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

Pro-Change’s Work is Recognized by Dr. Mehmet Oz in Time Magazine

South Kingstown, RI – September 17, 2012 – In an article on behavior change in the September 17, 2012 issue of Time Magazine, Dr. Mehmet Oz, a renowned cardiothoracic surgeon, author, and television personality, emphasized the longevity and sustained applicability of the Transtheoretical Model. In the article titled “Goal Power,” Dr. Oz stated that the Transtheoretical Model “has been around since the late 1970s but is no less powerful now and even has special utility when two-thirds of Americans are overweight or obese and 600,000 of us are killed by cardiovascular disease per year.”

In addition to underscoring the crucial role behavior change plays in managing weight, Dr. Oz highlighted the impact interventions based on the Transtheoretical Model can have on medication adherence. He described in detail the results of a study Pro-Change conducted on improving adherence to antihypertensive drugs. The study, led by Dr. Sara Johnson, was funded by the National Heart, Lung, and Blood Institute. The evidence-based behavior change program that resulted in significant improvements in adherence a year after the intervention ended, is now a key component of Pro-Change’s award-winning LifeStyle Management Suite. An equally effective program has been developed to improve adherence to lipid-lowering medications. To learn more about the Medication Adherence programs or the results of the study, please visit www.prochange.com/medication-adherence. To learn more about Pro-Change’s weight management or other LifeStyle Management programs, please visit prochange.com/behavior-change-products.

Pro-Change Enters Health in Motion in the Childhood Obesity Challenge: Public Voting Open!

West Kingston, RI – August 16, 2012 – Pro-Change Behavior Systems, Inc. has entered Health in Motion in the American Journal of Preventive Medicine (AJPM) and the Robert Wood Johnson Foundation (RWJF) Childhood Obesity Challenge. Through this online competition the hope is to find innovative and promising solutions for healthier kids. Creative ideas, programs, projects, and interventions are eligible. Submissions will be judged by AJPM reviewers, a panel of expert judges, and through popular voting. Please cast your vote by going to http://ajpmchallenge.calit2.net/submissions/entry/id/65. You will be prompted to register. Health in Motion is on page 5 in the submission gallery. You can view all of the submissions and cast your vote until 5pm on September 30th.

Health in Motion is a self-directed program for adolescents that targets physical activity, fruit and vegetable consumption, and limited TV viewing. Using the Transtheoretical Model as a guiding theoretical framework, the program utilizes best practices of behavior change to offer individually tailored guidance on multiple risks through an efficient and low-cost approach. Using interactive technologies to reach populations of adolescents with science-based and personalized guidance, Health in Motion is a solution embedded with the capability for wide reach and impact.

Health in Motion was developed with funding from the National Institutes of Health and has been tested in two separate randomized clinical trials with 1,800 students from 8 high schools and with 4,158 students from 20 middle schools. Across both trials the program was found to impact the number of days doing 60 minutes or more of physical activity, daily consumption of fruits and vegetables, initiating and maintaining all three of the behaviors, reducing the number of behavioral risks, and progressing on multiple behaviors. Solid demonstrated evidence supports the utilization of Health in Motion to change energy balance behaviors.

Health in Motion is currently being distributed by employers as a behavior change offering for their employees’ dependents and by wellness centers to their youths members. The program platform is flexible with many possible options for dissemination. It can be delivered in classrooms, at youth or community organizations, in health care settings, by health care insurers, by school nurses, by primary care providers, or integrated into educational textbooks and curriculum. Health in Motion can be used as a stand-alone offering or in conjunction with environmental, curriculum, and policy initiatives. To view a demo of the program, please visit www.prochange.com/obesitydemo.

Submissions to the Challenge will be judged on three criteria: innovation of the idea; likelihood of being translated into real world action; and reach/evidence of large population-wide impact. The judging panel will identify 1st, 2nd, and 3rd prize winners. In addition, there will be a popular choice winner determined by the number of votes. You can cast your vote today until September 30th at 5pm at http://ajpmchallenge.calit2.net/submissions/entry/id/65. You can also “Like” Health in Motion on Facebook!

Pro-Change is a Collaborator in the University of Rhode Island’s $14 Million Grant

West Kingston, RI – June 28, 2012 – The University of Rhode Island (URI) was awarded a $14 million federal grant to develop a program coordinating the health care of adults with cognitive disabilities. The role of Pro-Change Behavior Systems, Inc. will be to customize its award winning evidence-based online LifeStyle Management programs to meet the special needs of the population. Pro-Change’s e-Learning training program will guide providers in using the Transtheoretical Model to coach patients in health behavior change for smoking cessation, regular exercise, stress management, and weight management.

The three-year grant was one of 81 new Health Care Innovation Awards announced this month. The grants are made possible by the Affordable Care Act.

With this funding, URI will develop a program called “Living Rite” to improve and coordinate health care for people with cognitive disabilities and multiple health risks who are covered by both Medicaid and Medicare. The Living Rite project is expected to create 31 jobs and save $15.5 million in health care costs by preventing illness, as well as managing illness more effectively to reduce the need for emergency room visits, nursing home care, and hospitalization.

About the University of Rhode Island
The University of Rhode Island is Rhode Island’s public learner-centered research university. Located in Kingston, RI with three other campuses throughout the state, URI is the only public institution in Rhode Island offering undergraduate, graduate, and professional students the distinctive educational opportunities of a major research university.

Pro-Change Programs Used at CT Technical High School System

West Kingston, RI – June 21, 2012– With a Department of Public Health Tobacco Cessation Grant, the Connecticut Technical High School System is now making available Pro-Change’s online Keeping It Fresh tobacco cessation program for youth and the adult online Smoking Cessation program for the youth’s parents and the schools’ staff.

Counselors, educators, and nurses at the Connecticut Technical Schools have been trained in guiding and supporting youth in using the program through in-service training, taking the basic Transtheoretical Model e-Learning course (and receiving 4 CEs), studying the Coaches Guide for Using the Transtheoretical Model, and having available the Smoking Cessation stage-matched manual.

Marie Burlette, RN, BSN, and co-coordinator of the grant, stated that “It is great to have evidenced-based cessation programs both for our students, parents, and staff all delivered through our technical schools throughout Connecticut.”

About the Connecticut Technical High School System
The Connecticut Technical High School System provides a unique and rigorous learning environment that ensures both student academic success, trade/technology mastery, and instills a zest for lifelong learning. Students are prepared for post-secondary education including apprenticeships and immediate productive employment. For more information please visit www.cttech.org.

Self Esteem Boston Signs an Agreement to Work with Pro-Change

West Kingston, RI – June 6, 2012 – Pro-Change and Self Esteem Boston are collaborating to develop validated pre- and post-measures to assess the readiness of Self Esteem Boston’s direct service clients in recovery to gain and use skills that support recovery and improve their lives.

Self Esteem Boston is a non-profit charitable organization that provides a unique psycho-educational program that directly teaches the tools of self-esteem as the basis for improving people’s lives. Self Esteem Boston targets their direct service programs to women in the Boston region who are homeless, substance abusers, victims of domestic violence, individuals transitioning out of the criminal justice system, and the unemployed. They also deliver professional development programs for community agency staff in greater Boston, and continuing education and CEU training programs to service providers throughout New England.

Marion B. Davis, President and Executive Director of Self Esteem Boston stated, “I am pleased to be collaborating with Pro-Change so that we can know better the impact our work has on our clients.”

About Self Esteem Boston

Self Esteem Boston’s mission is to change people’s lives from the inside out by raising their self-esteem. And by raising their self-esteem, it is their goal that people will live more consciously, and become self-accepting, self-assertive, and live with purpose, responsibility, and integrity. They do this by delivering self-esteem educational programs in group-settings which 1) defines what self-esteem is, 2) educates people on why self-esteem matters, and teaches people how to build self-esteem through essential skill development, and 3) support toward making healthy life choices. For more information, please visit
www.selfesteemboston.com.

Pro-Change’s Founder James O. Prochaska Highlighted in The American Journal of Health Promotion

West Kingstown, RI – May 17, 2012 – James O. Prochaska, PhD described as “one of the most prolific luminaries in the profession” was interviewed by Paul E. Terry, PhD the new editor of The Art of Health Promotion in the May/June 2012 edition of The American Journal of Health Promotion.

Dr. Terry focused on asking Dr. Prochaska on how best to apply what he has learned about behavior change against some of the most perplexing challenges we are presently tackling as practitioners. Terry explores with Jim the scientific implication of the generalized use of the Transtheoretical Model; the criticisms from West & Sutton; the use of financial incentives; and the importance of multiple behavior change.

Terry concluded that Jim is “deeply grounded in doing the right thing and allowing scientific evidence to be the basis for continued debate, disagreements, and discovery.”

William R. Miller, PhD provided a prologue to the interview in which he states that “it is now widely accepted that facilitating motivation for change is OUR job, and I can think of no one more responsible for that sea of change than Jim Prochaska.”

Join Dr. Paul Terry the new editor of The Art of Health Promotion, on Tuesday, May 29 at 1 p.m. (EST) for a discussion with Dr. James Prochaska and Dr. William Miller. Gain insight into practical application of their extensive research and hear their views on future direction for the field. Please visit: www.healthpromotionjournal.com.

Pro-Change’s Founder James O. Prochaska Highlighted in The American Journal of Health Promotion

West Kingstown, RI – May 17, 2012 – James O. Prochaska, PhD described as “one of the most prolific luminaries in the profession” was interviewed by Paul E. Terry, PhD the new editor of The Art of Health Promotion in the May/June 2012 edition of The American Journal of Health Promotion.

Dr. Terry focused on asking Dr. Prochaska on how best to apply what he has learned about behavior change against some of the most perplexing challenges we are presently tackling as practitioners. Terry explores with Jim the scientific implication of the generalized use of the Transtheoretical Model; the criticisms from West & Sutton; the use of financial incentives; and the importance of multiple behavior change.

Terry concluded that Jim is “deeply grounded in doing the right thing and allowing scientific evidence to be the basis for continued debate, disagreements, and discovery.”

William R. Miller, PhD provided a prologue to the interview in which he states that “it is now widely accepted that facilitating motivation for change is OUR job, and I can think of no one more responsible for that sea of change than Jim Prochaska.”

Join Dr. Paul Terry the new editor of The Art of Health Promotion, on Tuesday, May 29 at 1 p.m. (EST) for a discussion with Dr. James Prochaska and Dr. William Miller. Gain insight into practical application of their extensive research and hear their views on future direction for the field. Please visit: www.healthpromotionjournal.com.

Nurses and Health Educators Now Receive CEs Through TTM e-Learning

Pro-Change is pleased to announce that we have expanded our offering of continuing education credits for our e-Learning course titled, “Basic Transtheoretical Model Training.” In addition to having approval through the American Psychological Association and the National Association of Social Workers for 4 continuing education contact hours, we now offer continuing education to both nurses and health educators. Our TTM course is approved by the National Commission for Health Education Credentialing, Inc. (provider #SSP3733) for 4 CHES Category I continuing education contact hours (CECH). Our course is also approved by IAHB, an Approved Provider of Continuing Nursing Education by the Utah Nurses Association (UNA), an accredited Approver by the American Nurses Credentialing Center’s Commission on Accreditation. (UNA = 4 CEHs. Provider Code P09-03).

The online “Basic Transtheoretical Model Training” trains clinicians and health care professionals on the basic concepts and strategies to effectively use the Transtheoretical Model of Behavior Change (TTM) when working with clients to change health risk behaviors. Pro-Change’s President and CEO, Janice M. Prochaska, PhD stated that “We are pleased to now offer CEs to several major disciplines and to be able to expand the reach of our course.”

“Basic Transtheoretical Model Training” incorporates activities such as role-plays, knowledge checks, and a 25-item multiple-choice certificate test to further strengthen the concepts learned. It includes additional features such as closed captioning, recorded narration, and a resource library. For more information, please visit www.prochange.com/e-Learning.

By the end of the interactive four-hour course, which can be completed in one or multiple sittings, the learner will be able to:

  • Understand and describe the characteristics of people in each Stage of Change: Precontemplation, Contemplation, Preparation, Action, Maintenance, and Termination.
  • Describe the four main constructs of the TTM: stage of change, decisional balance, self-efficacy, and processes of change.
  • Identify which TTM principles and processes to employ at each Stage of Change (e.g., in Precontemplation to raise the Pros, in Maintenance to focus on preventing relapse).
  • List and define techniques of Motivational Interviewing (MI), a way of working wth clients that complements the TTM to support behavior change.

Initial course users have said:

“My experience with e-Learning training left me with a thorough understanding of the stages of behavior change as they are applied in assisting members/participants in changing lifestyle behaviors. There were excellent examples of how to incorporate strategies and kind encouragement in meeting a participant member where they currently are in their journey of making changes toward a healthier way of living.”

Coach

“The training helped me gain a better appreciation and understanding of the model and the science behind Pro-Change’s online programs.”

Research Assistant

“My first gut reaction is it is great, easy to follow, very organized, very professional and loaded with information. It is great to review in such a well thought out format.”

Health Professional

“…the virtual teacher was great – not too robotic, which some can be. And I thought the way the role-playing was handled was also great – you visually got the idea, without needing a video. The course explained many things about the TTM that were nebulous to me before.”

Researcher

Cost: $100/user.

To order or inquire about this course, please contact Pro-Change at e-Learning@prochange.com or call 401-874-9284.

Pro-Change Behavior Change Programs That Focused on Exercise and Stress Management Also Dramatically Improved Overall Well-Being

First-Ever Randomized Trial Evaluated the Impact of Health Coaching and Online Coaching Interventions on Individual Well-Being

West Kingstown, RI – April 4, 2012 – Pro-Change’s computer-tailored intervention (CTI) programs applying the Transtheoretical Model of Behavior Change (TTM) to exercise and stress management simultaneously reduced participants’ health risks while improving multiple areas of well-being. Areas of well-being that were significantly impacted included: physical health, emotional health, life evaluation, and healthy behaviors, according to a new study presented by Healthways, Inc. at the Population Health and Care Coordination Colloquium in Philadelphia in February and now released in the Population Health Management Journal 2012 online at
http://online.liebertpub.com/doi/abs/10.1089/pop.2011.0060.

Participants in a telephonic coaching program group, with exercise as the primary target behavior and stress management as a secondary target, improved healthy behaviors pertaining to exercise (57.3%) and stress management (74.9%). Those in a web-based program group, with stress management as the primary target behavior and exercise as a secondary target, also reported healthy behavior change pertaining to exercise (46.6%) and stress management (64.7%). Both of those groups were significantly more likely to achieve treatment success than the control group, which did not receive telephonic or online interventions for exercise or stress management.

“We know that well-being measures how we feel and experience our daily lives in addition to being predictive of future health care cost,” said James Pope, Vice President and Chief Science Officer, Healthways, Inc. “This study done in collaboration with Pro-Change adds to that knowledge by showing that cost-effective programs, conducted via telephone or online, adequately provide the support required to help populations improve health and well-being, resulting in lower health care costs across the board.”

Although a variety of behaviors relate to well-being (such as physical health, happiness, quality of life, and health care costs), exercise and effective stress management were chosen as the two health behaviors having the greatest potential for changing multiple domains of well-being. Exercise and stress management interventions were chosen since those behaviors were anticipated to have effects on multiple aspects of well-being and would be important components of a well-being improvement system, if proven effective. Results from the trial demonstrated that multiple areas of well-being did show improvement. Those areas of well-being not showing significant change, such as an individual’s access to health care or work environment, were not expected to show changes.

About the Study
The study was conducted on 3,391 individuals using Pro-Change Behavior Systems, Inc. programs and Healthways, Inc. health coaches. Both treatment groups included Pro-Change CTIs with tailoring based on an individual’s stage of change for a given behavior. The secondary behaviors in each intervention received stage-matched targeting, which only provides guidance on stage of change by giving strategies on the one or two best steps that could lead to the next stage. This type of protocol can simultaneously treat multiple behaviors while reducing the treatment demands on participants and providers.

The exercise coaching group received up to three proactive telephone sessions at 0, 3, and 6 months via outreach by a trained health coach. Coaches used the CTIs to guide all sessions with optimal TTM tailoring for exercise and stage-matched tailoring for stress management, the secondary target. The CTI led the coaches through a series of assessment questions and bulleted tailored feedback, based on stage of change and TTM variables, to guide their participants to the next stage of change. Each telephone session lasted about 20 minutes. The stress management online group received a self-directed Pro-Change web-based intervention with full TTM tailoring for stress management and stage-matched tailoring for exercise.

Those two treatment modalities were used, in part, because telephonic coaching and online CTIs represent the two most commonly applied modalities of scalable wellness interventions. This study was not designed, however, to compare whether telephone coaching produces greater impact than online CTIs or whether exercise, as the primary behavior, is more effective than stress management.

About Participants
Participants were recruited via the Internet through a survey sampling company that has a national pool of about 1,500,000 potential participants. To be eligible, participants had to report risk in the areas of both exercise (not engaging in moderate or vigorous exercise to national guidelines) and stress (reporting stress that was not being managed effectively) during the screening process.

About Healthways
Healthways (NASDAQ:HWAY) is the leading provider of specialized, comprehensive solutions to help millions of people maintain or improve their health and well-being, and as a result, reduce overall costs. Healthways’ solutions are designed to help healthy individuals stay healthy, mitigate or eliminate lifestyle risk factors that can lead to disease, and optimize care for those with chronic illness. Our proven, evidence-based programs provide highly specific and personalized interventions for each individual in a population, irrespective of age or health status, and are delivered to consumers by phone, mail, Internet, and face-to-face interactions, both domestically and internationally. Healthways also provides a national, fully accredited complementary and alternative Health Provider Network and a national Fitness Center Network, offering convenient access to individuals who seek health services outside of, and in conjunction with, the traditional healthcare system. For more information, please visit www.healthways.com.

Pro-Change Behavior Change Programs That Focused on Exercise and Stress Management Also Dramatically Improved Overall Well-Being

First-Ever Randomized Trial Evaluated the Impact of Health Coaching and Online Coaching Interventions on Individual Well-Being

West Kingstown, RI – April 4, 2012 – Pro-Change’s computer-tailored intervention (CTI) programs applying the Transtheoretical Model of Behavior Change (TTM) to exercise and stress management simultaneously reduced participants’ health risks while improving multiple areas of well-being. Areas of well-being that were significantly impacted included: physical health, emotional health, life evaluation, and healthy behaviors, according to a new study presented by Healthways, Inc. at the Population Health and Care Coordination Colloquium in Philadelphia in February and now released in the Population Health Management Journal 2012 online at
http://online.liebertpub.com/doi/abs/10.1089/pop.2011.0060.

Participants in a telephonic coaching program group, with exercise as the primary target behavior and stress management as a secondary target, improved healthy behaviors pertaining to exercise (57.3%) and stress management (74.9%). Those in a web-based program group, with stress management as the primary target behavior and exercise as a secondary target, also reported healthy behavior change pertaining to exercise (46.6%) and stress management (64.7%). Both of those groups were significantly more likely to achieve treatment success than the control group, which did not receive telephonic or online interventions for exercise or stress management.

“We know that well-being measures how we feel and experience our daily lives in addition to being predictive of future health care cost,” said James Pope, Vice President and Chief Science Officer, Healthways, Inc. “This study done in collaboration with Pro-Change adds to that knowledge by showing that cost-effective programs, conducted via telephone or online, adequately provide the support required to help populations improve health and well-being, resulting in lower health care costs across the board.”

Although a variety of behaviors relate to well-being (such as physical health, happiness, quality of life, and health care costs), exercise and effective stress management were chosen as the two health behaviors having the greatest potential for changing multiple domains of well-being. Exercise and stress management interventions were chosen since those behaviors were anticipated to have effects on multiple aspects of well-being and would be important components of a well-being improvement system, if proven effective. Results from the trial demonstrated that multiple areas of well-being did show improvement. Those areas of well-being not showing significant change, such as an individual’s access to health care or work environment, were not expected to show changes.

About the Study
The study was conducted on 3,391 individuals using Pro-Change Behavior Systems, Inc. programs and Healthways, Inc. health coaches. Both treatment groups included Pro-Change CTIs with tailoring based on an individual’s stage of change for a given behavior. The secondary behaviors in each intervention received stage-matched targeting, which only provides guidance on stage of change by giving strategies on the one or two best steps that could lead to the next stage. This type of protocol can simultaneously treat multiple behaviors while reducing the treatment demands on participants and providers.

The exercise coaching group received up to three proactive telephone sessions at 0, 3, and 6 months via outreach by a trained health coach. Coaches used the CTIs to guide all sessions with optimal TTM tailoring for exercise and stage-matched tailoring for stress management, the secondary target. The CTI led the coaches through a series of assessment questions and bulleted tailored feedback, based on stage of change and TTM variables, to guide their participants to the next stage of change. Each telephone session lasted about 20 minutes. The stress management online group received a self-directed Pro-Change web-based intervention with full TTM tailoring for stress management and stage-matched tailoring for exercise.

Those two treatment modalities were used, in part, because telephonic coaching and online CTIs represent the two most commonly applied modalities of scalable wellness interventions. This study was not designed, however, to compare whether telephone coaching produces greater impact than online CTIs or whether exercise, as the primary behavior, is more effective than stress management.

About Participants
Participants were recruited via the Internet through a survey sampling company that has a national pool of about 1,500,000 potential participants. To be eligible, participants had to report risk in the areas of both exercise (not engaging in moderate or vigorous exercise to national guidelines) and stress (reporting stress that was not being managed effectively) during the screening process.

About Healthways
Healthways (NASDAQ:HWAY) is the leading provider of specialized, comprehensive solutions to help millions of people maintain or improve their health and well-being, and as a result, reduce overall costs. Healthways’ solutions are designed to help healthy individuals stay healthy, mitigate or eliminate lifestyle risk factors that can lead to disease, and optimize care for those with chronic illness. Our proven, evidence-based programs provide highly specific and personalized interventions for each individual in a population, irrespective of age or health status, and are delivered to consumers by phone, mail, Internet, and face-to-face interactions, both domestically and internationally. Healthways also provides a national, fully accredited complementary and alternative Health Provider Network and a national Fitness Center Network, offering convenient access to individuals who seek health services outside of, and in conjunction with, the traditional healthcare system. For more information, please visit www.healthways.com.