{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:56:33Z","timestamp":1792090593612,"version":"4.4.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":135,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005972","name":"German Cancer Aid","doi-asserted-by":"publisher","award":["70113382"],"award-info":[{"award-number":["70113382"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005972","name":"German Cancer Aid","doi-asserted-by":"publisher","award":["70114206"],"award-info":[{"award-number":["70114206"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005972","name":"German Cancer Aid","doi-asserted-by":"publisher","award":["70115012"],"award-info":[{"award-number":["70115012"]}],"id":[{"id":"10.13039\/501100005972","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University of Greifswald's publication"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Although behavior change interventions are highly recommended in health care, their reach, a core dimension of the public health impact of interventions, is rarely evaluated. This study aimed to investigate whether an individualized, computer-based brief intervention to reduce co-occurring health risk behaviors (HRBs), namely tobacco smoking, at-risk alcohol use, insufficient physical activity, and unhealthy diet, can reach and retain a sufficiently large part of general hospital patients (&amp;gt;75%) and whether patients with high need, that is with more HRBs, low school education or current unemployment may be sufficiently reached and retained. Over 6\u2009weeks in 2022, all 18\u201364-year-old patients admitted to 11 wards of five medical departments of a university hospital in Germany were asked to participate in a computer-based HRB screening and in a pre-post intervention study with three further assessments and individualized computer-generated feedback. To investigate associations between intervention reach and retention and patient characteristics, a logistic and a Poisson regression analysis were used. Screening reached 78.9% of all eligible patients (225\/285). Of those eligible for the intervention study, 81.8% (175\/214) participated in the intervention. Among these, 76.0% (133\/175) participated at least once more after hospitalization. Patients\u2019 lifestyle and socio-economic characteristics were not significantly associated with reach or retention, Ps\u2009\u2265\u2009.467. Proactive computer-based multiple-HRB change interventions may reach and retain a sufficiently large part of general hospital patients, including those most in need. When proven efficacious and adequately implemented, this is a promising approach concerning public health impact in the reduction non-communicable diseases.<\/jats:p>\n               <jats:p>Trial registration: \u00a0ClinicalTrials.gov NCT05365269, 9 May 2022.<\/jats:p>","DOI":"10.1093\/eurpub\/ckaf035","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T19:53:31Z","timestamp":1742327611000},"page":"635-641","source":"Crossref","is-referenced-by-count":5,"title":["Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients"],"prefix":"10.1093","volume":"35","author":[{"given":"Marie","family":"Spielmann","sequence":"first","affiliation":[{"name":"Department of Prevention Research and Social Medicine, Institute for Community Medicine, University Medicine Greifswald , 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