Journal of Behavioral Health and Psychology. 2020; 9(3):(285-318)


Coprogression: Simultaneous Intervention for Multiple Health Behavior Risks

Jayson J. Spas, PhD, MS, Andrea L. Paiva, PhD, Joseph S. Rossi, PhD, James O. Prochaska, PhD, Yin Hui-Qing

Abstract

Objective: The objective of this research is to provide the first empirical data to support the phenomenon of coprogression, which can be defined as the extent to which progressing toward healthy criteria on one behavior is associated with progressing toward healthy criteria on a second behavior at the same follow-up time point for individuals who met risk criteria for both behavior risks at baseline. Methods: Participants (N=9,461) were predominantly middle-aged (M= 43.9 years, SD=10.74), White (93.8%), and female (65.4%) adults from the United States who were proactively recruited by telephone. Each participant met criteria for both behavior risks at baseline and were assessed at 24-month follow-up for the following three behavior pairs: 1) smoking and diet, 2) smoking and unprotected sun exposure, and 3) unprotected sun exposure and diet. All participants were randomized to either the TTM-tailored treatment condition (N=4,800) or the assessment-only control (N=4,661). Results: Twenty-six out of 27 odds ratios (ORs) revealed that participants were more likely to progress toward healthy criteria on both behaviors in each behavior pair than progressing to criteria on only the second behavior in each behavior pair. Conclusion: The significant results and occurrence of 26/27 ORs being greater than 1.0 provide empirical support for including coprogression as a phenomenon in the emerging science of multiple health behavior change (MHBC).

Most Viewed Article
  • Using Social Media Engagement to Raise Pre-Diabetes Awareness for Rural Idaho Hispanics or Latinos
    Tanna M. Woods PhD MSN RN, Heidi K. Lewis DNP RN and Mary A. Nies PhD RN FAAN FAAHB
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Evaluating the Gap of Integrated Behavioral Health Programs for NCDs in China, Vietnam, Cambodia, and Thailand
    Ronald R. O’Donnell, Jennifer Rolfes, Shiyou Wu, Mohamed Abdalla, Flavio F. Marsiglia, Pristine Mei, Pham Le An, Puchong Senanuch, Patraporn Tungpunkom, Virya Koy, Hong Tao, Kim Savuon and Rodger Kessler
    » Abstract » doi: 10.33425/2832-4579/21038

  • Occupational Therapy Assessment and Intervention of a 22 Month Old Girl with Feeding Refusal
    Berta Gándara-Gafo PhD, Tania Moriyón-Iglesias MSc and Isabelle Beaudry-Bellefeuille PhD
    » Abstract » doi: 10.33425/2832-4579/21037

  • Biological sex and Covid-19: Science versus ideology
    Carole Jahme and Ulrich Kutschera
    » Abstract » doi: 10.33425/2832-4579/21036

  • A case of chronic schizophrenia with emergent dementia: Successful medication reduction and its explication
    Grace E Jackson and Matthew Tunzi
    » Abstract » doi: 10.33425/2832-4579/21035

Most Downloaded
  • Using Social Media Engagement to Raise Pre-Diabetes Awareness for Rural Idaho Hispanics or Latinos
    Tanna M. Woods PhD MSN RN, Heidi K. Lewis DNP RN and Mary A. Nies PhD RN FAAN FAAHB
    » Abstract » doi: 10.5455/jbh.XXXXXX

  • Evaluating the Gap of Integrated Behavioral Health Programs for NCDs in China, Vietnam, Cambodia, and Thailand
    Ronald R. O’Donnell, Jennifer Rolfes, Shiyou Wu, Mohamed Abdalla, Flavio F. Marsiglia, Pristine Mei, Pham Le An, Puchong Senanuch, Patraporn Tungpunkom, Virya Koy, Hong Tao, Kim Savuon and Rodger Kessler
    » Abstract » doi: 10.33425/2832-4579/21038

  • Occupational Therapy Assessment and Intervention of a 22 Month Old Girl with Feeding Refusal
    Berta Gándara-Gafo PhD, Tania Moriyón-Iglesias MSc and Isabelle Beaudry-Bellefeuille PhD
    » Abstract » doi: 10.33425/2832-4579/21037

  • Biological sex and Covid-19: Science versus ideology
    Carole Jahme and Ulrich Kutschera
    » Abstract » doi: 10.33425/2832-4579/21036

  • A case of chronic schizophrenia with emergent dementia: Successful medication reduction and its explication
    Grace E Jackson and Matthew Tunzi
    » Abstract » doi: 10.33425/2832-4579/21035