A theory-based online health behaviour intervention for new university students (U@Uni): results from a randomised controlled trial.
A theory-based online health behaviour intervention for new university students (U@Uni): results from a randomised controlled trial.
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DOI：
10.1186/1471-2458-14-563
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发表时间：
2014-06-05
影响因子：
4.5
通讯作者：
Shah I
中科院分区：
文献类型：
--
作者：
Epton T;Norman P;Dadzie AS;Harris PR;Webb TL;Sheeran P;Julious SA;Ciravegna F;Brennan A;Meier PS;Naughton D;Petroczi A;Kruger J;Shah I
很少有年轻人采取减少发病和过早死亡风险的行为，如健康饮食、积极锻炼身体、合理饮酒和不吸烟。本研究旨在评估基于理论的在线健康行为干预（基于自我肯定理论、计划行为理论和实施意图）的有效性和成本效益，以新大学生的这些行为为目标，与仅测量的对照进行比较。谢菲尔德大学（university of Sheffield）所有即将入学的本科生在入学前两周被邀请参加一项关于新生健康行为的研究。采用随机对照设计，基线问卷和两次随访（开始上大学后1个月和6个月）来评估干预措施。主要结果是在6个月的随访中测量干预所针对的四种健康行为，即水果和蔬菜的摄入量、任务的代谢当量（身体活动）、酒精单位和吸烟状况。本研究共招募了1445名学生（干预组n = 736，对照组n = 709，女性58%，平均年龄18.9岁），其中1107人完成了至少一次随访（损失率为23%）。干预对6个月随访时的吸烟状况这一主要结局有统计学显著影响，干预组吸烟者（8.7%）少于对照组（13.0%）；优势比= 1.92,p = 0.010。在6个月的随访中，干预对其他主要结果（身体活动、酒精或水果和蔬菜消费）没有显著影响。随机对照试验的结果表明，在线健康行为干预降低了吸烟率，但对大学前六个月的水果和蔬菜摄入量、体育活动或饮酒影响不大。然而，参与干预的程度很低。在得出强有力的结论之前，还需要进一步的研究，以确定干预措施在促进大学新生健康生活习惯方面的可能有效性。当前对照试验，ISRCTN67684181。
Too few young people engage in behaviours that reduce the risk of morbidity and premature mortality, such as eating healthily, being physically active, drinking sensibly and not smoking. This study sought to assess the efficacy and cost-effectiveness of a theory-based online health behaviour intervention (based on self-affirmation theory, the Theory of Planned Behaviour and implementation intentions) targeting these behaviours in new university students, in comparison to a measurement-only control. Two-weeks before starting university all incoming undergraduates at the University of Sheffield were invited to take part in a study of new students’ health behaviour. A randomised controlled design, with a baseline questionnaire, and two follow-ups (1 and 6 months after starting university), was used to evaluate the intervention. Primary outcomes were measures of the four health behaviours targeted by the intervention at 6-month follow-up, i.e., portions of fruit and vegetables, metabolic equivalent of tasks (physical activity), units of alcohol, and smoking status. The study recruited 1,445 students (intervention n = 736, control n = 709, 58% female, Mean age = 18.9 years), of whom 1,107 completed at least one follow-up (23% attrition). The intervention had a statistically significant effect on one primary outcome, smoking status at 6-month follow-up, with fewer smokers in the intervention arm (8.7%) than in the control arm (13.0%; Odds ratio = 1.92, p = .010). There were no significant intervention effects on the other primary outcomes (physical activity, alcohol or fruit and vegetable consumption) at 6-month follow-up. The results of the RCT indicate that the online health behaviour intervention reduced smoking rates, but it had little effect on fruit and vegetable intake, physical activity or alcohol consumption, during the first six months at university. However, engagement with the intervention was low. Further research is needed before strong conclusions can be made regarding the likely effectiveness of the intervention to promote health lifestyle habits in new university students. Current Controlled Trials, ISRCTN67684181.
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DOI：
10.1186/1747-597x-6-20
发表时间：
2011-08-03
期刊：
Substance abuse treatment, prevention, and policy
影响因子：
--
作者：
Petróczi A;Nepusz T;Cross P;Taft H;Shah S;Deshmukh N;Schaffer J;Shane M;Adesanwo C;Barker J;Naughton DP
通讯作者：
Naughton DP
影响因子：
3.3
作者：
Jemmott JB 3rd;Jemmott LS;O'Leary A;Ngwane Z;Icard L;Bellamy S;Jones S;Landis JR;Heeren GA;Tyler JC;Makiwane MB
通讯作者：
Makiwane MB
影响因子：
7.9
作者：
Rabiau, M;Knäuper, B;Miquelon, P
通讯作者：
Miquelon, P
影响因子：
7.4
作者：
Webb TL;Joseph J;Yardley L;Michie S
通讯作者：
Michie S
影响因子：
4.5
作者：
Epton T;Norman P;Sheeran P;Harris PR;Webb TL;Ciravegna F;Brennan A;Meier P;Julious SA;Naughton D;Petroczi A;Dadzie AS;Kruger J
通讯作者：
Kruger J