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Promoting Healthy Lifestyles Among Firefighters (PHLAME)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00006181
First Posted: August 21, 2000
Last Update Posted: January 7, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Cancer Institute (NCI)
Information provided by (Responsible Party):
Diane Elliot, Oregon Health and Science University
  Purpose

Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) is a research study to evaluate and compare two ways to promote healthy behaviors, (regular physical activity, less than 30% calories from fat, 5 or more servings of fruits plus vegetables each day and maintain a healthy weight). Unhealthy nutrition practices and sedentary (inactive) lifestyles are the two most common harmful behaviors in the United States. Our two health promotion methods are 1) a team-based approach and 2) a one-on-one approach involving meetings with a health counselor. A third group only receives the same evaluation and their results and is the control group. Study participants are firefighters from 36 fire stations in Oregon and Washington.

The goals of the study are increased physical activity and fitness, improved nutrition, and improved energy balance (reduced body fat). Changes in these factors can help lower risks for heart disease, some types of cancer, diabetes, hypertension and musculoskeletal injuries. Results from PHLAME will provide information on how best to help adults achieve and maintain healthy lifestyles.


Condition Intervention Phase
Cardiovascular Diseases Cancer Physical Activity Nutrition Behavioral: Team-based intervention Behavioral: One-on-one intervention Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: PHLAME: Promoting Healthy Lifestyles: Alternative Models' Effects

Resource links provided by NLM:


Further study details as provided by Diane Elliot, Oregon Health and Science University:

Estimated Enrollment: 600
Study Start Date: April 1999
Study Completion Date: March 2003
Primary Completion Date: March 2003 (Final data collection date for primary outcome measure)
Detailed Description:

This is a randomized, controlled trial to implement and prospectively assess and compare the usefulness of two means to promote healthy behaviors. Subjects are fire fighters who are assigned to one of two interventions or the control condition using a balanced randomization by fire station. The two health promotion interventions are 1) a team-based intervention and 2) a one-on-one intervention with a health counselor. The team intervention is based on social-learning theory, with all members of the social unit simultaneously participating. The one-on-one intervention uses a transtheoretical model and motivational interviewing techniques at the individual level.

The targeted outcomes are increased physical activity and fitness, improved nutrition (more than 5 servings of fruits and vegetables and less than 30 percent of calories as fat), and improved energy balance (healthy body weight). Secondary outcomes include increased measures of endurance, strength, flexibility, and back fitness; reduced LDL levels; decreased abdominal obesity; and enhanced quality of life. Changes in these outcome measures can help lower risks for heart disease, some types of cancer, diabetes, hypertension and musculoskeletal injuries.

We will assess program effects at the station and individual level. We will analyze the hierarchical data (fire fighters nested at fire stations) using linear modeling and use latent growth modeling to examine change over time. In addition, we will use covariance structure models to identify constructs and latent paths among constructs that affect outcomes. Our large data set, nested study design, and prospective longitudinal assessment make these newer modeling techniques well suited for our data analysis. Results from PHLAME will provide information on health behavior change and health promotion for adults.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • All fit-for-duty fire fighters from Portland, OR, Salem, OR, Camas, WA, Battleground, WA and Brush Prairie, WA.

Exclusion Criteria:

  • Fire fighters who are planning on leaving employment within 1 year.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00006181


Locations
United States, Oregon
Oregon Health & Science University
Portland, Oregon, United States, 97201
Sponsors and Collaborators
Oregon Health and Science University
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Cancer Institute (NCI)
Investigators
Principal Investigator: Diane L. Elliot, MD Oregon Health and Science University
  More Information

Publications:
American College of Sports Medicine. Guidelines for Exercise Testing and Prescription. 5th ed. Williams & Wilkins, 1995.
National Research Council. National Academy of Sciences. Diet and Health: Implications for Reducing Chronic Disease Risk. 1989. Washington, DC: National Academy Press.
The Fire Service Joint Labor Management Wellness/Fitness Initiative. International Association of Fire Fighters, 1997.
Moe EL, Elliot DL, Goldberg L, Kuehl KS, Duncan TE, Johnson RKR, DeFrancesco CA, Dulacki KN, Onsanit A. The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) Program: Pilot Year Findings. Poster presentation at Sixth International Congress of Behavioral Medicine, 15-18 November 2000, Brisbane, Australia.
Kuehl K, Elliot D, Goldberg L, Moe E, Johnson R, McGinnis W, Duncan T. PHLAME. Promoting Healthy Lifestyles: Alternative Models' Effects. Poster presentation at the National Cancer Institute's Health Promotion Branch Second Annual Meeting of Nutrition and Health Behavior Change Grantees, 9-10 September 2000, Washington, DC.
Elliot D, Goldberg L, Kuehl K, Moe E, Johnson R, Butterworth S. PHLAME. Promoting Healthy Lifestyles: Alternative Models' Effects. Poster presentation at the Redmond Foundation's Fifteenth Symposium on the Occupational Health and Hazards of the Fire Service, 22-26 August 1999.
Greene G, Peterson K, Elliot D, Domas A, Toobert D, Resnicow K, Clark P, Breger R, Rossi S, Williams G, Nebeling L. Behavioral Change Consortium Dietary Validation Studies. Poster presentation at ISBNPA 2002 Annual Meeting, Seattle, Washington.
Goldschmidt MH, Elliot DL, Goldberg L, Moe E. Do carbohydrate cravers really differ? Poster session presented at the Second Scientific Meeting of the American Association of Health Behavior, Napa Valley, CA, March, 2002.
Goldschmidt MH, Elliot DL, Goldberg L, Moe E. More than mood: Is carbohydrate craving related to physical health? Poster session presented at the 2002 Annual Meeting of the American College of Sports Medicine, St. Louis, MO, May 2002.
Onsanit A, Elliot DL, Goldberg L, Kuehl KS, Moe EL, Duncan TE, Johnson RKR, DeFrancesco CA, Dulacki KN, Dolen S. PHLAME: Hot New Means to Change Behavior. Abstract and poster presented to the Oregon Chapter of the American College of Physicians- American Society of Internal Medicine, Nov. 2, 2000.

Responsible Party: Diane Elliot, Professor of Medicine, Oregon Health and Science University
ClinicalTrials.gov Identifier: NCT00006181     History of Changes
Other Study ID Numbers: R01AR045901 ( U.S. NIH Grant/Contract )
NIAMS-058
First Submitted: August 19, 2000
First Posted: August 21, 2000
Last Update Posted: January 7, 2014
Last Verified: March 2003

Keywords provided by Diane Elliot, Oregon Health and Science University:
Health behavior change
Motivational interviewing
Motivational enhancement
Health counseling
Team intervention
One-on-one intervention
Physical activity
Exercise
Nutrition
Health assessments
Strength
Flexibility
Percent body fat
Social-learning theory
PHLAME
Fire fighters
Fire stations
Cancer
Cardiovascular diseases

Additional relevant MeSH terms:
Cardiovascular Diseases