The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) firefighter study: Outcomes of two models of behavior change

Diane Elliot, Linn Goldberg, Kerry Kuehl, Esther Moe, Rosemary K R Breger, Michael A. Pickering

Research output: Contribution to journalArticle

107 Citations (Scopus)

Abstract

OBJECTIVE: PHLAME's (Promoting Healthy Lifestyles: Alternative Models' Effects) objective was to assess and compare two means to promote healthy lifestyles. METHODS: Prospective trial among 599 firefighters randomized by station to 1) team-centered curriculum, 2) one-on-one motivational interviewing (MI), and 3) controls. Assessment included dietary behavior, physical activity, weight, and general well-being at baseline and 12 months. Program effects were determined using an analysis of covariance (ANCOVA) based approach, and models for relationships were evaluated with path analysis. RESULTS: Both interventions were acceptable and delivered with high fidelity. The team and MI programs increased fruit and vegetable consumption (P <0.01 and 0.05, respectively) and general well-being (P <0.01). Significantly less weight gain occurred in both (P <0.05). A cross-sectional model was consistent with mediation differing between interventions. CONCLUSIONS: Both a team-centered and individual-oriented intervention promoted healthy behaviors. The scripted team curriculum is innovative, exportable, and may enlist influences not accessed with individual formats.

Original languageEnglish (US)
Pages (from-to)204-213
Number of pages10
JournalJournal of Occupational and Environmental Medicine
Volume49
Issue number2
DOIs
StatePublished - Feb 2007

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Firefighters
Motivational Interviewing
Curriculum
Outcome Assessment (Health Care)
Vegetables
Weight Gain
Fruit
Exercise
Weights and Measures
Healthy Lifestyle

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

The PHLAME (Promoting Healthy Lifestyles : Alternative Models' Effects) firefighter study: Outcomes of two models of behavior change. / Elliot, Diane; Goldberg, Linn; Kuehl, Kerry; Moe, Esther; Breger, Rosemary K R; Pickering, Michael A.

In: Journal of Occupational and Environmental Medicine, Vol. 49, No. 2, 02.2007, p. 204-213.

Research output: Contribution to journalArticle

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