Skip to main content
SpringerLink
Log in

Translation of Lifestyle Modification Programs Focused on Physical Activity and Dietary Habits Delivered in Community Settings

  • Published:
International Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Background

Lifestyle modification programs (LMPs) can provide individuals with behavioral skills to sustain long-term changes to their physical activity (PA) levels and dietary habits. Yet, there is much work to be done in the translation of these programs to community settings.

Purpose

This review identified LMPs that focused on changing both PA and dietary behaviors and examined common features and barriers faced in their translation to community settings.

Methods

A search of multiple online databases was conducted to identify LMPs that included participants over the age of 18 who enrolled in LMPs, offered in community settings, and had the goal of improving both PA and dietary behaviors. Data were extracted on participant demographics, study design characteristics, and study outcome variables including changes in PA, dietary habits, body weight, and clinical outcomes.

Results

We identified 27 studies that met inclusion criteria. Despite high levels of retention and adherence to the interventions, varying levels of success were observed in increasing PA levels, improving dietary habits, reducing body weight, and improving clinic outcomes.

Conclusion

LMPs addressing issues of PA and dietary habits can be successfully implemented in a community setting. However, inconsistent reporting of key components in the translation of these studies (participant recruitment, utilization of behavioral strategies) may limit their replication and advancement of future programs. Future efforts should better address issues such as identifying barriers to participation and program implementation, utilization of community resources, and evaluating changes across multiple health behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig 1

Similar content being viewed by others

References

  1. Murray S. Doubling the burden: chronic disease. Can Med Assoc J. 2006;174(6):771.

    Article  Google Scholar 

  2. Yusuf S, Reddy S, Ounpuu S, Anand S. Global burden of cardiovascular diseases: part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation. 2001;104(22):2746–53.

    Article  CAS  PubMed  Google Scholar 

  3. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Kung HC, Hoyert DL, Xu J, Murphy SL. Deaths: final data for 2005. Natl Vital Stat Rep. 2008;56(10):1–120.

    PubMed  Google Scholar 

  5. Centers for Disease Control and Prevention. Chronic diseases: the power to prevent, the call to control, at-a-glance. 2009

  6. Stuckler D, Siegel K. Sick societies: responding to the global challenge of chronic disease. Oxford, UK: Oxford University Press; 2011.

    Book  Google Scholar 

  7. Mascie-Taylor CG, Karim E. The burden of chronic disease. Science. 2003;302(5652):1921–2.

    Article  PubMed  Google Scholar 

  8. Geneau R, Stuckler D, Stachenko S, McKee M, Ebrahim S, Basu S, et al. Raising the priority of preventing chronic diseases: a political process. Lancet. 2010;376(9753):1689–98.

    Article  PubMed  Google Scholar 

  9. Epping-Jordan JE, Galea G, Tukuitonga C, Beaglehole R. Preventing chronic diseases: taking stepwise action. Lancet. 2005;366(9497):1667–71.

    Article  PubMed  Google Scholar 

  10. Sorensen G, Emmons K, Hunt MK, Johnston D. Implications of the results of community intervention trials. Annu Rev Public Health. 1998;19:379–416.

    Article  CAS  PubMed  Google Scholar 

  11. Hawkins JD, Catalano RF, Arthur MW. Promoting science-based prevention in communities. Addict Behav. 2002;27(6):951–76.

    Article  PubMed  Google Scholar 

  12. Sabatino SA, Lawrence B, Elder R, Mercer SL, Wilson KM, DeVinney B, et al. Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med. 2012;43(1):97–118.

    Article  PubMed  Google Scholar 

  13. Etzioni R, Urban N, Ramsey S, McIntosh M, Schwartz S, Reid B, et al. The case for early detection. Nat Rev Cancer. 2003;3(4):243–52.

    Article  CAS  PubMed  Google Scholar 

  14. Kapustin J. Chronic disease prevention across the lifespan. J Nurse Practitioners. 2010;6(1):16–24.

    Article  Google Scholar 

  15. Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377(9775):1438–47.

    Article  PubMed  Google Scholar 

  16. Hunter DJ, Reddy KS. Noncommunicable diseases. N Engl J Med. 2013;369(14):1336–43.

    Article  CAS  PubMed  Google Scholar 

  17. 17 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases. 2009.

  18. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289(1):76–9.

    Article  PubMed  Google Scholar 

  19. Trust for America's Health. Prevention for a Healthier America: Investments in Disease Prevention Yield Significant Savings, Stronger Communities. 2009.

  20. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393–403.

    Article  PubMed Central  Google Scholar 

  21. Whelton PK, Appel LJ, Espeland MA, Applegate WB, Ettinger Jr WH, Kostis JB, et al. Sodium reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled trial of nonpharmacologic interventions in the elderly (TONE). TONE Collaborative Research Group JAMA. 1998;279(11):839–46.

    CAS  Google Scholar 

  22. Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, et al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group N Engl J Med. 2001;344(1):3–10.

    CAS  Google Scholar 

  23. Appel LJ, Champagne CM, Harsha DW, Cooper LS, Obarzanek E, Elmer PJ, et al. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA. 2003;289(16):2083–93.

    PubMed  Google Scholar 

  24. Look AHEAD, Group R. Wing R.R. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010;170(17):1566–75.

    Google Scholar 

  25. Garfield SA, Malozowski S, Chin MH, Narayan KM, Glasgow RE, Green LW, et al. Considerations for diabetes translational research in real-world settings. Diabetes Care. 2003;26(9):2670–74.

    Article  PubMed  Google Scholar 

  26. Hernan WH, Brandle M, Zhang P, Williamson DF, Matulik MJ, Ratner RE, et al. Costs associated with the primary prevention of type 2 diabetes mellitus in the diabetes prevention program. Diabetes Care. 2003;26(1):36–47.

    Article  PubMed  Google Scholar 

  27. Narayan KM, Gregg EW, Engelgau MM, Moore B, Thompson TJ, Williamson DF, et al. Translation research for chronic disease: the case of diabetes. Diabetes Care. 2000;23(12):1794–98.

    Article  CAS  PubMed  Google Scholar 

  28. Garfield SA, Malozowski S, Chin MH, Narayan KM, Glasgow RE, Green LW, et al. Considerations for diabetes translational research in real-world settings. Diabetes Care. 2003;26(9):2670–74.

    Article  PubMed  Google Scholar 

  29. Jacobs-van der Bruggen MA, Bos G, Bemelmans WJ, Hoogenveen RT, Vijgen SM, Baan CA. Lifestyle interventions are cost-effective in people with different levels of diabetes risk: results from a modeling study. Diabetes Care. 2007;30(1):128–34.

  30. Roux L, Pratt M, Tengs TO, Yore MM, Yanagawa TL, Van Den Bos J, et al. Cost effectiveness of community-based physical activity interventions. Am J Prev Med. 2008;35(6):578–88.

    Article  PubMed  Google Scholar 

  31. Verhagen AP, de Vet HC, de Bie RA, Kessels AG, Boers M, Bouter LM, et al. The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol. 1998;51(12):1235–41.

    Article  CAS  PubMed  Google Scholar 

  32. Briss PA, Zaza S, Pappaioanou M, Fielding J, Wright-De Agüero L, Truman BI, et al. Developing an evidence-based guide to community preventive services methods. Am J Prev Med. 2000;18(1):35–43.

    Article  CAS  PubMed  Google Scholar 

  33. Rychetnik L, Frommer M, Hawe P, Shiell A. Criteria for evaluating evidence on public health interventions. J Epidemiol Community Health. 2002;56(2):119–27.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  34. Cene CW, Haymore LB, Ellis D, Whitaker S, Henderson S, Lin FC, et al. Implementation of the power to prevent diabetes prevention educational curriculum into rural African American communities: a feasibility study. Diabetes Educ. 2013;39(6):776–85.

    Article  PubMed Central  PubMed  Google Scholar 

  35. Davis-Smith M. Implementing a diabetes prevention program in a rural African-American church. J Nat Med Assoc. 2007;99(4):440–6.

    Google Scholar 

  36. Boltri JM, Davis-Smith YM, Seale JP, Shellenberger S, Okosun IS, Cornelius ME. Diabetes prevention in a faith-based setting: results of translational research. J Public Health Manag Pract. 2008;14(1):29–32.

    Article  PubMed  Google Scholar 

  37. Diehl HA. Coronary risk reduction through intensive community-based lifestyle intervention: the Coronary Health Improvement Project (CHIP) experience. Am J Cardiol. 1998;82(10B):83T–7T.

    Article  CAS  PubMed  Google Scholar 

  38. Dodani S, Fields J. Implementation of the Fit Body and Soul, a Church-Based Life Style Program for Diabetes Prevention in High-Risk African Americans A Feasibility Study. Diabetes Educ. 2010;36(3):465–72.

    Article  CAS  PubMed  Google Scholar 

  39. Jaber LA, Pinelli NR, Brown MB, Funnell MM, Anderson R, Hammad A, et al. Feasibility of group lifestyle intervention for diabetes prevention in Arab Americans. Diabetes Res Clin Pract. 2011;91(3):307–15.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Mau MK, Keawe'aimoku Kaholokula J, West MR, Leake A, Efird JT, Rose C, et al. Translating diabetes prevention into native Hawaiian and Pacific Islander communities: the PILI ‘Ohana Pilot project. Prog Community Health Partnersh. 2010;4(1):7–16.

    Article  PubMed Central  PubMed  Google Scholar 

  41. Kramer MK, McWilliam JR, Chen H, Siminerio LM. A Community-Based Diabetes Prevention Program: Evaluation of the Group Lifestyle Balance Program Delivered by Diabetes Educators. Diabetes Educ. 2011;37(5):659–68.

    Article  PubMed  Google Scholar 

  42. Ruggiero L, Oros S, Choi YK. Community-based translation of the diabetes prevention program’s lifestyle intervention in an underserved Latino population. Diabetes Educ. 2011;37(4):564–72.

    Article  PubMed  Google Scholar 

  43. Seidel MC, Powell RO, Zgibor JC, Siminerio LM, Piatt GA. Translating the Diabetes Prevention Program into an urban medically underserved community: a nonrandomized prospective intervention study. Diabetes Care. 2008;31(4):684–9.

    Article  PubMed  Google Scholar 

  44. Amundson HA, Butcher MK, Gohdes D, Hall TO, Harwell TS, Helgerson SD, et al. Translating the diabetes prevention program into practice in the general community: findings from the Montana Cardiovascular Disease and Diabetes Prevention Program. Diabetes Educ. 2009;35(2):209–10, 213–4, 216–20.

  45. Englert HS, Diehl HA, Greenlaw RL, Willich SN, Aldana S. The effect of a community-based coronary risk reduction: the Rockford CHIP. Prev Med. 2007;44(6):513–9.

    Article  PubMed  Google Scholar 

  46. Makrilakis K, Liatis S, Grammatikou S, Perrea D, Katsilambros N. Implementation and effectiveness of the first community lifestyle intervention programme to prevent type 2 diabetes in Greece. The DE-PLAN study Diabet Med. 2010;27(4):459–65.

    Article  CAS  Google Scholar 

  47. Rankin P, Morton DP, Diehl H, Gobble J, Morey P, Chang E. Effectiveness of a volunteer-delivered lifestyle modification program for reducing cardiovascular disease risk factors. Am J Cardiol. 2012;109(1):82–6.

    Article  PubMed  Google Scholar 

  48. Ackermann RT, Finch EA, Brizendine E, Zhou H, Marrero DG. Translating the Diabetes Prevention Program into the community. The DEPLOY Pilot Study Am J Prev Med. 2008;35(4):357–63.

    Article  Google Scholar 

  49. Fernandez S, Scales KL, Pineiro JM, Schoenthaler AM, Ogedegbe G. A senior center-based pilot trial of the effect of lifestyle intervention on blood pressure in minority elderly people with hypertension. J Am Geriatr Soc. 2008;56(10):1860–66.

    Article  PubMed  Google Scholar 

  50. Faridi Z, Shuval K, Njike VY, Katz JA, Jennings G, Williams M, et al. Partners reducing effects of diabetes (PREDICT): a diabetes prevention physical activity and dietary intervention through African-American churches. Health Educ Res. 2010;25(2):306–15.

    Article  PubMed  Google Scholar 

  51. Haruyama Y, Muto T, Nakade M, Kobayashi E, Ishisaki K, Yamasaki A. Fifteen-month lifestyle intervention program to improve cardiovascular risk factors in a community population in Japan. Tohoku J Exp Med. 2009 Apr;217(4):259–69.

  52. Piatt GA, Seidel MC, Powell RO, Zgibor JC. Comparative effectiveness of lifestyle intervention efforts in the community: results of the Rethinking Eating and ACTivity (REACT) study. Diabetes Care. 2013;36(2):202–9.

    Article  PubMed Central  PubMed  Google Scholar 

  53. Parikh P, Simon EP, Fei K, Looker H, Goytia C, Horowitz CR. Results of a pilot diabetes prevention intervention in East Harlem, New York City: Project HEED. Am J Public Health. 2010;100 Suppl 1:S232–9.

    Article  PubMed Central  PubMed  Google Scholar 

  54. Vincent D, McEwen MM, Hepworth JT, Stump CS. The effects of a community-based, culturally tailored diabetes prevention intervention for high-risk adults of Mexican descent. Diabetes Educ. 2014;40(2):202–13.

    Article  PubMed  Google Scholar 

  55. von Gruenigen VE, Courneya KS, Gibbons HE, Kavanagh MB, Waggoner SE, Lerner E. Feasibility and effectiveness of a lifestyle intervention program in obese endometrial cancer patients: a randomized trial. Gynecol Oncol. 2008;109(1):19–26.

    Article  Google Scholar 

  56. Aldana SG, Greenlaw RL, Diehl HA, Salberg A, Merrill RM, Ohmine S, et al. Effects of an intensive diet and physical activity modification program on the health risks of adults. J Am Diet Assoc. 2005;105(3):371–81.

    Article  PubMed  Google Scholar 

  57. Katula JA, Vitolins MZ, Rosenberger EL, Blackwell CS, Morgan TM, Lawlor MS, et al. One-year results of a community-based translation of the Diabetes Prevention Program: Healthy-Living Partnerships to Prevent Diabetes (HELP PD) Project. Diabetes Care. 2011;34(7):1451–7.

    Article  PubMed Central  PubMed  Google Scholar 

  58. Kulzer B, Hermanns N, Gorges D, Schwarz P, Haak T. Prevention of diabetes self-management program (PREDIAS): effects on weight, metabolic risk factors, and behavioral outcomes. Diabetes Care. 2009;32(7):1143–46.

    Article  PubMed Central  PubMed  Google Scholar 

  59. Ockene IS, Tellez TL, Rosal MC, Reed GW, Mordes J, Merriam PA, et al. Outcomes of a Latino community-based intervention for the prevention of diabetes: the Lawrence Latino Diabetes Prevention Project. Am J Public Health. 2012;102(2):336–42.

    Article  PubMed Central  PubMed  Google Scholar 

  60. Telle-Hjellset V, Raberg Kjollesdal MK, Bjorge B, Holmboe-Ottesen G, Wandel M, Birkeland KI, et al. The InnvaDiab-DE-PLAN study: a randomised controlled trial with a culturally adapted education programme improved the risk profile for type 2 diabetes in Pakistani immigrant women. Br J Nutr. 2012;4:1–10.

    Google Scholar 

  61. The Diabetes Prevention Program Research Group. The Diabetes Prevention Program: design and methods for a clinical trial in the prevention of type 2 diabetes. Diabetes Care. 1999;22:623–34.

    Article  PubMed Central  Google Scholar 

  62. Wadden TA, Butryn ML, Wilson C. Lifestyle modification for the management of obesity. Gastroenterology. 2007;132(6):2226–38.

    Article  PubMed  Google Scholar 

  63. Baker MK, Simpson K, Lloyd B, Bauman AE, Singh MAF. Behavioral strategies in diabetes prevention programs: a systematic review of randomized controlled trials. Diabetes Res Clin Pract. 2011;91(1):1–12.

    Article  PubMed  Google Scholar 

  64. Spoth R, Rohrbach LA, Greenberg M, Leaf P, Brown CH, Fagan A, et al. Addressing core challenges for the next generation of type 2 translation research and systems: the translation science to population impact (TSci Impact) framework. Prevention Science. 2013;14(4):319–51.

    Article  PubMed Central  PubMed  Google Scholar 

  65. Mapstone J, Elbourne D, Roberts I. Strategies to improve recruitment to research studies. Cochrane Database Syst Rev. 2007;2:1–15.

    Google Scholar 

  66. Baker MK, Simpson K, Lloyd B, Bauman AE, Singh MA. Behavioral strategies in diabetes prevention programs: a systematic review of randomized controlled trials. Diabetes Res Clin Pract. 2011;91(1):1–12.

    Article  PubMed  Google Scholar 

  67. Abraham C, Michie S. A taxonomy of behavior change techniques used in interventions. Health psychology. 2008;27(3):379.

    Article  PubMed  Google Scholar 

  68. Bauer JM, Kaiser MJ, Sieber CC. Evaluation of nutritional status in older persons: nutritional screening and assessment. Curr Opin Clin Nutr Metab Care. 2010;13(1):8–13.

    Article  PubMed  Google Scholar 

  69. Beechy L, Galpern J, Petrone A, Das SK. Assessment tools in obesity—psychological measures, diet, activity, and body composition. Physiol Behav. 2012;107(1):154–71.

    Article  CAS  PubMed  Google Scholar 

  70. Helmerhorst HJ, Brage S, Warren J, Besson H, Ekelund U. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act. 2012;9(1):103–57.

    Article  PubMed Central  PubMed  Google Scholar 

  71. Vanhees L, Lefevre J, Philippaerts R, Martens M, Huygens W, Troosters T, et al. How to assess physical activity? How to assess physical fitness? Eur J Cardiovasc Prev Rehabil. 2005;12(2):102–14.

    Article  PubMed  Google Scholar 

  72. Oja P, Laukkanen R, Pasanen M, Tyry T, Vuori I. A 2-km walking test for assessing the cardiorespiratory fitness of healthy adults. Int J Sports Med. 1991;12(4):356–62.

    Article  CAS  PubMed  Google Scholar 

  73. Enright PL. The six-minute walk test. Respir Care. 2003;48(8):783–85.

    PubMed  Google Scholar 

  74. Sartor F, Vernillo G, de Morree HM, Bonomi AG, La Torre A, Kubis H, et al. Estimation of Maximal Oxygen Uptake via Submaximal Exercise Testing in Sports, Clinical, and Home Settings. Sports Medicine. 2013;43(9):865–73.

    Article  PubMed  Google Scholar 

  75. Lee DC, Sui X, Artero EG, Lee IM, Church TS, McAuley PA, et al. Long-term effects of changes in cardiorespiratory fitness and body mass index on all-cause and cardiovascular disease mortality in men: the Aerobics Center Longitudinal Study. Circulation. 2011;124(23):2483–90.

    Article  PubMed Central  PubMed  Google Scholar 

  76. Jensen MD, Ryan DH, Hu FB, Stevens FJ, Hubbard VS, Stevens VJ, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation. 2014;129(25Suppl2):S102-38.

  77. Shaw R, Bosworth H. Short message service (SMS) text messaging as an intervention medium for weight loss: a literature review. Health Informatics J. 2012;18(4):235–50.

    Article  PubMed Central  PubMed  Google Scholar 

  78. Hurling R, Catt M, Boni MD, Fairley BW, Hurst T, Murray P, et al. Using internet and mobile phone technology to deliver an automated physical activity program: randomized controlled trial. J Med Internet Res. 2007;9(2):e7.

    Article  PubMed Central  PubMed  Google Scholar 

  79. Tate DF, Wing RR, Winett RA. Using Internet technology to deliver a behavioral weight loss program. JAMA. 2001;285(9):1172–77.

    Article  CAS  PubMed  Google Scholar 

  80. Stephens J, Allen J. Mobile phone interventions to increase physical activity and reduce weight: a systematic review. J Cardiovasc Nurs. 2013;28(4):320–9.

    Article  PubMed Central  PubMed  Google Scholar 

  81. Reach Effectiveness Adoption Implementation Maintenance (RE-AIM). Available at: http://www.re-aim.org/index.html. Accessed February 23, 2014.

  82. Vojta D, Koehler TB, Longjohn M, Lever JA, Caputo NF. A coordinated national model for diabetes prevention: linking health systems to an evidence-based community program. Am J Prev Med. 2013;44(4 Suppl 4):S301–6.

    Article  PubMed  Google Scholar 

  83. Colagiuri S, Vita P, Cardona-Morrell M, Singh MF, Farrell L, Milat A, et al. The Sydney Diabetes Prevention Program: a community-based translational study. BMC Public Health. 2010;10:328.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Conflict of Interest

Mark Stoutenberg, Katie Stanzilis, and Ashley Falcon declare that they have no conflict of interest.

Ethical Standard

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

Author information

Authors and Affiliations

  1. Department of Public Health Sciences, University of Miami, 1120 NW 14th Street, Suite 1008, Miami, FL, 33136, USA

    Mark Stoutenberg, Katie Stanzilis & Ashley Falcon

  2. Department of Wellness and Recreation, University of Miami, Coral Gables, FL, USA

    Ashley Falcon

Authors
  1. Mark Stoutenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Katie Stanzilis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ashley Falcon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark Stoutenberg.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Stoutenberg, M., Stanzilis, K. & Falcon, A. Translation of Lifestyle Modification Programs Focused on Physical Activity and Dietary Habits Delivered in Community Settings. Int.J. Behav. Med. 22, 312–327 (2015). https://doi.org/10.1007/s12529-014-9438-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12529-014-9438-y

Keywords

Search

Navigation