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

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 and Krames StayWell to Collaborate on ACO Patient Engagement Solution

Krames StayWell ACO 360 Suite to include Pro-Change LifeStyle Management Suite featuring Health Risk Intervention, Online Coaching Programs, and New Provider Dashboard

South Kingstown, RI – February 13, 2013. Pro-Change Behavior Systems, Inc. and Krames Staywell (KSW) have reached an agreement to incorporate a special version of the Pro-Change LifeStyle Management Suite into Krames Staywell’s comprehensive communication and engagement package created for accountable care organizations, ACO 360°. ACO 360° meets the outreach, acute patient education, and health management needs of an accountable care organization and is designed to foster patient engagement in the care coordination activities of an ACO by promoting health self-management.

“ACO 360° is a powerful program that includes print and digital newsletters, a patient resource guidebook, multimedia website libraries, and a comprehensive database of over 5,500 patient education articles in English and Spanish that can be integrated into virtually any Health IT system and delivered through the EHR and Patient Portal via the Infobutton Standard,” explained John George, Executive Vice President Krames StayWell. “However, we felt there was a gap in providing solutions to enable ACOs to better manage the overall health of their patient population. The LifeStyle Management Suite, created by the Pro-Change team using a leading behavior change methodology, is uniquely designed to serve the needs of an ACO model.”

Pro-Change was founded by James O. Prochaska, PhD who developed the Transtheoretical Model of Behavior Change (TTM) more commonly referred to as the Stages of Change Model. The LifeStyle Management Suite incorporates the TTM into a Health Risk Intervention that not only assesses risk but also addresses a person’s readiness to make a behavior change and guides the user with stage matched strategies. The Suite includes nine online coaching programs such as smoking cessation, weight management, exercise, nutrition, and stress management that dynamically reassess where a person is on the continuum of making a behavior change and provides tailored guidance strategies to best help the user reduce their health risks. The version of the LifeStyle Management Suite incorporated into ACO 360° also includes an innovative provider dashboard designed to better coordinate and encourage health management interventions and promote communication between the patient and the care team.

“We are excited to be partnering with Krames Staywell,” added Janice M. Prochaska, PhD, President and CEO, Pro-Change. “The combination of our scientifically validated behavior change programs and KSW’s proven patient and consumer engagement tools coming together in ACO 360° creates a powerful lever for any accountable care organization looking to drive success of their efforts via effective patient engagement and accountability in personal health management.”

To find out more about this new program for accountable care organizations please visit www.kramesstaywell.com/aco-360.

About Krames StayWell
Krames StayWell is the largest provider of patient education, consumer health information, and population health management communications in the country. Combining extensive technology and content assets with vast consumer insights and a strategic approach, Krames StayWell is uniquely qualified to engage consumers across the entire spectrum of their health care experience. Our best-in-class health communication solutions integrate print, interactive, and mobile formats at multiple touch points to attract and retain consumers, improve health outcomes, and lower costs. We deliver measurable results for hospitals, health care professionals, health plans, employers, retail pharmacies, government agencies, and association clients with world-class design, commitment to health literacy principles, and a focus on custom development. For more information, please visit www.kramesstaywell.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.

Dr. Sara Johnson Recognized by the Journal of Nutrition Education and Behavior

South Kingstown, RI – January 28, 2013. Dr. Sara Johnson, Senior Vice President at Pro-Change Behavior Systems, Inc. is receiving an Award for Excellence in Reviewing for her service to the Journal of Nutrition Education and Behavior (JNEB). Dr. Johnson was selected from over 1,000 reviewers based on her dedication to reviewing for JNEB and the quality of her reviews.

Karen Chapman-Novakofski, PhD, RD, Editor-in-Chief, stated that “Dr. Johnson’s contributions are invaluable to the success of the Journal. Her expertise and professional critiques have helped improve numerous manuscripts during her tenure.”

Dr. Johnson’s award will be highlighted in the January/February issue of the Journal.

About the Journal of Nutrition Education and Behavior
JNEB is the official journal of the Society for Nutrition Education and Behavior. It is a refereed, scientific periodical that serves as a resource for all professionals with an interest in nutrition education and dietary/physical activity behaviors. The purpose of JNEB is to document and disseminate original research, emerging issues and practices relevant to nutrition education and behavior worldwide. For more information please visit www.jneb.org.

Pro-Change Releases “The Transtheoretical Model of Behavior Change for Financial Coaching”

South Kingstown, RI – January 9, 2013. Pro-Change Behavior Systems, Inc. recently released a guide for financial coaches, life coaches, or financial planners whose goal is to help clients change financial behaviors. The Transtheoretical Model of Behavior Change for Financial Coaching is a 92-page guide that provides:

  • An overview of the Transtheoretical (Stages of Change) Model, a leading model of behavior change
  • Questions that can be used to assess client’s readiness to set aside money to pay off debt, follow a budget, save regularly, or change other financial behaviors
  • Detailed guidance about specific behavior change strategies that are most appropriate for clients in each stage of change
  • Activities and worksheets that can be completed by the client, as well as referrals to best in class online financial tools and information

The guide, written by a team at Pro-Change including Sara Johnson, Ph.D., Carol Cummins, M.Ed., M.L.I.S., and Lynne Broderick, M.P.H., is concise and easy to follow. It includes practice client scenarios that allow coaches or financial planners to test their ability to correctly determine stage of change and recommend appropriate behavior change strategies.

MyHealth at the Y featured on The Rhode Show

Dr. Leanne Mauriello, Vice President of Research and Product Development, joined Neta Taylor-Post, Director of Healthcare Initiatives at the YMCA of Greater Providence Association, on The Rhode Show Tuesday, January 8 to promote the Y’s offering of MyHealth at the Y in Rhode Island. The Rhode Show is a morning talk show aired Live at 9 am on WPRI Fox Providence.

To watch the segment, please click the image below.


MyHealth at the Y is a personalized health and wellness coaching program that combines Pro-Change’s MyHealth program, our LifeStyle Management Suite of behavior change programs, with consultation and support from trained Y staff called Navigators. The Y staff participated in Pro-Change’s online e-Learning course on the Transtheoretical Model and participated in trainings provided by Dr. Mauriello. The Y professionals guide members through a review of their Health Risk Intervention Report and assist with setting behavior change goals. They refer members to the behavior change programs included in MyHealth and provide members with additional support as needed. MyHealth at the Y is being offered at all 7 branches of the Greater Providence Association.

Co-hosts of the Rhode Show, Will Gilbert, Michaela Johnson and Meaghan Mooney, completed the Health Risk Intervention and their consultation with a Y Navigator will be aired at a future date on the Rhode Show.

Learn more about MyHealth at the Y or check out other services that the YMCA of Greater Providence is offering to help members stick with their goals in the New Year!

Stages of Change: The Essence of the New Book, Changeology, by John C. Norcross

South Kingstown, RI – January 3, 2013. On Christmas day, John C. Norcross, PhD, a former student of James O. Prochaska, PhD, developer of the Transtheoretical Model, released his new book, Changeology: 5 Steps to Realize your Goals and Resolutions. The book takes the reader through the scientific stages or steps of the change process with Transtheoretical Model-based assessments, guidance, and worksheets. Norcross puts into practice Dr. Mehmet Oz’s September 17, 2012 Time magazine statement 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 Changeology, John C. Norcross lists his pet peeves of traditional self-help resources: “They tend to fail in four ways: they are not based on research (95% are not); they don’t provide specific strategies; they focus on only one stage of the solution; and they don’t tailor advice to the individual.”

Pro-Change’s health behavior change programs, based on the Transtheoretical Model, are just the opposite. They are based on over 35 years of continuing research; they provide specific, concrete change strategies; they target all of the stages of change; and they are tailored to the individual on all four constructs of the change process – stage, pros and cons, self-confidence, and processes of change.

In his book, Norcross recognizes the research and development work of Deborah Levesque, PhD, for depression prevention, and Sara Johnson, PhD, for multiple behavior change and co-variation. Unfortunately he mistakenly lists their affiliation as the University of Rhode Island. Both are Senior Vice Presidents and leaders in the scientific development of new applications of the Transtheoretical Model at Pro-Change Behavior Systems, Inc.

Norcross’ new book can help many more people appreciate the science of the stages of change, which can produce greater success in efforts to lead healthier and happier lives.

About Changeology
To learn more about John C. Norcross’ book, Changeology, go to www.changeologybook.com.

Pro-Change Launches 2013 Upgrades

South Kingstown, RI – December 20, 2012. Pro-Change Behavior Systems, Inc. has made extensive upgrades to its URAC Gold Award-Winning LifeStyle Suite’s eight programs, including Stress Management, Smoking Cessation, Healthy Eating, Exercise, Weight Management, Depression Prevention, Managing Your Cholesterol, and Managing Your High Blood Pressure. To request a demonstration of the updated program, please contact us at info@prochange.com.

Upgrades to Pro-Change LifeStyle suite include:

  • Spanish version of all eight LifeStyle programs – including both the computerized tailored interventions and Personal Activity Centers
  • A text messaging feature which delivers tailored intervention messages to a participant’s mobile phone or email account. Messages are tailored based on stage of change and up to six additional constructs of the Transtheoretical Model based on the participant’s answers from the online LifeStyle program session
  • Mobile-optimized versions of all program components for easier use on smart phones and tablets
  • Personal Activity Centers for all behaviors, including new PACs for Depression Prevention, Managing your Cholesterol, and Managing Your High Blood Pressure. The PACs provide interactive stage-based tools to activate the process of change between program sessions
  • Expanded healthy eating content within the Managing Your Cholesterol and Managing Your High Blood Pressure programs

Updates to Pro-Change’s Health Risk Intervention include:

  • More consistent ordering of questions and feedback for easier use and understanding
  • New recommendations based on the latest changes in USPTFS
  • New measures of well-being and productivity

Updates to Pro-Change’s Application Framework include:

  • More options for single sign-on, including SAML 2.0
  • Reduced memory footprint of 50% per active user
  • Tighter security of user personal data and passwords
  • Image pre-fetching for faster screen loading
  • Template redesigns for HTML5 compatibility, easier re-branding/skinning, and use in iFrames
  • User interface changes based on usability studies
  • Accessibility improvements for easier use by low-vision participants
  • Better visibility of scheduled e-mail reminders by administrators, and expanded reminders now include both eligibility and inactivity messages

“We are pleased now to be able to offer all of our programs in Spanish, to have tailored text messaging as part of our programs, and to give an increased ease of use,” stated Janice M. Prochaska, PhD, President and CEO of Pro-Change. “We would be glad to work with anyone wanting a demo of our new features.”

Pro-Change to Pilot Test Computer-Delivered Bullying Prevention Program

South Kingstown, RI – November 13, 2012. This month Pro-Change will start to pilot test a three-session computer-tailored intervention called Stand Up:
A Program to Prevent Bullying. Pilot participants will include a national sample of teens with epilepsy and high school students in the Cleveland, Ohio area.

The Stand Up program delivers questions, stage-matched feedback, videos, and personal stories designed to educate, motivate, and inspire students to use six skills for relating to others in healthy ways:

  • Trying to understand and respect the other person’s feelings and needs
  • Using calm, nonviolent ways to deal with disagreements
  • Respecting the other person’s boundaries
  • Communicating your own feelings and needs clearly and respectfully
  • Making decisions that you know are right for you in social situations
  • Taking a stand to stop bullying when you see it
  • Each session ends with a Let’s Talk About It web page, which lists school, community, and national help sources.

    Dr. Tatiana Falcone, the program director for Project COPE (Collaboration for Outreach and Prevention Education) at Cleveland Clinic states, “Given the painful consequences of bullying for adolescent patients with epilepsy and for other students, this is an important issue that needs to be addressed through programs such as Stand Up. It is imperative to engage students in the learning environment, to educate and inspire their daily actions.”

    The Stand Up program is an adaption of Teen Choices: A program for Healthy, Nonviolent Relationships, a computer-tailored intervention for dating violence prevention developed by Pro-Change. With funding from the Centers for Disease Control and Prevention (Grant #R43CE000499) and the National Institutes of Mental Health (Grant #R44MH86129), Teen Choices was tested and found effective in a randomized trial involving 3900 high school students from 20 Rhode Island high schools. The Cleveland Clinic is able to provide the Stand Up program through a grant provided by Health Resources and Services Administration’s Maternal and Child Health Bureau (Grant #H98MC20269).

    For further information, please contact Deborah Levesque, PhD., at dlevesque@prochange.com.

Pro-Change Awarded Two Phase II SBIRs

South Kingstown, RI – October 18, 2012 – Pro-Change was awarded a Phase II Small Business Innovation grant in 2012 on September 20. Funding from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) was won to complete and enhance the development of a responsible drinking intervention and to test it in a randomized clinical trial. The intervention will target employed adults who are at least 21 years of age and who consume alcohol at risky levels. Risky drinking is defined by NIAAA as more than 14 drinks per week or more than 4 drinks per day for men, and as more than 7 drinks per week or more than 3 drinks per day for women. The intervention will include a computer tailored intervention offering guidance and feedback on drinking quantity and severity, goal setting, and the most appropriate stage-based strategies for change. To support and reinforce the change process, a dynamic and engaging Participant Activity Center and personalized text messages will complement the intervention and offer additional stage-matched change guidance. Through this grant Pro-Change will further enhance our product optimization for mobile devices. The Responsible Drinking program will eventually be added to our award-winning LifeStyle Management Suite as a cost-effective means to intervene with adults on their drinking habits in a private, convenient, and individualized way. For more information, please contact Principal Investigator Leanne Mauriello, PhD, at lmauriello@prochange.com.

NIH’s National Institute on Drug Abuse awarded Pro-Change funding for a separate project entitled, “Computerized Stage-Matched Intervention for Juvenile Offenders, ” which received a perfect score from reviewers. This research will assess the efficacy of a multimedia stage-based computer-tailored intervention called Rise Above Your Situation program (RAYS), designed as an adjunct to traditional juvenile justice programs. The intervention delivers assessments and individualized feedback matched to readiness to stay out of trouble with the law and quit alcohol and drugs. At the end of each session, the program also generates a counselor report that summarizes the youth’s feedback and presents concrete, easy-to-implement strategies probation officers or counselors can use to reinforce stage-matched concepts. In collaboration with the Iowa Juvenile Court System, the efficacy of the RAYS program will be tested in a randomized clinical trial involving 1,000 youth age 13-17 on probation. Primary outcomes will be criminal recidivism and substance abuse abstinence at 6 and 12 months follow-up. For more information, please contact Principal Investigator Deborah Levesque, PhD, at dlevesque@prochange.com.