A multihealth behavior intervention integrating physical activity and substance use prevention for adolescents
A multihealth behavior intervention integrating physical activity and substance use prevention for adolescents
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DOI：
10.1007/s11121-005-0012-3
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发表时间：
2005-09-01
影响因子：
3.5
通讯作者：
Jobli, E
中科院分区：
文献类型：
--
作者：
Werch, CC;Moore, MJ;Jobli, E
本研究的主要目的是测试一个简短的，多健康行为干预整合身体活动和酒精使用预防信息的高中青少年的有效性。来自佛罗里达东北部一所郊区高中的335名9年级和269名11年级学生共604名参与者参加了这项研究。进行了一项随机对照试验，参与者在年级内被随机分配，接受简短的咨询和处方，并邮寄加强后续传单（Project SPORT）或最小干预控制，包括学校提供的健康手册和邮寄到家中的青少年健康和健身小册子。干预组之间的差异进行了评估，一系列的MANCOVA测试。在干预后3个月，Project SPORT参与者在饮酒、饮酒行为、饮酒风险和保护因素、药物使用行为和运动习惯方面表现出显著的积极影响，在12个月时，饮酒风险和保护因素、吸烟和吸烟开始方面表现出显著的积极影响（p < 0.05）。一项事后分析按治疗组检查了过去30天使用大麻和/或香烟之间的相互作用，表明接受Project SPORT的吸毒青少年在3个月时对酒精消费、吸毒行为和吸毒开始以及12个月时对吸毒行为和锻炼习惯有显著的积极影响（p < 0.05）。一个简短的，12分钟的一对一的咨询，将戒酒信息整合到那些促进健身和其他积极健康行为的信息中，有望在治疗后和一年后影响青少年饮酒和吸烟以及其他健康行为。在干预前使用大麻和/或香烟的青少年中发现了香烟和大麻使用的长期持续影响，以及剧烈和适度的体力活动。
The primary purpose of this study was to test the efficacy of a brief, multi-health behavior intervention integrating physical activity and alcohol use prevention messages for high schoolaged adolescents. A total of 604 participants, 335 9th and 269 11th grade students from a suburban high school in northeast Florida participated in this study. A randomized control trial was conducted with participants randomly assigned within grade levels to receive either a brief consultation and prescription with a mailed reinforcing follow-up flyer (Project SPORT) or a minimal intervention control consisting of a wellness brochure provided in school and a pamphlet about teen health and fitness mailed to the home. Differences between intervention groups were evaluated with a series of MANCOVA tests. Project SPORT participants demonstrated significant positive effects at 3-months postintervention for alcohol consumption, alcohol initiation behaviors, alcohol use risk and protective factors, drug use behaviors, and exercise habits, and at 12-months for alcohol use risk and protective factors, cigarette use, and cigarette initiation (p's < 0.05). A post hoc analysis examining interactions between past 30-day use of marijuana and/or cigarettes by treatment group indicates significant positive effects for drug using adolescents who received Project SPORT on alcohol consumption, drug use behaviors, and drug use initiation at 3-months, and for drug use behaviors and exercise habits at 12-months (p's < 0.05). A brief, 12-min one-on-one consultation integrating alcohol avoidance messages within those promoting fitness and other positive health behaviors holds promise for influencing adolescent alcohol and cigarette use and other health behaviors at posttreatment and I year later. Long-term sustained effects for cigarette and marijuana use, and both vigorous and moderate physical activity, were found among adolescents using marijuana and/or cigarettes prior to intervention.