Evidence-based health and well-being for entire populations.

Comparisons

Comparing Pro-Change vs. Competitors


Comparison Variable Pro-Change Competitors(includes telephonic coaching and worksite groups/clinics)
NIH Peer-Reviewed and Funded
NIH = National Institutes of Health, Peer-Reviewed = Reviewed by other researchers for funding recommendations

Yes

Rarely

Developed for Entire Population
Those not ready, getting ready, and ready to change to a healthier behavior

Yes

Preparation stage typically
Preparation = intending to take action in the next month
Uses All TTM Constructs
TTM = Transtheoretical Model of Behavior Change, which uses stages of change to integrate change constructs from leading theories of behavior change.

Yes

No, typically uses stages of change only
Feedback Tailored at Each Contact
Tailored = assessing each relevant TTM construct and tailoring feedback to current assessment

Yes

No, typically at first feedback only
Normative and Ipsative Feedback
Normative = compared to others, Ipsative = compared to self at a previous timepoint

Yes

No, typically normative feedback only
Scientific Decision Making
Decisions based on statistical probabilities on what steps would be most likely to produce change based on previous research

Yes

No, typically clinical judgment after first feedback
Clinical judgment is based on clinicians’ best guess as to what steps will be most helpful.
Tested on Entire Populations

Yes

No, typically on select samples (usually those in Preparation)
Tested by Randomized Controlled Trials (RCTs)
RCTs involve randomly assigning participants to treatment or control groups to control for variables that could bias outcomes.

Yes

No, typically uncontrolled case studies
Individualized
Feedback is based on needs of each individual as determined by assessments at each intervention contact.

Fully

Not typically

Improves Alternate Interventions
Computer-based feedback improves coaching outcomes.

Yes

No

Treats Multiple Risks
Treats multiple behavior risks simultaneously.
Yes, as effectively as treating a single risk No, typically focused on only one risk at a time
Impacts Multiple Behaviors
Changes multiple behaviors treated at same time.

Unprecedented

No, typically treated single or sequentially

Amount of Evidence Used to Develop Programs
Evidence includes database and statistical decision rules that determine how to tailor feedback.

High

Low

Participation Rates
Percentage of a target population that participated in RCTs.

High

Low

Impact on Population
Impact = percent participation x percent successful x the sum of the number of behaviors changed.

The higher the impact, the greater number of risk behaviors changed in the entire target population.

Highest

Low

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