23 results on '"Katz, David L."'
Search Results
2. North American naturopathic medicine in the 21st century: Time for a seventh guiding principle - Scientia Critica.
- Author
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Logan AC, Goldenberg JZ, Guiltinan J, Seely D, and Katz DL
- Subjects
- Evidence-Based Medicine, Guidelines as Topic, Humans, Knowledge, North America, Professional-Patient Relations, Public Health, Delivery of Health Care, Health Occupations, Health Promotion, Integrative Medicine, Naturopathy standards, Professional Competence
- Abstract
The World Health Organization strategy for global health includes a culturally-sensitive blending of western biomedicine with traditional forms of healing; in practical terms this approach is often referred to as integrative medicine. One distinct element within the systems of North American integrative healthcare is naturopathic medicine; while the basic premise of its fundamental approach to care - supporting healthy lifestyle behaviors - is as old as medicine itself, the early history of organized naturopathy in North America was heavy in theory and light on critical analysis. Dozens of questionable modalities and protocols have been housed under the rubric of naturopathy. It is our contention that the progression of professional naturopathic medicine in the 21st century - with goals of personal, public and planetary health - requires the active pursuit of critical analysis. We examine the primary guiding principles which drive the training and practice of North American naturopathic medicine; while these principles are laudable in the age of patient-centered care, we argue that there are shortcomings by absentia. We propose a seventh principle - Scientia Critica; that is, the ability to critically analyze accumulated knowledge - including scientific facts, knowledge about the self (critical consciousness) and values of the patient., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
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3. Lifestyle as Medicine: The Case for a True Health Initiative.
- Author
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Katz DL, Frates EP, Bonnet JP, Gupta SK, Vartiainen E, and Carmona RH
- Subjects
- Humans, Nutrition Policy, United States, Health Promotion methods, Health Status, Healthy Lifestyle, Nutritional Sciences education
- Abstract
The power of lifestyle as medicine was perceived thousands of years ago. There is now consistent and compelling science to support the important influence of lifestyle on health. Approximately 80% of chronic disease and premature death could be prevented by not smoking, being physically active, and adhering to a healthful dietary pattern. Cardiovascular disease, diabetes, stroke, dementia, and cancer are all influenced by lifestyle choices. Despite the ample evidence about what behaviors promote health, confusion still prevails among the general population. This is particularly true with regard to diet. Confusing nutrition messages from scientists, the media, the food industry, and other sources have made it all but impossible for any single authority to convey persuasively the fundamentals of healthful eating. The case is made here that a global coalition of diverse experts has the power to do what no individual can: clarify and popularize an understanding of the fundamentals of a health-promoting, sustainable pattern of diet and lifestyle, and rally the general public to their consistent support.
- Published
- 2018
- Full Text
- View/download PDF
4. Advancing School and Community Engagement Now for Disease Prevention (ASCEND).
- Author
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Treu JA, Doughty K, Reynolds JS, Njike VY, and Katz DL
- Subjects
- Anti-Asthmatic Agents administration & dosage, Body Mass Index, Central Nervous System Stimulants administration & dosage, Child, Diet, Educational Status, Exercise, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Physical Fitness, Socioeconomic Factors, Health Behavior, Health Promotion organization & administration, School Health Services organization & administration
- Abstract
Purpose: To compare two intensity levels (standard vs. enhanced) of a nutrition and physical activity intervention vs. a control (usual programs) on nutrition knowledge, body mass index, fitness, academic performance, behavior, and medication use among elementary school students., Design: Quasi-experimental with three arms., Setting: Elementary schools, students' homes, and a supermarket., Subjects: A total of 1487 third-grade students., Intervention: The standard intervention (SI) provided daily physical activity in classrooms and a program on making healthful foods, using food labels. The enhanced intervention (EI) provided these plus additional components for students and their families., Measures: Body mass index (zBMI), food label literacy, physical fitness, academic performance, behavior, and medication use for asthma or attention-deficit hyperactivity disorder (ADHD)., Analysis: Multivariable generalized linear model and logistic regression to assess change in outcome measures., Results: Both the SI and EI groups gained less weight than the control (p < .001), but zBMI did not differ between groups (p = 1.00). There were no apparent effects on physical fitness or academic performance. Both intervention groups improved significantly but similarly in food label literacy (p = .36). Asthma medication use was reduced significantly in the SI group, and nonsignificantly (p = .10) in the EI group. Use of ADHD medication remained unchanged (p = .34)., Conclusion: The standard intervention may improve food label literacy and reduce asthma medication use in elementary school children, but an enhanced version provides no further benefit.
- Published
- 2017
- Full Text
- View/download PDF
5. Building on the Supplemental Nutrition Assistance Program's Success: Conquering Hunger, Improving Health.
- Author
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Barnard ND and Katz DL
- Subjects
- Humans, Nutrition Surveys, Nutritive Value, United States, Food Assistance legislation & jurisprudence, Health Promotion, Hunger, Nutrition Policy
- Published
- 2017
- Full Text
- View/download PDF
6. Disease Prevention and Health Promotion: How Integrative Medicine Fits.
- Author
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Ali A and Katz DL
- Subjects
- Complementary Therapies economics, Health Promotion, Integrative Medicine trends, Preventive Medicine
- Abstract
As a discipline, preventive medicine has traditionally been described to encompass primary, secondary, and tertiary prevention. The fields of preventive medicine and public health share the objectives of promoting general health, preventing disease, and applying epidemiologic techniques to these goals. This paper discusses a conceptual approach between the overlap and potential synergies of integrative medicine principles and practices with preventive medicine in the context of these levels of prevention, acknowledging the relative deficiency of research on the effectiveness of practice-based integrative care. One goal of integrative medicine is to make the widest array of appropriate options available to patients, ultimately blurring the boundaries between conventional and complementary medicine. Both disciplines should be subject to rigorous scientific inquiry so that interventions that are efficacious and effective are systematically distinguished from those that are not. Furthermore, principles of preventive medicine can be infused into prevalent practices in complementary and integrative medicine, promoting public health in the context of more responsible practices. The case is made that an integrative preventive approach involves the responsible use of science with responsiveness to the needs of patients that persist when conclusive data are exhausted, providing a framework to make clinical decisions among integrative therapies., (Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
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7. Promoting Healthy Lifestyles to Children at School: Using a Multidisciplinary Train-the-Trainer Approach.
- Author
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Sanders MJ, Reynolds J, Bagatell N, Treu JA, OʼConnor E, and Katz DL
- Subjects
- Child, Female, Health Promotion statistics & numerical data, Humans, Male, Nutrition Policy, Physical Fitness, Health Behavior, Health Promotion methods, Students statistics & numerical data, Teaching methods
- Abstract
Objective: The purpose of the study was to examine the efficacy of a multidisciplinary train-the-trainer model for improving fitness and food label literacy in third-grade students., Design: University student trainers taught ABC for Fitness and Nutrition Detectives, established programs to promote physical activity and nutrition knowledge, to 239 third-grade students in 2 communities over a 6-month period. A total of 110 children were in the intervention group and 129 children in the control group (2 schools each). Outcomes included the Food Label Literacy and Nutrition Knowledge test and the fitness measures of curl-ups, push-ups, 0.5-mile run, and sit and reach. Focus groups were conducted as process feedback., Setting: Four public schools in 2 different communities., Participants: A total of 200 third-grade students., Intervention: ABC for Fitness and Nutrition Detectives., Main Outcome Measures: Food Label Literacy and Nutrition Knowledge test and the fitness measures of curl-ups, push-ups, 0.5-mile run, and sit and reach., Results: Nutrition knowledge increased in the intervention group by 25.2% (P < .01). Fitness measures in the intervention schools showed greater improvement than those in the controls for curl-ups (P < .01), push-ups (P < .01), sit and reach left (P = .07), and 0.5-mile run (P = .06). Process feedback from 3 teachers and 60 students indicated satisfaction with the program., Conclusion: Adaptation of the train-the-trainer approach for Nutrition Detectives and ABC for Fitness was effective for delivering these health-related programs.
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- 2015
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8. Working on the health of families: where children fit in worksite health promotion efforts.
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Katz DL, Grant DL, McGuire TJ, McQuigg S, Voci K, and Volpp K
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- Adolescent, Adult, Child, Child, Preschool, Female, Humans, Male, Middle Aged, Organizational Culture, Organizational Policy, United States, Family Health, Health Promotion organization & administration, Obesity prevention & control, Occupational Health Services, School Health Services, Workplace
- Published
- 2013
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9. Exploring effectiveness of messaging in childhood obesity campaigns.
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Katz DL, Murimi M, Pretlow RA, and Sears W
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- Body Image psychology, Body Size, Body Weight, Child, Health Behavior, Humans, Patient Education as Topic methods, Terminology as Topic, Consensus Development Conferences as Topic, Health Promotion standards, Obesity etiology, Obesity prevention & control, Obesity psychology
- Published
- 2012
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10. Let's Move! Progress, promise, and the miles left to go.
- Author
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Katz DL
- Subjects
- Child, Cooperative Behavior, Humans, Child Welfare, Health Promotion organization & administration, Obesity prevention & control
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- 2012
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11. From controlled trial to community adoption: the multisite translational community trial.
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Katz DL, Murimi M, Gonzalez A, Njike V, and Green LW
- Subjects
- Culture, Diabetes Mellitus prevention & control, Health Services Research, Humans, Models, Theoretical, Multicenter Studies as Topic, Randomized Controlled Trials as Topic, Risk Reduction Behavior, Social Environment, Community-Based Participatory Research organization & administration, Health Promotion, Translational Research, Biomedical organization & administration
- Abstract
Methods for translating the findings of controlled trials, such as the Diabetes Prevention Program, into real-world community application have not been clearly defined. A standardized research methodology for making and evaluating such a transition is needed. We introduce the multisite translational community trial (mTCT) as the research analog to the multisite randomized controlled trial. The mTCT is adapted to incorporate the principles and practices of community-based participatory research and the increased relevance and generalizability gained from diverse community settings. The mTCT is a tool designed to bridge the gap between what a clinical trial demonstrates can work in principle and what is needed to make it workable and effective in real-world settings. Its utility could be put to the test, in particular with practice-based research networks such as the Prevention Research Centers.
- Published
- 2011
- Full Text
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12. Facing the facelessness of public health: what's the public got to do with it?
- Author
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Katz DL
- Subjects
- Chronic Disease prevention & control, Humans, Motivation, Health Promotion, Life Style, Public Health
- Abstract
Despite compelling statistics that show we could eliminate 80%of all heart disease and strokes, 90% of all diabetes, and 60% of all cancers with basic lifestyle changes, we have failed to motivate the public to make these changes and failed to motivate policy makers to make healthy choices the easiest choice. Dr. Katz suggests we have failed because we have focused too much on statistics and too little on passion. He implores all of us to tap into people's passion by connecting each of these statistics with a human story.
- Published
- 2011
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13. Performance characteristics of NuVal and the Overall Nutritional Quality Index (ONQI).
- Author
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Katz DL, Njike VY, Rhee LQ, Reingold A, and Ayoob KT
- Subjects
- Diet economics, Health Status, Humans, Linear Models, Nutrition Surveys, United States, Consumer Health Information, Diet standards, Health Behavior, Health Promotion
- Abstract
Background: Improving diets has considerable potential to improve health, but progress in this area has been limited, and advice to increase fruit and vegetable intake has largely gone unheeded., Objectives: Our objective was to test the performance characteristics of the Overall Nutritional Quality Index (ONQI), a tool designed to help improve dietary patterns one well-informed choice at a time., Design: The ONQI was developed by a multidisciplinary group of nutrition and public health scientists independent of food industry interests and is the basis for the NuVal Nutritional Guidance System. Dietary guidelines, existing nutritional scoring systems, and other pertinent scientific literature were reviewed. An algorithm incorporating >30 entries that represent both micro- and macronutrient properties of foods, as well as weighting coefficients representing epidemiologic associations between nutrients and health outcomes, was developed and subjected to consumer research and testing of performance characteristics., Results: ONQI and expert panel rankings correlated highly (R = 0.92, P < 0.001). In consumer testing, approximately 80% of >800 study participants indicated that the ONQI would influence their purchase intent. ONQI scoring distinguished the more-healthful DASH (Dietary Approaches to Stop Hypertension) diet (mean score: 46) from the typical American diet according to the National Health and Nutrition Examination Survey (NHANES) 2003-2006 (mean score: 26.5; P < 0.01). In linear regression analysis of the NHANES 2003-2006 populations (n = 15,900), the NuVal system was significantly associated with the Healthy Eating Index 2005 (P < 0.0001). Recently generated data from ongoing studies indicate favorable effects on purchase patterns and significant correlation with health outcomes in large cohorts of men and women followed for decades., Conclusion: NuVal offers universally applicable nutrition guidance that is independent of food industry interests and is supported by consumer research and scientific evaluation of its performance characteristics.
- Published
- 2010
- Full Text
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14. Public health strategies for preventing and controlling overweight and obesity in school and worksite settings: a report on recommendations of the Task Force on Community Preventive Services.
- Author
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Katz DL, O'Connell M, Yeh MC, Nawaz H, Njike V, Anderson LM, Cory S, and Dietz W
- Subjects
- Health Behavior, Humans, Motor Activity, Nutritional Physiological Phenomena, Weight Loss, Health Promotion, Obesity prevention & control, Schools, Workplace
- Abstract
Reducing morbidity and mortality related to overweight and obesity is a public health priority. Various interventions in school and worksite settings aim to maintain or achieve healthy weight. To identify effective strategies for weight control that can be implemented in these settings, the Task Force on Community Preventive Services (Task Force) has conducted systematic reviews of the evidence on nutrition, physical activity, combinations of these interventions, and other behavioral interventions (e.g., cognitive techniques such as self-awareness and cue recognition). Task Force recommendations are based on evidence of effectiveness, which is defined in this report as achieving a mean weight loss of > or =4 pounds, measured > or =6 months after initiation of the intervention program. The Task Force recommends multicomponent interventions that include nutrition and physical activity (including strategies such as providing nutrition education or dietary prescription, physical activity prescription or group activity, and behavioral skills development and training) to control overweight and obesity among adults in worksite settings. The Task Force determined that insufficient evidence existed to determine the effectiveness of combination nutrition and physical activity interventions to prevent or reduce overweight and obesity in school settings because of the limited number of qualifying studies reporting noncomparable outcomes. This report describes the methods used in these systematic reviews; provides additional information regarding these recommendations; and cites sources for full reviews containing details regarding applicability, other benefits and harms, barriers to implementation, research gaps, and economic data (when available) regarding interventions.
- Published
- 2005
15. COVID19 and the Follies of History: Forebodings that Forewarned is Not Forearmed.
- Author
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Katz, David L.
- Subjects
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HARM reduction , *HEALTH promotion , *COVID-19 , *HEALTH policy , *PANDEMICS - Abstract
COVID-19 was the first pandemic of the internet age. Beginning at a time of great societal division in the United States (and globally), pandemic responses were further beleaguered by the viral proliferation of information, disinformation, and propaganda-collectively, an "infodemic." Polarized, blinkered views of the crisis precluded a balanced consideration of objectives, opportunities, and ineluctable trade-offs between the risks of actions and corresponding inactions. The results were lapses in both directions, greatly amplifying the pandemic toll. Persistence of this costly fractiousness is now spawning monocular critiques of the pandemic response, with neglect of essential nuance. There is a better pandemic that might have been, and the chance for far better responses to the next- but only if the follies of this history are lessons learned and applied. Failing that, the risk looms that having been amply forewarned of our liabilities, we will fail to be forearmed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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16. Disease Prevention and Health Promotion: How Integrative Medicine Fits
- Author
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Ali, Ather and Katz, David L.
- Subjects
Complementary Therapies ,Integrative Medicine ,Health Promotion ,Preventive Medicine ,Article - Abstract
As a discipline, preventive medicine has traditionally been described to encompass primary, secondary, and tertiary prevention. The fields of preventive medicine and public health share the objectives of promoting general health, preventing disease, and applying epidemiologic techniques to these goals. This paper discusses a conceptual approach between the overlap and potential synergies of integrative medicine principles and practices with preventive medicine in the context of these levels of prevention, acknowledging the relative deficiency of research on the effectiveness of practice-based integrative care. One goal of integrative medicine is to make the widest array of appropriate options available to patients, ultimately blurring the boundaries between conventional and complementary medicine. Both disciplines should be subject to rigorous scientific inquiry so that interventions that are efficacious and effective are systematically distinguished from those that are not. Furthermore, principles of preventive medicine can be infused into prevalent practices in complementary and integrative medicine, promoting public health in the context of more responsible practices. The case is made that an integrative preventive approach involves the responsible use of science with responsiveness to the needs of patients that persist when conclusive data are exhausted, providing a framework to make clinical decisions among integrative therapies.
- Published
- 2015
17. The Stratification of Foods on the Basis of Overall Nutritional Quality: The Overall Nutritional Quality Index.
- Author
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Katz, David L., Njike, Valentine Y., Faridi, Zubaida, Rhee, Lauren Q., Reeves, Rebecca S., Jenkins, David J. A., and Ayoob, Keith T.
- Subjects
- *
NUTRITIONAL requirements , *NUTRITION education , *HEALTH promotion , *PUBLIC health research , *FOOD quality , *HEALTH education - Abstract
Purpose. Consumer understanding of nutrition information is key to making dietary choices consistent with guidelines. The development of an objective, science-based, and univ. sally applicable system of nutrition guidance would he of considerable Potential value to the public health. Design. A multidisciplinary expert panel was convened to develop the Overall Nutritional Quality Index (ONQI). Dietary guidelines, existing nutritional scoring systems, and other pertinent scientific literature were reviewed. An algorithm based on the overall nutritional quality of food was developed and subjected to consumer research and validation testing. Results. The ONQI algorithm incorporates over 30 entries representing both micronutrient and macronutrient properties of foods, as well as weighting coefficients representing epidemiologic associations between nutrients and health outcomes. The basic entry in the algorithm is a weighted trajectory score, which compares nutrient concentration in a food to the recommended concentration of a given nutrient in a healthful diet. In content validity testing, ONQI rankings and expert panel rankings correlated highly (R = .92; p < .001). In regression analysis, aggregated ONQI scores for total diet corresponded well with the Healthy Eating Index (p < .001) in the National Health and Nutrient Examination Survey 2003-2006 cohort (n = 15,900). Consumer research indicated strong appeal to consumers of the ONQI system in general, and the scores on a 1 to 100 scale specifically. A system for acquiring nutrient data, meeting U.S. Food and Drug Administration and U.S. Department of Agriculture standards, has been established so that virtually any food, beverage, meal, or recipe can be scored. Conclusions. The ONQI is a sophisticated nutrition guidance system developed by a multidisciplinary group independently of all food industry interests with excellent initial performance in both consumer research and validation testing. Combined with a consumer education program, the ONQI has considerable potential to improve dietary pattewis, and consequently the public health. Prospective. Study of effects on dietary patterns and health outcomes is warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
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18. Promoting Healthy People 2010 Through Small Grants.
- Author
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Hartwig, Kari A., Dunville, Richard Louis, Kim, Michael H., Levy, Becca, Zaharek, Margot M., Njike, Valentine Y., and Katz, David L.
- Subjects
HEALTH promotion ,COMMUNITY development ,GRANTS in aid (Public finance) - Abstract
The Department of Health and Human Services initiated a pilot "microgrant" or small grants program in 2001 to promote Healthy People 2010 (HP 2010) implemented by the Yale-Griffin Prevention Research Center. This article describes the 103 agencies funded under this initiative and 67 control group agencies. It evaluates the HP 2010 focus areas targeted and the effectiveness of promoting HP 2010 objectives through microgrants. Forty-four percent of the grant recipients and 79% of the control group agencies indicated low levels of familiarity with HP 2010 goals. Changes in knowledge of HP 2010 goals for the microgrant group increased significantly from 5.24 ± 3.67 to 7.83 ± 1.86 (p < .05). The results suggest that microgrants can be a useful mechanism to plant the seeds for developing community and organizational capacity to define local health priorities, practice and test new initiatives or expand existing programs and promote knowledge about HP 2010. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
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19. The Value of Microgrants for Community-based Health Promotion: Two Models for Practice and Policy.
- Author
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Hartwig, Kari A., Bobbitt-Cooke, Mary, Zaharek, Margot M., Nappi, Susan, Wykoff, Randolph F., and Katz, David L.
- Abstract
In 2001, the Office of Disease Prevention and Health Promotion in the US Department of Health and Human Services announced its intention to (1) identify innovative ways to increase public awareness and focus on Healthy People 2010 objectives and (2) broaden the participation of community-based organizations, including agencies new to public health. The mechanism selected, microfinancing, was modeled after small venture loans for economic stimulus in developing countries. The Office of Disease Prevention and Health Promotion selected one state health department and one academic research organization from 80 applicants to test models of awarding "microgrants" of $2,010 to community agencies. This article describes the two models, the types of agencies that were funded, the primary Healthy People 2010 objectives targeted, examples of how the monies were used and leveraged by grantees, and the implications of microgrants for public health practice and policy. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
- View/download PDF
20. The Need for a Whole Systems Approach to Evidence Evaluation: An Update from the American College of Lifestyle Medicine.
- Author
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Katz, David L. and Karlsen, Micaela C.
- Subjects
- *
BEHAVIOR modification , *HEALTH behavior , *HEALTH promotion , *HOLISTIC medicine , *EVIDENCE-based medicine , *PROFESSIONAL practice - Abstract
The article focuses on the need for whole systems approach to evidence evaluation as per studies by the American College of Lifestyle Medicine (ACLM). Topics discussed include impact on mortality and morbidity, benefits of randomized control trials (RCT) and practise based evidence, and project Hierarchies of Evidence Applied to Lifestyle Medicine (HEALM).
- Published
- 2019
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21. 2011 Lenna Frances Cooper Memorial Lecture: The Road to HEaLth Is Paved with Good InVentions: Of Science, Sense, and Elephense
- Author
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Katz, David L.
- Subjects
- *
PREVENTION of chronic diseases , *BEHAVIOR modification , *DIET , *HEALTH behavior , *HEALTH promotion , *INTELLECT , *METAPHOR , *NUTRITION , *SCIENCE , *STORYTELLING , *PHYSICAL activity - Published
- 2012
- Full Text
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22. The Effectiveness of Worksite Nutrition and Physical Activity Interventions for Controlling Employee Overweight and Obesity: A Systematic Review
- Author
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Anderson, Laurie M., Quinn, Toby A., Glanz, Karen, Ramirez, Gilbert, Kahwati, Leila C., Johnson, Donna B., Buchanan, Leigh Ramsey, Archer, W. Roodly, Chattopadhyay, Sajal, Kalra, Geetika P., and Katz, David L.
- Subjects
- *
WORK environment , *HEALTH promotion , *PHYSICAL activity , *INDUSTRIAL hygiene , *NUTRITION , *WEIGHT loss , *OBESITY , *SYSTEMATIC reviews , *HEALTH outcome assessment , *PUBLIC health - Abstract
Abstract: This report presents the results of a systematic review of the effectiveness of worksite nutrition and physical activity programs to promote healthy weight among employees. These results form the basis for the recommendation by the Task Force on Community Preventive Services on the use of these interventions. Weight-related outcomes, including weight in pounds or kilograms, BMI, and percentage body fat were used to assess effectiveness of these programs. This review found that worksite nutrition and physical activity programs achieve modest improvements in employee weight status at the 6–12-month follow-up. A pooled effect estimate of −2.8 pounds (95% CI=−4.6, −1.0) was found based on nine RCTs, and a decrease in BMI of −0.5 (95% CI=−0.8, −0.2) was found based on six RCTs. The findings appear to be applicable to both male and female employees, across a range of worksite settings. Most of the studies combined informational and behavioral strategies to influence diet and physical activity; fewer studies modified the work environment (e.g., cafeteria, exercise facilities) to promote healthy choices. Information about other effects, barriers to implementation, cost and cost effectiveness of interventions, and research gaps are also presented in this article. The findings of this systematic review can help inform decisions of employers, planners, researchers, and other public health decision makers. [Copyright &y& Elsevier]
- Published
- 2009
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23. Impediment Profiling for Smoking Cessation: Results of a Pilot Study.
- Author
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O'Connell, Meghan, Lucan, Sean C., Ming-Chin Yeh, Rodriguez, Elaine, Dipti Shah, Elaine, Chan, Wendy, and Katz, David L.
- Subjects
- *
SMOKING cessation , *NICOTINE addiction treatment , *PUBLIC health , *HEALTH promotion , *PREVENTIVE medicine - Abstract
Objective. To test the effectiveness of a smoking cessation program based on "impedimerit profiling," the elucidation of an individual participant's personal barriers, with provision of tailored interventions accordingly. Methods. A literature search was conducted to identify established impediments to smoking cessation. A long impediment profiler (LIP) was developed firm validated survey instruments and used as a screening tool to identify individuals' barriers to quitting. Once barriers were identified, participants were assigned to up to seven interventions. Self-reported smoking cessation was confirmed with measurements of carbon monoxide concentrations in expired air of ≤10 ppm. Results. Nineteen adults participated in the pilot program. At the year 1 mark, 63.2% of the study population was smoke-free. The mean number of impediments of the study population was 3.5 ± 1.5. There was a negative association between subjects' quit status and the following impediments: stress (p = .0061), anxiety (p = .0445), and depression (p < .001). No single impediment was predictive of quit status. Conclusions. Impediment profiling as a basis for tailored smoking cessation intervention is associated with a high quit rate in this initial study and it appears promising. Long-term follow-up is warranted, as is replication in a larger cohort with a concurrent control group. [ABSTRACT FROM AUTHOR]
- Published
- 2003
- Full Text
- View/download PDF
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