Our behavior and choices have a tremendous impact on our physical health, mood, and quality of life. CHR has a long history of conducting studies to help people change their diet, lose weight and keep it off, become more active, and stop smoking. These changes can be vital to prevent, manage, and treat chronic disease, and live healthier lives.

The approaches we test may be offered in the health care system or the community—or they might be delivered remotely, using the Internet or mobile phones. The goal is to find more effective and accessible ways to help people lead healthier lives.

For example, smoking is the leading preventable cause of death in the U.S. While most smokers want to quit someday, giving up tobacco is hard. CHR Director and Distinguished Investigator Jennifer McClure, PhD wants to ensure everyone has access to the tools and support they need to quit tobacco. Her research has shown the importance of tailoring interventions, to improve their acceptability, and using different outreach strategies, to improve accessibility. Her latest research includes testing a novel phone counseling program for veterans who smoke and two mHealth apps: one designed to help people learn how to quit, so they can take action when they are ready to make a change, and one testing the use of behavioral activation, a common treatment for depression.

Investigators
Affiliate Investigators

CHR is also testing new ways to manage chronic pain, which affects nearly one in four U.S. adults. Distinguished Investigator Lynn DeBar, PhD, recently led a study that found that remotely delivered cognitive behavioral therapy (CBT) programs are effective for treating chronic pain. CBT is a non-drug treatment that encourages people to identify and challenge thoughts that can make pain worse and offers coping strategies to better manage pain. In another recent study DeBar found that acupuncture is a safe and effective treatment for chronic low back pain among older adults. Future work will evaluate strategies for improving chronic pain management among low-income patients receiving care in community health centers.

Another kay area of focus for CHR is diabetes prevention. About one in ten Americans have diabetes, and most have type 2, which can be prevented. Senior Investigator Natalie Ritchie, PhD, is studying the National Diabetes Prevention Program (DPP), a lifestyle change program that has been shown to significantly reduce the risk of type 2 diabetes. Ritchie is assessing the program’s potential to reduce obesity and diabetes risk among pregnant women and their children; she is also working to improve the program for Medicare beneficiaries.

Building on research that suggests insomnia may be a risk factor for diabetes, Distinguished Investigator Erin LeBlanc, MD, MPH, is testing whether cognitive behavioral therapy for insomnia results in lower blood sugar levels among people with prediabetes. If so, it could offer a new strategy for helping to prevent diabetes onset. CHR investigators have also demonstrated links between gestational diabetes and childhood obesity. Learn more in our Women’s Health area.

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