About ONA – ONA is the representative and voice of the over 170,000 registered nurses in Ohio. Click to learn more about our vision, mission and. Further reading to support The Five Practices: General Leadership. Bennis, W., On Becoming a Leader. Reading, MA: Perseus, 1994. Evaluation: A Systematic Approach, 7th Edition .
Mauriello, L. M., Prochaska, J. O., Redding, C. A., & Velicer, W. F. This integrative study examines the generalization of coaction in three studies on weight- related behaviors.
Methods: Data from three randomized trials of tailored interventions (n=1. In each analysis, the likelihood of progressing to the Action or Maintenance stages for the target behaviors was evaluated using logistic regression.
Results: Despite differences in populations, targeted behaviors, levels of tailoring in interventions, and timing of follow- up assessments, 1.
In 2. 3/2. 4 analyses, coaction of behavior change was larger on an absolute basis in the treatment group. Individuals in the treatment group progressing to Action/Maintenance for one behavior were 1. Additional studies are needed to replicate these results in other behavioral areas and to examine the predictors of differential coaction.
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The ability to consistently create coaction within multiple behavior interventions will increase the efficacy and cost- effectiveness of multiple behavior change interventions.
Johnson, S. S. Using the Transtheoretical Model to Promote the Adoption & Maintenance of Regular Exercise.
In C. Evaluation of a stage- based, computer- tailored adjunct to usual care for domestic violence offenders. Acceptability of a stage- matched expert system intervention for domestic violence offenders. Murphy (Eds.), Motivational interviewing and stages of change in intimate partner violence (pp.
New York: Springer Publishing.
Keywords: Domestic Violence and Dating Violence
Levesque, D. O., & Prochaska, J. Randomized Trial of a Transtheoretical Model Computer- Tailored. Intervention for Patients With Depression.
A randomized controlled trial assessed the intervention. Participants received the intervention (n=4. The primary outcomes, assessed at 9 months follow- up, were reliable and clinically significant reduction in depression, and onset of major depression among patients experiencing only subclinical symptoms at baseline. Planned analyses further examined the intervention. Antidepressant samples).
Results: The intervention group was significantly more likely than control to experience a reliable and clinically significant reduction in depression (OR=1. CI=1. 2. 3- 2. 2.
OR=0. 6. 3, CI=0. The intervention was equally effective in the Untreated and Antidepressant samples, but did show differential effectiveness based on other participant characteristics.
Conclusion: The TTM program has the potential to fill an important gap in services and improve depression outcomes in primary care.
Prochaska, J. O., Evers, K. E., Castle, P.
H., Johnson, J. L., Prochaska, J. M., Rula, E. Y., Coberley, C., & Pope, J. E. Enhancing Multiple Domains of Well- being by Decreasing Multiple Health Risk Behaviors: A Randomized Clinical Trial. This randomized trial evaluated the impact of tailored telephone coaching and Internet interventions on health risk behaviors and individual well- being.
Exercise and stress management were the primary health risks of
interest; improvements in other health risk behaviors were secondary outcomes. A sample of 3. 39. Transtheoretical Model (TTM) tailoring for exercise and minimal tailoring (stage of change) for stress management; an Internet program that applied TTM tailoring for stress management and minimal tailoring for exercise; or a control group that received an assessment only.
Participants were administered the Well- Being Assessment and, at baseline, had relatively low well- being scores (mean, 6. At 6 months a significantly higher percentage of both treatment groups progressed to the action stage for exercise, stress management, healthy diet, and total number of health risks, compared to the control group. Both treatment groups also demonstrated significantly greater improvements on overall well- being and the domains of emotional health, physical health, life evaluation, and healthy behaviors. There were no differences between the groups for 2 well- being domains: basic access to needs and work environment. These results indicate that scalable, tailored behavior change programs can effectively reduce health risk and accrue to improved well- being for participants.
Prochaska, J.
Transtheoretical- based expert systems guiding youth to have healthier, less stressful lives. Tanno (Eds.), Clinical Stress Psychology. Tokyo: University of Tokyo Press.
Keywords: Stress Management
Dempsey- Fanning, A., Johnson, S. S., Westhoff, C. W. DOI: 1. 0. 1. 36. Keywords: Sexual Activity and Condom Use
Context: Improved continuation of oral contraceptive use may decrease the incidence of unintended pregnancy.
Therefore, identifying predictors of continuation is important to informing targeted interventions. Methods: A survey conducted in 2. Cluster analysis of data from 1,2.
Logistic regression was used to assess the likelihood of continuation among the clusters.
Results: Participants who were confident in their ability to use the pill and who considered both its advantages and its disadvantages important were more likely to continue use for six months than were those who gave low scores to the method. The same appeared to be true for those who gave high scores to the pill. Demographic variables were not significant after adjustment for cluster membership.
Conclusions: Cluster membership based on transtheoretical model constructs helps predict oral contraceptive continuation. Women who undervalue the advantages of pill use and have low confidence in their ability to use the method represent a target for interventions and future research.
Mauriello, L. M., G. An internet- based computer tailored intervention to promote responsible drinking: Findings from a pilot test with employed adults.
In a pilot test, 1. Pre- and post- assessments indicate intention to make behavioral changes. Importantly, 9. 4.
Ratings were positive with the majority of participants agreeing or strongly agreeing with all 1. Feasibility was demonstrated by recruiting and engaging employed adults. This program is a cost- effective prevention program promoting responsible drinking to adults.
Mauriello, L., Dyment, S., Prochaska, J. M., Gagliardi, A. Acceptability and feasibility of a multiple behavior computer tailored intervention for underserved pregnant women. Intervention content, based on the Transtheoretical- Model, offered pregnant women assistance with smoking cessation, stress management, and fruit and vegetable consumption. Pregnant women (N=8.
After completing the intervention women answered a 1. Participants rated the program very positively with 8. For example, 9. 5. Additionally, the majority of participants (9. There were no significant differences in the ratings based on demographic characteristics of the participants.
Qualitative responses support acceptability for the program. Further, pre and post assessments indicated an increase in intention to make behavioral changes. With acceptability and feasibility confirmed, the next steps are to test efficacy and consequently to distribute the program to populations of underserved pregnant women.
Levesque, D. A., Van Marter, D. F., Greene, R. N., Prochaska, J.
M., Castle, P. H., & Prochaska, J. Assessing adolescents. Designing a health behavior change program for dissemination to underserved pregnant women. A case study provides an example to guide researchers, academics, and practitioners on how to incorporate dissemination in all aspects of project planning and implementation. Formative research toward developing a healthy pregnancy program for undeserved pregnant women was conducted with an advisory council, expert interviews, focus groups and usability interviews with the target population, key informant interviews, expert reviews of the pilot program, and a pilot test.
The extensive formative research served to lay the foundation for the development of this comprehensive healthy pregnancy program. Successful adoption of interventions depends upon strong formative research, participatory research methods, interdisciplinary collaboration, and a commitment to dissemination from project inception. The development of the intervention discussed serves as a useful and practical example for others working in health care and behavioral medicine to improve the overall health and well- being of the underserved.
Prochaska, J. O., Evers, K. E., Johnson, J. L., Castle, P. H., Prochaska, J. M., Sears, L. E., Rula, E.
Y., & Pope, J. E. The Well- Being Assessment for Productivity: A Well- Being Approach to Presenteeism. Method: The WBA- P was developed using exploratory and confirmatory factor analysis using survey data from 1. Evidence of criterion- related validity was established using multivariate analysis of variance across measures of health and well- being. Results: A hierarchical, two- factor model demonstrated good fit and included factors capturing productivity loss from personal reasons (WBA- PP) and work environment (WBA- PW). Significant interactions existed between these and previously validated presenteeism measures with respect to physical and emotional health, risk factors, and life evaluation.
Conclusions: This initial psychometric evidence suggests that the WBA- P and its subscales are valid measures of presenteeism that capture actionable well- being. Recent findings related to the Transtheoretical Model. Gordon (Eds.) Best Practices in the Behavioral Management of Disease, (Volume 1, pp S1- 1- S1- 5).
Keywords: Transtheoretical Model
Prochaska, J.
O. High- impact paradigms for changing behavior to enhance health, productivity and well- being. Nash (Eds.) Disease Management and Wellness in the Post- Reform Era, (pp.
Washington, D. C.: Atlantic Information Services, Inc.
Keywords: Transtheoretical Model
Mauriello, L. M., Ciavatta, M. H., Paiva, A.