International Journal of Behavioral Medicine

, Volume 26, Issue 5, pp 457–460 | Cite as

Using the ORBIT Model to Design an Intervention Promoting Healthy Weight Gain During Pregnancy: the Value of an Iterative and Incremental Approach to Intervention Development

  • Susan M. CzajkowskiEmail author

“Take a method and try it. If it fails, admit it frankly, and try another. But by all means, try something.”—Franklin D. Roosevelt


As behavioral scientists attempting to design behavior change interventions that can prevent or mitigate chronic diseases, we often confront problems that seem to defy our capacity for altering human behavior. Tobacco use, poor diets, sedentary lifestyles, low adherence to life-saving medications—all are behaviors that contribute substantially to the burden of chronic diseases in the USA and worldwide, and all represent continuing challenges that have met with varying degrees of success as we attempt to design effective interventions, especially in medically underserved and high-risk population subgroups. It is tempting to yearn for a “behavioral statin,” a strategy or intervention that can produce dramatic change in these and other behavioral risk factors across a wide variety of contexts and sociodemographic groups. Yet, the key to...


Compliance with Ethical Standards

This commentary does not involve research using human participants and/or animals.

Conflict of Interest

The author served as lead Program Director for the trans-NIH Obesity-Related Behavioral Intervention Trials (ORBIT) Consortium, and was Project Officer for the grant on which this article is based (E. Epel, B. Laraia, N. Adler, PI’s).


The views expressed in this manuscript are those of the author and do not necessarily represent the views of the National Institutes of Health or the US Department of Health and Human Services.


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Copyright information

© International Society of Behavioral Medicine 2019

Authors and Affiliations

  1. 1.Division of Cancer Control and Population Sciences, National Cancer InstituteNational Institutes of HealthBethesdaUSA

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