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=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.
PMID: 23109138
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Adapting and RE-AIMing a heart disease prevention program for older women with diabetes.
Authors: Toobert D.J. , Glasgow R.E. , Strycker L.A. , Barrera M. , King D.K. .
Source: Translational Behavioral Medicine, 2012 Jun; 2(2), p. 180-7.
PMID: 24073110
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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
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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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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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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
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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
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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
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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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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
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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
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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.
PMID: 17522413
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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; 4, p. 1.
PMID: 17229325
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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; 4, p. 4.
PMID: 17306031
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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
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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
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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
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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.
PMID: 15572438
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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.
PMID: 15823786
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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
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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
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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.
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