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

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Consulting and Training

e-Learning: Training in the Transtheoretical Model.

An engaging online course, our e-Learning module teaches coaches and other health professionals the basic concepts and strategies needed to effectively use the Transtheoretical Model and motivational interviewing in their work. Professionals may receive continuing education credit for completing the course.

Training in the Transtheoretical Model or Stages of Change, online, for healthcare professionals

Research and Development Services.

Whether building a brand new intervention or supporting a nationwide well-being survey, our outstanding Ph.D. and M.P.H. researchers are ready to support you in your research and development. We can bring the best that science has to offer to your behavior change needs. We can also present and publish together to bring special attention to your services.

Research and Development Consultant Services

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LifeStyle Management Outcomes

Stress Management

Our SAMHSA-recognized Stress Management program assists adults in effectively managing stress in healthy ways, including: exercising, seeking social support, and using relaxation techniques. At 18-month follow-up, 62% of those using our program began to effectively manage their stress.

62%
effectively managed their stress

Stress Management Outcomes

Weight Management

Our Weight Management program focuses on three health behaviors: 1. Regular exercise, 2. Healthy eating, and 3. Managing emotional eating. At 24-month follow-up, 30% of those using our program lost 5% or more of their body weight. Based on national guidelines, 45% began to exercise regularly and 48% began to eat a healthy diet.

30%
lost 5% or more of body weight

Weight Management Outcomes

Depression Prevention

Nineteen million Americans experience depression each year. Those using our Depression Prevention program reported a reduction in depression symptoms and began to consistently use effective strategies to prevent depression at 9-month follow-up.

73%
experienced reduction in symptoms

Depression Prevention Outcomes

Smoking Cessation

Our Smoking Cessation interventions have consistently outperformed alternatives and competitors. A recent randomized study showed 26% of smokers using our program quit smoking at 3-month follow-up.

26%
successfully quit smoking
 Smoking Cessation

Regular Exercise

National guidelines recommend exercising for 150 minutes a week at a moderate intensity level, or 75 minutes a week at a vigorous intensity level. In a randomized controlled trial, 57% of individuals using our Exercise program started exercising at or above the guidelines after 6 months.

57%
met national guidelines for regular exercise

Regular Exercise Outcomes

Medication Adherence

Our Medication Adherence programs are designed as an adjunct to a physician-prescribed treatment. In a randomized controlled trial, 73% of those using our program began to adhere to their prescribed anti-hypertension medication regimen at 12-month follow-up.

73%
adhered to their anti-hypertensive medication regimen

Medication Adherence Outcomes

Responsible Drinking

Nearly 30% of adults in the U.S. engage in risky drinking (drinking more than 14 drinks/week or 4 in one day for men age 65 and under, and drinking more than 7 drinks/week or 3 in one day for men 65 and under and for all women. In a randomized trial involving high-risk drinkers, 51% of those using our program reduced their drinking to the low-risk limits at 18-month follow-up.

51%
reduced their drinking to low-risk limits


Specialized Behavior Change Program Outcomes

For Adults

Domestic Violence

Journey to Change, Pro-Change’s domestic violence program, is designed as an adjunct to traditional batterer treatment. The program aims to increase readiness to use a range of healthy strategies to stay violence-free. At 12-month follow-up, 50% of men using our program had sought additional treatment outside of their court-mandated treatment; based on partner reports, 78% remained violence-free.

78%
remained violence free

Pregnancy Health

Our Healthy Pregnancy: Step-by-Step program assists pregnant women in effectively managing stress, quitting smoking and staying quit, and eating more fruits and vegetables. In a randomized controlled trial, users reported a reduction in risk behavior and an increase in fruit and vegetable consumption at postpartum follow-up.

49%
reduction in risk behavior

Healthy Pregnancy

For College Students

liveWell

liveWell: A Healthy Foundation for Life is an online program designed to help college students improve their exercise, eating, and stress management habits. In addition to improvements in those behaviors, results of our randomized controlled trial indicated that liveWell users significantly increased their well-being.

64%
were consuming 4½ cups of fruit and vegetables per day*

*at 3 months

For Youth

Health in Motion

Our Health in Motion program for adolescents focuses on behaviors critical for obtaining a healthy energy balance. In a randomized controlled trial, students using the program were more likely at 3-month follow-up to meet national guidelines for physical activity, fruit and vegetable consumption, and TV viewing. These findings were replicated in a later study, which also demonstrated that the intervention reduced uptake of cigarette and alcohol use.

43%
were watching 2 hours or less of TV each day

Healthy Teens

Juvenile Justice

The Rise Above Your Situation (RAYS) program integrates best practices from existing evidence-based programs for justice-involved youth and substance abusers. The effectiveness of the RAYS program was evaluated in a study involving 696 youth on probation. Youth who received the intervention committed fewer crimes than control during follow-up, were less likely to use marijuana monthly, use alcohol monthly, use other drugs, or be arrested for a drug- or alcohol-related crimes.

70%
of high-risk substance users had quit alcohol and drugs

Juvenile Delinquency and Substance Abuse

The RAYS (Rise Above Your Situation) program is a stage-matched online program that integrates best practices from existing evidence-based programs for justice involved youth and substance abusers, and helps juvenile justice and social service professionals to set personal goals and interventions for their clients.

The RAYS program is a youth-driven intervention designed to:

  • Serve as an adjunct to traditional juvenile justice programs to reduce recidivism and substance abuse
  • Help juvenile justice staff to motivate youth to make behavior change using the stages of change model
  • Give juvenile justice staff intervention ideas and other tools to help youth progress through the stages of change for stopping delinquent behavior and/or substance use

The RAYS program allows youth to:

  • Complete an online assessment, in a multimedia-rich web-based environment
  • Get immediate feedback on their stage of change and individualized guidance designed to facilitate progress through the stages
  • Engage in the change process and develop goals to move toward long term behavior change

The RAYS program is a powerful tool for connecting staff with youth, and will allow staff to receive:

  • Valuable training and skills
  • Important information about their clients
  • Individual youth and help-giver reports to guide youth through the stages of change and set stage-matched goals
  • A convenient method for documenting one-on-one session activities and generating provider notes

RAYS was well received in a pilot test involving 60 juvenile offenders and their helpgivers (Levesque, Johnson, Welch, Prochaska, & Fernandez, 2012). A cluster randomized trial is currently underway to assess the efficacy of the program among 700 moderate- and high-risk juvenile offenders recruited by 54 probation officers assigned to treatment or control.

Results Published

Levesque, D. A., Johnson, J. L., Welch, C. A., Prochaska, J. M., & Fernandez, A. C. (2012). Computer-tailored intervention for juvenile offenders. Journal of Social Work Practice in the Addictions, 12(4), 391-411. Retrieved from PM:23264754

For more information about RAYS, or to schedule an online demonstration, please contact software@orbispartners.com.

Stand Up

Bullying Prevention

Stand Up: A Program to Prevent Bullying, adapted from the evidence-based Teen Choices program, focuses exclusively on the prevention of bullying in peer relationships. The 3-session program encourages using healthy relationship skills, and taking a stand to stop bullying when students observe it.

In a feasibility trial involving 88 students, participants’ use of healthy relationship skills increased significantly from session 1 to session 3. In addition, compared to session 1, participants at session 3 had reduced odds of perpetrating and experiencing emotional and physical bullying, and of passively standing by as others were bullied; most outcomes approached or reached statistical significance (Timmons-Mitchell, Levesque, Harris, Flannery, & Falcone, 2016).

Stand Up screen shot

Results Published

Timmons-Mitchell, J., Levesque, D. A., Harris, L. A., Flannery, D. J., & Falcone, T. (2016). Pilot test of StandUp, an online school-based bullying prevention program. Children & Schools, 38(2), 71-79. Retrieved from http://cs.oxfordjournals.org/content/38/2/71.abstract

Youth LifeStyle Management Suite: Behavior Change Programs

Our suite includes five online programs for middle and high school students. The programs have been used by schools, youth groups, and health plans.

How the Youth LifeStyle Management Suite programs work.

The five programs integrate key concepts from the best available health education curricula and interventions. But they go beyond traditional education by also integrating an internationally recognized evidence-based model of health behavior change: the Transtheoretical Model of Change (TTM). Supported by 35 years of research, the TTM facilitates change by assessing state of change for adopting a new health behavior—or for ending an unhealthy behavior—and focusing on the most effective change strategies for that stage.

All programs are mobile optimized. All are composed of three or more 20- to 30-minute interactive sessions that can be completed 30 days apart. Students work privately and independently; their individual data remain private and secure. Additional optional print materials for students and staff are available as PDFs.

Deliver education with greater ease and impact.

The Youth LifeStyle Management Suite addresses several challenges to providing education on key health topics. All programs:

  • Are online and self-administered, freeing up teacher and staff time
  • Take into account individual differences in students’ prior experiences and levels of risk
  • Take into account students’ openness to change
  • Are designed not only to educate, but to change behavior

Research on the TTM interventions in general, and on the Youth LifeStyle Suite Programs in particular, demonstrate their impact.

“It was so simple to use and it told me what I had done well and when I needed to improve—and it didn’t just tell me that I needed to change—it told me how!”

Sample page
Youth Lifestyle Sample Home Page

Teen Choices

Dating Violence, Peer Violence Prevention

Teen Choices A Program for Healthy, Nonviolent Relationships is a 3-session computer tailored intervention that includes questions, individualized feedback, videos, and personal stories designed to educate, motivate, and inspire students to use healthy relationship skills to improve their relationships and stay violence-free. Online sessions last 25-30 minutes.

The program has separate intervention tracks for high-risk daters, low-risk daters, high-risk nondaters, and low-risk nondaters. While daters are encouraged to develop and use healthy relationship skills in their dating relationships, nondaters are encouraged to use those skills in peer relationships, as peer relationships provide a foundation for later romantic relationships. For students involved in an unhealthy or unsafe dating relationship, there is a fifth intervention track focusing on keeping oneself safe in relationships.

For all students who have experienced dating or peer violence or abuse, the program encourages help-seeking. Student evaluations of the program were very positive. For example, 89% of students agreed that the program feedback was easy to understand, and 87% agreed that the program could help people develop healthier relationship (Levesque, Johnson, & Prochaska, 2016). In a cluster randomized trial (Levesque, Johnson, Welch, Prochaska, & Paiva, 2016) involving 3902 students from 20 high schools, the Teen Choices program was found effective in increasing use of healthy relationship skills and reducing dating and peer violence at 12 months follow-up. For example:

  • Among daters, rates of dating violence perpetration were 17.3% for treatment vs. 25.2% for control
  • Among high-risk daters, rates of dating violence perpetration were 35.8% for treatment vs. 55.3% for control
  • Among nondaters, rates of peer violence perpetration were 18.2% for treatment and 28.9% for control

T

Results Published

Levesque, D. A., Johnson, J. L., & Prochaska, J. M. Teen Choices, an online stage-based program for healthy, non-violent relationships: Development and feasibility trial. Journal of School Violence, (in press).
Levesque, D. A., Johnson, J. L., Welch, C. A., Prochaska, J. M., & Paiva, A. L. Teen dating violence prevention: Cluster-randomized trial of Teen Choices, an online, stage-based program for healthy, non-violent relationships. Psychology of Violence, (in press).

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Evidence-Based Behavior Change Programs

LifeStyle Management Suite

Complete Health and Well-Being Solution

HRI: A Health Risk Assessment + Intervention.

Our HRI is the gateway through which users gain access to our comprehensive behavior change solution. Unlike other HRAs, our Health Risk Assessment + Intervention uses validated questions to assess readiness to change health risks and provides immediate evidence-based, stage-matched feedback about the single most important strategy individuals can use to make progress. In 2014, our HRI received NCQA certification for Health Appraisals under Health Information Products (HIP) and in 2016 under Wellness and Health Promotion (WHP).

NCQA Health Appraisals
NCQA Health Appraisals

Multiple Behavior Change. Lasting Outcomes.

Our programs successfully intervene on multiple behaviors simultaneously. They have been shown to promote coaction: taking action on a second behavior if action is taken on a first. Users who received our individually-tailored Weight Management Program were 2-5 times more likely to take action on a second behavior if they started eating healthy, exercising, or managing emotional eating. The LifeStyle Management Suite covers up to 11 health behaviors, depending upon the individual user’s health risks. We were granted NCQA WHP certification for our Self-Management Tools in 2016.

Responsive Design. Mobile Delivery.

Using the latest web-based technologies, we are able to deliver an excellent user experience no matter which device an individual in your population uses. Our infrastructure allows for a variety of delivery options, including embedding directly within your preexisting wellness offering. Evidence-based, tailored messaging via SMS text is available as an add-on.

Life<br /> Style Management Suite - Stress Management Homepage on multiple devices

Youth LifeStyle Management Suite

Behavior Skills for middle and high school students

How the Youth LifeStyle Management Suite programs work.

Our suite includes five online programs for middle and high school students. The programs have been used by schools, youth groups, and health plans, integrating key concepts from the best available health education curricula and interventions.

Deliver education with greater ease and impact.

All programs are mobile optimized. Students work privately and independently; their individual data remain private and secure. Additional optional print materials for students and staff are available as PDFs.

Youth Behavior Programs

“It was so simple to use and it told me what I had done well and when I needed to improve—and it didn’t just tell me that I needed to change—it told me how!”


Specialized Behavior Change Programs

For Adult Populations

Step-by-Step

Healthy Pregnancy

A program to assist pregnant women in effectively managing stress, quitting smoking and staying quit, and eating more fruits and vegetables.

Journey to Change

Domestic Violence Prevention

An online domestic violence program designed as an adjunct to traditional batterer treatment. The program aims to increase readiness to use a range of healthy strategies to stay violence-free.

For The Military & Veterans

Pain Management, PTSD, Substance Abuse Prevention

Designed with expert input from military leaders, our programs are tailored specifically to veterans and military personnel and use the same proven science as our other products to change a variety of risk behaviors.

For College Students

liveWell

A Healthy Foundation for Life

An online, multiple behavior change well-being program designed to help college students improve their exercise, eating, and stress management habits.

For Youth

Winning Play$

Financial Literacy

A high school life skill and financial literacy program with an assessment and stage-based behavior change strategies built in partnership with Stacey Tisdale, financial journalist, and the All Stars Helping Kids Foundation.

RAYS

Staying Out of Trouble

The Rise Above Your Situation, or RAYS, program is a multimedia, computer-tailored intervention to help youth get substance-free and stay out of trouble with the law.