Grant Details
Grant Number: |
5R01AG016588-04 Interpret this number |
Primary Investigator: |
Clark, Phillip |
Organization: |
University Of Rhode Island |
Project Title: |
Stage Based Health Promotion with the Elderly |
Fiscal Year: |
2002 |
Abstract
DESCRIPTION (adapted from investigator's abstract): The broad, long-term objectives of this research project are to develop new and more effective intervention methods to improve the health and well-being of older adults. The specific aims are to determine the effectiveness of the Transtheoretical Model of Health Behavior Change in improving the physical activity and nutritional behavior singly and in combination in an older population; determine the effects on functional ability and general health outcomes of stage-based physical activity and nutrition interventions singly and in combination; and, study how older adults change their health behaviors. Research indicates that most health promotion programs recruit only those persons who are ready to adopt the new behavior, usually only approximately 20 percent of the general population. High levels of attrition and relapse rates result in an "impact rate" of approximately 1-5 percent. This project holds the potential for developing more effective methods to promote general health of older adults. The research will utilize a 2x2 design with 4 treatment groups: nutrition intervention alone, physical activity intervention alone, combined intervention, and control. Educational materials, including a manual, newsletters, expert feedback reports, and coaching phone calls, all based on the Transtheoretical Model of Health Behavior Change, will be developed. Measures used will include general health and functional assessments; objective and subjective physical activity and nutrition assessments; and stage and process of change, decisional balance, and self- efficacy measures. The 12-month intervention will include expert system generated reports, stage- based manual and newsletters and phone coaching.
Publications
Comparison Of Diet Quality, Physical Activity And Biochemical Values Of Older Adults Either Reporting Or Not Reporting Use Of Lipid-lowering Medication
Authors: Lofgren I.
, Greene G.
, Schembre S.
, Delmonico M.J.
, Riebe D.
, Clark P.
.
Source: The Journal Of Nutrition, Health & Aging, 2010 Feb; 14(2), p. 168-72.
PMID: 20126967
Related Citations
Physical And Mental Health-related Correlates Of Physical Function In Community Dwelling Older Adults: A Cross Sectional Study
Authors: Garber C.E.
, Greaney M.L.
, Riebe D.
, Nigg C.R.
, Burbank P.A.
, Clark P.G.
.
Source: Bmc Geriatrics, 2010; 10, p. 6.
PMID: 20128902
Related Citations
Long-term Effects Of A Stage-based Intervention For Changing Exercise Intentions And Behavior In Older Adults
Authors: Greaney M.L.
, Riebe D.
, Ewing Garber C.
, Rossi J.S.
, Lees F.D.
, Burbank P.A.
, Nigg C.R.
, Ferrone C.L.
, Clark P.G.
.
Source: The Gerontologist, 2008 Jun; 48(3), p. 358-67.
PMID: 18591361
Related Citations
Change In Fruit And Vegetable Intake Over 24 Months In Older Adults: Results Of The Senior Project Intervention
Authors: Greene G.W.
, Fey-Yensan N.
, Padula C.
, Rossi S.R.
, Rossi J.S.
, Clark P.G.
.
Source: The Gerontologist, 2008 Jun; 48(3), p. 378-87.
PMID: 18591363
Related Citations
The examination of two short dietary assessment methods, within the context of multiple behavioral change interventions in adult populations. Introduction.
Authors: Beresford S.A.
, Klesges L.M.
, Rockett H.R.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 183S-184S.
PMID: 18156422
Related Citations
Baseline design elements and sample characteristics for seven sites participating in the Nutrition Working Group of the Behavior Change Consortium.
Authors: Yaroch A.L.
, Nebeling L.
, Thompson F.E.
, Hurley T.G.
, Hebert J.R.
, Toobert D.J.
, Resnicow K.
, Greene G.W.
, Williams G.C.
, Elliot D.L.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 185S-192S.
PMID: 18156423
Related Citations
Evaluation of a short dietary assessment instrument for percentage energy from fat in an intervention study.
Authors: Thompson F.E.
, Midthune D.
, Williams G.C.
, Yaroch A.L.
, Hurley T.G.
, Resnicow K.
, Hebert J.R.
, Toobert D.J.
, Greene G.W.
, Peterson K.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 193S-199S.
PMID: 18156424
Related Citations
Correspondence of the NCI Fruit and Vegetable Screener to repeat 24-H recalls and serum carotenoids in behavioral intervention trials.
Authors: Greene G.W.
, Resnicow K.
, Thompson F.E.
, Peterson K.E.
, Hurley T.G.
, Hebert J.R.
, Toobert D.J.
, Williams G.C.
, Elliot D.L.
, Goldman Sher T.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 200S-204S.
PMID: 18156425
Related Citations
Use of signal detection methodology to identify subgroups of dietary supplement use in diverse populations.
Authors: Davis R.E.
, Resnicow K.
, Atienza A.A.
, Peterson K.E.
, Domas A.
, Hunt A.
, Hurley T.G.
, Yaroch A.L.
, Greene G.W.
, Goldman Sher T.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 205S-211S.
PMID: 18156426
Related Citations
Performance of a short percentage energy from fat tool in measuring change in dietary intervention studies.
Authors: Williams G.C.
, Hurley T.G.
, Thompson F.E.
, Midthune D.
, Yaroch A.L.
, Resnicow K.
, Toobert D.J.
, Greene G.W.
, Peterson K.
, Nebeling L.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 212S-217S.
PMID: 18156427
Related Citations
Accuracy and precision of two short screeners to assess change in fruit and vegetable consumption among diverse populations participating in health promotion intervention trials.
Authors: Peterson K.E.
, Hebert J.R.
, Hurley T.G.
, Resnicow K.
, Thompson F.E.
, Greene G.W.
, Shaikh A.R.
, Yaroch A.L.
, Williams G.C.
, Salkeld J.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 218S-225S.
PMID: 18156428
Related Citations
Social desirability trait influences on self-reported dietary measures among diverse participants in a multicenter multiple risk factor trial.
Authors: Hebert J.R.
, Hurley T.G.
, Peterson K.E.
, Resnicow K.
, Thompson F.E.
, Yaroch A.L.
, Ehlers M.
, Midthune D.
, Williams G.C.
, Greene G.W.
, et al.
.
Source: The Journal Of Nutrition, 2008 Jan; 138(1), p. 226S-234S.
PMID: 18156429
Related Citations
A qualitative study of a nutrition working group.
Authors: Greene G.W.
, Nebeling L.C.
, Greaney M.L.
, Lindsay A.C.
, Hardwick C.K.
, Toobert D.J.
, Resnicow K.
, Williams G.C.
, Elliot D.L.
, Goldman Sher T.
, et al.
.
Source: Health Promotion Practice, 2007 Jul; 8(3), p. 299-306.
PMID: 17522413
Related Citations
Sources Of Folate And Serum Folate Levels In Older Adults
Authors: Mulligan J.E.
, Greene G.W.
, Caldwell M.
.
Source: Journal Of The American Dietetic Association, 2007 Mar; 107(3), p. 495-9.
PMID: 17324669
Related Citations
Perceived environments as physical activity correlates and moderators of intervention in five studies.
Authors: King A.C.
, Toobert D.
, Ahn D.
, Resnicow K.
, Coday M.
, Riebe D.
, Garber C.E.
, Hurtz S.
, Morton J.
, Sallis J.F.
.
Source: American Journal Of Health Promotion : Ajhp, 2006 Sep-Oct; 21(1), p. 24-35.
PMID: 16977910
Related Citations
Recruiting And Retaining Older Adults For Health Promotion Research: The Experience Of The Senior Project
Authors: Greaney M.L.
, Lees F.D.
, Nigg C.R.
, Saunders S.D.
, Clark P.G.
.
Source: Journal Of Nutrition For The Elderly, 2006; 25(3-4), p. 3-22.
PMID: 18032213
Related Citations
Intervening On Exercise And Nutrition In Older Adults: The Rhode Island Senior Project
Authors: Clark P.G.
, Rossi J.S.
, Greaney M.L.
, Riebe D.A.
, Greene G.W.
, Saunders S.D.
, Lees F.D.
, Nigg C.R.
.
Source: Journal Of Aging And Health, 2005 Dec; 17(6), p. 753-78.
PMID: 16377771
Related Citations
Physical Activity, Physical Function, And Stages Of Change In Older Adults
Authors: Riebe D.
, Garber C.E.
, Rossi J.S.
, Greaney M.L.
, Nigg C.R.
, Lees F.D.
, Burbank P.M.
, Clark P.G.
.
Source: American Journal Of Health Behavior, 2005 Jan-Feb; 29(1), p. 70-80.
PMID: 15604051
Related Citations
Differences In Psychosocial Variables By Stage Of Change For Fruits And Vegetables In Older Adults
Authors: Greene G.W.
, Fey-Yensan N.
, Padula C.
, Rossi S.
, Rossi J.S.
, Clark P.G.
.
Source: Journal Of The American Dietetic Association, 2004 Aug; 104(8), p. 1236-43.
PMID: 15281040
Related Citations
What Older Adults Find Useful For Maintaining Healthy Eating And Exercise Habits
Authors: Greaney M.L.
, Lees F.D.
, Greene G.W.
, Clark P.G.
.
Source: Journal Of Nutrition For The Elderly, 2004; 24(2), p. 19-35.
PMID: 15778155
Related Citations
Achieving Recruitment Goals Through Community Partnerships: The Senior Project
Authors: Saunders S.D.
, Greaney M.L.
, Lees F.D.
, Clark P.G.
.
Source: Family & Community Health, 2003 Jul-Sep; 26(3), p. 194-202.
PMID: 12829941
Related Citations
The Study Of Exercise And Nutrition In Older Rhode Islanders (senior): Translating Theory Into Research
Authors: Clark P.G.
, Nigg C.R.
, Greene G.
, Riebe D.
, Saunders S.D.
, Study of Exercise and Nutrition in Older Rhode Islanders Project Team
.
Source: Health Education Research, 2002 Oct; 17(5), p. 552-61.
PMID: 12408200
Related Citations
Construct Validity Of The Stages Of Change Of Exercise Adoption For Different Intensities Of Physical Activity In Four Samples Of Differing Age Groups
Authors: Schumann A.
, Nigg C.R.
, Rossi J.S.
, Jordan P.J.
, Norman G.J.
, Garber C.E.
, Riebe D.
, Benisovich S.V.
.
Source: American Journal Of Health Promotion : Ajhp, 2002 May-Jun; 16(5), p. 280-7.
PMID: 12053439
Related Citations