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 (2000) Physical activity, food choice, and weight management goals and practices among U.S. college students. Am J Prev Med 18: pp. 18-27 CrossRef
- Huang, TTK, Harris, KJ, Lee, RE (2003) Assessing overweight, obesity, diet, and physical activity in college students. J Am Coll Health 52: pp. 83-86
- Keating, XD, Guan, J, Pinero, JC (2005) A meta-analysis of college students’ physical activity behaviors. J Am Coll Health 54: pp. 116-125 CrossRef
- Towbes, LC, Cohen, LH (1996) Chronic stress in the lives of college students: Scale development and prospective prediction of distress. J Youth Adolesc 25: pp. 199-217 CrossRef
- Ross, SE, Niebling, BC, Heckert, TM (1999) Sources of stress among college students. Coll Stud J 33: pp. 312-317
- Brown, FC, Soper, B, Buboltz, WC (2001) Prevalence of delayed sleep phase syndrome in university students. Coll Stud J 35: pp. 472-476
- Buboltz, WC, Brown, F, Soper, B (2001) Sleep habits and patterns of college students: A preliminary study. J Am Coll Health 50: pp. 131-135
- Buboltz, WC, Loveland, J, Jenkins, SM College student sleep: Relationship to health and academic performance. In: Landow, MV eds. (2006) College students: Mental health and coping strategies. Nova Science, Hauppauge, NY, pp. 1-39
- Jensen, DR (2003) Understanding sleep disorders in a college student population. J Coll Couns 6: pp. 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 (2004) Youth risk behavior surveillance—United States, 2003. Morb Mort Wkly Rep 53: pp. 1-95
- Eaton, D, Kann, L, Kinchen, S (2006) Youth risk behavior surveillance—United States, 2005. J Sch Health 76: pp. 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 (2004) A randomized controlled trial of single versus multiple health behavior change: Promoting physical activity and nutrition among adolescents. Health Psychol 23: pp. 314-318 CrossRef
- Dunn, C, Deroo, L, Rivera, FP (2001) The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction 96: pp. 1725-1742 CrossRef
- Little, P, Kelly, J, Barnett, J (2004) Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care. Brit Med J 328: pp. 1054 CrossRef
- Petterson, TL, Shaw, WS, Semple, SJ (2003) Reducing the sexual risk behaviors of HIV+ individuals: outcome of a randomized controlled trial. Ann Behav Med 25: pp. 137-145 CrossRef
- Clark, M, Hampson, SE, Avery, L, Simpson, R (2004) Effects of a tailored lifestyle self-management intervention in patients with type 2 diabetes. Br J Health Psychol 9: pp. 365-179 CrossRef
- Lisson, GL, Ridrigue, JR, Reed, AI, Nelson, DR (2005) A brief psychological intervention to improve adherence following transplantation. Ann Transplant 10: pp. 52-57
- Werch, CE, Grenard, JL, Burnett, JL (2006) Translation as a function of modality: The potential of brief interventions. Eval Health Prof 29: pp. 89-125 CrossRef
- D’Amico, EJ, Fromme, K (2002) Brief prevention for adolescent risk-taking behavior. Addiction 97: pp. 563-574 CrossRef
- Amos, A, Gray, D, Currie, C (1997) Healthy or druggy? Self-image, ideal image and smoking behaviour among young people. Soc Sci Med 45: pp. 847-858 CrossRef
- Gray, D, Amos, A, Currie, C (1997) Decoding the image-consumption, young people, magazines and smoking: An exploration of theoretical and methodological issues. Health Educ Res 12: pp. 505-517 CrossRef
- Slovic, P, Fincuane, ML, Peters, E, MacGregor, DG The affect heuristic. In: Gilovich, T, Griffin D Kahneman, D eds. (2002) Heuristics and biases: The psychology of intuitive judgment. Cambridge University Press, New York, NY, pp. 397-420
- Gibbons, FX, Gerrard, M Health images and their effects on health behaviour. In: Buunk, BP, Gibbons, FX eds. (1997) Health, coping, and well-being: Perspectives from social comparison theory. Erlbaum, Mahwah, NJ, pp. 63-94
- McCool, JP, Cameron, L, Petrie, K (2004) Stereotyping the smoker: Adolescents’ appraisals of smokers in film. Tob Control 13: pp. 308-314 CrossRef
- Pechmann, C (2001) A comparison of health communication models: Risk learning versus stereotype priming. Media Psychol 3: pp. 189-211 CrossRef
- Wheeler, SC, Petty, RE (2001) The effects of stereotype activation on behavior: A review of possible mechanisms. Psychol Bull 127: pp. 797-826 CrossRef
- Gibbons, FX, Gerrard, M (1995) Predicting young adults’ health risk behavior. J Pers Soc Psychol 69: pp. 505-517 CrossRef
- Hooker, K, Kaus, CR (1992) Possible selves and health behaviors in later life. J Aging Health 4: pp. 390-411 CrossRef
- Oysterman, D, Terry, K, Bybee, D (2002) A possible selves intervention to enhance school involvement. J Adolesc 25: pp. 313-326 CrossRef
- Freeman, MA, Hennessy, EV, Marzullo, DM (2001) Defensive evaluation of antismoking messages among college-age smokers: The role of possible selves. Health Psychol 20: pp. 424-433 CrossRef
- Strathman, A, Boninger, DS, Gleicher, F, Baker, SM Constructing the future with present behavior: An individual difference approach. In: Zaleski, Z eds. (1994) Psychology of future orientation. Catholic University of Lubin, Lublin, Poland, pp. 107-119
- Werch, C, Moore, M, DiClemente, CC (2003) A sport-based intervention for preventing alcohol use and promoting physical activity. J Sch Health 73: pp. 380-388 CrossRef
- Werch, CE, Moore, MJ, DiClemente, CC (2005) A multi-health behavior intervention integrating physical activity and substance use prevention for adolescents. Prev Sci 6: pp. 213-226 CrossRef
- Werch, C (2007) The behavior-image model: A paradigm for integrating prevention and health promotion in brief interventions. Health Educ Res 22: pp. 677-690 CrossRef
- Werch, C, Bian, H, Moore, MJ (2007) Brief multiple behavior interventions in a college student health care clinic. J Adolesc Health 41: pp. 577-585 CrossRef
- Koestner, R, Lekes, N, Powers, TA (2002) Attaining personal goals: Self-concordance plus implementation intentions equals success. J Pers Soc Psychol 83: pp. 231-244 CrossRef
- Martin, KA, Leary, MR (2001) Single, physically active, female: The effects of information about exercise participation and body weight on perceptions of young women. Soc Behav Pers 16: pp. 1-12
- Fitness [brochure]. Krames, Yardley, PA
- Werch, C (2006) Fitness and health survey [survey]: Phase II trial. University of Florida, Addictive and Health Behaviors Research Institute, Jacksonville, FL
- SurveyMonkey.com. Available at www.surveymonkey.com. Accessibility verified June 2, 2008.
- Botvin, GJ, Baker, E, Renick, N (1984) A cognitive-behavioral approach to substance abuse prevention. Addict Behav 9: pp. 137-147 CrossRef
- Eggert, L, Thompson, E, Herting, J (1994) Preventing adolescent drug abuse and high school dropout through an intensive school-based social network development program. Am J Health Promot 8: pp. 202-215
- Ellickson, P, Hays, R (1991) Beliefs about resistance self-efficacy and drug prevalence: Do they really affect drug use?. Int J Addict 25: pp. 1353-1378
- Johnson, CA, Pentz, MA, Weber, MD (1990) Relative effectiveness of comprehensive community programming for drug abuse prevention with high-risk and low-risk adolescents. J Consult Clin Psychol 58: pp. 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 (2002) Outlets, drinking and driving: A multilevel analysis of availability. J Stud Alcohol 63: pp. 460-468
- Godin, G, Shepard, RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10: pp. 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 (2001) Gender and race differences in the predictors of daily health practices among older adults. Health Educ Res 16: pp. 21-31 CrossRef
- Groeger, JA, Zijlstra, FRH, Dijk, DJ (2004) Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some two thousand British adults. J Sleep Res 13: pp. 359-371 CrossRef
- Wolfson, A, Crowley, S, Anwer, U (2003) Changes in sleep patterns and depressive symptoms in first-time mothers: Last trimester to 1-year postpartum. Behav Sleep Med 1: pp. 54-67 CrossRef
- Chen, MY, Wang, EK, Yang, RJ (2003) Adolescent health promotion scale: Development and psychometric testing. Public Health Nurs 20: pp. 104-110 CrossRef
- Zullig, KJ, Valois, RF, Huebner, ES (2004) Evaluating the performance of the Center for Disease Control’s Health-related Quality of Life scales among adolescents. Public Health Rep 119: pp. 577-584 CrossRef
- SPSS 13.0 for Windows. SPSS Inc., Chicago, IL
- Morris, SB (2008) Estimating effect sizes from pretest-posttest-control group designs. Organ Res Methods 11: pp. 364-386 CrossRef
- Marcus, B, Williams, D, Dubbert, P (2006) 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 114: pp. 2739-2752 CrossRef
- Sallis, JF, McKenzie, TL, Conway, TL, Elder, JP, Prochaska, JJ, Brown, M (2003) Environmental interventions for eating and physical activity: A randomized controlled trial in middle schools. Am J Prev Med 24: pp. 209-217 CrossRef
- Brener, ND, Billy, JOG, Grady, WR (2003) Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: Evidence from the scientific literature. J Adolesc Health 33: pp. 436-457 CrossRef
- Brener, ND, Kann, L, McManus, T (2002) Reliability of the 1999 Youth Risk Behavior Survey Questionnaire. J Adolesc Health 31: pp. 336-342 CrossRef
- Boca, F, Darkes, J (2003) The validity of self reports of alcohol consumption: state of the science and challenges for research. Addiction 98: pp. S1-S12 CrossRef
- Komro, KA, Perry, CL, Munson, KA (2004) Reliability and validity of self-report measures to evaluate drug and violence prevention programs. J Child Adolesc Subst Abuse 13: pp. 17-51 CrossRef
- Williams, RJ, Nowatzki, N (2005) Validity of adolescent self-report of substance use. Subst Use Misuse 40: pp. 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