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Open Access Engagement Indicators Predict Health Changes in a Lifestyle Intervention

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Objective: To evaluate the utility of several participant engagement indicators for predicting health changes in a church-based lifestyle intervention shown effective for improving dietary, physical activity, and clinical outcomes. Methods: Descriptive indicators were constructed using 2 participant engagement measures – education session attendance (EDA) and exercise class attendance (EXA) – separately and combined. Relationships of 6 engagement indicators to health outcomes were tested using generalized linear mixed models. Results: EDA predicted 5 dietary and 1 clinical outcome, whereas EXA predicted one physical activity and one clinical outcome. The combined indicator predicted the same 7 outcomes. Conclusion: Use of single engagement indicators specific to each intervention component is advocated for predicting relevant health outcome.

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Document Type: Research Article

Affiliations: 1: US Department of Agriculture, Agricultural Research Service, Stoneville, MS, USA. [email protected] 2: Department of Medicine and Cancer Center, University of Illinois at Chicago, Chicago, IL, USA 3: US Department of Agriculture, Agricultural Research Service, Stoneville, MS, USA 4: Department of Human Nutrition, Foods and Exercise, Virginia Tech, VA, USA

Publication date: May 1, 2015

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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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