Brief multiple behavior interventions in a college student health care clinic
Brief multiple behavior interventions in a college student health care clinic
复制标题
DOI：
10.1016/j.jadohealth.2007.06.003
复制
发表时间：
2007-12-01
影响因子：
7.6
通讯作者：
Weiler, Robert M.
中科院分区：
文献类型：
--
作者：
Werch, Chudley E. (Chad);Bian, Hui;Weiler, Robert M.
目的：本研究考察了基于图像的简短干预措施，包括多种行为健康合同、一对一定制咨询和咨询加合同联合干预，对大学健康诊所学生多种健康行为的影响。方法：在2005年秋季和2006年春季，对155名南方某重点大学在校大学生进行了健康促进项目评估。参与者在诊所被随机分配到三种治疗方法中的一种：1)多种行为健康合同，2)一对一量身定制的咨询，或3)咨询加合同干预的组合。基线和干预后1个月的数据是在学生健康诊所一个安静的办公室里用电脑辅助问卷收集的。结果：综合重复测量方差分析对酒后驾驶行为（F(2136) = 4.43, p = 0.01）、运动行为（F(5140) = 6.12, p = 0.00）、营养习惯（F(3143) = 5.37, p = 0.00）、睡眠习惯（F(2144) = 5.03, p = 0.01）和健康生活质量（F(5140) = 3.09, p = 0.01）均有显著性改善。按时间分组的互动效应分析显示，使用技术来管理压力的情况有所增加，F(2144) 5.48, p = 0.01，在过去30天内设定的健康行为目标的数量有所增加，F(2143) = 5.35, p.01，但仅在接受咨询或咨询加合同的青少年中。当咨询和契约同时使用时，健康行为的效应量始终较大，而中等大小。结论：采用积极健身目标形象的简短干预，以及单独或联合使用合同和咨询策略解决一些健康习惯，有可能影响到在大学初级卫生保健诊所就诊的大学生多种健康行为的积极变化。(c) 2007年青少年医学学会。版权所有。
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. (c) 2007 Society for Adolescent Medicine. All rights reserved.