TY  - JOUR
PY  - 2007//
TI  - The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: outcomes of two models of behavior change
JO  - Journal of Occupational and Environmental Medicine
A1  - Elliot, Diane L.
A1  - Goldberg, Linn
A1  - Kuehl, Kerry S.
A1  - Moe, Esther L.
A1  - Breger, Rosemary K. R.
A1  - Pickering, Michael A.
SP  - 204
EP  - 213
VL  - 49
IS  - 2
N2  - 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>
LA  - en
SN  - 1076-2752
UR  - http://dx.doi.org/10.1097/JOM.0b013e3180329a8d
ID  - ref1
ER  -