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Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME)

An Evidence-Based Practice

Description

The Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) study included two worksite-based interventions. This intervention was delivered to firefighters in Washington and Oregon. The team-based intervention consisted of ten 45- minute peer-taught sessions. Sessions covered a variety of topics including training heart rate and aerobic conditioning, serving sizes, and fast food makeover. The one-on-one intervention involved four meetings with a trained health counselor lasting up to one hour, followed by follow-up telephone discussions. Both groups received a Firefighters' Health and Fitness guide.

Goal / Mission

The PHLAME Study had four primary goals: (1) Increase physical activity to 30 minutes each day; (2) Reduce percent calories from fat to less than 30%; (3) Increase servings of fruits and vegetables to at least 5 per day; and (4) Improve energy balance and normalize body fat.

Results / Accomplishments

Both the team-based and one-on-one intervention firefighters demonstrated significant reductions in LDL cholesterol compared to the control group (P=0.03 and P=0.01, respectively). The one-on-one format significantly decreased behaviors related to higher dietary fat intakes (p=0.03). In contrast, a significant increase in personal exercise practices (P=0.02) was associated only with the team-based firefighters.

About this Promising Practice

Organization(s)
Oregon Health & Science University
Primary Contact
Dr. Diane L. Elliot
Division of Health Promotion & Sports Medicine, CR110 Oregon Health & Science University
3181 SW Sam Jackson Park Road
Portland, OR 97239- 3098
503 494-8311
elliotd@ohsu.edu
http://www.ohsu.edu/xd/research/research-expertise...
Topics
Health / Physical Activity
Health / Heart Disease & Stroke
Organization(s)
Oregon Health & Science University
Source
American Journal of Health Behavior
Date of publication
2004
Location
WA, OR
For more details
http://www.ncbi.nlm.nih.gov/pubmed/14977155
Target Audience
Adults
Additional Audience
Firefighters

Related Promising Practices

  1. Worksite Programs for Obesity Prevention
  2. Migrant Health Promotion
  3. CDC COMMUNITY GUIDE: Obesity Prevention and Control: Worksite Programs
  4. Cardiovascular Risk Management by Community Pharmacists

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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