|Grant Number:||5R01HL062156-04 Interpret this number|
|Primary Investigator:||Toobert, Deborah|
|Organization:||Oregon Research Institute|
|Project Title:||Enhancing Support for Women at Risk for Heart Disease|
ABSTRACT=The overall goal of this project is to test a practical, theory- based intervention to achieve long-term behavior change for women with Type 2 diabetes at high risk for developing coronary heart disease (CHD). Epidemiological and clinical studies suggest that diabetes is associated with increased risk for CHD that is greater in women than in men. CHD is a major cause of death and functional limitations in women, but the vast majority of CHD studies have primarily involved middle-aged men. There is convincing research evidence that healthy lifestyle behaviors, including low-fat diet, physical activity, stress management, smoking cessation, and social support, can reduce CHD risk. We will conduct a randomized trial to compare short-term (6-month) outcomes in women receiving usual care compared to a modified Ornish-type comprehensive lifestyle management (CLM) intervention. After 6 months, women in the CLM condition will be randomized to one of two approaches for providing support either lay-led group support or personalized computer-based support - to evaluate these strategies in enhancing longer-term maintenance of effects. Outcomes will include multiple CHD lifestyle behaviors (e.g., dietary intake, exercise levels, stress management, smoking cessation), physiological risk factors associated with CHD (e.g., serum lipids, hypertension, weight, vascular reactivity), HbA1c and quality of life (e.g., depression, functioning).
Relative contributions of naturalistic and constructed support: two studies of women with type 2 diabetes.
Authors: Barrera M. , Toobert D.J. , Strycker L.A. .
Source: Journal of behavioral medicine, 2014 Feb; 37(1), p. 59-69.
Social-ecological resources as mediators of two-year diet and physical activity outcomes in type 2 diabetes patients.
Authors: Barrera M. , Strycker L.A. , Mackinnon D.P. , Toobert D.J. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2008 Mar; 27(2 Suppl), p. S118-25.
Social support and social-ecological resources as mediators of lifestyle intervention effects for type 2 diabetes.
Authors: Barrera M. , Toobert D.J. , Angell K.L. , Glasgow R.E. , Mackinnon D.P. .
Source: Journal of health psychology, 2006 May; 11(3), p. 483-95.
Effects of the mediterranean lifestyle program on multiple risk behaviors and psychosocial outcomes among women at risk for heart disease.
Authors: Toobert D.J. , Strycker L.A. , Glasgow R.E. , Barrera Jr M. , Angell K. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2005 Apr; 29(2), p. 128-37.
The Chronic Illness Resources Survey: cross-validation and sensitivity to intervention.
Authors: Glasgow R.E. , Toobert D.J. , Barrera M. , Strycker L.A. .
Source: Health education research, 2005 Aug; 20(4), p. 402-9.
EPub date: 2004-11-30.
Biologic and quality-of-life outcomes from the Mediterranean Lifestyle Program: a randomized clinical trial.
Authors: Toobert D.J. , Glasgow R.E. , Strycker L.A. , Barrera M. , Radcliffe J.L. , Wander R.C. , Bagdade J.D. .
Source: Diabetes care, 2003 Aug; 26(8), p. 2288-93.
Enhancing support for health behavior change among women at risk for heart disease: the Mediterranean Lifestyle Trial.
Authors: Toobert D.J. , Strycker L.A. , Glasgow R.E. , Barrera M. , Bagdade J.D. .
Source: Health education research, 2002 Oct; 17(5), p. 574-85.
Cardiovascular reactivity to mental stress in the Stockholm Female Coronary Risk Study.
Authors: Weidner G. , Kohlmann C.W. , Horsten M. , Wamala S.P. , Schenck-Gustafsson K. , Högbom M. , Orth-Gomer K. .
Source: Psychosomatic medicine, 2001 Nov-Dec; 63(6), p. 917-24.