PREMIER—A Trial of Lifestyle Interventions for Blood Pressure Control: Intervention Design and Rationale

Interventions encouraging adoption of healthy diets and increased physical activity are needed to achieve national goals for preventing and treating hypertension, cardiovascular disease, diabetes, and other chronic diseases. PREMIER was a multicenter clinical trial testing the effects of two lifesty...

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Veröffentlicht in:Health promotion practice 2008-07, Vol.9 (3), p.271-280
Hauptverfasser: Funk, Kristine L., Elmer, Patricia J., Stevens, Victor J., Harsha, David W., Craddick, Shirley R., Lin, Pao-Hwa, Young, Deborah Rohm, Champagne, Catherine M., Brantley, Phillip J., McCarron, Phyllis B., Simons-Morton, Denise G., Appel, Lawrence J.
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container_end_page 280
container_issue 3
container_start_page 271
container_title Health promotion practice
container_volume 9
creator Funk, Kristine L.
Elmer, Patricia J.
Stevens, Victor J.
Harsha, David W.
Craddick, Shirley R.
Lin, Pao-Hwa
Young, Deborah Rohm
Champagne, Catherine M.
Brantley, Phillip J.
McCarron, Phyllis B.
Simons-Morton, Denise G.
Appel, Lawrence J.
description Interventions encouraging adoption of healthy diets and increased physical activity are needed to achieve national goals for preventing and treating hypertension, cardiovascular disease, diabetes, and other chronic diseases. PREMIER was a multicenter clinical trial testing the effects of two lifestyle interventions on blood pressure control, compared with advice only. Both interventions implemented established national guidelines for blood pressure control (weight loss, reduced sodium and alcohol intake, and increased physical activity), and one intervention also included the Dietary Approaches to Stop Hypertension (DASH) diet. Both interventions focused on behavioral self-management, motivational enhancement, and personalized feedback. This article describes the design and evaluation approaches for these interventions. Evaluation of multicomponent lifestyle change interventions can help us understand the benefits and difficulties of making multiple lifestyle changes concurrently and the effects such changes can have on blood pressure, particularly in minorities at higher risk for hypertension.
doi_str_mv 10.1177/1524839906289035
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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; Jstor Complete Legacy
subjects Adult
African Americans
Blood pressure monitoring
Diet
Diet, Sodium-Restricted
European Continental Ancestry Group
Female
Health Promotion - methods
Humans
Hypertension
Hypertension - diet therapy
Interventions
Lifestyle
Longitudinal Studies
Male
Middle Aged
Motor Activity
Risk Reduction Behavior
Selfmanagement programmes
title PREMIER—A Trial of Lifestyle Interventions for Blood Pressure Control: Intervention Design and Rationale
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