out, taste-testing healthy meals, and recipes to support study goals. 15-min outdoor walk was conducted at the beginning of each session. In all sessions, goal setting, feasible action steps, addressing barriers, enhancing behavior change through nonfood rewards were emphasized, and discussion of how strategy implementation proceeded during previous month. For missed sessions, participants received didactic materials and a brief review of content prior to the subsequent session.53% attended ≤3 (of the 5) group sessionsSCT, TTMXXXWLThompson, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5UaG9tcHNvbjwvQXV0aG9yPjxZZWFyPjIwMTQ8L1llYXI+

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ADDIN EN.CITE.DATA 209HDHIG1Group counselingGroup sessions (assumed 60 min) of 10 to 12 participants met weekly with a trained nutrition interventionist for 6 weeks, every other week for an additional 6 weeks, and then monthly for the course of the first year (18 group sessions in first year). Each participant had 1 individual dietary counseling session (assumed 30 min) with interventionist in first 12 to 16 weeks to ensure nutritional balance of new dietary pattern. Dietary maintenance group sessions occurred quarterly after the first year, along with optional peer-led monthly meetings. Relative focus on nutrition highest in earlier sessions during the time of most intensive dietary change, while later emphasis was on maintenance of dietary change. Participants received individualized fat gram goal estimating 20% of energy from fat and a common goal of ≥5 daily servings of vegetables and fruits and ≥6 daily servings of grains (whole grains encouraged). Participants encouraged to maintain usual energy intake by replacing fat calories with calories from other sources (mainly carbohydrates).At 3 years, 43% participated in ≥9 (of 18) sessions and ≥2 (of 4) maintenance sessions.NRXXXXMI: Received copy of “Dietary Guidelines for Americans”TOHP I, 1992PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5UaGUgVHJpYWxzIG9mIEh5cGVydGVuc2lvbiBQcmV2ZW50

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ADDIN EN.CITE.DATA 204HDHIG1Group counselingLifestyle interventions consisted of group educational sessions, supplemented by individual counseling. Demonstrations and practice were incorporated into each meeting. 3-month initial (intensive) sessions were weekly; 10 sessions (8 group and 2 individual) of 90 min each. Interventions focused on shopping, cooking, and food selection behaviors aimed at reducing sodium intake. Individual counseling goal was to reduce 24-hr sodium intake to 60 mmol (1400 mg). Food diaries used to facilitate self-monitoring of sodium intake; intervention staff reviewed and commented on food diaries. 16 F/U sessions offered after intensive intervention. FU implemented to provide continued information, support, and counseling through phone, mail, and, at minimum, bimonthly in-person group or individual meetings (90 min each) throughout the trial.80.7% of scheduled sessions completed and 18.4 mean sessions attended (range 1 to 26 visits)NRXXXNoneTOHP II, 1997PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5UaGUgVHJpYWxzIG9mIEh5cGVydGVuc2lvbiBQcmV2ZW50

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ADDIN EN.CITE.DATA 205HDHIG1Group counselingBased on behavior change principles, an intensive intervention phase during which groups of 11 to 34 participants were counseled weekly (10 weeks, 60 to 90 min each). During this phase, primary goal was to provide participants with core knowledge and behavioral skills necessary to make and maintain reductions in sodium intake. Progress monitored by frequent measurement of overnight sodium excretion; diet and activity diaries were also kept. A transitional phase consisting of 4 monthly sessions (intensity NR) was designed to prevent relapse and ease transition from weekly to less frequent contacts. The final extended phase was to maintain participants' behavior changes. As a routine, this included 1 or 2 monthly contacts and a series of 3 to 6 refresher sessions (intensity NR) offered on intervention-related topics to promote contact and adherence with the intervention. Group goal was average sodium intake ≤80 mmol/24h; individual goal was sodium intake ≤70 mmol/24h. Intervention focused on identifying sodium content of foods, preparing lower sodium foods, modifying recipes, and making lower sodium food selections at and between meals and when eating out; taste testing, making small, progressive sodium intake changes; alternatives to high-sodium eating behaviors; general behavioral modification and relapse prevention techniques, including self-monitoring of sodium intake; and feedback on food records and urinary sodium excretion.72.7% went to at least half of the counseling sessions in first 6 months. 30.1% went to at least half of the counseling sessions in months 6 to 18. 11.3% went to at least half of counseling sessions in months 18 to 36. Black participants had lower attendance than whites (40% vs. 60% went to ≥9 face-to-face sessions, respectively)NRXXXNoneTokunaga-Nakawatase, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5Ub2t1bmFnYS1OYWthd2F0YXNlPC9BdXRob3I+PFllYXI+

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ADDIN EN.CITE.DATA 210HD+PALIG1Computer-tailored print mailingsOver 6 months, 3 tailored, concrete lifestyle recommendations were generated using a computer-tailored system (Lifestyle Intervention Support Software for Diabetes Prevention) and mailed to participants. Each mailing included a free comment section for the clinical diabetes educator to add additional advice. Also, participants received a pamphlet about general information on diabetes prevention with regard to favorable behavior related to diet and PA.NRNRXXUC: Pamphlet and routine careValve, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WYWx2ZTwvQXV0aG9yPjxZZWFyPjIwMTM8L1llYXI+PFJl

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ADDIN EN.CITE.DATA 211HD+PAMIG1Counseling1 initial one-on-one 20-min solution-focused individualized lifestyle counseling session with a study nurse where a behavioral change goal focused on PA, diet, or sleep was set, along with printed materials covering the topics discussed. Details of the discussion were determined by the participants’ needs, interests, and current life circumstances. Initial session was followed by 3 to 5 FU support sessions up to 1.5 to 2.5 years to revisit behavioral goals. Both treatment groups received counseling on sexual health as part of the HPV vaccination study.Median duration of initial counseling session was 15 min. 47% chose to discuss PA, 36% dietary behaviors, and 20% sleeping behaviors. 71% chose any of the target behaviors.NRXXXXNoneVan Hoecke, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WYW4gSG9lY2tlPC9BdXRob3I+PFllYXI+MjAxNDwvWWVh

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ADDIN EN.CITE.DATA 212PAMIG1CounselingParticipants first attended a 15-min informative session in which a fitness coach referred them to locally organized PA opportunities and distributed a self-help booklet and pedometer. Self-help booklet included detailed practical information of local PA opportunities for older adults, recommendations to achieve 30 min/day of moderate-intensity PA, and how to integrate more PA into their daily routines. Then, over 10 weeks, regular contact between the coach and participant took place, including an initial 60-min face-to-face, individually-tailored PA coaching session and six 30-min booster contacts or phone calls. Coaching sessions were based on self-determination theory and designed to determine individual PA goals according to the participant's preferences and abilities. Goals, which were specified by PA type, location, time frame, company, possible barriers, and solutions, were written down in a personal weekly schedule. Besides endurance activities like walking, the coach provided home-based exercises to improve the participant’s strength, flexibility, and balance. Every 10 days, participants were supported through face-to-face contacts or booster phone calls (max 30 min). PA goals were evaluated and modified if necessary, barriers were identified, and participants were stimulated to persist in PA by using behavior change techniques and applying MI.NRSCTXXXMI: One 15-min informative session and received a self-help booklet and pedometer.Van Hoecke, 2014PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WYW4gSG9lY2tlPC9BdXRob3I+PFllYXI+MjAxNDwvWWVh

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ADDIN EN.CITE.DATA 212PALIG2Tailored prescriptionParticipants first attended a 15-min informative session in which a fitness coach referred them to locally organized PA opportunities and distributed a self-help booklet and pedometer. Self-help booklet included detailed practical information of local PA opportunities for older adults, recommendations to achieve 30 min/day of moderate-intensity PA, and how to integrate more PA into their daily routines. In addition, participants were given an individualized walking program based on their baseline walking level (based on the 6-min walk test). Written program consisted of structured weekly schedules of uninterrupted walks (described as number of steps) on most days of the week. Walking volume and intensity increased gradually and participants were encouraged to progress through the different levels of the walking program according to their individual abilities. Participants could accomplish the program on their own or in a social context (e.g., with significant others, in a social organization).NRNRVan Stralen, 2010PEVuZE5vdGU+PENpdGU+PEF1dGhvcj52YW4gU3RyYWxlbjwvQXV0aG9yPjxZZWFyPjIwMTA8L1ll

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ADDIN EN.CITE.DATA 214PALIG1Tailored print mailings with environmental focus3 motivationally and environmentally focused computer-tailored letters mailed to each participant including personalized PA advice. First and second letters were based on personal data gathered at baseline and sent 2 weeks and 2 months after baseline, respectively. Third letter sent 2 weeks after receiving the 3-month questionnaire and was based on data gathered at baseline and 3 months; it addressed any changes undertaken during these 3 months. Several psychosocial determinants that underlie PA behavior change (e.g., awareness, attitude, social influence, self-efficacy, intention, and self-regulation skills) were targeted. Environmental information comprised handouts on walking and cycling routes in their neighborhood, examples of exercises to do at home, and contact information for local sports clubs matching their interests and abilities combined with access to a forum and ebuddy system on a website to increase social and environmental determinants. Letters comprised between 3 and 11 pages depending on (changes in) PA level and determinant scores.Across both intervention groups, 98% read tailored letters68% saved the letters37% discussed letters with othersTTMXXXXWLVan Stralen, 2010PEVuZE5vdGU+PENpdGU+PEF1dGhvcj52YW4gU3RyYWxlbjwvQXV0aG9yPjxZZWFyPjIwMTA8L1ll

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ADDIN EN.CITE.DATA 214PALIG2Tailored print mailings3 motivationally focused computer-tailored letters mailed to each participant including personalized PA advice. First and second letters were based on personal data gathered at baseline and sent 2 weeks and 2 months after baseline, respectively. Third letter was sent 2 weeks after receiving the 3-month questionnaire and was based on data gathered at baseline and 3 months; it addressed any changes undertaken during these 3 months. Several psychosocial determinants that underlie PA behavior change (e.g., awareness, attitude, social influence, self-efficacy, intention, and self-regulation skills) were targeted. Letters comprised between 3 and 11 pages depending on (changes in) PA level and determinant scores.XXXXVandelanot-te, 2005PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WYW5kZWxhbm90dGU8L0F1dGhvcj48WWVhcj4yMDA1PC9Z

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ADDIN EN.CITE.DATA 217HD+PAMIG1Computer-based sessions with tailored feedback (PA and diet simultaneous)At 1 session, participants completed 2 interactive computer-tailored interventions (about 50 min each) targeted at increasing PA and reducing fat intake that were delivered at a local university computer lab at baseline. After reading the purpose of the intervention, participants filled out an electronic questionnaire consisting of demographics, health behavior, and psychosocial variables. Tailored feedback was displayed immediately, based on the theory of planned behavior and the stages of change concept from the transtheoretical model. Feedback consisted of normative feedback, which related participants' PA or fat intake to current recommendations (30 min/day of moderate PA and consume <30% energy from fat) and tips and suggestions on how to increase PA or decrease fat intake. Tailored advice was printed and taken home.Across all intervention groups, 95.3% read the PA advice and 96.2% read the diet adviceTPB, TTMXXXWLVandelanot-te, 2005PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WYW5kZWxhbm90dGU8L0F1dGhvcj48WWVhcj4yMDA1PC9Z

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ADDIN EN.CITE.DATA 217HD+PAMIG2Computer-based sessions with tailored feedback (PA feedback first)Participants completed 2 interactive computer-tailored interventions (about 50 min each) targeted at increasing PA and reducing fat intake delivered at a local university computer lab. Tailored PA intervention was delivered at baseline and tailored fat intake intervention at 3 months postbaseline. After reading the purpose of the intervention, participants filled out an electronic questionnaire consisting of demographics, health behavior, and psychosocial variables. Tailored feedback was displayed immediately, based on the theory of planned behavior and the stages of change concept from the transtheoretical model. Feedback consisted of normative feedback, which related participants' PA or fat intake to current recommendations (30 min/day of moderate PA and consume <30% energy from fat) and tips and suggestions on how to increase PA or decrease fat intake. Tailored advice was printed and taken home.XXXVandelanot-te, 2005PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WYW5kZWxhbm90dGU8L0F1dGhvcj48WWVhcj4yMDA1PC9Z

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ADDIN EN.CITE.DATA 217HD+PAMIG3Computer-based sessions with tailored feedback (Diet feedback first)Participants completed 2 interactive computer-tailored interventions (about 50 min each) targeted at increasing PA and reducing fat intake t delivered at a local university computer lab. Tailored fat-intake intervention was delivered at baseline and tailored PA intervention at 3 months postbaseline. After reading the purpose of the intervention, participants filled out an electronic questionnaire consisting of demographics, health behavior, and psychosocial variables. Tailored feedback was displayed immediately, based on the theory of planned behavior and the stages of change concept from the transtheoretical model. Feedback consisted of normative feedback, which related participants' PA or fat intake to current recommendations (30 min/day of moderate PA and consume <30% energy from fat) and tips and suggestions on how to increase PA or decrease fat intake. Tailored advice was printed and taken home.XXXVrdoljak, 2013PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5WcmRvbGphazwvQXV0aG9yPjxZZWFyPjIwMTQ8L1llYXI+

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Tm90ZT4A

ADDIN EN.CITE.DATA 218HD+PAMIG1Provider trainingPCPs received instructions for helping patients fill out questionnaires on adherence to the traditional Mediterranean diet, PA, smoking, and alcohol use and received training on using nonpharmacological and/or pharmacological interventions in accordance with recommendations when suboptimal behavior was reported. In addition, PCPs received a booklet on the intervention, patient education flyers, and precise protocols for monitoring participants. PCPd received repeated group training over 1 year.NRNRNone: Providers were not instructed to perform any specific interventions for patients and did not receive any training or materialsWadsworth, 2010PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5XYWRzd29ydGg8L0F1dGhvcj48WWVhcj4yMDEwPC9ZZWFy

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ADDIN EN.CITE.DATA 219PA LIG1Web-based interventionAttended 1 orientation face-to-face session (assume 30 min) that provided written information regarding exercise: terminology, recommendations, safety precautions, and campus PA opportunities, as well as encouraging the participant to begin a moderate exercise program and ask any questions about their exercise program. Results from the DXA scan given to each participant and shown how they compare to others of same age and sex. 6 weekly emails directed participants to web pages that targeted goal settings, time management, self-monitoring, social support, reinforcements, relapse prevention, realistic expectations of exercise, expectancies of exercise, overcoming barriers to exercise, anticipation of exercise relapse, natural history of exercise, and building of exercise self-efficacy. Each web page directed the subject to complete a short survey at the end. Access to an ecounselor who was a trained exercise physiologist provided. In addition, a web site that contained discussion boards, exercise information, exercise suggestions, sample workouts, and community events tailored to the campus community was accessible. In addition, 4 monthly booster emails sent to prevent relapse and overcome barriers to exercise.55% did not initiate contact with ecounselor. Of those who did, 69% responded to all 6 weekly emails,11% to 5, 2% to 4, 2% to 3, and 9% to 2. 90% accessed the web site weekly. 4% accessed the web site monthly. 6% did not access the web site.SCTXXXXXMI: 1 orientation session with printed materials that included brief information about exercise and encouraged PA.Warner, 2016PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5XYXJuZXI8L0F1dGhvcj48WWVhcj4yMDE2PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 220PAIG1Group counseling with views-on-aging componentOne 170-min interactive group session (3 to 8 participants/group) designed to increase PA through social support and ongoing goal setting plus targeting positive views-on-aging. Information on PA opportunities for older adults (for all city districts where participants lived) was available for free in the intervention room. Participants also informed that they should consult their physician to clarify what kind of PA would be suitable for their health status.Group sessions averaged 166 min, with 5.9 participants on average per group sessionHealth Action Process Approach (HAPA)XXXXAC: One 165-min group session focused on volunteeringWarner, 2016PEVuZE5vdGU+PENpdGU+PEF1dGhvcj5XYXJuZXI8L0F1dGhvcj48WWVhcj4yMDE2PC9ZZWFyPjxS

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ADDIN EN.CITE.DATA 220PAIG2Group counseling One 170-min interactive group session (3 to 8 participants/group) designed to increase PA through social support and ongoing goal setting plus targeting positive views-on-aging. Instead, this group received 1 extra action planning sheet to increase PA. Information on PA opportunities for older adults (for all city districts where participants lived) was available for free in the intervention room. Participants also informed that they should consult their physician to clarify what kind of PA would be suitable for their health status.Group sessions averaged 170 min, with 6.3 participants on average per group sessionAbbreviations: AC=attention control; ACP=Active Choices Program; BCT=behavior choice theory; CHD=coronary heart disease; CG=control group; CVD=cardiovascular disease; ECA=embodied conversational agent; FB=feedback; FU=followup; GI=glycemic index; H=high; HBM=health belief model; HD=healthful diet; hr=hour; IG=intervention group; Int=intervention; IVR=interactive voice response; L=low; LDL-C=low-density lipoprotein cholesterol; HDL-C=high-density lipoprotein cholesterol; M=medium; MI=motivational interviewing; min=minute; MVPA=moderate-to-vigorous physical activity; NR=not reported; PA=physical activity; PCP=primary care provider; SCT=social cognitive theory; SD=standard deviation; TLC=telephone-linked communication; TTM=transtheoretical model; UC=usual care; WL=waitlist. ................
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