An International Perspective on Improving the Quality and Potential of Behavioral Clinical Trials
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PHYSICAL ACTIVITY (D WARBURTON, SECTION EDITOR)
An International Perspective on Improving the Quality and Potential of Behavioral Clinical Trials Simon L. Bacon & Kim L. Lavoie & Gregory Ninot & Susan Czajkowski & Kenneth E. Freedland & Susan Michie & Paul Montgomery & Lynda H. Powell & Bonnie Spring & for the International Behavioural Trials Network (IBTN)
Published online: 26 November 2014 # Springer Science+Business Media New York 2014
Abstract Healthy behaviors (e.g., eating a healthy diet, engaging in regular physical activity, smoking cessation) are associated with a reduction in the incidence and mortality of chronic non-communicable diseases (NCDs), including cardiovascular disease. There have been many examples of health behavior interventions leading to improvements in NCDs and their risk factors, such as hypertension. However, despite their potential benefits, the uptake of existing behavioral interventions has been limited. Among many barriers to implementation of behavioral treatments are concerns about methodological inadequacies. The current manuscript discusses recent advances in frameworks for the development of interventions, the reporting of trials and their protocols, and areas which need further work. The goal of this article is to increase awareness and encourage
further debate about how best to promote high-quality behavioral intervention research. Keywords Behavioral trials . Clinical trials . Control groups . Methodology . Outcomes . Treatment fidelity . International Behavioural Trials Network
Introduction The Role of Health Behaviors in Chronic Non-communicable Diseases, Including Cardiovascular Disease A robust literature demonstrates that good health behaviors (e.g., eating a healthy diet, engaging in regular physical activity,
This article is part of the Topical Collection on Physical Activity S. L. Bacon (*) : K. L. Lavoie Montreal Behavioural Medicine Centre, Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada e-mail: [email protected] S. L. Bacon Centre de réadaptation Jean-Jacques-Gauthier, Hôpital du Sacré-Cœur de Montréal, Montreal, Quebec, Canada S. L. Bacon Department of Exercise Science, Concordia University, Montreal, Quebec, Canada K. L. Lavoie Department of Psychology, Université du Québec à Montréal, Montreal, Quebec, Canada G. Ninot Epsylon Research Unit, University of Montpellier, Montpellier, France G. Ninot iCEPS, University of Montpellier, Montpellier, France
S. Czajkowski National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA K. E. Freedland Department of Psychiatry, Washington University School of Medicine, St. Louis, USA S. Michie Department of Clinical, Educational and Health Psychology, University College London, London, UK P. Montgomery Centre for Evidence-Based Intervention, Oxford University, Oxford, UK L. H. Powell Department of Preventive Medicine, Rush University Medical Center, Chicago, USA B. Spring Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
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