Pro-Change’s Programs Highlighted in Population Health Management Journal
January 14th, 2014
South Kingstown, RI – January 13, 2014. A study in the December 2013 issue of the peer-reviewed journal, Population Health Management, provides a demonstration of how published intervention outcomes can be used to create benchmarks for wellness programs for comparison. The results can then be applied by decision makers to adapt and evaluate the effectiveness of real-world wellness programs.
This study assessed outcomes from Transtheoretical Model of Behavior Change (TTM) computer-tailored interventions (CTIs) on six behaviors. Results were compared with 26 arms of a series of TTM randomized controlled trials (RTCs) and a national Task Force for Community Preventive Services (CHES) review of 59 workplace wellness interventions
(RCTs and case studies).
Comparing results across the two sets of benchmarks demonstrated a consistent pattern in which the TTM interventions and QHS’ support, targeted communications and health coaching services produced greater impacts ranging from 33% higher rates for smoking, two times greater for exercise, five times for healthy eating, and about 45% success for fruit and vegetables compared to essentially 0%. Results for Stress Management and Depression Prevention from TTM RCTs were also included to begin to build benchmarks for these important behaviors. Of special importance is that contrary to expectations, benchmarking from a real-world case study done with Quality Health Solutions, Inc. produced results that outperformed those from our RCTs on four behaviors and tied on the other two. Decision makers can use the benchmarks to assess whether their current programs, and new ones they are considering, are likely to be closer to average performing programs or higher performing programs.
For view the abstract, please visit www.online.liebertpub.com. Advancing Bodies of Evidence for Population-based Health Promotion Programs: Randomized Controlled Trials and Case Studies by Johnson et al. in Population Health Management, Volume 16(6), 373-380.
About Quality Health Solutions, Inc.
Founded in 2001 by company President and CEO Brian J. Thomas, QHS was formed through a collaborative partnership with Pro-Change Behavior Systems, Inc. and James O. Prochaska, PhD., the lead developer of the Transtheoretical Model of Behavior Change (the “Stage of Change” model).
QHS’ mission is to encourage personal responsibility for health and well being. QHS helps its employer group clients and benefit broker partners design and implement total population health management services that assist employees and their families discover motivation and confidence, overcome challenges, and resources to achieve positive, healthy changes.
To learn more about QHS award winning wellness programs, please visit www.my-qhs.com.
Pro-Change’s Clinical Dashboard Supports AHRQ’s Guide
December 12th, 2013
South Kingstown, RI – December 12, 2013. In November of 2013, the Agency for Healthcare Research and Quality (AHRQ) released a document titled “Health Assessments in Primary Care: A How-to-Guide for Clinicians and Staff.” Health assessments have been used primarily in work settings. As they are now moving into primary care, AHRQ states that they “will require broader adoption and better implementation including assessment, review, feedback, and follow-up support for patients.” For the full report, please visit http://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/health-assessments/health-assessment-intro.html.
Pro-Change’s Health Risk Intervention, which is a Health Risk Assessment plus Intervention, and the resulting Clinical Dashboard can help primary care practices to:
- Improve relationships with patients by using the data from validated health assessment measures to stimulate dialog
- Help clinicians and patients identify and prioritize health issues and goals
- Give evidence-based, stage-matched short behavior change messages
- Track patient health risk behaviors over time
- Identify risks requiring patient referral to additional resources
- Measure and monitor patient data at the practice/population level for proactive, planned care
- Fulfill Medicare requirements for and generate revenue from incentives programs and national guidelines
For a description of Pro-Change’s Health Risk Intervention (which is presently under AHRQ review for accreditation), go to http://www.prochange.com/health-risk-assessment-intervention and to view a description of our Clinical Dashboard, please visit http://www.prochange.com/for-doctors-and-health-professionals.
About the Agency for Healthcare Research and Quality (AHRQ)
AHRQ’s mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. As one of twelve agencies within the Department of Health and Human Services, AHRQ supports research that helps people make more informed decisions and improves the quality of health care services. For more information, please visit www.ahrq.gov.
Pro-Change to Provide Webinar for Social Solutions
November 26th, 2013
On December 12, 2013, from 3:00 to 4:30 P. M. EST, Founder James O. Prochaska, PhD, President & CEO Janice M. Prochaska, PhD, and Project Manager Cindy Umanzor, MPH of Pro-Change will lead a 90 minute webinar on “The Stages of Change: Using the Transtheoretical Model to Drive Outcomes.”
The sponsoring agency is Social Solutions, a leading provider of performance management software for human services organizations. Over 50,000 non-profit staff in 30,000 agencies across the country are being invited to attend. Jim, Jan, and Cindy will provide an overview of the Transtheoretical Model (TTM) – also referred to as the Stages of Change – and its relevance. They will also share examples of how the TTM has been applied in various populations and settings including: juvenile offenders through the Iowa Department of Juvenile Justice, high school students to address bullying prevention, perpetrators of domestic violence attending mandated treatment, and underserved pregnant women seeking care at federally qualified health centers.
Adrian Bordone, co-founder of Social Solutions stated: “The Transtheoretical Model has been applied with great success to work with various target populations in a wide range of service areas. This is an incredible opportunity for human services organizations to hear directly from these prominent behavior change experts about what it takes to implement this evidence-based practice into their work.”
Half of the webinar will be dedicated to answering questions from the audience.
To register for the webinar, please click here
Pro-Change Invited to Brazil for a Second Time This Fall
November 14th, 2013
South Kingstown, RI – November 13, 2013. Sara Johnson, PhD, Senior Vice President at Pro-Change Behavior Systems, Inc. will address the International Forum for Investor Education in Rio de Janeiro on December 10 & 11, 2013.
Pro-Change has been invited to present at the International Forum for Investor Education by the Head of the Comissão de Valores Mobiliários (CVM), the Securities and Exchange Commission of Brazil. At the two-day meeting, Dr. Johnson will introduce the Transtheoretical Model to financial regulators and provide examples of how Pro-Change has collaborated with experts, including Jean Chatzky and Stacey Tisdale, to apply best practices in behavior change to improve financial well-being with adults and youth.
As part of Brazil’s National Strategy for Financial Education, the CVM collaborates with other federal and private organizations to deliver financial education to adults and children in Brazil. There has been an increasing awareness among the organizers of the Forum for Investor Education of the need to include behavior change theory in financial education. Jose Alexandre Vasco, the Head of the CVM said, “I personally think the Transtheoretical Model could be a key resource to design effective behavior change projects. There is a serious concern among some research papers questioning the effectiveness of education with regard to financial capability. What those studies do not capture is the quality of techniques employed, which I think are still lacking a logic model to shape the design of the intervention. I think the Transtheoretical Model fills that gap.”
While in Rio, Dr. Johnson will also meet with the CVM leadership to explore potential research opportunities to examine the effectiveness of Transtheoretical Model-based financial well-being intervention in Brazil.
In September of this year, Pro-Change provided two onsite trainings in Sao Paulo at the request of Carevolution, a Wellness company located in Brazil that offers Wellness Coach training and services.
Pro-Change Trains Health Counselors in Brazil
October 22nd, 2013
South Kingstown, RI – October 21, 2013. In September, Pro-Change Behavior Systems, Inc. provided two onsite trainings to 80 AxisMed Health counselors and 70 life coaches, at the request of Carevolution, a São Paulo, Brazil Wellness Company that offers Wellness Coaching training and services.
The course entitled, Basic Transtheoretical Model Training, provided coaches and other health professionals with the basic concepts and strategies needed to effectively use the Transtheoretical Model of Behavior Change (TTM) when working with clients to change health risk behaviors. By the end of a simultaneously translated four-hour course with James O. Prochaska, PhD., Janice M. Prochaska, Ph.D., and Sara S. Johnson, PhD., learners were able to:
- Know the characteristics of people in each Stage of Change
- Understand the four main constructs of the TTM
- Identify which TTM principles to employ at each Stage of Change
- Learn effective strategies for applying each TTM principle
- Learn evidence-based strategies for changing multiple behaviors
- Learn the latest breakthroughs in applying the Transtheoretical Model
Ted Feder, CEO of Carevolution, stated that “It was such an enriching experience to promote and participate in Pro-Change’s training, and I feel all coaches trained felt the same way. As I mentioned to Jim, Janice, and Sara, now we want to work to offer the training online through Pro-Change’s Basic Transtheoretical Model e-Learning in Portuguese.”
Pro-Change Will Present at the CCA Conference
October 11th, 2013
South Kingstown, RI – October 10, 2013. The Care Continuum Alliance is hosting its annual conference, CCA Forum 2013, October 23-25 in Scottsdale, Arizona, with the theme, “The ROI of Population Health: Implementation Matters.” In their call for abstracts, the Care Continuum Alliance asked for “creativity, innovation, and inventiveness. Attendees want hands on learning and presentations that can demonstrate their usefulness for the population health management industry as a whole.”
In response, Sara Johnson, PhD, Senior Vice President at Pro-Change, will present on “Promoting Financial Well-Being: Why and How?” Sara will apply best practices in health promotion to designing and implementing financial well-being interventions. Potential consequences of financial distress for the individual and the employer will be discussed. Outcome measures to demonstrate effectiveness and potential return on investment will be identified.
Vice President Leanne Mauriello, PhD, will be one of six invited speakers at the Employers Training Institute at the Conference Workshop titled, “Know What You Pay For: Roadmap to Assess Success of Employers Offered Wellness Programs.” She will present on selecting and implementing successful behavior change programs for employees. Leanne will share best practices in achieving behavior change for employers. How to critically evaluate employer-based programs on quality and impact, and how to identify benchmarks for evaluating effectiveness will be illustrated.
Please join these presentations and meet Sara and Leanne if you are able to attend the CCA Forum.
About Care Continuum Alliance
Care Continuum Alliance aligns stakeholders in the continuum of care toward the goal of improving the health of populations. The care continuum includes wellness and health promotion, prevention, care coordination, and patient advocacy, condition management and complex case management. Care Continuum Alliance promotes the role of these and other strategies in raising care quality, improving health outcomes, and reducing preventable health care costs for individuals with or at risk of chronic disease. Care Continuum Alliance accomplishes this through advocacy, research, and promotion of best practices.
Pro-Change’s Founder James O. Prochaska Receives Prestigious Award
September 25th, 2013
South Kingstown, RI – September 25, 2013. James O. Prochaska, PhD, Founder of Pro-Change Behavior Systems, Inc. received the 2013 Outstanding Contribution to Health Psychology Award from the American Psychological Association.
The award honors an individual who has a long and distinguished career of scientific contributions. Prochaska pioneered the Transtheoretical Model of Behavior Change, an internationally acclaimed program that encourages people to change their behavior in stages to achieve better health and well-being. Over the past 40 years, Prochaska has written and co-written more than 350 publications including three books: Changing for Good, Systems of Psychotherapy: A Transtheoretical Analysis, and The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy.
“James O. Prochaska and his talented colleagues at Pro-Change and at the University of Rhode Island have established a phenomenally productive and successful series of research projects and applications that have changed the field of psychology and transformed the global understanding of the behavioral aspects of health. Their development and application of the Transtheoretical Model has helped people change from risky to healthy behaviors, improving the quality of lives,” stated Winifred E. Brownell, Dean of the College of Arts & Science at the University of Rhode Island.
Pro-Change Partners with McGraw-Hill Higher Education to Distribute liveWell Program
September 18th, 2013
South Kingstown, RI – September 18, 2013. Pro-Change Behavior Systems, Inc. is now licensing its liveWell program to McGraw-Hill Higher Education for distribution to college and university students as an adjunct to their textbooks. liveWell: A Healthy Foundation for Life is an innovative online multimedia program designed to help college students improve their well-being by exercising regularly, eating healthy, and effectively managing stress.
The evidence-based liveWell program is based on the Transtheoretical Model (TTM) (or Stages of Change model) and was developed with Small Business Innovative Research funding from the National Heart, Lung, and Blood Institute. The development of the program involved extensive end-user and expert input including formative research conducted with student focus groups, usability tests, expert interviews, and input from an interdisciplinary team of college students from various U.S. colleges and universities.
A unique aspect of liveWell is that it leverages state-of-the-science best practices for tailoring of behavior change messages. Students receive a unique combination of fully tailored (exercise) and optimally tailored (fruit and vegetable intake and stress management) messages to maximize outcomes while minimizing response burden.
Consistent with Blooms’ taxonomy (i.e., Knowledge, Comprehension, Application, Analysis, Synthesis, and Evaluation), liveWell will foster knowledge gain and comprehension. The interactive online program will also offer students the unique opportunity to directly apply their knowledge; analyze multiple dimensions of the behavior change process and aspects of the health behaviors addressed; synthesize the content by creating their own behavior change plan and goals; and evaluate their progress. Robust reporting features enable instructors to track their students’ program usage, progress, and outcomes.
“College students, in particular, are in need of prevention and intervention programs because the transition from high school to college is associated with a precipitous decline in healthy behaviors,” says Sara Johnson, PhD., Senior Vice President of Pro-Change. “Recent estimates indicate approximately one half of college men and one quarter of college women are overweight or obese. We also know that physical activity declines as young adults age and more than a quarter of college students report stress severe enough to adversely affect grades or course enrollment. Thus, the need for effective, individually tailored health promotion interventions among this group is clear. We are pleased to provide an evidence-based solution to meet that need.”
Gina Boedeker, Managing Director of Products & Markets, said “McGraw-Hill is thrilled to have this innovative product offering available for students across the country. liveWell is a wonderful addition to our expanding suite of e-books and hybrid learning solutions.”
About McGraw-Hill Higher Education
McGraw-Hill Higher Education, a unit of McGraw-Hill Education, is a leading innovator in the development of 21st century teaching and learning digital solutions for post-secondary and higher education markets worldwide. Through a comprehensive range of traditional and digital education content and tools focused on improving student learning outcomes, McGraw-Hill Higher Education empowers and prepares professionals and students to connect, learn, and succeed in the global economy. For more information, please visit www.mheducation.
Pro-Change and Cooper Consulting Partners to Partner, Improve Corporate Health
September 6th, 2013
Partnership adds renowned behavior change model to Cooper Consulting Partners’ Leading a Fit Life Program
South Kingstown, RI – September 6, 2013. Pro-Change, an internationally-recognized behavior change company and Cooper Consulting Partners, a health management consultancy, part of Cooper Aerobics, has announced a partnership that will further empower businesses and their employees to make healthy changes for good.
Through the agreement, Pro-Change’s Health Risk Intervention will be incorporated into Cooper Consulting Partners Leading a Fit Life program, allowing participants to receive individualized guidance and tips to make lasting change to their health. “The partnership with Pro-Change is a natural fit,” says David Atkinson, Partner for Cooper Consulting Partners. “Pro-Change’s behavior change assessment is based on extensive scientific research and evaluates readiness and how an individual can make changes. The Leading a Fit Life program develops a personal action plan for the participant to put those healthier behaviors into practice.”
Cooper Consulting Partner’s Leading a Fit Life program is an eight-week interactive program that offers employees and their spouses the opportunity to use fitness, nutrition and stress management tools to improve health and productivity which ultimately helps to control health care cost trends.
Research has shown that up to 80 percent of people are not ready to go to action right away. “Going to action is something most people have to work up to and not everyone moves at the same pace,” says Janice M. Prochaska, PhD, President and CEO of Pro-Change. “Our Health Risk Intervention is based on science and has been shown to be effective in real-life situations. It is designed to meet those individuals participating in the Leading a Fit Life program where they are in the change process.”
About Cooper Consulting Partners
Cooper Consulting Partners, A Cooper Aerobics company, is a population health management company providing a results-based strategic approach to corporate wellness for organizations who understand that healthier employees are a business imperative. Kenneth H. Cooper’s, MD, MPH, core principal is that it is easier and less expensive to maintain good health than it is to regain it once it is lost. This philosophy drives Cooper Consulting Partners, helping companies achieve maximum health and wellness with minimum impact to the bottom line. Cooper Consulting Partners offers Executive Risk Management, Strategic Wellness Consulting, and Executive and Healthy Lifestyle Training. For more information call 972.560.3263 or visit cooperconsultingpartners.com.
Pro-Change’s Smoking Cessation Program Also Effective for Psychiatric Patients
August 22nd, 2013
South Kingstown, RI – August 21, 2013. HealthDay News recently reported the results of a new study from the American Journal of Public Health (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301403). The study showed that psychiatric patients who participated in Pro-Change Behavior System’s individually tailored smoking cessation program while they were hospitalized for treatment of a mental illness were more likely to quit smoking and less likely to be re-hospitalized.
The findings challenge a common misperception among mental health experts that smoking is a useful tool in treating psychiatric patients. The study’s lead author, Judith J. Prochaska, PhD, an associate professor at the Stanford University School of Medicine, reported that cigarettes are still used as part of a reward system on some units and that doctors may sometimes smoke with patients as a way of creating a connection.
The study conducted by Prochaska and her colleagues included 224 inpatients at a smoke-free psychiatric hospital in California who smoked at least five cigarettes a day prior to being admitted to the hospital. The patients had a range of mental health conditions, including depression, bipolar disorder, and schizophrenia. Three-quarters were suicidal. The patients were randomized into two groups. Patients randomized to the treatment group participated in Pro-Change’s Smoking Cessation program. Those randomized to the control group received usual care–which included a pamphlet about the hazards of smoking and information on how to quit.
The Pro-Change Smoking Cessation program included a computer-tailored intervention with individualized feedback and a stage-matched print manual. Patients in the treatment group also met for 15 to 30 minutes with a counselor and were offered a 10-week supply of nicotine patches when they were ready to quit smoking. The computer-tailored intervention was repeated at 3- and 6-months post-hospitalization to provide ongoing behavior change guidance through the quitting process. Patient’s outpatient providers received a copy of the patient’s report.
At the 18 month follow-up, 20% of those in the treatment group had quit smoking, compared to just 7.7% of those in the control group. Furthermore, fewer patients (44%) in the treatment group had been re-hospitalized (44% vs. 56%). The findings indicated that helping patients quit smoking did not harm their mental health recovery and may have even improved it, Prochaska said. “I think some of the therapeutic contact that addressed participants’ tobacco dependence, and supported them with this major health goal, may have generalized to them feeling better about their mental health condition,” Prochaska said in a Stanford news release.
Sara Johnson, PhD, Senior Vice President of Research and Product Development at Pro-Change Behavior Systems said, “Given that almost half of the cigarettes in the United States are sold to those with psychiatric or addictive disorders, we commend Dr. Prochaska and her colleagues for their ongoing efforts to make our population-based tailored Smoking Cessation program available to inpatients with mental illness and to rigorously evaluate its impact in this historically under-served group.”