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Health Education Research, Vol. 17, No. 5, 586-596, October 2002
© 2002 Oxford University Press

Promoting Healthy Lifestyles: Alternative Models’ Effects (PHLAME)

Esther L. Moe, Diane L. Elliot, Linn Goldberg, Kerry S. Kuehl, Victor J. Stevens1, Rosemary K. R. Breger, Carol L. DeFrancesco, Denise Ernst1, Terry Duncan2, Kristen Dulacki and Sara Dolen

Division of Health Promotion and Sports Medicine, Oregon Health and Science University, 3181 SW Sam Jackson Park Road CR110, Portland, OR 97201, 1 Kaiser Permanente Center for Health Research, Portland, OR 97227-1098, and 2 Oregon Research Institute, Eugene, OR 97403, USA

The Promoting Healthy Lifestyles: Alternative Models’ Effects (PHLAME) study evaluates the efficacy of two intervention strategies for improving nutrition and physical activity practices in fire fighters: a team-centered program and a one-on-one format targeting the individual. PHLAME compares these two behavior change models (the team-based versus the one-on-one approaches) against a usual-care control group. As a group, fire fighters have a concentration of the same harmful behaviors and health risks commonly afflicting the US population. Fire fighters have a unique work structure which is ideal for a team-centered model of behavior change. This strategy, based on Social Learning Theory, focuses on a team of fire fighters who work together on the same shift. If this team-centered model proves successful, it could provide a cost-effective method to impact behavior, and be disseminated among fire bureaus and in other team settings. The one-on-one intervention incorporates the Transtheoretical Model of behavior change, uses Motivational Interviewing for its counseling strategy and could be used in the more typical provider–client clinic setting. Findings from PHLAME will provide information about the process and outcomes of these models’ ability to achieve health behavior change.


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