Annals of Behavioral Medicine

, Volume 36, Issue 2, pp 149–157 | Cite as

Efficacy of a Brief Image-Based Multiple-Behavior Intervention for College Students

  • Chudley E. Werch
  • Michele J. Moore
  • Hui Bian
  • Carlo C. DiClemente
  • Steven C. Ames
  • Robert M. Weiler
  • Dennis Thombs
  • Steven B. Pokorny
  • I-Chan Huang
Original Article



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.


Brief intervention Multiple-behavior intervention Image College students Drug use Health quality of life 



This manuscript was supported in part by funding from the National Institute on Drug Abuse (grant #DA018872). We thank Dr. Fred Beck, MD, who made it possible to use the campus medical services to recruit students, and Drs. Pamela Chally, Ph.D., and Judy Perkin, Ph.D., who permitted us to implement the intervention in the Brooks College of Health. We also thank Elizabeth Breting, Heather Frost, and Heather Boggess for their assistance in implementing this study.


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Copyright information

© The Society of Behavioral Medicine 2008

Authors and Affiliations

  • Chudley E. Werch
    • 1
  • Michele J. Moore
    • 3
  • Hui Bian
    • 1
  • Carlo C. DiClemente
    • 4
  • Steven C. Ames
    • 5
  • Robert M. Weiler
    • 2
  • Dennis Thombs
    • 2
  • Steven B. Pokorny
    • 2
  • I-Chan Huang
    • 2
  1. 1.University of FloridaJacksonvilleUSA
  2. 2.University of FloridaGainesvilleUSA
  3. 3.University of North FloridaGainesvilleUSA
  4. 4.University of Maryland, Baltimore CountyBaltimoreUSA
  5. 5.Mayo ClinicJacksonvilleUSA

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