Present:

• Several approaches to conceptualizing multiple behavior outcomes were presented. The various approaches fell into three categories: a) behavioral outcomes; b) public health outcomes; and c) clinical outcomes.

• All of the outside consultants agreed that thinking about the TBOA was a very worthwhile exercise. No one in the meeting rejected the idea of trying to accomplish this task.
• It was agreed, however, that we were not ready to "take our show in the road." There are still many conceptual issues that need to be resolved, and we do not yet have agreement on an outcome criteria for two of our behaviors (physical activity and diet).
• Helena Kraemer suggested at least one other type of analysis (rank ordering) that may provide reasonable results without having to go the route of a meta-anlysis.

Action Steps: The workgroup will revisit the position paper and decide what our future steps to take. Serious discussion needs to address our target audience. It is likely that different approaches will be useful to different people (e.g., clinicians, researchers, policymakers, etc.).

• Ensure that we retain the opportunity to pursue a TBOA down the road; we have behavioral data.
• If nothing else, we should use this to prompt a great discussion that the field of behavior medicine should be having. We may be ahead of our time.
• Recommend to the BCC sites to report standardized effect sizes, cost-benefit and other assessments that will allow future research to include our findings in any meta-analyses or transbehavior analyses that may come about.