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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

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, 2010-02-03; 10, p. 6.
EPub date: 2010-02-03.
PMID: 20128902
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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

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

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

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

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

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
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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

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

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

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
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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
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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.
EPub date: 2007-05-23.
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
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