@article{ref1,
title="The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: outcomes of two models of behavior change",
journal="Journal of Occupational and Environmental Medicine",
year="2007",
author="Elliot, Diane L. and Goldberg, Linn and Kuehl, Kerry S. and Moe, Esther L. and Breger, Rosemary K. R. and Pickering, Michael A.",
volume="49",
number="2",
pages="204-213",
abstract="OBJECTIVE: PHLAME's (Promoting Healthy Lifestyles: Alternative Models' Effects) objective was to assess and compare two means to promote healthy lifestyles. METHODS: Prospective trial among 599 firefighters randomized by station to 1) team-centered curriculum, 2) one-on-one motivational interviewing (MI), and 3) controls. Assessment included dietary behavior, physical activity, weight, and general well-being at baseline and 12 months. Program effects were determined using an analysis of covariance (ANCOVA) based approach, and models for relationships were evaluated with path analysis. RESULTS: Both interventions were acceptable and delivered with high fidelity. The team and MI programs increased fruit and vegetable consumption (P < 0.01 and 0.05, respectively) and general well-being (P < 0.01). Significantly less weight gain occurred in both (P < 0.05). A cross-sectional model was consistent with mediation differing between interventions. CONCLUSIONS: Both a team-centered and individual-oriented intervention promoted healthy behaviors. The scripted team curriculum is innovative, exportable, and may enlist influences not accessed with individual formats.<p /><p>Language: en</p>",
language="en",
issn="1076-2752",
doi="10.1097/JOM.0b013e3180329a8d",
url="http://dx.doi.org/10.1097/JOM.0b013e3180329a8d"
}