The Behavior Change Consortium: setting the stage for a new century of health behavior-change research.

The Behavior Change Consortium (BCC), a collective of 15 National Institutes of Health-funded behavior-change projects, was conceived with the goal of evaluating the efficacy and effectiveness of novel ways of intervening in diverse populations to reduce tobacco dependence, and improve physical activity, nutrition and other health behaviors. The purpose of this article is to provide a general introduction and context to this theme issue by: (1) reviewing the promises and challenges of past efforts related to promoting change for three key health behaviors; (2) reviewing successful intervention strategies and principles of health behavior change; (3) discussing major theoretical approaches for obtaining successful behavior change; (4) setting BCC activities within the context of recent recommendations for the behavioral and social sciences; and (5) providing an organizational framework for describing each of the projects within this consortium. In addition to the rich database on behavioral outcomes for tobacco dependence, physical activity and diet, the BCC represents a unique opportunity to share data and address cross-cutting intervention research issues critical for strengthening the field of behavior change research.

[1]  V. Strecher,et al.  Tailored interventions for multiple risk behaviors. , 2002, Health education research.

[2]  A. Stewart.  Community-Based Physical Activity Programs for Adults Age 50 and Older , 2001 .

[3]  J. Gruman,et al.  Rating Our Progress in Population Health Promotion: Report Card on Six Behaviors , 1999, American journal of health promotion : AJHP.

[4]  Sam.  Smoking-attributable mortality and years of potential life lost--United States, 1988. , 1991, MMWR. Morbidity and mortality weekly report.

[5]  R. Glasgow,et al.  Evaluating the public health impact of health promotion interventions: the RE-AIM framework. , 1999, American journal of public health.

[6]  Bruce Becker,et al.  Motivating parents of kids with asthma to quit smoking: the PAQS project. , 2002, Health education research.

[7]  S. Syme,et al.  Promoting Health: Intervention Strategies from Social and Behavioral Research , 2001 .

[8]  S. Syme,et al.  The social environment and health: a discussion of the epidemiologic literature. , 1999, Annual review of public health.

[9]  K. Glanz,et al.  On Judging Models and Theories: Research and Practice, Psychology and Public Health , 2000, Journal of health psychology.

[10]  Eileen Burgin,et al.  New Horizons in Health: An Integrative Approach , 2002 .

[11]  W. Velicer,et al.  The Transtheoretical Model of Health Behavior Change , 1997, American journal of health promotion : AJHP.

[12]  J. A. Dodge,et al.  The Evolution of an Innovative Heart Disease Management Program for Older Women: Integrating Quantitative and Qualitative Methods in Practice , 2002 .

[13]  A. Bandura.  Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[14]  A. Manley.  Physical Activity And Health: A Report Of The Surgeon General , 2004 .

[15]  E. Deci,et al.  Self-determination, smoking, diet and health. , 2002, Health education research.

[16]  Giacomo Mauro DAriano.  The Journal of Personality and Social Psychology. , 2002 .

[17]  M. Kreuter,et al.  Applications workbook to accompany health promotion planning : an educational and ecological approach , 1999 .

[18]  Alexander J. Rothman,et al.  Toward a theory-based analysis of behavioral maintenance. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[19]  G. Elliott,et al.  Health and behavior: Frontiers of research in the biobehavioral sciences. , 1982 .

[20]  K. Manton,et al.  Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999 , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[21]  Paul A Estabrooks,et al.  Healthy youth places promoting nutrition and physical activity. , 2002, Health education research.

[22]  K. Resnicow,et al.  Healthy Body/Healthy Spirit: a church-based nutrition and physical activity intervention. , 2002, Health education research.

[23]  Burton H. Singer,et al.  New Horizons in Health: An Integrative Approach , 2001 .

[24]  S. Syme,et al.  Behavioral and Social Science Contributions to the Health of Adults in the United States , 2000 .

[25]  J. Garbarino.  The ecology of human development: Experiments by nature and design: by Urie Bronfenbrenner Cambridge, Mass.: Harvard University Press, 1979, 330 + p. , 1980 .

[26]  ROBERT W. Johnson,et al.  Promoting the maintenance of health behavior change: recommendations for the next generation of research and practice. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[27]  S. Zimmerman,et al.  Evaluating the components of the Exercise Plus Program: rationale, theory and implementation. , 2002, Health education research.

[28]  M. Charlson,et al.  Improving health behaviors and outcomes after angioplasty: using economic theory to inform intervention. , 2002, Health education research.

[29]  D M Buchner,et al.  Physical activity interventions targeting older adults. A critical review and recommendations. , 1998, American journal of preventive medicine.

[30]  Michael C. Fiore,et al.  A Clinical Practice Guideline for Treating Tobacco Use and Dependence A US Public Health Service Report , 2000 .

[31]  P. Weitzman,et al.  Recruitment and retention in minority populations : lessons learned in conducting research on health promotion and minority aging , 2000 .

[32]  T. Revenson,et al.  Handbook of Health Psychology , 2001 .

[33]  M. Fishbein,et al.  Factors influencing behavior and behavior change. , 2000 .

[34]  M. Coday,et al.  Health Opportunities with Physical Exercise (HOPE): social contextual interventions to reduce sedentary behavior in urban settings. , 2002, Health education research.

[35]  Surgeon General,et al.  Healthy people : the Surgeon General's report on health promotion and disease prevention , 1979 .

[36]  Edward L. Deci,et al.  Self-determination theory: When mind mediates behavior. , 1980 .

[37]  J. Allegrante,et al.  Theory-comparison and multiple-behavior research: common themes advancing health behavior research. , 2002, Health education research.

[38]  S. Thacker,et al.  Increasing physical activity. A report on recommendations of the Task Force on Community Preventive Services. , 2001, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.

[39]  E. Heikkinen,et al.  Preparation for Aging , 2012, Springer US.

[40]  R. Abeles,et al.  Aging, Health, and Behavior , 1991 .

[41]  P. Blackman.  Actual causes of death in the United States. , 1994, JAMA.

[42]  Diane L Elliot,et al.  Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME). , 2002, Health education research.

[43]  Smoking-attributable mortality and years of potential life lost--United States, 1984. , 1997, MMWR. Morbidity and mortality weekly report.

[44]  Health education research. , 1967, American journal of public health and the nation's health.

[45]  K. Glanz,et al.  An Ecological Perspective on Health Promotion Programs , 1988, Health education quarterly.

[46]  M. McCormick,et al.  Design of an intervention addressing multiple levels of influence on dietary and activity patterns of low-income, postpartum women. , 2002, Health education research.

[47]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[48]  U. Bronfenbrenner.  The Ecology of Human Development: Experiments by Nature and , 1979 .

[49]  J. L. Harrison,et al.  The Government Printing Office , 1968, American Journal of Pharmaceutical Education.

[50]  K. Manton,et al.  Chronic disability trends in elderly United States populations: 1982-1994. , 1997, Proceedings of the National Academy of Sciences of the United States of America.

[51]  Manuel Barrera,et al.  Enhancing support for health behavior change among women at risk for heart disease: the Mediterranean Lifestyle Trial. , 2002, Health education research.

[52]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[53]  J. Mckinlay.  The New Public Health Approach to Improving Physical Activity and Autonomy in Older Populations , 1995 .

[54]  Claudio R Nigg,et al.  The Study of Exercise and Nutrition in Older Rhode Islanders (SENIOR): translating theory into research. , 2002, Health education research.

[55]  D. Baucom,et al.  Mending a broken heart: A couples approach to cardiac risk reduction , 2001 .

[56]  A. Bandura.  Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[57]  R. Rosenson,et al.  Partners for Life: a theoretical approach to developing an intervention for cardiac risk reduction. , 2002, Health education research.

[58]  Robert Friedman,et al.  Harnessing motivational forces in the promotion of physical activity: the Community Health Advice by Telephone (CHAT) project. , 2002, Health education research.

[59]  Alexander J. Rothman,et al.  The Challenge study: theory-based interventions for smoking and weight loss. , 2002, Health education research.

[60]  S. Cobb.  Health and Behavior: Frontiers of Research in the Biobehavioral Sciences , 1983 .

[61]  McGinnis Jm,et al.  Actual causes of death in the United States. , 1993 .