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

Pro-Change’s CEO Given Achievement Award by Providence Business News

South Kingstown, RI – June 5, 2013. Janice M. Prochaska, PhD, President and CEO of Pro-Change Behavior Systems, Inc., was one of twelve women who received an Achievement Award at the 5th Annual Providence Business News Business Women’s Awards luncheon.

The event spotlighted twelve talented and dedicated women working in southeastern New England. Prochaska was recognized for being well ahead of the curve in establishing disease prevention and wellness programs and evaluating their effectiveness. Pro-Change is recognized for being on the cutting edge of changing people’s behavior to help improve their health and well-being. To do so, Pro-Change applies the best that the science of behavior change has to offer to produce high-impact solutions.

Pro-Change has the Tools to Promote Patient Engagement

South Kingstown, RI – February 27, 2013. The February 2013 thematic issue of Health Affairs entitled, “New Era of Patient Engagement,” has over 25 articles exploring aspects of patient engagement from the evidence and potential of patient engagement, to the role of clinicians and shared decision making.

According to Susan Dentzer, Health Affairs editor-in-chief, “wherever engagement takes place, the emerging evidence is that patients who are actively involved in their health and health care achieve better health outcomes, and have lower health costs, than those who aren’t… The challenge is to encourage patients and providers alike to embrace engagement and achieve its full potential to improve health and health care.” Pro-Change has designed two solutions to do just that.

Proactive Health Consumer (PHC) is a mobile-optimized, individually tailored behavior change program designed to increase patient engagement in health and health care by encouraging informed decision making; shared decision making; financially responsible use of health services; and engagement in ongoing wellness activities among patients. Like all Transtheoretical Model-based programs, PHC is for all patients – those who are not ready, those who are getting ready, and those who are already proactive consumers. The program includes a dynamic web portal containing interactive activities that build patients’ skills and confidence to be an active participant in their care. To read more about the PHC program, please read this article from Art and Science of Health Promotion.

Pro-Change’s new health care Provider Dashboard helps primary care providers to be experts in behavior change without extensive training. The dashboard is populated with a patient’s data from our Health Risk Intervention (HRI). Once a patient has completed the HRI, clinicians can see a graphic representation of the patient’s self-reported health status, as well as behavior change challenges and priorities on a single screen. The dashboard provides brief, evidence-based, tailored behavior change messages the clinician can deliver to engage the patient in the behavior change process. The inclusion of a patient’s behavior change priorities can promote shared decision making and improve outcomes. The dashboard also allows clinicians to prescribe Pro-Change’s award-winning behavior change programs and follow their patients’ progress over time.

About Health Affairs
Health Affairs is the leading journal of health policy, thought, and research. The peer-reviewed journal was founded in 1981 under the aegis of Project HOPE, a nonprofit international health education organization. Health Affairs explores health policy issues of current concern in both domestic and international spheres. To learn more about Health Affairs, visit their website at www.healthaffairs.org.

About Pro-Change Behavior Systems, Inc.
Pro-Change Behavior Systems, Inc., a certified Women’s Business Enterprise, is a research and development company providing wellness partners with computer- and coaching-based programs for changing health risk behaviors. Based on the Transtheoretical Model developed by founder Dr. James O. Prochaska, Pro-Change programs are for entire populations and are uniquely tailored to each individual. Pro-Change programs have produced unprecedented impacts on multiple behaviors to enhance health and reduce health care costs. In 2009, Pro-Change LifeStyle Management Programs for Stress Management, Depression Prevention, Weight Management, Exercising Regularly, Smoking Cessation, and Medication Adherence won the URAC Gold Award for Best Practices in Health Management. In 2012, the LifeStyle programs were featured on AHRQ’s Innovation Exchange website. For more information, please visit www.innovations.ahrq.gov. For more information about Pro-Change, please visit www.prochange.com.

Pro-Change Partners with NADMWP

South Kingstown, RI – February 7, 2013.
Pro-Change Behavior Systems, Inc. has begun a partnership with the National Association of Disease Management & Wellness Professionals® (NADMWP) to provide educational and professional development resources and programs. Members of NADMWP include nurses, pharmacists, dieticians, therapists, and doctors. Pro-Change’s e-Learning program which teaches Basic Transtheoretical Model (TTM) skills will be offered to members at a reduced rate, as well as stage-matched behavior change manuals and the award winning MyHealth LifeStyle Management programs. Members can earn 4 CEs for passing the test at the end of the e-Learning Basic TTM Training.

Steve Potje, RN, CCP, and BS/BA, Executive Director of NADMWP stated: “I wish I would have had this course when I started in the field. The e-Learning program is very easy to follow, provides the core content needed to understand both TTM coaching and MI strategies and how to apply them in guiding a member to behavior changes.”

The National Association of Disease Management & Wellness Professionals®
The National Association of Disease Management & Wellness Professionals® (NADMWP) is a nonprofit professional association for Doctors, Registered Nurses, Registered Dieticians, Pharmacists, Social Services, and Behavioral Health professionals working in the Disease Management & Wellness industry. These professionals are tasked with helping the millions of persons with chronic medical conditions learn to self-manage these conditions and to help the non-diseased population to make lifestyle changes to avoid the development conditions such as Diabetes, Coronary Heart Disease, Hypertension and COPD. To learn more about the NADMWP, please visit their website at www.nadmwp.org.

Pro-Change’s MyHealth is Now Available at 7 YMCA Branches in Rhode Island and Massachusetts

South Kingstown, RI – September 28, 2012 – Since 2010, members of the Kent County YMCA in Warwick, Rhode Island have been offered access to Pro-Change’s LifeStyle Management suite of programs. Given the enthusiasm for the pilot program, referred to as MyHealth at the Y, the YMCA of Greater Providence Association has decided to offer the programs to all 7 of its full-service branches in Rhode Island and southeastern Massachusetts.

This fall over thirty Welcome Center Directors and Member Navigators are participating in Pro-Change’s e-Learning Basic Transtheoretical Model course as well as in-person trainings conducted by Dr. Leanne Mauriello, Vice President of Research and Product Development at Pro-Change. Through these trainings, Y staff will learn the fundamentals of the Transtheoretical Model of Behavior Change and how to apply the model to assist members in setting wellness goals based on their readiness to make a behavior change.

As part of MyHealth at the Y, members will be invited to take Pro-Change’s online Health Risk Intervention (HRI) either at computer kiosks located at the YMCA branches or at any Internet-enabled computer. The HRI will start the change process by pinpointing the member’s stage of readiness to change for various health risks and by offering targeted guidance on the most important steps that can be taken to progress to the next stage of change. Y members then will be invited to meet with Member Navigators–staff trained to discuss the HRI feedback and to assist in setting wellness goals based on readiness to change. Members will also have access to the award winning 7 behavior change programs and their corresponding Participant Activity Centers.

Patricia Driscoll, a Member Navigator from the Kent County YMCA speaks highly of the offering: “We love using MyHealth. It is a wonderful tool for staff and our members. The trainings by Pro-Change have allowed us to become comfortable and skilled in addressing and suggesting wellness and behavior change with Y members.”

Pro-Change also has worked in various capacities with YMCAs in Maryland and Tennessee. The hope is that the model of MyHealth at the Ys in Rhode Island will be duplicated by other YMCAs throughout the country. “We appreciate the innovative mindset and vision of the administrators and staff at the RI YMCAs. They are paving the way on how YMCAs nationally can approach and assist with wellness and well-being in a greater magnitude. We are thrilled to assist with their endeavor and to offer our science and evidence-based programs and trainings,” stated Dr. Leanne Mauriello.

Pro-Change’s MyHealth is Now Available at 7 YMCA Branches in Rhode Island and Massachusetts

South Kingstown, RI – September 28, 2012 – Since 2010, members of the Kent County YMCA in Warwick, Rhode Island have been offered access to Pro-Change’s LifeStyle Management suite of programs. Given the enthusiasm for the pilot program, referred to as MyHealth at the Y, the YMCA of Greater Providence Association has decided to offer the programs to all 7 of its full-service branches in Rhode Island and southeastern Massachusetts.

This fall over thirty Welcome Center Directors and Member Navigators are participating in Pro-Change’s e-Learning Basic Transtheoretical Model course as well as in-person trainings conducted by Dr. Leanne Mauriello, Vice President of Research and Product Development at Pro-Change. Through these trainings, Y staff will learn the fundamentals of the Transtheoretical Model of Behavior Change and how to apply the model to assist members in setting wellness goals based on their readiness to make a behavior change.

As part of MyHealth at the Y, members will be invited to take Pro-Change’s online Health Risk Intervention (HRI) either at computer kiosks located at the YMCA branches or at any Internet-enabled computer. The HRI will start the change process by pinpointing the member’s stage of readiness to change for various health risks and by offering targeted guidance on the most important steps that can be taken to progress to the next stage of change. Y members then will be invited to meet with Member Navigators–staff trained to discuss the HRI feedback and to assist in setting wellness goals based on readiness to change. Members will also have access to the award winning 7 behavior change programs and their corresponding Participant Activity Centers.

Patricia Driscoll, a Member Navigator from the Kent County YMCA speaks highly of the offering: “We love using MyHealth. It is a wonderful tool for staff and our members. The trainings by Pro-Change have allowed us to become comfortable and skilled in addressing and suggesting wellness and behavior change with Y members.”

Pro-Change also has worked in various capacities with YMCAs in Maryland and Tennessee. The hope is that the model of MyHealth at the Ys in Rhode Island will be duplicated by other YMCAs throughout the country. “We appreciate the innovative mindset and vision of the administrators and staff at the RI YMCAs. They are paving the way on how YMCAs nationally can approach and assist with wellness and well-being in a greater magnitude. We are thrilled to assist with their endeavor and to offer our science and evidence-based programs and trainings,” stated Dr. Leanne Mauriello.

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 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.

Pro-Change to Present at the Health Promotion Conference in San Diego April 11 & 13, 2012

West Kingston, RI – March 13, 2012 – The Art and Science of Health Promotion Conference is the premier event in health promotion presenting the very best in the field. The 22nd annual conference titled “Making Healthy Choices the Easiest Choices: Increasing Awareness, Enhancing Motivation, Building Skills, and Creating Supportive Environments” will be held in San Diego on April 11-13.

On Wednesday April 11, 2012, Pro-Change’s James O. Prochaska, PhD and Janet L. Johnson, PhD, along with Sonja L. DeWees, MPH of Quality Health Solutions will present a panel discussion on “Data on the Debate on Participation-Based vs. Outcome-Based Incentives.” Outcomes from a real world implementation using participation-based incentives will be compared to results from randomized clinical trials applying participation-based and outcome-based incentives.

On Friday, April 13, 2012 from 1:45 pm to 3 pm, Pro-Change’s Sara Johnson, PhD, will present a Research Report on “Leveraging Gaming for Health Behavior Change: How Can We Maximize Its Potential?” Best practices that have emerged from studies to date and a series of expert interviews on serious gaming will be summarized and synthesized into recommendations for leveraging the power of serious gaming for health promotion and health behavior change initiatives.

About the Art and Science of Health Promotion Conference
This conference brings together more than 600 like-minded professionals across disciplines and settings with a passion for health promotion. For 22 years leaders in health promotion, who represent some of the largest and most successful workplace, clinical, educational, and community programs in the nation, come together to learn and share their work. For more information, please visit www.HealthPromotionConference.com.

Pro-Change to Present at the Health Promotion Conference in San Diego April 11 & 13, 2012

West Kingston, RI – March 13, 2012 – The Art and Science of Health Promotion Conference is the premier event in health promotion presenting the very best in the field. The 22nd annual conference titled “Making Healthy Choices the Easiest Choices: Increasing Awareness, Enhancing Motivation, Building Skills, and Creating Supportive Environments” will be held in San Diego on April 11-13.

On Wednesday April 11, 2012, Pro-Change’s James O. Prochaska, PhD and Janet L. Johnson, PhD, along with Sonja L. DeWees, MPH of Quality Health Solutions will present a panel discussion on “Data on the Debate on Participation-Based vs. Outcome-Based Incentives.” Outcomes from a real world implementation using participation-based incentives will be compared to results from randomized clinical trials applying participation-based and outcome-based incentives.

On Friday, April 13, 2012 from 1:45 pm to 3 pm, Pro-Change’s Sara Johnson, PhD, will present a Research Report on “Leveraging Gaming for Health Behavior Change: How Can We Maximize Its Potential?” Best practices that have emerged from studies to date and a series of expert interviews on serious gaming will be summarized and synthesized into recommendations for leveraging the power of serious gaming for health promotion and health behavior change initiatives.

About the Art and Science of Health Promotion Conference
This conference brings together more than 600 like-minded professionals across disciplines and settings with a passion for health promotion. For 22 years leaders in health promotion, who represent some of the largest and most successful workplace, clinical, educational, and community programs in the nation, come together to learn and share their work. For more information, please visit www.HealthPromotionConference.com.