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Grant Details

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
Fiscal Year: 2002


Abstract

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).



Publications

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.
PMID: 23109138
Related Citations

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(2S), p. S118-25.
PMID: 18377153
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
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

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
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

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

Reliability of pedometer data in samples of youth and older women.
Authors: Strycker L.A. , Duncan S.C. , Chaumeton N.R. , Duncan T.E. , Toobert D.J. .
Source: The international journal of behavioral nutrition and physical activity, 2007-02-17; 4, p. 4.
EPub date: 2007-02-17.
PMID: 17306031
Related Citations

Long-term effects of the Mediterranean lifestyle program: a randomized clinical trial for postmenopausal women with type 2 diabetes.
Authors: Toobert D.J. , Glasgow R.E. , Strycker L.A. , Barrera M. , Ritzwoller D.P. , Weidner G. .
Source: The international journal of behavioral nutrition and physical activity, 2007-01-17; 4, p. 1.
EPub date: 2007-01-17.
PMID: 17229325
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

Economic analysis of the Mediterranean Lifestyle Program for postmenopausal women with diabetes.
Authors: Ritzwoller D.P. , Toobert D. , Sukhanova A. , Glasgow R.E. .
Source: The Diabetes educator, 2006 Sep-Oct; 32(5), p. 761-9.
PMID: 16971709
Related Citations

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.
PMID: 16774900
Related Citations

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.
PMID: 15572438
Related Citations

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 M. , Angell K. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2005 04; 29(2), p. 128-37.
PMID: 15823786
Related Citations

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.
PMID: 12882850
Related Citations

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.
PMID: 12408202
Related Citations

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.
PMID: 11719630
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