American journal of preventive medicine
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Randomized Controlled Trial
Telephone counseling and attendance in a national mammography-screening program a randomized controlled trial.
In Germany, a mammography-screening program (MSP) was implemented on a national level. It complies with all criteria of the European guidelines for quality assurance in screening mammography; however, the attendance rate is 54%, falling short of the target attendance rate of 70%. The aim of this study was to investigate whether additional telephone counseling improves attendance among nonresponders and the level of satisfaction with telephone counseling. ⋯ Individual telephone counseling for nonresponders to a national program for breast cancer screening was well accepted by participants and effective.
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Randomized Controlled Trial Multicenter Study
Lay health educators translate a weight-loss intervention in senior centers: a randomized controlled trial.
Older adults have high obesity rates and respond well to evidence-based weight-loss programs, such as the Diabetes Prevention Program (DPP) Lifestyle intervention. The goal of this study was to determine whether a translation of the DPP Lifestyle program delivered by lay health educators and conducted in senior centers is effective in promoting weight loss among older adults. ⋯ A behavioral lifestyle weight-loss intervention delivered by a lay health educator offers a promising vehicle for translation of evidence-based obesity treatment programs in underserved areas.
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Randomized Controlled Trial
Neighborhood and parental supports for physical activity in minority adolescents.
Few studies have examined environmental, home, and parental supports for physical activity in underserved adolescents (low income, ethnic minority). Given the increasing incidence of obesity in minority adolescents, it is important to better understand ecologic determinants of physical activity in these youth. This study used an ecologic model to evaluate the significance of neighborhood, home, and parental supports for physical activity on moderate-to-vigorous (MV) physical activity in underserved adolescents. ⋯ Support from parents and neighborhood quality are both associated with increased physical activity in underserved adolescents.
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Randomized Controlled Trial
Motivating public school districts to adopt sun protection policies: a randomized controlled trial.
In 2002, CDC recommended that the nation's schools establish policies that reduce sun exposure to decrease students' risk of skin cancer. ⋯ Multifaceted promotion can increase adoption of stronger policies for reducing sun exposure of students by public school districts. Future research should explore how policies are implemented by schools.
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Randomized Controlled Trial
Maintenance of exercise after phase II cardiac rehabilitation: a randomized controlled trial.
Patients who have completed Phase II cardiac rehabilitation have low rates of maintenance of exercise after program completion, despite the importance of sustaining regular exercise to prevent future cardiac events. ⋯ A telephone-based intervention can help maintain exercise, prevent regression in motivational readiness for exercise, and improve physical functioning in this patient population.