Regular physical activity and a healthy diet can prevent and treat illnesses and prolong life, yet most Americans do neither. This proposal, PHLAME II (Promoting Healthy Living: Assessing More Effects), extends our original Behavior Change Consortium, NIH-funded study PHALME (Promoting Healthy Lifestyles: Alternative Models' Effects). With PHLAME II, we make optimal use of the resources expended with PHLAME to continue to serially assess our fire fighter participants, and further advance the two interventions (the team-centered, peer led, scripted TEAM curriculum and one-on-one motivational interviewing (MI) for health promotion) shown to significantly promote participants' healthy nutrition and physical activity habits, albeit by different mechanisms. The proposal's three primary components are 1) serial assessment and analyses of the original PHLAME participants' health behaviors, using advanced statistical techniques to compare the original three groups, define mediators of durability and lapses for immediate and longer-term outcomes and identify for whom and under what conditions interventions appear most effective; 2) analyses of previously taped motivational interviews, from a population ideally suited to define determinants of effective MI for health promotion; and 3) dissemination of the PHLAME TEAM program in distant real-world sites, with attention to individual outcomes and program implementation, and with aid of a web-based infrastructure and partnering with national organizations of fire fighters. The PHLAME investigator team will continue for PHLAME II, and the group greatly benefits from their PHLAME experience; established credibility with their subjects; predefined protocols; in-place techniques for streamlining data management; and strong ties among researchers, MI and statistical collaborators and recently established qualitative consultants. Although PHLAME II involves the simultaneous conduct of different projects, we have confidence that the current research team, our existing lines of communication and demonstrated willingness to collaborate and shift responsibilities, when needed, will allow our success in adhering to the proposed timeline and achieving PHAME II's study AIMS. We welcome the opportunity to continue our collaborations with other health promotion researchers in address compelling questions and advancing these critical aspects of our nation's health.
| Elliot, Diane L; Goldberg, Linn; MacKinnon, David P et al. (2016) Empiric validation of a process for behavior change. Transl Behav Med 6:449-56 |
| Mabry, Linda; Elliot, Diane L; Mackinnon, David P et al. (2013) Understanding the durability of a fire department wellness program. Am J Health Behav 37:693-702 |
| Kuehl, K S; Elliot, D L; Goldberg, L et al. (2013) Economic benefit of the PHLAME wellness programme on firefighter injury. Occup Med (Lond) 63:203-9 |
| Kuehl, Hannah; Mabry, Linda; Elliot, Diane L et al. (2013) Factors in adoption of a fire department wellness program: champ-and-chief model. J Occup Environ Med 55:424-9 |
| Pirlott, Angela G; Kisbu-Sakarya, Yasemin; Defrancesco, Carol A et al. (2012) Mechanisms of motivational interviewing in health promotion: a Bayesian mediation analysis. Int J Behav Nutr Phys Act 9:69 |
| Kuehl, Kerry S; Kisbu-Sakarya, Yasemin; Elliot, Diane L et al. (2012) Body mass index as a predictor of firefighter injury and workers' compensation claims. J Occup Environ Med 54:579-82 |
| Elliot, Diane L; Mackinnon, David P; Mabry, Linda et al. (2012) Worksite wellness program implementation: a model of translational effectiveness. Transl Behav Med 2:228-35 |
| Elliot, Diane L; Kuehl, Kerry S; Goldberg, Linn et al. (2011) Worksite health promotion in six varied US sites: beta testing as a needed translational step. J Environ Public Health 2011:797646 |
| Ranby, Krista W; MacKinnon, David P; Fairchild, Amanda J et al. (2011) The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: testing mediating mechanisms. J Occup Health Psychol 16:501-13 |
| MacKinnon, David P; Elliot, Diane L; Thoemmes, Felix et al. (2010) Long-term effects of a worksite health promotion program for firefighters. Am J Health Behav 34:695-706 |
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