Evidence map›Paper›PMID 24642140›Full record

Trial reportPreventive medicine2014

A randomized comparative effectiveness study of Healthy Directions 2--a multiple risk behavior intervention for primary care.

Karen M Emmons, Elaine Puleo, Mary L Greaney, Matthew W Gillman, Gary G Bennett, Jess Haines, Kim Sprunck-Harrild, K Viswanath

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01415492 (Multiple Risk Behavior Intervention in Health Care Settings), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01415492 nacompletednot on this map

Multiple Risk Behavior Intervention in Health Care Settings

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2009 to 2012Enrolled2,440ConditionsHealth Behavior, Risk Reduction BehaviorArmsHD2, HD2+
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
  3. Enhancing behavioral change among lung cancer survivors participating in a lifestyle risk reduction intervention: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Karen M EmmonsKaiser Foundation Research Institute, 1800 Harrison Avenue, Oakland, CA 94612, USA. Electronic address: Karen.m.emmons@kp.org.
Elaine PuleoUniversity of Massachusetts Amherst, Amherst, MA, USA.
Mary L GreaneyUniversity of Rhode Island, Kingston, RI, USA.
Matthew W GillmanHarvard Medical School/Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Gary G BennettDuke University, Department of Psychology and Neuroscience, Box 90086, 417 Chapel Drive, Durham NC 27708-0086.
Jess HainesUniversity of Guelph, Guelph, Ontario, Canada.
Kim Sprunck-HarrildDana-Farber Cancer Institute, Boston, MA, USA.
K ViswanathDana-Farber Cancer Institute, Boston, MA, USA.

Funding

Multiple Risk Behavior Intervention in Health Care SettingsR01CA123228 · NCI · DANA-FARBER CANCER INST · PI EMMONS, KAREN M. · 2007 to 2011
$3.3M
Patient-oriented research in early life origins of CVDK24HL068041 · NHLBI · HARVARD PILGRIM HEALTH CARE, INC. · PI GILLMAN, MATTHEW W · 2001 to 2010
$1.4M
Dissemination Research to Reduce Cancer DisparitiesK05CA124415 · NCI · DANA-FARBER CANCER INST · PI EMMONS, KAREN M. · 2007 to 2011
$810k
NCI NIH HHS K05 CA124415NCI NIH HHS R01 CA123228NHLBI NIH HHS K24 HL068041
6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of the Healthy Directions 2 (HD2) intervention in the primary care setting.

methodsHD2 was a cluster randomized trial (conducted 3/09-11/11). The primary sampling unit was provider (n=33), with secondary sampling of patients within provider (n=2440). Study arms included: 1) usual care (UC); 2) HD2--a patient self-guided intervention targeting 5 risk behaviors; and 3) HD2 plus 2 brief telephone coaching calls (HD2+CC). The outcome measure was the proportion of participants with a lower multiple risk behavior (MRB) score by follow-up.

resultsAt baseline, only 4% of the participants met all behavioral recommendations. Both HD2 and HD2+CC led to improvements in MRB score, relative to UC, with no differences between the two HD2 conditions. Twenty-eight percent of the UC participants had improved MRB scores at 6 months, vs. 39% and 43% in HD2 and HD2+CC, respectively (ps≤.001); results were similar at 18 months (p≤.05). The incremental cost of one risk factor reduction in MRB score was $310 for HD2 and $450 for HD2+CC.

conclusionsSelf-guided and coached intervention conditions had equivalent levels of effect in reducing multiple chronic disease risk factors, were relatively low cost, and thus are potentially useful for routine implementation in similar health settings.

Indexed as

Health BehaviorRisk Reduction BehaviorBostonComorbidityCost-Benefit AnalysisCounselingDietFemaleHealth PromotionHumansLogistic ModelsMaleMiddle AgedMotor ActivityNeoplasmsPrimary Health CareCancer preventionMultimorbiditiesPhysical activityPrimary care interventionRed meatSmoking cessation

Identifiers

PMID24642140
PMCPMC4204110

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.