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Grant Details

Grant Number: 5R01CA138192-06 Interpret this number
Primary Investigator: Hovell, Melbourne
Organization: San Diego State University
Project Title: Clinician Promotion of Healthy Diet and Activity to Reduce Obesity Among Adolesce
Fiscal Year: 2014


DESCRIPTION (provided by applicant): This study will test a 24-month multi-component intervention designed to increase physical activity, reduce sedentary practices and promote healthy diets among preteens who obtain orthodontia care. The intervention is based on the Behavioral Ecological Model (BEM), where interacting physiological, environmental, and cultural contingencies select behavior. This study will require five years to recruit 50 orthodontist offices, and 2100 youth, and implement an office-wide intervention for promoting healthy diet and physical activity among 8-13 yr old youth. Our primary aims are to detect a differential change in diet, physical activity and BMI in our experimental group compared to the tobacco prevention control group; to observe differential effects of the intervention between low vs. high SES; and similarly for males vs. females; to validate our primary outcome variables by contrasting them with a "gold standard"; and determine the degree to which family and peer encouragement for sedentary and high caloric diet at baseline increases the relative effect of the orthodontist intervention. Offices will be assigned at random to condition producing a 2 (experimental group) by 2 strata (low vs. high SES) by 2 strata (male vs. female) by 4 (repeated measures) experimental design. Those in the experimental condition will be exposed to the office-wide intervention for diet and activity; those in the control condition will be exposed to an office-wide intervention for tobacco prevention. The intervention will consist of training of orthodontists and office staff to provide appropriate social prompts, reinforcement and counseling, and modification of the offices to provide supportive physical and social resources for their patients and parents. Measures of diet, physical activity, body composition, tobacco use, fitness and family and peer encouragement will occur at baseline, 12, 24, and 36 months. Differential change over time will be analyzed using Random Effects Multivariate modeling. Analyses will include control for office cluster effects and multivariate models will include analyses of hypothetical main effects, experimental group by time interactions, and moderating effects by inclusion of interaction terms for susceptibility by experimental condition and other possible moderators. Relevance: If successful, this study may inform policies that would promote all specialists (physicians, general dentists) to deliver brief counseling for diet and physical activity. Doing so might yield the cumulative exposure necessary to effect and sustain change in a large proportion of the preteen population.


Prompts to increase physical activity at points-of-choice between stairs and escalators: what about escalator climbers?
Authors: Bellettiere J. , Nguyen B. , Liles S. , Berardi V. , Adams M.A. , Dempsey P. , Benporat Y. , Kerr J. , LaCroix A.Z. , Hovell M. .
Source: Translational behavioral medicine, 2019-07-16; 9(4), p. 656-662.
PMID: 30099542
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College Student Beliefs and Behavior Regarding Sharing When Smoking Hookahs.
Authors: Kassem N.O.F. , Jackson S.R. , Kassem N.O. , Liles S. , Posis A.I.B. , Hovell M.F. .
Source: American journal of health behavior, 2019-01-01; 43(1), p. 133-144.
PMID: 30522572
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Acrolein Exposure in Hookah Smokers and Non-Smokers Exposed to Hookah Tobacco Secondhand Smoke: Implications for Regulating Hookah Tobacco Products.
Authors: Kassem N.O.F. , Kassem N.O. , Liles S. , Zarth A.T. , Jackson S.R. , Daffa R.M. , Chatfield D.A. , Carmella S.G. , Hecht S.S. , Hovell M.F. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2018-03-06; 20(4), p. 492-501.
PMID: 28591850
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Levels of Urine Cotinine from Hookah Smoking and Exposure to Hookah Tobacco Secondhand Smoke in Hookah Lounges and Homes.
Authors: Kassem N.O.F. , Kassem N.O. , Liles S. , Jackson S.R. , Posis A.I.B. , Chatfield D.A. , Hovell M.F. .
Source: International journal of high risk behaviors & addiction, 2018 Mar; 7(1), .
EPub date: 2018-02-19.
PMID: 29805963
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And She's Buying a Stairway to Health: Signs and Participant Factors Influencing Stair Ascent at a Public Airport.
Authors: Bellettiere J. , Liles S. , BenPorat Y. , Bliss N. , Hughes S.C. , Bishop B. , Robusto K. , Hovell M.F. .
Source: The journal of primary prevention, 2017 Dec; 38(6), p. 597-611.
PMID: 28936644
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Urinary NNAL in hookah smokers and non-smokers after attending a hookah social event in a hookah lounge or a private home.
Authors: Kassem N.O.F. , Kassem N.O. , Liles S. , Jackson S.R. , Chatfield D.A. , Jacob P. , Benowitz N.L. , Hovell M.F. .
Source: Regulatory toxicology and pharmacology : RTP, 2017 Oct; 89, p. 74-82.
EPub date: 2017-07-14.
PMID: 28716579
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Risk factors for tobacco susceptibility in an orthodontic population: An exploratory study.
Authors: Jashinsky J.M. , Liles S. , Schmitz K. , Ding D. , Hovell M. .
Source: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 2017 Aug; 152(2), p. 171-177.
PMID: 28760279
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Youth receiving orthodontic care are not immune to poor diet and overweight: a call for dental providers to participate in prevention efforts.
Authors: Schmitz K.E. , Liles S. , Hyman A.N. , Hofstetter C.R. , Obayashi S. , Parker M. , Surillo S.A. , Noel D. , Hovell M.F. .
Source: Pediatric dimensions, 2016; 1(3), p. 59-64.
EPub date: 2016-06-03.
PMID: 28164164
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Availability of Vending Machines and School Stores in California Schools.
Authors: Cisse-Egbuonye N. , Liles S. , Schmitz K.E. , Kassem N. , Irvin V.L. , Hovell M.F. .
Source: The Journal of school health, 2016 Jan; 86(1), p. 48-53.
PMID: 26645420
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Hookah Smoking and Facilitators/Barriers to Lounge Use among Students at a US University.
Authors: Kassem N.O. , Jackson S.R. , Boman-Davis M. , Kassem N.O. , Liles S. , Daffa R.M. , Yasmin R. , Madanat H. , Hovell M.F. .
Source: American journal of health behavior, 2015 Nov; 39(6), p. 832-48.
PMID: 26450551
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Children's exposure to secondhand and thirdhand smoke carcinogens and toxicants in homes of hookah smokers.
Authors: Kassem N.O. , Daffa R.M. , Liles S. , Jackson S.R. , Kassem N.O. , Younis M.A. , Mehta S. , Chen M. , Jacob P. , Carmella S.G. , et al. .
Source: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014 Jul; 16(7), p. 961-75.
EPub date: 2014-03-03.
PMID: 24590387
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Secondhand Smoke Exposure and Severity of Attention-Deficit/Hyperactivity Disorder in Preschoolers: A Pilot Investigation.
Authors: Tandon M. , Lessov-Schlaggar C.N. , Tillman R. , Hovell M.F. , Luby J. .
Source: Scandinavian journal of child and adolescent psychiatry and psychology, 2014; 2(1), p. 37-40.
PMID: 25133138
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Osteoporosis and milk intake among Korean women in California: relationship with acculturation to U.S. lifestyle.
Authors: Irvin V.L. , Nichols J.F. , Hofstetter C.R. , Ojeda V.D. , Song Y.J. , Kang S. , Hovell M.F. .
Source: Journal of immigrant and minority health, 2013 Dec; 15(6), p. 1119-24.
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Engineering online and in-person social networks to sustain physical activity: application of a conceptual model.
Authors: Rovniak L.S. , Sallis J.F. , Kraschnewski J.L. , Sciamanna C.N. , Kiser E.J. , Ray C.A. , Chinchilli V.M. , Ding D. , Matthews S.A. , Bopp M. , et al. .
Source: BMC public health, 2013-08-14; 13, p. 753.
EPub date: 2013-08-14.
PMID: 23945138
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Promoting smoke-free homes: a novel behavioral intervention using real-time audio-visual feedback on airborne particle levels.
Authors: Klepeis N.E. , Hughes S.C. , Edwards R.D. , Allen T. , Johnson M. , Chowdhury Z. , Smith K.R. , Boman-Davis M. , Bellettiere J. , Hovell M.F. .
Source: PloS one, 2013; 8(8), p. e73251.
EPub date: 2013-08-23.
PMID: 24009742
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When is it appropriate to scream fire in a crowded theater or public housing?
Authors: Hovell M.F. , Robusto K.M. , Matt G.E. .
Source: American journal of preventive medicine, 2013 Jan; 44(1), p. 93-5.
PMID: 23253657
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Adults' physical activity patterns across life domains: cluster analysis with replication.
Authors: Rovniak L.S. , Sallis J.F. , Saelens B.E. , Frank L.D. , Marshall S.J. , Norman G.J. , Conway T.L. , Cain K.L. , Hovell M.F. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2010 Sep; 29(5), p. 496-505.
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