TY - JOUR
T1 - Brief Multiple Behavior Interventions in a College Student Health Care Clinic
AU - Werch, Chudley E.(Chad)
AU - Bian, Hui
AU - Moore, Michele J.
AU - Ames, Steve
AU - DiClemente, Carlo C.
AU - Weiler, Robert M.
N1 - Funding Information:
This manuscript was supported in part by funding from the National Institute on Drug Abuse (Grant #DA018872). We thank Tami Thomas, Heather Myers, and Edessa Jobli for their assistance in implementing this study, and Alison Sutliff for her help in drafting early portions of this manuscript. We also thank Drs. Phillip L. Barkley and Jane Emmeree, who, because of their generous support, made it possible to administer health interventions to at-risk college students within a campus health care setting.
PY - 2007/12
Y1 - 2007/12
N2 - Purpose: This study examined the effects of brief image-based interventions, including a multiple behavior health contract, a one-on-one tailored consultation, and a combined consultation plus contract intervention, for impacting multiple health behaviors of students in a university health clinic. Methods: A total of 155 college students attending a major southern university were recruited to participate in a study evaluating a health promotion program titled Project Fitness during the fall 2005 and spring 2006. Participants were randomly assigned to one of three treatments as they presented at the clinic: 1) a multiple behavior health contract, 2) a one-on-one tailored consultation, or 3) a combined consultation plus contract intervention. Baseline and 1-month post-intervention data were collected using computer-assisted questionnaires in a quiet office within the student health clinic. Results: Omnibus repeated-measures analyses of variance were significant for drinking driving behaviors, F(2,136) = 4.43, p = .01, exercise behaviors, F(5,140) = 6.12, p = .00, nutrition habits, F(3,143) = 5.37, p = .00, sleep habits, F(2,144) = 5.03, p = .01, and health quality of life, F(5,140) = 3.09, p = .01, with improvements on each behavior across time. Analysis of group-by-time interaction effects showed an increase in the use of techniques to manage stress, F(2,144) = 5.48, p = .01, and the number of health behavior goals set in the last 30 days, F(2,143) = 5.35, p = .01, but only among adolescents receiving the consultation, or consultation plus contract. Effect sizes were consistently larger across health behaviors, and medium in size, when both consult and contract were used together. Conclusions: Brief interventions using a positive goal image of fitness, and addressing a number of health habits using a contract and consultation strategy alone, or in combination, have the potential to influence positive changes in multiple health behaviors of college students attending a university primary health care clinic.
AB - Purpose: This study examined the effects of brief image-based interventions, including a multiple behavior health contract, a one-on-one tailored consultation, and a combined consultation plus contract intervention, for impacting multiple health behaviors of students in a university health clinic. Methods: A total of 155 college students attending a major southern university were recruited to participate in a study evaluating a health promotion program titled Project Fitness during the fall 2005 and spring 2006. Participants were randomly assigned to one of three treatments as they presented at the clinic: 1) a multiple behavior health contract, 2) a one-on-one tailored consultation, or 3) a combined consultation plus contract intervention. Baseline and 1-month post-intervention data were collected using computer-assisted questionnaires in a quiet office within the student health clinic. Results: Omnibus repeated-measures analyses of variance were significant for drinking driving behaviors, F(2,136) = 4.43, p = .01, exercise behaviors, F(5,140) = 6.12, p = .00, nutrition habits, F(3,143) = 5.37, p = .00, sleep habits, F(2,144) = 5.03, p = .01, and health quality of life, F(5,140) = 3.09, p = .01, with improvements on each behavior across time. Analysis of group-by-time interaction effects showed an increase in the use of techniques to manage stress, F(2,144) = 5.48, p = .01, and the number of health behavior goals set in the last 30 days, F(2,143) = 5.35, p = .01, but only among adolescents receiving the consultation, or consultation plus contract. Effect sizes were consistently larger across health behaviors, and medium in size, when both consult and contract were used together. Conclusions: Brief interventions using a positive goal image of fitness, and addressing a number of health habits using a contract and consultation strategy alone, or in combination, have the potential to influence positive changes in multiple health behaviors of college students attending a university primary health care clinic.
KW - Brief intervention
KW - College students
KW - Health care clinic
KW - Images
KW - Multiple behaviors
KW - Positive youth development
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U2 - 10.1016/j.jadohealth.2007.06.003
DO - 10.1016/j.jadohealth.2007.06.003
M3 - Article
C2 - 18023787
AN - SCOPUS:36049022407
SN - 1054-139X
VL - 41
SP - 577
EP - 585
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 6
ER -