Efficacy of a Brief Image-Based Multiple-Behavior Intervention for College Students
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Epidemiologic data indicate most adolescents and adults experience multiple, simultaneous risk behaviors.
The purpose of this study is to examine the efficacy of a brief image-based multiple-behavior intervention (MBI) for college students.
A total of 303 college students were randomly assigned to: (1) a brief MBI or (2) a standard care control, with a 3-month postintervention follow-up.
Omnibus treatment by time multivariate analysis of variance interactions were significant for three of six behavior groupings, with improvements for college students receiving the brief MBI on alcohol consumption behaviors, F(6, 261) = 2.73, p = 0.01, marijuana-use behaviors, F(4, 278) = 3.18, p = 0.01, and health-related quality of life, F(5, 277) = 2.80, p = 0.02, but not cigarette use, exercise, and nutrition behaviors. Participants receiving the brief MBI also got more sleep, F(1, 281) = 9.49, p = 0.00, than those in the standard care control.
A brief image-based multiple-behavior intervention may be useful in influencing a number of critical health habits and health-related quality-of-life indicators of college students.
- Southern Illinois University Carbondale. Results of the core alcohol and drug survey. Available at: http://www.siu.edu/departments/coreinst/public_html. Accessibility verified June 2, 2008.
- Lowery R, Galuska DA, Fulton JE, et al. Physical activity, food choice, and weight management goals and practices among U.S. college students. Am J Prev Med. 2000; 181: 18–27. CrossRef
- Huang TTK, Harris KJ, Lee RE, et al. Assessing overweight, obesity, diet, and physical activity in college students. J Am Coll Health. 2003; 52: 83–86.
- Keating XD, Guan J, Pinero JC, et al. A meta-analysis of college students’ physical activity behaviors. J Am Coll Health. 2005; 542: 116–125. CrossRef
- Towbes LC, Cohen LH. Chronic stress in the lives of college students: Scale development and prospective prediction of distress. J Youth Adolesc. 1996; 252: 199–217. CrossRef
- Ross SE, Niebling BC, Heckert TM. Sources of stress among college students. Coll Stud J. 1999; 33: 312–317.
- Brown FC, Soper B, Buboltz Jr WC. Prevalence of delayed sleep phase syndrome in university students. Coll Stud J. 2001; 353: 472–476.
- Buboltz Jr WC, Brown F, Soper B. Sleep habits and patterns of college students: A preliminary study. J Am Coll Health. 2001; 503: 131–135.
- Buboltz WC, Loveland J, Jenkins SM, et al. College student sleep: Relationship to health and academic performance. In: Landow MV, ed. College students: Mental health and coping strategies. Hauppauge, NY: Nova Science; 2006: 1–39.
- Jensen DR. Understanding sleep disorders in a college student population. J Coll Couns. 2003; 61: 25–34.
- Krenek RL Jr. The impact of sleep quality and duration on college student adjustment and health. Ph.D. dissertation, Louisiana Tech University, United States—Louisiana. 2006 Retrieved October 18, 2007, from ProQuest Digital Dissertations database. (Publication No. AAT 3203243).
- Grunbaum JA, Kann L, Kinchen S, et al. Youth risk behavior surveillance—United States, 2003. Morb Mort Wkly Rep. 2004; 532: 1–95.
- Eaton D, Kann L, Kinchen S, et al. Youth risk behavior surveillance—United States, 2005. J Sch Health. 2006; 76: 353–372. CrossRef
- Albright, CL, ed. Call for papers for a special issue to appear in preventive medicine: Conceptualizing multiple health risk behavior research. Outlook: A quarterly newsletter of the Society of Behavioral Medicine. Fall 2006:14.
- National Institutes of Health. Enhancing adolescent health promotion across multiple high risk behaviors: Program Announcement. Available at: http://grants.nih.gov/grants/guide/pa-files/PA-02-159.html. Accessibility verified June 2, 2008.
- Society of Behavioral Medicine. Special interest groups: Multiple risk behavior change. Available at http://www.sbm.org/sig/mrbc/. Accessibility verified June 26, 2008.
- Prochaska JJ, Sallis JF. A randomized controlled trial of single versus multiple health behavior change: Promoting physical activity and nutrition among adolescents. Health Psychol. 2004; 233: 314–318. CrossRef
- Dunn C, Deroo L, Rivera FP. The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction. 2001; 9612: 1725–1742. CrossRef
- Little P, Kelly J, Barnett J, et al. Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care. Brit Med J. 2004; 3287447: 1054. CrossRef
- Petterson TL, Shaw WS, Semple SJ. Reducing the sexual risk behaviors of HIV+ individuals: outcome of a randomized controlled trial. Ann Behav Med. 2003; 252: 137–145. CrossRef
- Clark M, Hampson SE, Avery L, Simpson R. Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes. Br J Health Psychol. 2004; 93: 365–179. CrossRef
- Lisson GL, Ridrigue JR, Reed AI, Nelson DR. A brief psychological intervention to improve adherence following transplantation. Ann Transplant. 2005; 101: 52–57.
- Werch CE, Grenard JL, Burnett JL, et al. Translation as a function of modality: The potential of brief interventions. Eval Health Prof. 2006; 291: 89–125. CrossRef
- D’Amico EJ, Fromme K. Brief prevention for adolescent risk-taking behavior. Addiction. 2002; 97: 563–574. CrossRef
- Amos A, Gray D, Currie C, et al. Healthy or druggy? Self-image, ideal image and smoking behaviour among young people. Soc Sci Med. 1997; 456: 847–858. CrossRef
- Gray D, Amos A, Currie C. Decoding the image-consumption, young people, magazines and smoking: An exploration of theoretical and methodological issues. Health Educ Res. 1997; 124: 505–517. CrossRef
- Slovic P, Fincuane ML, Peters E, MacGregor DG. The affect heuristic. In: Gilovich T, Griffin D Kahneman D, eds. Heuristics and biases: The psychology of intuitive judgment. New York, NY: Cambridge University Press; 2002: 397–420.
- Gibbons FX, Gerrard M. Health images and their effects on health behaviour. In: Buunk BP, Gibbons FX, eds. Health, coping, and well-being: Perspectives from social comparison theory. Mahwah, NJ: Erlbaum; 1997: 63–94.
- McCool JP, Cameron L, Petrie K. Stereotyping the smoker: Adolescents’ appraisals of smokers in film. Tob Control. 2004; 133: 308–314. CrossRef
- Pechmann C. A comparison of health communication models: Risk learning versus stereotype priming. Media Psychol. 2001; 32: 189–211. CrossRef
- Wheeler SC, Petty RE. The effects of stereotype activation on behavior: A review of possible mechanisms. Psychol Bull. 2001; 1276: 797–826. CrossRef
- Gibbons FX, Gerrard M. Predicting young adults’ health risk behavior. J Pers Soc Psychol. 1995; 693: 505–517. CrossRef
- Hooker K, Kaus CR. Possible selves and health behaviors in later life. J Aging Health. 1992; 43: 390–411. CrossRef
- Oysterman D, Terry K, Bybee D. A possible selves intervention to enhance school involvement. J Adolesc. 2002; 25: 313–326. CrossRef
- Freeman MA, Hennessy EV, Marzullo DM. Defensive evaluation of antismoking messages among college-age smokers: The role of possible selves. Health Psychol. 2001; 20: 424–433. CrossRef
- Strathman A, Boninger DS, Gleicher F, Baker SM. Constructing the future with present behavior: An individual difference approach. In: Zaleski Z, ed. Psychology of future orientation. Lublin, Poland: Catholic University of Lubin; 1994: 107–119.
- Werch C, Moore M, DiClemente CC, et al. A sport-based intervention for preventing alcohol use and promoting physical activity. J Sch Health. 2003; 7310: 380–388. CrossRef
- Werch CE, Moore MJ, DiClemente CC. A multi-health behavior intervention integrating physical activity and substance use prevention for adolescents. Prev Sci. 2005; 63: 213–226. CrossRef
- Werch C. The behavior-image model: A paradigm for integrating prevention and health promotion in brief interventions. Health Educ Res. 2007; 225: 677–690. CrossRef
- Werch C, Bian H, Moore MJ, et al. Brief multiple behavior interventions in a college student health care clinic. J Adolesc Health. 2007; 41: 577–585. CrossRef
- Koestner R, Lekes N, Powers TA, et al. Attaining personal goals: Self-concordance plus implementation intentions equals success. J Pers Soc Psychol. 2002; 831: 231–244. CrossRef
- Martin KA, Leary MR. Single, physically active, female: The effects of information about exercise participation and body weight on perceptions of young women. Soc Behav Pers. 2001; 162: 1–12.
- Krames. Fitness [brochure]. Yardley, PA: Krames; 2001.
- Werch C. Fitness and health survey [survey]: Phase II trial. Jacksonville, FL: University of Florida, Addictive and Health Behaviors Research Institute; 2006.
- SurveyMonkey.com. Available at www.surveymonkey.com. Accessibility verified June 2, 2008.
- Botvin GJ, Baker E, Renick N, et al. A cognitive-behavioral approach to substance abuse prevention. Addict Behav. 1984; 9: 137–147. CrossRef
- Eggert L, Thompson E, Herting J, et al. Preventing adolescent drug abuse and high school dropout through an intensive school-based social network development program. Am J Health Promot. 1994; 83: 202–215.
- Ellickson P, Hays R. Beliefs about resistance self-efficacy and drug prevalence: Do they really affect drug use? Int J Addict. 1991; 2511A: 1353–1378.
- Johnson CA, Pentz MA, Weber MD, et al. Relative effectiveness of comprehensive community programming for drug abuse prevention with high-risk and low-risk adolescents. J Consult Clin Psychol. 1990; 584: 447–456. CrossRef
- Centers for Disease Control and Prevention. State and local youth risk behavior. Available at: http://www.cdc.gov/HealthyYouth/YRBS/pdfs/2005highschoolquestionaire.pdf. Accessibility verified June 2, 2008.
- Gruenwald P, Johnson F, Treno A. Outlets, drinking and driving: A multilevel analysis of availability. J Stud Alcohol. 2002; 634: 460–468.
- Godin G, Shepard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985; 10: 141–146.
- U.S Departments of Health and Human Services, and Agriculture. Dietary guidelines for Americans 2005. Available at: http://www.healthierus.gov/dietaryguidelines/. Accessibility verified June 2, 2008.
- Gallant M, Dorn G. Gender and race differences in the predictors of daily health practices among older adults. Health Educ Res. 2001; 161: 21–31. CrossRef
- Groeger JA, Zijlstra FRH, Dijk DJ. Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some two thousand British adults. J Sleep Res. 2004; 134: 359–371. CrossRef
- Wolfson A, Crowley S, Anwer U, et al. Changes in sleep patterns and depressive symptoms in first-time mothers: Last trimester to 1-year postpartum. Behav Sleep Med. 2003; 11: 54–67. CrossRef
- Chen MY, Wang EK, Yang RJ, et al. Adolescent health promotion scale: Development and psychometric testing. Public Health Nurs. 2003; 20: 104–110. CrossRef
- Zullig KJ, Valois RF, Huebner ES, et al. Evaluating the performance of the Center for Disease Control’s Health-related Quality of Life scales among adolescents. Public Health Rep. 2004; 119: 577–584. CrossRef
- SPSS, Inc. SPSS 13.0 for Windows. Chicago, IL: SPSS Inc.; 2004.
- Morris SB. Estimating effect sizes from pretest-posttest-control group designs. Organ Res Methods. 2008; 112: 364–386. CrossRef
- Marcus B, Williams D, Dubbert P, et al. A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommitte on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation. 2006; 114: 2739–2752. CrossRef
- Sallis JF, McKenzie TL, Conway TL, Elder JP, Prochaska JJ, Brown M, et al. Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. Am J Prev Med. 2003; 243: 209–217. CrossRef
- Brener ND, Billy JOG, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: Evidence from the scientific literature. J Adolesc Health. 2003; 33: 436–457. CrossRef
- Brener ND, Kann L, McManus T, et al. Reliability of the 1999 Youth Risk Behavior Survey Questionnaire. J Adolesc Health. 2002; 31: 336–342. CrossRef
- el Boca F, Darkes J. The validity of self reports of alcohol consumption: state of the science and challenges for research. Addiction. 2003; 982: S1–S12. CrossRef
- Komro KA, Perry CL, Munson KA, et al. Reliability and validity of self-report measures to evaluate drug and violence prevention programs. J Child Adolesc Subst Abuse. 2004; 133: 17–51. CrossRef
- Williams RJ, Nowatzki N. Validity of adolescent self-report of substance use. Subst Use Misuse. 2005; 40: 299–311. CrossRef
- Efficacy of a Brief Image-Based Multiple-Behavior Intervention for College Students
Annals of Behavioral Medicine
Volume 36, Issue 2 , pp 149-157
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Brief intervention
- Multiple-behavior intervention
- College students
- Drug use
- Health quality of life
- Industry Sectors
- Author Affiliations
- 1. University of Florida, Jacksonville, FL, USA
- 3. University of North Florida, Gainesville, FL, USA
- 4. University of Maryland, Baltimore County, Baltimore, MD, USA
- 5. Mayo Clinic, Jacksonville, FL, USA
- 2. University of Florida, Gainesville, FL, USA