Evidence map›Paper›PMID 25730716›Full record

ArticleThe American psychologist

Fostering multiple healthy lifestyle behaviors for primary prevention of cancer.

Bonnie Spring, Abby C King, Sherry L Pagoto, Linda Van Horn, Jeffery D Fisher

Open access · hybridAbstract read
In one paragraph

Article in The American psychologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
11.3field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Adherence to Diet and Physical Activity Cancer Prevention Guidelines and Cancer Outcomes: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2016
    Pooled it
  4. Pooled it
  5. Smartphone-Based Cancer and Obesity Prevention Education Program for Chinese Women (SCOPE): A Pilot RCT.International journal of environmental research and public health · 2023
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Lifestyle intervention effects on the frequency and duration of daily moderate-vigorous physical activity and leisure screen time.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017
    Trial
  10. Article
  11. Article
  12. Article
  13. Satisfaction with spiritual needs and perception of physical health as determinants of depressive symptoms in patients with cancer: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The Compound Multiple-Baseline Design.Perspectives on behavior science · 2025
    Article
  19. Are the ways women cope with stressors related to their health behaviors over time?Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  20. Article

5 more citing papers are in PubMed but not listed here.

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

5 authors at 4 institutions in 2 countries.

Bonnie SpringDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine.
Abby C KingPrevention Research Center, Stanford University.
Sherry L PagotoDepartment of Medicine, University of Massachusetts-Worcester.
Linda Van HornDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine.
Jeffery D FisherDepartment of Psychology, University of Connecticut.
Northwestern University · USPrevention Institute · USUniversity of Connecticut · USUniversity of Massachusetts Chan Medical School · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
Multiple Behavior Change in Diet and ActivityR01HL075451 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SPRING, BONNIE · 2004 to 2014
$6.6M
ACCISS: Activating Collaborative CIS Support ServicesR21CA126450 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SPRING, BONNIE · 2006 to 2007
$369k
NCI NIH HHS P30 CA060553NCI NIH HHS P30CA60553NCI NIH HHS R21 CA126450NCI NIH HHS R21CA126450NHLBI NIH HHS R01HL075351NHLBI NIH HHS R01 HL075451
6 · The paper itself

Abstract

The odds of developing cancer are increased by specific lifestyle behaviors (tobacco use, excess energy and alcohol intakes, low fruit and vegetable intake, physical inactivity, risky sexual behaviors, and inadequate sun protection) that are established risk factors for developing cancer. These behaviors are largely absent in childhood, emerge and tend to cluster over the life span, and show an increased prevalence among those disadvantaged by low education, low income, or minority status. Even though these risk behaviors are modifiable, few are diminishing in the population over time. We review the prevalence and population distribution of these behaviors and apply an ecological model to describe effective or promising healthy lifestyle interventions targeted to the individual, the sociocultural context, or environmental and policy influences. We suggest that implementing multiple health behavior change interventions across these levels could substantially reduce the prevalence of cancer and the burden it places on the public and the health care system. We note important still-unresolved questions about which behaviors can be intervened upon simultaneously in order to maximize positive behavioral synergies, minimize negative ones, and effectively engage underserved populations. We conclude that interprofessional collaboration is needed to appropriately determine and convey the value of primary prevention of cancer and other chronic diseases.

Indexed as

Health BehaviorPrimary PreventionRisk Reduction BehaviorAlcohol DrinkingDietHealth PromotionHumansMotor ActivityNeoplasmsObesityOverweightRiskRisk-TakingSexual BehaviorSmokingSunlight

Identifiers

PMID25730716
PMCPMC4626078
OpenAlexW1993165572

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.