A Multiple Health Behavior Change Internet Program for College Students

描述（由申请人提供）：尽管在生命早期塑造健康行为的坚实基础很重要，但大学生作为健康促进计划的人群一直没有得到充分的研究。这一建议代表了影响促进大学生健康生活方式的创新研究。目标是为大学生开发和测试一个以人群为基础的多种健康行为改变项目，即“健康生活：健康生活的基础”。多种行为多媒体程序将提供基于跨理论模型的计算机定制反馈，包括定期锻炼、水果和蔬菜消费、有效的压力管理，以及提供访问与阶段匹配的动态门户网站。不同程度的裁剪将被用于跨行为，以检查共同变异在多种行为改变干预措施中的影响。第一阶段研究的成功表明，试点项目的内容和平台都是大学生可以接受的，在大学课程中推广也是可行的。第二阶段提案的主要目标是完成多行为计算机定制干预和门户网站的开发，并在一项随机试验中评估其有效性，该试验包括来自两所大型大学的1680名学生。学生将通过新生入学培训课程招募，并在6个月和12个月时完成后续评估。将通过比较每项行为在持续结果测量方面的改进情况和达到公共卫生标准的情况来评估有效性。这种干预提供了一种经济、科学、易于交付的解决方案，可以改善大学生的多种健康行为，以及整体健康和福祉。公共卫生相关性：在早期，在慢性病发病之前，促进健康的生活方式行为，对公共卫生具有重要意义。本研究提出开发和测试一个以人群为基础的多种健康行为改变计划，以促进大学生采用和保持定期锻炼，水果和蔬菜消费，以及有效的压力管理。这种基于互联网的干预提供了一种成本效益高、科学且易于交付的解决方案，以改善大学生的健康行为和整体健康和福祉。

DESCRIPTION (provided by applicant): Despite the importance of shaping a solid foundation of health behaviors early in life, college students have been understudied as a population for health promotion programs. This proposal represents innovative research for impacting the promotion of healthy lifestyles among college students. The objective is to develop and test a population-based, multiple health behavior change program for college students, liveWell: A Healthy Foundation for Life. The multiple behavior multimedia program will offer Transtheoretical Model- based computer tailored feedback on regular exercise, fruit and vegetable consumption, and effective stress management, as well as providing access to a stage-matched dynamic web portal. Varying levels of tailoring will be employed across behaviors to examine the effects that co-variation has in multiple behavior change interventions. The success of the Phase I research demonstrates that the content and platform of the pilot program is both acceptable to college students and feasible to disseminate in college curricula. The primary goals of the Phase II proposal are to complete the development of the multiple behavior computer tailored intervention and web portal and to assess the effectiveness in a randomized trial including 1680 students from 2 large universities. Students will be recruited via freshman orientation classes and will complete follow-up assessments at 6-and 12-months. Effectiveness will be assessed by comparing improvements in continuous outcome measures and movement to public health criteria for each behavior. This intervention offers a cost-effective, science-based, and easily deliverable solution to improve multiple health behaviors, and overall health and well-being, of college students. PUBLIC HEALTH RELEVANCE: Promoting healthy lifestyle behaviors at an early age, before the onset of chronic disease, is of great public health importance. This research proposes to develop and test a population-based, multiple health behavior change program for college students that promotes the adoption and maintenance of regular exercise, fruit and vegetable consumption, and effective stress management. This Internet-based intervention offers a cost-effective, science-based and easily deliverable solution to improve the health behaviors, and overall health and well-being, of college students.