Arch Intern Med
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Randomized Controlled Trial Comparative Study
Multiple behavior changes in diet and activity: a randomized controlled trial using mobile technology.
Many patients exhibit multiple chronic disease risk behaviors. Research provides little information about advice that can maximize simultaneous health behavior changes. ⋯ Remote coaching supported by mobile technology and financial incentives holds promise to improve diet and activity. Targeting fruits/vegetables and sedentary leisure together maximizes overall adoption and maintenance of multiple healthy behavior changes.
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Randomized Controlled Trial
Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies.
Despite evidence that several colorectal cancer (CRC) screening strategies can reduce CRC mortality, screening rates remain low. This study aimed to determine whether the approach by which screening is recommended influences adherence. ⋯ The common practice of universally recommending colonoscopy may reduce adherence to CRC screening, especially among racial/ethnic minorities. Significant variation in overall and strategy-specific adherence exists between racial/ethnic groups; however, this may be a proxy for health beliefs and/or language. These results suggest that patient preferences should be considered when making CRC screening recommendations. Trial Registration clinicaltrials.gov Identifier: NCT00705731.
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Randomized Controlled Trial
Obesity treatment for socioeconomically disadvantaged patients in primary care practice.
Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting. ⋯ The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration clinicaltrials.gov Identifier: NCT00661817.
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Randomized Controlled Trial
Osteoporosis telephonic intervention to improve medication regimen adherence: a large, pragmatic, randomized controlled trial.
Multiple studies demonstrate poor adherence to medication regimens prescribed for chronic illnesses, including osteoporosis, but few interventions have been proven to enhance adherence. We examined the effectiveness of a telephone-based counseling program rooted in motivational interviewing to improve adherence to a medication regimen for osteoporosis. ⋯ In this randomized controlled trial, we did not find a statistically significant improvement in adherence to an osteoporosis medication regimen using a telephonic motivational interviewing intervention.