A Multiple Health Behavior Change Internet Program for College Students

描述(由申请者提供)：尽管在生命早期形成坚实的健康行为基础很重要，但大学生作为一个群体在健康促进计划中一直处于被忽视的状态。这项建议代表了对促进大学生健康生活方式的创新研究。其目标是为大学生开发和测试一个以人群为基础的、多种健康行为改变计划，LiveWell：一个健康的生活基础。多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，涉及定期锻炼、水果和蔬菜消费以及有效的压力管理，并提供对阶段匹配的动态门户网站的访问。将在不同的行为中采用不同的剪裁水平，以检查协变在多个行为改变干预中的影响。第一阶段研究的成功表明，试点计划的内容和平台都是大学生可以接受的，并在大学课程中传播是可行的。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，并在一项包括两所大型大学的1680名学生的随机试验中评估其有效性。学生将通过新生迎新班被招募，并将在6个月和12个月时完成后续评估。有效性将通过比较每种行为的持续结果测量和行动的改善情况与公共卫生标准来评估。这一干预措施为改善大学生的多种健康行为以及整体健康和幸福感提供了一种具有成本效益、基于科学和易于实施的解决方案。公共卫生相关性：在慢性病发作之前的早期促进健康的生活方式行为，对公共卫生非常重要。这项研究建议开发和测试一个以人群为基础的、针对大学生的多元健康行为改变计划，以促进大学生接受和保持定期锻炼、水果和蔬菜消费以及有效的压力管理。这一基于互联网的干预提供了一种成本效益高、基于科学且易于实施的解决方案，以改善大学生的健康行为以及整体健康和幸福感。

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.