American Journal of Preventive Medicine
Volume 36, Issue 6 , Pages 475-483 , June 2009

Improving Diet and Physical Activity with ALIVE: A Worksite Randomized Trial

  • Barbara Sternfeld, PhD

      Affiliations

    • Division of Research, Kaiser Permanente, Oakland, California
    • Corresponding Author InformationAddress correspondence and reprint requests to: Barbara Sternfeld, PhD, Division of Research, Kaiser Permanente, 2000 Broadway, Oakland CA 94612
  • ,
  • Clifford Block, PhD

      Affiliations

    • NutritionQuest, Inc., Berkeley, California
  • ,
  • Charles P. Quesenberry Jr, PhD

      Affiliations

    • Division of Research, Kaiser Permanente, Oakland, California
  • ,
  • Torin J. Block, BA

      Affiliations

    • NutritionQuest, Inc., Berkeley, California
  • ,
  • Gail Husson, MPH

      Affiliations

    • Division of Research, Kaiser Permanente, Oakland, California
  • ,
  • Jean C. Norris, DrPH

      Affiliations

    • NutritionQuest, Inc., Berkeley, California
  • ,
  • Melissa Nelson, MA, MPH

      Affiliations

    • Division of Research, Kaiser Permanente, Oakland, California
  • ,
  • Gladys Block, PhD

      Affiliations

    • NutritionQuest, Inc., Berkeley, California

References 

  1. USDHHS. Physical activity and health: a report of the Surgeon General. Atlanta GA: USDHHS, CDC, National Center for Chronic Disease Control and Prevention; 1996;
  2. Ascherio A, Katan MB, Zock PL, Stampfer MJ, Willett WC. Trans fatty acids and coronary heart disease. N Engl J Med. 1999;340:1994–1998
  3. Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med. 2000;343:16–22
  4. Glade MJ. Food, nutrition, and the prevention of cancer: a global perspective (American Institute for Cancer Research/World Cancer Research Fund, American Institute for Cancer Research, 1997). Nutrition. 1999;15:523–526
  5. Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health. 1987;8:253–287
  6. Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS. Physical activity and reduced occurrence of non-insulin dependent-diabetes mellitus. N Engl J Med. 1991;325:147–152
  7. Thune I, Brenn T, Lund E, Gaard M. Physical activity and the risk of breast cancer. N Engl J Med. 1997;336:1269–1275
  8. Lee IM, Paffenbarger RS, Hsieh C. Physical activity and risk of developing colorectal cancer among college alumni. J Natl Cancer Inst. 1991;83:1324–1329
  9. CDC. Adult participation in recommended levels of physical activity—U.S., 2001 and 2003. MMWR Morb Mort Wkly Rep. 2005;54:1208–1212
  10. Leavitt MO. Physical activity and good nutrition (Essential elements to prevent chronic diseases and obesity). Atlanta GA: CDC, Coordinating Center for Health Promotion; 2007;
  11. McCabe-Sellers BJ, Bowman S, Stuff JE, Campagne CM, Simpson PM, Bogle ML. Assessment of the diet quality of U.S. adults in the Lower Mississippi Delta. Am J Clin Nutr. 2007;86:697–706
  12. King AC, Haskell WL, Young DR, Oka RK, Stefanick ML. Long-term effects of varying intensities and formats of physical activity on participation rates, fitness and lipoproteins in men and women aged 50 to 65 years. Circulation. 1995;91:2596–2604
  13. King AC, Stokols D, Talen E, Brassington GS, Killingsworth R. Theoretical approaches to the promotion of physical activity: forging a transdisciplinary paradigm. Am J Prev Med. 2002;23:15–25
  14. Baranowski T, Lin LS, Wetter DW, Resnicow K, Hearn MD. Theory as mediating variables: why aren't community interventions working as desired?. Ann Epidemiol. 1997;7:S89–S95
  15. Resnicow K, Vaughan R. A chaotic view of behavior change: a quantum leap for health promotion. Int J Behav Nutr Phys Act. 2006;3:25
  16. Marcus BH, Ramspach SW, Lefebvre RC, Rossi JS, Carlton RA, Abrams DB. Using the stages of change model to increase the adoption of physical activity among community participants. Am J Health Promot. 1992;6:424–429
  17. Marcus BH, Emmons KM, Simkin-Silverman LR, et al. Evaluation of motivationally tailored vs. standard self-help physical activity interventions at the workplace. Am J Health Promot. 1998;12:246–253
  18. Prochaska JO, DiClemente CC. The transtheoretical approach: crossing traditional boundaries of change. Homewood IL: Dorsey Press; 1984;
  19. Bandura A. Self-efficacy: the exercise of control. New York: Freeman; 1997;
  20. Block G, Sternfeld B, Block CH, et al. Development of Alive! (A Lifestyle Intervention Via Email), and its effect on health-related quality of life, presenteeism, and other behavioral outcomes: randomized controlled trial. J Med Internet Res. 2008;10:e43
  21. Ainsworth BE, Irwin ML, Addy CL, Whitt MC, Stolarczyk LM. Moderate physical activity patterns of minority women: the Cross Cultural Activity Participation Study. J Womens Health Gend Based Med. 1999;8:805–813
  22. Block G, Hartman AM, Naughton D. A reduced dietary questionnaire: development and validation. Epidemiology. 1990;1:58–64
  23. Lalonda I, Graham M, Slovinec-D'Angelo M, Beaton L, Brown J, Block T. Validation of the block fat/sugar/fruit/vegetable screener in a cardiac rehabilitation setting. J Cardiopulm Rehabil Prev. 2008;28:340
  24. Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32(9S):S498–S504
  25. National Health and Nutrition Examination Survey. Atlanta GA: CDC; 2008;
  26. U.S. Department of Agriculture. Food and nutrient database for dietary studies. Washington DC: Agricultural Research Service; 2008;
  27. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423–1434
  28. Pate RR, Pratt M, Blair SN, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995;273:402–407
  29. USDHHS and U.S. Department of Agriculture. Dietary guidelines for Americans. 6th ed.. Washington DC: U.S. Government Printing Office; 2005;
  30. WHO. Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva 2003;Report Series 916
  31. Prochaska JO. A transtheoretical model of behavior change: implications for diet interventions. In:  Henderson MM,  Bowen DJ,  DeRoss KK editor. Promoting dietary change in communities: applying existing models of dietary change to population-based interventions. Seattle: Fred Hutchinson Cancer Research Center; 1992;
  32. Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs NJ: Prentice-Hall; 1986;
  33. King AC, Blair SN, Bild DE, et al. Determinants of physical activity and interventions in adults. Med Sci Sports Exerc. 1992;24(6S):S221–S236
  34. Marcus BH, Williams DM, Dubbert PM, et al. Physical activity intervention studies: what we know and what we need to know: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation. 2006;114:2739–2752
  35. Martin SB, Morrow JR, Jackson AW, Dunn AL. Variables related to meeting the CDC/ACSM physical activity guidelines. Med Sci Sports Exerc. 2000;32:2087–2092
  36. King AC, Castro C, Wilcox S, Eyler AA, Sallis JF, Brownson RC. Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. Health Psychol. 2000;19:354–364
  37. King AC, Taylor CB, Haskell WL, DeBusk RF. Identifying strategies for increasing employee physical activity levels: findings from the Stanford/Lockheed Exercise Survey. Health Educ Q. 1990;17:269–285
  38. Curry SJ, Kristal AR, Bowen DJ. An application of the stage model of behavior change to dietary fat reduction. Health Educ Res. 1992;7:97–105
  39. Brownell KD, Marlatt GA, Lichtenstein E, Wilson GT. Understanding and preventing relapse. Am Psychol. 1986;41:765–782
  40. Shannon J, Kirkley B, Ammerman A, et al. Self-efficacy as a predictor of dietary change in a low-socioeconomic-status Southern adult population. Health Educ Behav. 1997;24:357–368
  41. Shilts MK, Horowitz M, Townsend MS. Goal setting as a strategy for dietary and physical activity behavior change: a review of the literature. Am J Health Promot. 2004;19:81–93
  42. Dzewaltowski DA, Noble JM, Shaw JM. Physical activity participation: social cognitive theory versus the theories of reasoned action and planned behavior. J Sport Exerc Psychol. 1990;12:388–405
  43. Sallis JF, Haskell WL, Fortmann SP, Vranizan KM, Taylor CB, Solomon DS. Predictors of adoption and maintenance of physical activity in a community sample. Prev Med. 1986;15:331–341
  44. AbuSabha R, Achterberg C. Review of self-efficacy and locus of control for nutrition- and health-related behavior. J Am Diet Assoc. 1997;97:1122–1132
  45. Brug J, Steenhuis I, van Assema P, De Vries H. The impact of a computer-tailored nutrition intervention. Prev Med. 1996;25:236–242
  46. Wangberg SC. An Internet-based diabetes self-care intervention tailored to self-efficacy. Health Educ Res. 2008;23:170–179
  47. Brug J, van Assema P. Differences in use and impact of computer-tailored dietary fat-feedback according to stage of change and education. Appetite. 2000;34:285–293
  48. Brug J, Oenema A, Campbell M. Past, present, and future of computer-tailored nutrition education. Am J Clin Nutr. 2003;77:1028S–1034S
  49. Oenema A, Brug J, Dijkstra A, de Weerdt I, De Vries H. Efficacy and use of an Internet-delivered computer-tailored lifestyle intervention, targeting saturated fat intake, physical activity and smoking cessation: a randomized controlled trial. Ann Behav Med. 2008;35:125–135
  50. Spittaels H, De Bourdeaudhuij I, Vandelanotte C. Evaluation of a website-delivered computer-tailored intervention for increasing physical activity in the general population. Prev Med. 2007;44:209–217
  51. van den Berg MH, Schoones JW, Vliet Vlieland TP. Internet-based physical activity interventions: a systematic review of the literature. J Med Internet Res. 2007;9:e26
  52. Revere D, Dunbar PJ. Review of computer-generated outpatient health behavior interventions: clinical encounters “in absentia.”. J Am Med Inform Assoc. 2001;8:62–79
  53. Marcus BH, Lewis BA, Williams DM, et al. A comparison of Internet and print-based physical activity interventions. Arch Intern Med. 2007;167:944–949
  54. Marcus BH, Lewis BA, Williams DM, et al. Step into motion: a randomized trial examining the relative efficacy of Internet vs. print-based physical activity interventions. Contemp Clin Trials. 2007;28:737–747
  55. Kroeze W, Oenema A, Campbell M, Brug J. The efficacy of web-based and print-delivered computer-tailored interventions to reduce fat intake: results of a randomized, controlled trial. J Nutr Educ Behav. 2008;40:226–236
  56. Kim CJ, Kang DH. Utility of a web-based intervention for individuals with type 2 diabetes: the impact on physical activity levels and glycemic control. Comput Inform Nurs. 2006;24:337–345
  57. Dishman RK, Oldenburg B, O'Neal H, Shephard RJ. Worksite physical activity interventions. Am J Prev Med. 1998;15:344–361
  58. Hennrikus DJ, Jeffery RW. Worksite intervention for weight control: a review of the literature. Am J Health Promot. 1996;10:471–498
  59. Armstrong BK, White E, Saracci R. Principles of exposure measurement in epidemiology. Oxford: Oxford University Press; 1994;

PII: S0749-3797(09)00150-0

doi: 10.1016/j.amepre.2009.01.036

American Journal of Preventive Medicine
Volume 36, Issue 6 , Pages 475-483 , June 2009