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

Pro-Change Receives Three SBIR Contracts Totaling $2.65M

NIDA

NIH

Pro-Change was successfully awarded three out of three submitted Small Business Innovation Research (SBIR) contracts from the National Institute on Drug Abuse (NIDA) and the National Cancer Institute (NCI).

In Stage-Based Mobile Intervention for Substance Use Disorders in Primary Care, a Phase I NIDA contract led by Deborah Levesque, Ph.D., Pro-Change will develop and pilot-test a prototype of a brief mobile-delivered stage-based Substance Use Risk Intervention (SURI) for primary care patients and a Clinical Dashboard for providers. The tools will be designed to facilitate Screening, Brief Intervention, and Referral to Treatment (SBIRT) for patients with risky substance use and substance use disorders.

In iWin: Navigating your Path to Well-Being, a Phase II NIDA contract led by Kerry Evers, Ph.D., Pro-Change will evaluate the effectiveness of the Individual Well-Being Navigator (iWin) mobile application in a randomized trial. iWin, a substance abuse prevention and well-being enhancement program designed specifically for active duty military personnel, was developed and piloted in a NIDA Phase I contract in early 2015.

In Integrative Platform for Primary Care Delivery of Evidence-Based Cancer Risk Behavior, a Phase II NCI contract co-led by Kerry Evers and Deb Levesque, Pro-Change will test a stage-based multiple behavior change intervention in a cluster-randomized trial in community health centers.

“We are honored that the National Institutes of Health awarded us these special opportunities to develop and test behavior change programs for military personnel and primary care patients,” stated Janice M. Prochaska, Ph.D., President and CEO of Pro-Change.

Distribution Agreement with the Hazelden Betty Ford Foundation

HBFF

Pro-Change Behavior Systems, Inc. and the Hazelden Betty Ford Foundation (HBFF) signed a Distribution Agreement to promote, market, sell, and distribute Pro-Change’s Youth and Adult LifeStyle Management Suites of programs to schools, community health and mental health centers, addiction treatment facilities, and other organizations.

For the first time, Pro-Change’s evidence-based youth programs will be offered as a collection titled Youth LifeStyle to include Health in Motion: Obesity Prevention; Stand Up: Bullying Prevention; Teen Choices: Peer and Dating Violence Prevention; and Keepin’ It Fresh: Tobacco Cessation. Future courses will be added for cessation of alcohol and other drugs and emotional regulation skill development.

The Adult LifeStyle suite offering will contain Pro-Change’s URAC award-winning programs–exercise, stress management, weight management, healthy eating, depression prevention, medication adherence, and smoking cessation–all in English and Spanish. Future programs will include responsible drinking, sleep, and pain management.

“We are excited about the many opportunities available through the establishment of this partnership,” said Joe Jaksha, Publisher, Hazelden Betty Ford Foundation. “As an internationally recognized leader in the industry and one that is committed to adhering to evidence-based research standards, we are proud to align with the ongoing work of Pro-Change.”

Prochaskas sign book deal with Hazelden Publishing

Hazelden
James O. Prochaska, Ph.D., Founder, and Janice M. Prochaska, Ph.D., President & CEO, of Pro-Change Behavior Systems, Inc. recently signed a book contract with , to write Changing to Thrive: Overcome the Top 5 Threats to Health and Happiness.

Changing to Thrive will build on major breakthroughs in stage-based programs that have occurred since Changing for Good was published. These breakthroughs demonstrate how to overcome multiple bad habits and how to enhance multiple domains of well-being. The book will guide clients and professionals on how to apply the highest impact strategies at each stage of change. Interactive exercises will activate the right principles and processes of change to facilitate progress through each stage of change to empower readers to remove their biggest risks and gain the life-long rewards generated by the power to thrive.

Dr. Sara Johnson to Co-Present at 2015 HERO Forum with Karen Horgan of VAL Health

hero

Pro-Change Behavior Systems, Inc. announced today that Sara Johnson, Ph.D., Senior Vice President at Pro-Change, will present at the 2015 HERO (Healthy Enhancement Research Organization) Forum, which takes placeSeptember 29 through October 1 in Chicago, IL.
Dr. Johnson will present Ready or Not: Tailored Communication and Behavioral Economics Help Smokers Quit with Karen Horgan, President and Co-founder of VAL Health, LLC. The Forum is expected to include more than 400 employers, employee health management providers, industry professional organizations, and research experts.
The presentation will include a case study that highlights the effectiveness of combining evidence-based tailored behavior change communications from Pro-Change’s award-winning Smoking Cessation Program with best practices in behavioral economics.
“The HERO Forum is a thought-provoking venue where leading-edge companies and behavior change experts can talk about recent innovations, breakthrough research, and real-life experiences in the evolving field of employee health management,” said Jerry Noyce, President and CEO of HERO. “We’re thrilled to have Sara and Karen as presenters at this year’s HERO Forum, as we take on the ‘Building a Culture of Health, at Home, Work, and in the Community.'”
For more information or to register for the HERO Forum, visit www.the-hero.org, or call HERO at (952) 835-4257.

The O’Neil Center Publishes an Interview with Pro-Change’s Dr. Kerry Evers

oneil center
The O’Neil Center, whose mission is to advance the science of patient and family engagement, recently sat down with Kerry E. Evers, Ph.D., Senior Vice President of Research and Product Development at Pro-Change Behavior Systems, Inc., to learn about the Transtheoretical Model. The interview, which focuses on the change process and how it impacts person and family engagement, was published in the O’Neil Center Newsletter in two parts. To read the interview that discusses multiple behavior change, patient and family engagement, and tailoring, click here.

GetWellNetwork, Inc., the leading provider of Interactive Patient Care, formed the O’Neil Center to provide a center of gravity for thought leadership, research, and innovation in patient engagement for providers across the world. The center combines guidance from prominent health care thought leaders, research findings, tools, methodologies, and resources to answer the “what” and “how” of patient engagement. The O’Neil Center is the industry’s first, single source “think tank” for patient and family engagement into healthcare delivery across the care continuum. “We are very pleased that Pro-Change’s tools for patient engagement are being highlighted by the O’Neil Center,” stated Janice M. Prochaska, Ph.D., President and CEO of Pro-Change. “We look forward to years of learning from them.”

How the change process impacts person and family engagement

Part I of the O’Neil Center interview with Dr. Kerry Evers

changes-graphic

Pro-Change is home to the Transtheoretical Model. Tell us about the model.
Who developed it and how does it work?

The Transtheoretical Model (TTM) is a theoretical model of how people make behavior changes. It was developed more than 30 years ago by Dr. Jim Prochaska, the founder of Pro-Change Behavior Systems, and his colleagues. It looks at the behavior change process through a series of five stages of change. Instead of simply saying a person is doing something or not doing something, the model looks at how ready a person is to make a change. The five stages of change are:

  • Precontemplation – the person is not yet ready to make a change
  • Contemplation – the person is getting ready and thinking about taking action in the next six months
  • Preparation – the person is ready and planning to take action in the next 30 days
  • Action – the change is made, but it’s been recent, within the past six months
  • Maintenance – action was taken more than six months ago

The stages of change are key, but they are only one part of the full model. The TTM also includes the principles and processes of change – the “hows” of change that determine how we interact with people in each of the five stages of change to move them to the next stage. For example, many of us were taught that simply increasing someone’s knowledge about why they should do something – exercise more, for example, or quit smoking or eat more fruits and vegetables – won’t motivate them to take action on that behavior. While education is often not enough, it is certainly a critical part of the overall behavior change process. The success of using a process of change such as increasing knowledge depends on a person’s stage of change. Increasing knowledge of the behavior is especially important in Precontemplation when people are not yet thinking about taking action. By increasing their knowledge about the benefits of why the change is important, we help them move forward to Contemplation, the stage where they start to think about making a change. That’s the first step toward success. So the key is to use the full TTM, which includes tailoring the principles of change to the correct stage of change.

What types of behavior change is the TTM typically used for?

It’s been used in many different areas. Initially, the focus was on smoking cessation and other addiction behaviors including alcohol and substance use. But it’s now been applied to a wide variety of behaviors across many different countries and cultures, languages and age groups. It’s been shown to be effective with older elementary school students, middle school students, high school, college, all the way to older 2 adults. The behaviors include health behaviors such as exercise, healthy eating, weight management, medication adherence, and stress and depression management. The TTM is also used in violence prevention programs such as dating violence prevention, domestic violence prevention and bullying behaviors. It’s also useful for organizational change, financial behavior and more. It’s really widereaching in terms of how it’s been applied.

What about its application to person and family engagement?
We have several projects that focus on helping people become more involved in their health care. The
Proactive Health Consumer program helps individuals more fully engage with the health care system by
becoming more informed about their choices, sharing in decision-making with their health care
provider, making financially responsible choices and, of course, engaging in healthy behaviors. The
program is targeted to consumers’ roles as patients or users of health care, purchasers of health care,
and providers of care to family members such as children or elderly parents. The program focuses on
behavior changes that result in people using the tools that are out there, such as claims trackers or
decision aids for a health condition. These tools are available from a variety of sources but most people
don’t use them. They’re just not ready to become proactive about their health care. So our focus is on
the process of getting them to become more proactive and engaged.

Why aren’t people ready to be proactive?
For a variety of reasons. Sometimes, it’s because they don’t realize that there is a need to change. They
may not grasp that there is an issue that might be harmful to them. It could be that they have tried to
change and failed and they’re demoralized. Or, they think they can’t do it or don’t feel empowered to do
it. What our programs focus on is, as I said, each person’s stage of change and what it will take to move
them forward to the next stage. We don’t pressure them to take action right away. We actually bring
them through the whole change process, one stage at a time. And that leads to much more sustained
engagement and behavior change in the long run.

Why do you think change is such an important factor in helping people become more activated in the
health journey?

It is a change process. As I mentioned, we know that simply educating people that smoking is bad for
them or that they shouldn’t be doing something doesn’t always mean that they’re going to stop. I think
for many people, becoming engaged in their health care is something new. As the health care system is
changing, people are taking on different roles and responsibilities and it is a change in the way that they
behave and interact. By getting them more engaged and proactive about their health care, they take
more control of it, they are more educated about what’s happening, and they also make better
decisions about their care. There are so many changes going on in the health care system right now that
without having some level of engagement, people can feel a little bit lost.

What about engagement from a clinician’s or caregiver’s perspective? How do you motivate them to
change?

We do a lot of work with clinicians to help them understand the behavior change process. Clinicians can
get very demoralized if they’ve been telling a client that there is something they could be doing that
would improve their health, or their life in general, and the person doesn’t make that change. By
educating them on the TTM and the science of behavior change, we can help them refine in small ways
how they interact with someone – to recognize the little changes going on and how they can provide
more engaging messages to help each individual along the process. Historically, if you have someone
who is in Precontemplation you try to move them directly to Action. If you tell someone they need to
cut down on their drinking and they have no intention of stopping drinking, the person is either going to
lie about it, become very defensive, or find another provider. By helping providers understand what the
behavior change process is, we can help not only the patient but also the provider be more effective.

See next month’s edition of the newsletter for Part II of Dr. Evers’ interview.

Dr. Kerry Evers Named to the Institute for Interactive Patient Care Board of Directors

Pro-Change Behavior Systems, Inc. announced today that Senior Vice President of Research and Product Development Kerry E. Evers, Ph.D., has been named to the board of directors and national board of advisors of the Institute for Interactive Patient Care (IIPC).

unnamed

IIPC is a research-based health care organization dedicated to empowering patients and improving health outcomes through patient engagement. Its mission is to foster widespread adoption of patient and family/caregiver engagement strategies, which have been shown to optimize patient care outcomes. To achieve this, IIPC participates in high-quality research and advocates for advances in policy, standards, and payment reform. IIPC fills a unique role in health care by servicing as a reliable source of information and evidence-based data on the impact and efficacy of engagement.

Dr. Evers joins a group of prominent leaders in health care and patient engagement strategies on IIPC’s independent board of directors. The board oversees the selection and governance of a National Board of Advisors, which guides, validates, and disseminates the research conducted by IIPC. Through its national board of advisors, IIPC provides a forum in which health care leaders worldwide learn about, adopt, and promote the establishment of patient engagement standards.

“The Institute for Interactive Patient Care is dedicated to empowering persons and their families in care, while improving health outcomes, through furthering research about patient and family engagement,” said Karen Drenkard, Ph.D., RN, NEA-BC, FAAN, President of IIPC. “We are thrilled to have the scientific expertise of Dr. Kerry Evers as a member of our Board of Directors, and appreciate the outstanding knowledge and talent that she will add to our important work.”

Pro-Change and Orbis Partner to Distribute the RAYS Juvenile Justice Program

unnamed

Orbis Partners, Inc. and Pro-Change Behavior Systems, Inc. have signed a three-year contract to have Orbis distribute Pro-Change’s juvenile justice program, Rise Above Your Situation (RAYS). Orbis will also provide training to probation officers and counselors to facilitate the use of the program.

The RAYS program is designed as an adjunct to traditional juvenile justice programs. It is a multimedia, computer-tailored intervention that relies on the Transtheoretical Model of Behavior Change (TTM) to help youth progress through the stages of change for ending criminal behavior and substance abuse.

“We are very excited to partner with Pro-Change, and we believe that RAYS will be an important complement to our products and services, to support good case planning for youth involved in the juvenile justice system,” said Dr. David Robinson, President and CEO of Orbis Partners. “Ultimately, we believe this innovative tool will help many youth make commitments to work on change. It is consistent with many of the components of Orbis Partners’ Collaborative Case Work model used in several juvenile justice jurisdictions and youth service agencies.”

RAYS integrates best practices from existing evidence-based programs for juvenile offenders and substance abusers, and helps youth set personal goals.

The RAYS program includes:

  • Up to six online assessments and immediate feedback for youth
  • Printed reports for youth
  • Printed probation officer/counselor reports listing stage-matched best practices to guide one-on-one discussions of youth reports
  • Tools for tracking client participation in online and one-on-one sessions
  • Tools for documenting what was discussed during one-on-one sessions
  • Tools for automatically generating progress notes
  • In a feasibility test involving 60 system-involved youth and their probation officers/counselors, evaluations of the program were very positive:

  • 92% of youth agreed that the program could help them make positive changes
  • 87% of youth agreed that the program could give their counselor or probation officer helpful information about them
  • The RAYS program is currently being tested in a cluster-randomized trial funded by the National Institute on Drug Abuse. The trial involves 700 moderate- to high-risk juvenile offenders in Iowa recruited by 54 probation officers randomly assigned the RAYS condition or usual care.

    Probation officer and counselor comments regarding the strengths of the RAYS program:
    The program provides structure in the use of evidence-based practices.

  • “It’s refreshing to have a straight-forward tool instead of pulling something out of a hat.”
  • “Counselors tend to overuse certain techniques, such as timeouts; this program introduced new ones.”
  • “It identified what stage he is really at, and what direction to take to go forward.”
  • “It sets up a very good outline to follow when working with the client.”
  • The reports facilitate communication and connection.

  • “I learned a lot from the reports that I hadn’t known about the kids.”
  • “It’s a novel way to get information–kids are so tech savvy.”
  • “The program helped to start a dialogue.”
  • “[I] ended up seeing, especially after discussing reports with the youth, the more you look at this, the more material you have, and the more ammunition you have in your work with youth.”
  • The reports help to diffuse tension and conflict.

  • “We did it together, discovered the info together. Because the report said to do it, it took the argument out of it.”
  • “They were able to get feedback for their ongoing successes.”
  • “Allowing the youth to choose a priority to work on has really helped to build the alliance.”
  • “I can see it making a difference.”
  • What youth have said about RAYS:

  • “The program cares about troubled delinquents.”
  • “It gave me new ideas to think of for deciding things.”
  • “I liked the feedback I got after most of the responses.”
  • “It’s easy.”
  • As an adjunct to other juvenile justice services, RAYS can offer youth specialists a new tool for helping youth move toward the positive change that is necessary for success.

    Pro-Change Recertified as a Women’s Business Enterprise

    logo_trans_screen
    After an intensive evaluation and an onsite visit last year, Pro-Change Behavior Systems, Inc. is pleased to announce it was officially recertified as a Women’s Business Enterprise (WBE) by the Women’s Business Enterprise National Council (WBENC). The WBE is a nationally-accepted certification recognized by numerous private sector companies and governmental agencies.

    WBE membership criteria demand that members provide documented evidence that at least 51% or more of a company is owned, managed, and controlled by women. Membership facilitates beneficial procurement opportunities for WBEs and corporations on a local and national level. By including women-owned businesses among their partners, corporations and government agencies demonstrate their commitment to fostering diversity and the continued development of their supplier diversity programs.

    “We are pleased to be able to offer this Certification to our partners and customers to help them in their efforts to receive contracts and grants,” stated Pro-Change’s President & CEO, Janice M. Prochaska, PhD.

    Pro-Change’s James and Janice Prochaska in the 4th Edition of Health Promotion in the Workplace

    health promotion

    Health Promotion in the Workplace: Improving Awareness, Enhancing Motivation, Building Skills, and Creating Opportunities, edited by Michael P. O’Donnell, MBA, MPH, PhD, is a collaborative effort of the top health promotion scientists and practitioners in the field.

    James O. Prochaska, PhD, Founder of Pro-Change Behavior Systems, Inc., and Janice M. Prochaska, PhD, President and CEO, contributed a chapter on the Transtheoretical Model from conceptual framework, to a review of the empirical literature, to studies challenging the Model, to increasing impacts with multiple behavior change programs, and to enhance motivation and skill-building.

    The book, available on Amazon.com, has already been well received with hundreds of orders placed from students, consultants, employers, and health promotion vendors all over the United States, as well as Asia and South America. Efforts to translate Health Promotion in the Workplace into Chinese, Japanese, and Portuguese are underway.