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Behavioural Medicine: Research and Development in Disease Prevention

Published online by Cambridge University Press:  06 October 2014

C. Barr Taylor*
Affiliation:
Stanford University
Neville Owen*
Affiliation:
University of Adelaide
*
Stanford Center for Research in Disease Prevention, Stanford University, Stanford CA 94305, USA
Department of Community Medicine, The University of Adelaide, PO Box 498, Adelaide SA 5001
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Abstract

Behavioural medicine has become a popular, important and distinct field of research and clinical practice. One of the more exciting areas of behavioural medicine has been in the application of behavioural techniques to reduce cardiovascular risk-factors on a community-wide basis. Work conducted in this area highlights a key issue for the development and support of behaviour analysis and modification activities in Australia: to what extent should behavioural practitioners and their interest groups pursue a specialised, behaviour-analytic approach to the areas in which they are involved, as opposed to adopting interdisciplinary frameworks and approaches. We describe some of the activities of the Stanford Center for Research in Disease Prevention, which has been able to operate as a large, interdisciplinary organisation, guided by behavioural approaches. We also discuss some setting, provider, program and client variables relevant to research and development on health promotion and disease prevention in Australia and elsewhere.

Type
Research Article
Copyright
Copyright © The Author(s) 1989

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References

REFERENCES

Agras, W. S. (1982). Behavioral medicine in the 1980s: Nonrandom connections. Journal of Consulting and Clinical Psychology, 50, 797803.Google Scholar
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, New Jersey: Prentice-Hall.Google Scholar
Birrell, P. & Lovibond, S. (1986). Historical and conceptual aspects. In King, N.J. & Remenyi, A.G. (Eds.). Health care: A behavioural approach (pp. 712). Sydney: Grune and Stratton.Google Scholar
Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986). Understanding and preventing relapse. American Psychologist, 41, 765782.CrossRefGoogle ScholarPubMed
DiClemente, C. C. & Prochaska, J. O. (1982). Self-change and therapy change of smoking behavior: A comparison of process of change in cessation and maintenance. Addictive Behaviors, 7, 133142.Google Scholar
Dwyer, T., Coonan, W. E., Leitch, D. R., Hetzel, B. S. & Baghurst, P.A. (1983). An investigation of the effects of daily physical activity on the health of primary school students in South Australia. International Journal of Epidemiology, 12, 308313.Google Scholar
Egger, G., Fitzgerald, W., Frape, G., Monaem, A., Rubinstein, P., Tyler, C. & McKay, B. (1983). Results of a large scale media antismoking campaign: North Coast ‘Quit for Life’ Programme. British Medical Journal, 286, 11251128.Google Scholar
Farquhar, J. W., Fortmann, S. P., Flora, J. A., Taylor, C. B. & Haskell, W. L. (1988). The Stanford Five City Project: Results after 5-1/2 years of education. American Journal of Cardiology, in press.Google Scholar
Farquhar, J. S., Maccoby, N. & Wood, P. D. (1985). Education and communication studies. In Holland, W. W., Detels, R. & Knox, G. (Eds.). Oxford textbook of public health. London: Oxford University Press.Google Scholar
Farquhar, J. W., Fortmann, S. P., Maccoby, N.et al. (1984). The Stanford Five City Project: An overview. In Matarazzo, J. D., Weiss, S. M., Herd, J. A., Miller, N. E. & Weiss, S. M. (Eds.). Behavioural health: A handbook of health enhancement and disease prevention (pp. 11541165). New York: John Wiley.Google Scholar
Ferguson, J. M. & Taylor, C. B. (1981). The comprehensive handbook of behavioral medicine (Vols 1–3). New York: Spectrum.Google Scholar
Goldman, L. & Cook, G. F. (1984). The decline in ischemic heart disease mortality rates. Annals of Internal Medicine, 101, 825836.Google Scholar
Gossard, D., Haskell, W. L., Taylor, C. B.et al. (1986). Effects of low- and high-intensity home-based exercise training on functional capacity in healthy middle-aged men. American Journal of Cardiology, 57, 446449.Google Scholar
Juneau, M., Rogers, F., DeSantos, V., Yee, M., Evans, A., Bohn, A., Haskell, W. L., Taylor, C. B. & DeBusk, R. F. (1987). Effectiveness of self-monitored, home-based moderate-intensity exercise training in middle-aged men and women. American Journal of Cardiology, 60, 6670.CrossRefGoogle ScholarPubMed
Lee, C. & Owen, N. (1986). Exercise persistence: Contributions of psychological theory to the promotion of regular physical activity. Australian Psychologist, 21, 427466.Google Scholar
Marlatt, G. A. & Gordon, J. R. (Eds.) (1985). Relapse prevention. New York: Guilford Press.Google Scholar
Multiple Risk Factor Intervention Trial (1978). Annals of the New York Academy of Science, 304, 293308.Google Scholar
National Cholesterol Education Program Expert Panel (1988). NHLBI: Report of the NCEPP on detection, evaluation, and treatment of high blood cholesterol in adults. Archives of Internal Medicine, 148, 3669.Google Scholar
Oldenburg, B., Perkins, R. J. & Andrews, G. (1985). A controlled trial of psychological intervention in myocardial infarction. Journal of Consulting and Clinical Psychology, 53, 852859.CrossRefGoogle ScholarPubMed
Owen, N. & Dwyer, T. (1988). Approaches to promoting more widespread participation in physical activity. Community Health Studies, 12, 339347.Google Scholar
Owen, N., Ewins, A. & Lee, C. Smoking cessation by mail: A comparison of standard and personalized correspondence course formats. Addictive Behaviours, in press.Google Scholar
Owen, N. & Halford, W. K. (1988). Psychology, public health and cigarette smoking. Australian Psychologist, 23, 7991.Google Scholar
Owen, N. & Lee, C. (1986a). Towards more rigorous evaluation of health promotion programmes. Australian Psychologist, 21, 7991.Google Scholar
Owen, N. & Lee, C. (1986b). Issues in changing behaviour to promote health. Behaviour Change, 3, 150156.Google Scholar
Owen, N., Lee, C., Naccarella, L. & Haag, K. (1987). Exercise by mail: A mediated behavior-change program for aerobic exercise. Journal of Sport Psychology, 9, 346357.Google Scholar
Sallis, J. F., Hill, R. D., Fortmann, S. P. & Flora, J. A. (1986). Health behavior change at the worksite: Cardiovascular risk reduction. In Hersen, M., Eisler, R. M. & Miller, P. M. (Eds.). Progress in behavior modification, 20, 161197. New York: Academic Press.Google Scholar
Schwartz, G. E. & Weiss, S. M. (1977). Behavioral medicine revisited: An amended definition. Journal of Behavioral Medicine, 1, 249251.Google Scholar
Taylor, C. B. (1986). Prevention and rehabilitation in cardiovascular disease. In Frances, A. I. & Hales, R. K. (Eds.). American Psychiatric Association Annual Review, 5, 540560.Google Scholar
Taylor, C. B., Agras, W. S. & Sevelius, G. (1986). Managing hypertension in the workplace. In Cataldo, M. F. & Coates, T. J. (Eds.). Health propmotion in industry: A behavioral medicine perspective (pp. 193209). New York: John Wiley.Google Scholar
Taylor, C. B., Houston-Miller, N. & Flora, J. (1988). Health behavior change. In Blair, S. N.et al. (Eds.). Exercise testing and prescription guidelines: A resource manual (pp. 323328). Philadelphia: Lea and Febiger.Google Scholar
The LRC Program (1979). The Coronary Primary Prevention Trial: Design and implementation. Journal of Chronic Diseases, 32, 609631.Google Scholar
Winett, R. A. (1986). Information and behavior: Systems of influence. Hillsdale, New Jersey: Erlbaum.Google Scholar
Winkler, R. C. (1986). Rights and duty: The need for a social model. In King, N. J. & Remenyi, A. G. (Eds.). Health care: A behavioural approach. Sydney: Grune & Stratton.Google Scholar
Woodward, A., Owen, N., Grgurinovich, N., Griffith, F. & Linke, H. (1987). Trial of an intervention to reduce passive smoking in infancy. Pediatric Pulmonology, 3, 173178.CrossRefGoogle ScholarPubMed