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Feasibility and acceptability of a multiple risk factor intervention: the Step Up randomized pilot trial
Jennifer B McClure1, Sheryl L Catz, Evette J Ludman
1Group Health Research Institute, 1730 Minor Ave., Suite 1600, Seattle, WA, USA. mcclure.j@ghc.org
BMC Public Health
|March 19, 2011
Summary
The Step Up program, a multiple risk factor intervention, showed feasibility and acceptability in a pilot study. It demonstrated positive trends in behavior change and significant improvements in depression symptoms.
Area of Science:
- Behavioral science
- Public health
- Clinical psychology
Background:
- Multiple risk factor (MRF) interventions are needed to address complex health issues.
- Limited data exists on the acceptability, feasibility, and effectiveness of MRF interventions.
- The Step Up program is a cognitive-behavioral intervention targeting mental and physical well-being.
Purpose of the Study:
- To assess the feasibility and acceptability of the Step Up program.
- To evaluate the preliminary effectiveness of the Step Up program in a pilot randomized trial.
- To inform future development of MRF interventions.
Main Methods:
- A randomized pilot trial with 52 participants was conducted.
- Participants received either usual care or the phone-based Step Up program plus usual care.
- Assessments were conducted at baseline, three, and six months.
Main Results:
- The Step Up program was found to be acceptable and feasible within a healthcare system.
- Positive trends in target behaviors were observed at six-month follow-up.
- Statistically significant improvements in depression scores were noted at four and six months (p < 0.05).
Conclusions:
- The Step Up program warrants further research for its potential in addressing multiple health risk factors.
- Program enhancements may further improve effectiveness.
- Lessons learned can guide future MRF intervention research.
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