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The PHLAME Firefighters' Study: Feasibility and Findings

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Objective: To assess efficacy of 2 worksite health promotion interventions. Methods: Randomly assign 3 fire stations to (a) team-based curriculum, (b) individual counselor meetings, and (c) control. Results: Both interventions were feasible and acceptable, and they resulted in significant reductions in LDL cholesterol. The team approach significantly increased coworker cohesion, personal exercise habits, and coworkers' healthy behaviors. The one-on-one strategy significantly increased dietary self-monitoring, decreased fat intake, and reduced depressed feelings. Conclusions: Although both interventions promoted healthy behaviors, specific outcomes differed and reflected their conceptual underpinnings. The team-based curriculum is innovative and may enlist influences not accessed with individual formats.
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Keywords: behavior change; health promotion; motivational interviewing; prevention; worksite

Document Type: Research Article

Affiliations: 1: Division of Health Promotion & Sports Medicine, Oregon Health & Science University, Portland, OR. 2: Oregon Research Institute, Eugene, OR. 3: Kaiser Permanente Center for Health Research, Portland, OR.

Publication date: 2004-01-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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