PROCESS VARIABLES AS PREDICTORS OF RISK FACTOR CHANGES IN A FAMILY HEALTH BEHAVIOR-CHANGE PROGRAM

The purpose of the present study was to determine the extent to which intervention process measures are useful in predicting changes in card iovascular disease (CVD) risk factors among subjects exposed to interv entions. Subjects were 99 adult and 105 children who participated in a n 18 session, family-based diet and exercise change program. During th e intervention, each participant self-monitored diet and exercise for 12 weeks. Additionally, attendance, session evaluation, confidence to achieve goals and goal achievement data were collected each week. The intervention was successful in changing diet, blood pressure and chole sterol levels, but did not produce significant changes in exercise or body mass index. Stepwise multiple regression analyses were conducted for each outcome variable at the 1 and 2 year follow-ups. Ethnicity an d sex were first forced into each regression. None of the process meas ures consistently predicted multiple outcomes in adults and children. The pattern of results provides limited support for the hypothesis tha t intervention process variables such as attendance, adherence to self -monitoring, achievement of goals and attitude toward sessions partial ly mediate intervention effects. It is concluded that process measures should be collected in health behavior change programs so that proces s-outcome relationships can be further explored.