Citation

Elliot DL, Goldberg L, Kuehl KS, Moe EL, Breger RKR, Pickering MA. J. Occup. Environ. Med. 2007; 49(2): 204-213.

Affiliation

Division of Health Promotion & Sports Medicine, Oregon Health & Science University, Portland, Oregon 97239-3098, USA. elliotd@ohsu.edu

Copyright

(Copyright © 2007, Lippincott Williams and Wilkins)

DOI

10.1097/JOM.0b013e3180329a8d

PMID

17293760

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.

Language: en