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Gepubliceerd in: Journal of Behavioral Medicine 1/2011

01-02-2011

Brief integrative multiple behavior intervention effects and mediators for adolescents

Auteurs: Chudley E. Werch, Hui Bian, Joan M. Carlson, Michele J. Moore, Carlo C. DiClemente, I-Chan Huang, Steven C. Ames, Dennis Thombs, Robert M. Weiler, Steven B. Pokorny

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2011

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Abstract

This study evaluated the efficacy of a brief integrative multiple behavior intervention and assessed risk factors as mediators of behavioral outcomes among older adolescents. A randomized controlled trial was conducted with participants randomly assigned to either a brief intervention or standard care control with 3-month follow-up. A total of 479 students attending two public high schools participated. Participants receiving the intervention showed a significant reduction in quantity × frequency of alcohol use, and increases in fruit and vegetable consumption and frequency of relaxation activities, compared to those receiving the control, P’s = .01. No effects were found on cigarette and marijuana use, exercise and sleep. Effect sizes were small with alcohol use cessation effects reaching medium size. Intervention effects were mediated by changes in peer influenceability for alcohol use, and self-efficacy and self-image for health promoting behaviors. Findings suggest that the brief intervention resulted in health risk and promoting behavior improvements for adolescents, with outcomes mediated by several risk factors.
Literatuur
go back to reference Atkins, D., & Clancy, C. (2004). Multiple risk factors interventions: Are we up to the challenge? American Journal of Preventive Medicine, 27(2 Suppl), 102–103.CrossRefPubMed Atkins, D., & Clancy, C. (2004). Multiple risk factors interventions: Are we up to the challenge? American Journal of Preventive Medicine, 27(2 Suppl), 102–103.CrossRefPubMed
go back to reference Bachman, J. G., Johnston, L. D., & O’Malley, P. M. (2008). Monitoring the Future: Questionnaire responses from the nation’s high school seniors, 2006. Ann Arbor, MI: Institute for Social Research. Bachman, J. G., Johnston, L. D., & O’Malley, P. M. (2008). Monitoring the Future: Questionnaire responses from the nation’s high school seniors, 2006. Ann Arbor, MI: Institute for Social Research.
go back to reference Bandura, A. (1986). Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall. Bandura, A. (1986). Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
go back to reference Centers for Disease Control and Prevention. (2008). Youth risk behavior surveillance—United States, 2007. MMWR. Morbidity and Mortality Weekly Report, 57(SS-4), 1–131. Centers for Disease Control and Prevention. (2008). Youth risk behavior surveillance—United States, 2007. MMWR. Morbidity and Mortality Weekly Report, 57(SS-4), 1–131.
go back to reference Channing Bete Company. (1992). What everyone should know ABOUT WELLNESS [Brochure]. South Deerfield, MA: Channing Bete Company, Inc. Channing Bete Company. (1992). What everyone should know ABOUT WELLNESS [Brochure]. South Deerfield, MA: Channing Bete Company, Inc.
go back to reference Chen, M. Y., Wang, E. K., Yang, R. J., & Liou, Y. M. (2003). Adolescent health promotion scale: Development and psychometric testing. Public Health Nursing, 20(2), 104–110.CrossRefPubMed Chen, M. Y., Wang, E. K., Yang, R. J., & Liou, Y. M. (2003). Adolescent health promotion scale: Development and psychometric testing. Public Health Nursing, 20(2), 104–110.CrossRefPubMed
go back to reference Dunn, C., Deroo, L., & Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction, 96(12), 1725–1742.CrossRefPubMed Dunn, C., Deroo, L., & Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: A systematic review. Addiction, 96(12), 1725–1742.CrossRefPubMed
go back to reference Eaton, D. K., Kann, L., Kinchen, S., Hawkins, J., Harris, W. A., Lowry, R., et al. (2006). Youth risk behavior surveillance—United States, 2005. Journal of School Health, 76(7), 353–372.CrossRefPubMed Eaton, D. K., Kann, L., Kinchen, S., Hawkins, J., Harris, W. A., Lowry, R., et al. (2006). Youth risk behavior surveillance—United States, 2005. Journal of School Health, 76(7), 353–372.CrossRefPubMed
go back to reference Fordwood, S. R., Asarnow, J. R., Huizar, D. P., & Reise, S. P. (2007). Suicide attempts among depressed adolescents in primary care. Journal of Clinical Child and Adolescent Psychology, 36(3), 392–404.PubMed Fordwood, S. R., Asarnow, J. R., Huizar, D. P., & Reise, S. P. (2007). Suicide attempts among depressed adolescents in primary care. Journal of Clinical Child and Adolescent Psychology, 36(3), 392–404.PubMed
go back to reference Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences, 10(3), 141–146. Godin, G., & Shephard, R. J. (1985). A simple method to assess exercise behavior in the community. Canadian Journal of Applied Sport Sciences, 10(3), 141–146.
go back to reference Groeger, J. A., Zijlstra, F. R., & Dijk, D. J. (2004). Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000 British adults. Journal of Sleep Research, 13(4), 359–371.CrossRefPubMed Groeger, J. A., Zijlstra, F. R., & Dijk, D. J. (2004). Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000 British adults. Journal of Sleep Research, 13(4), 359–371.CrossRefPubMed
go back to reference Heather, N. (2002). Effectiveness of brief interventions proved beyond reasonable doubt. Addiction, 97(3), 293–294.CrossRefPubMed Heather, N. (2002). Effectiveness of brief interventions proved beyond reasonable doubt. Addiction, 97(3), 293–294.CrossRefPubMed
go back to reference Kaner, E. F., Beyer, F., Dickinson, H. O., Pienaar, E., Campbell, F., Schlesinger, C., et al. (2007). Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews, 2, CD004148. Kaner, E. F., Beyer, F., Dickinson, H. O., Pienaar, E., Campbell, F., Schlesinger, C., et al. (2007). Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database of Systematic Reviews, 2, CD004148.
go back to reference Key, T. J., Schatzkin, A., Willett, W. C., Allen, N. E., Spencer, E. A., & Travis, R. C. (2004). Diet, nutrition and the prevention of cancer. Public Health Nutrition, 7(1A), 187–200.CrossRefPubMed Key, T. J., Schatzkin, A., Willett, W. C., Allen, N. E., Spencer, E. A., & Travis, R. C. (2004). Diet, nutrition and the prevention of cancer. Public Health Nutrition, 7(1A), 187–200.CrossRefPubMed
go back to reference Knai, C., Pomerleau, J., Lock, K., & McKee, M. (2006). Getting children to eat more fruit and vegetables: A systematic review. Preventive Medicine, 42(2), 85–95.CrossRefPubMed Knai, C., Pomerleau, J., Lock, K., & McKee, M. (2006). Getting children to eat more fruit and vegetables: A systematic review. Preventive Medicine, 42(2), 85–95.CrossRefPubMed
go back to reference Kraag, G., Van Breukelen, G. J., Kok, G., & Hosman, C. (2009). ‘Learn Young, Learn Fair’, a stress management program for fifth and sixth graders: Longitudinal results from an experimental study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 50(9), 1185–1195.CrossRef Kraag, G., Van Breukelen, G. J., Kok, G., & Hosman, C. (2009). ‘Learn Young, Learn Fair’, a stress management program for fifth and sixth graders: Longitudinal results from an experimental study. Journal of Child Psychology and Psychiatry and Allied Disciplines, 50(9), 1185–1195.CrossRef
go back to reference McMahon, S. D., Grant, K. E., Compas, B. E., Thurm, A. E., & Ey, S. (2003). Stress and psychopathology in children and adolescents: Is there evidence of specificity? Journal of Child Psychology and Psychiatry and Allied Disciplines, 44(1), 107–133.CrossRef McMahon, S. D., Grant, K. E., Compas, B. E., Thurm, A. E., & Ey, S. (2003). Stress and psychopathology in children and adolescents: Is there evidence of specificity? Journal of Child Psychology and Psychiatry and Allied Disciplines, 44(1), 107–133.CrossRef
go back to reference Morris, S. B. (2008). Estimating effect sizes from pretest-posttest-control group design. Organizational Research Methods, 11(2), 364–386.CrossRef Morris, S. B. (2008). Estimating effect sizes from pretest-posttest-control group design. Organizational Research Methods, 11(2), 364–386.CrossRef
go back to reference Ness, A. R., & Powles, J. W. (1997). Fruit and vegetables, and cardiovascular disease: A review. International Journal of Epidemiology, 26(1), 1–13.CrossRefPubMed Ness, A. R., & Powles, J. W. (1997). Fruit and vegetables, and cardiovascular disease: A review. International Journal of Epidemiology, 26(1), 1–13.CrossRefPubMed
go back to reference Nigg, C. R., Allegrante, J. P., & Ory, M. (2002). Theory-comparison and multiple- behavior research: Common themes advancing health behavior research. Health Education Research, 17(5), 670–679.CrossRefPubMed Nigg, C. R., Allegrante, J. P., & Ory, M. (2002). Theory-comparison and multiple- behavior research: Common themes advancing health behavior research. Health Education Research, 17(5), 670–679.CrossRefPubMed
go back to reference Ohayon, M. M., Roberts, R. E., Zulley, J., Smirne, S., & Priest, R. G. (2000). Prevalence and patterns of problematic sleep among older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 39(12), 1549–1556.CrossRefPubMed Ohayon, M. M., Roberts, R. E., Zulley, J., Smirne, S., & Priest, R. G. (2000). Prevalence and patterns of problematic sleep among older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 39(12), 1549–1556.CrossRefPubMed
go back to reference Orleans, C. T. (2004). Addressing multiple behavioral health risks in primary care: Broadening the focus of health behavior change research and practice. American Journal of Preventive Medicine, 27(2 Suppl), 1–3.CrossRefPubMed Orleans, C. T. (2004). Addressing multiple behavioral health risks in primary care: Broadening the focus of health behavior change research and practice. American Journal of Preventive Medicine, 27(2 Suppl), 1–3.CrossRefPubMed
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRefPubMed Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRefPubMed
go back to reference Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46(3), 181–188.CrossRefPubMed Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46(3), 181–188.CrossRefPubMed
go back to reference Rushton, J. L., Forcier, M., & Schectman, R. M. (2002). Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. Journal of the American Academy of Child and Adolescent Psychiatry, 41(2), 199–205.CrossRefPubMed Rushton, J. L., Forcier, M., & Schectman, R. M. (2002). Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. Journal of the American Academy of Child and Adolescent Psychiatry, 41(2), 199–205.CrossRefPubMed
go back to reference Scheier, M. F., & Carver, C. S. (2003). Goals and confidence as self-regulatory elements underlying health and illness behavior. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 17–44). New York, NY: Routledge. Scheier, M. F., & Carver, C. S. (2003). Goals and confidence as self-regulatory elements underlying health and illness behavior. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 17–44). New York, NY: Routledge.
go back to reference Solberg, L. I., Maciosek, M. V., & Edwards, N. M. (2008). Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness. American Journal of Preventive Medicine, 34(2), 143–152.CrossRefPubMed Solberg, L. I., Maciosek, M. V., & Edwards, N. M. (2008). Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness. American Journal of Preventive Medicine, 34(2), 143–152.CrossRefPubMed
go back to reference Stuart, H. (2006). Psychosocial risk clustering in high school students. Social Psychiatry and Psychiatric Epidemiology, 41(6), 498–507.CrossRefPubMed Stuart, H. (2006). Psychosocial risk clustering in high school students. Social Psychiatry and Psychiatric Epidemiology, 41(6), 498–507.CrossRefPubMed
go back to reference Thompson, V. J., Bachman, C. M., Baranowski, T., & Cullen, K. W. (2007). Self-efficacy and norm measures for lunch fruit and vegetable consumption are reliable and valid among fifth grade students. Journal of Nutrition Education and Behavior, 39(1), 2–7.CrossRefPubMed Thompson, V. J., Bachman, C. M., Baranowski, T., & Cullen, K. W. (2007). Self-efficacy and norm measures for lunch fruit and vegetable consumption are reliable and valid among fifth grade students. Journal of Nutrition Education and Behavior, 39(1), 2–7.CrossRefPubMed
go back to reference Werch, C. (2007). The Behavior-Image Model: A paradigm for integrating prevention and health promotion in brief interventions. Health Education Research, 22(5), 677–690.CrossRefPubMed Werch, C. (2007). The Behavior-Image Model: A paradigm for integrating prevention and health promotion in brief interventions. Health Education Research, 22(5), 677–690.CrossRefPubMed
go back to reference Werch, C., Bian, H., Moore, M. J., Ames, S., DiClemente, C. C., Thombs, D., et al. (2008a). Brief multiple behavior health interventions for older adolescents. American Journal of Health Promotion, 23(2), 92–96.CrossRefPubMed Werch, C., Bian, H., Moore, M. J., Ames, S., DiClemente, C. C., Thombs, D., et al. (2008a). Brief multiple behavior health interventions for older adolescents. American Journal of Health Promotion, 23(2), 92–96.CrossRefPubMed
go back to reference Werch, C., Bian, H., Moore, M. J., Ames, S., DiClemente, C. C., & Weiler, R. M. (2007). Brief multiple behavior interventions in a college student health care clinic. Journal of Adolescent Health, 41(6), 577–585.CrossRefPubMed Werch, C., Bian, H., Moore, M. J., Ames, S., DiClemente, C. C., & Weiler, R. M. (2007). Brief multiple behavior interventions in a college student health care clinic. Journal of Adolescent Health, 41(6), 577–585.CrossRefPubMed
go back to reference Werch, C., Moore, M., Bian, H., DiClemente, C. C., Ames, S. C., Weiler, R. M., et al. (2008b). Efficacy of a brief image-based multiple-behavior intervention for college students. Annals of Behavioral Medicine, 36(2), 149–157.CrossRefPubMed Werch, C., Moore, M., Bian, H., DiClemente, C. C., Ames, S. C., Weiler, R. M., et al. (2008b). Efficacy of a brief image-based multiple-behavior intervention for college students. Annals of Behavioral Medicine, 36(2), 149–157.CrossRefPubMed
go back to reference Werch, C., Moore, M., DiClemente, C. C., Bledsoe, R., & Jobli, E. (2005). A multihealth behavior intervention integrating physical activity and substance use prevention for adolescents. Prevention Science, 6(3), 213–226.CrossRefPubMed Werch, C., Moore, M., DiClemente, C. C., Bledsoe, R., & Jobli, E. (2005). A multihealth behavior intervention integrating physical activity and substance use prevention for adolescents. Prevention Science, 6(3), 213–226.CrossRefPubMed
go back to reference Werch, C., Moore, M., DiClemente, C. C., Owen, D. M., Jobli, E., & Bledsoe, R. (2003). A sport-based intervention for preventing alcohol use and promoting physical activity among adolescents. Journal of School Health, 73(10), 380–388.CrossRefPubMed Werch, C., Moore, M., DiClemente, C. C., Owen, D. M., Jobli, E., & Bledsoe, R. (2003). A sport-based intervention for preventing alcohol use and promoting physical activity among adolescents. Journal of School Health, 73(10), 380–388.CrossRefPubMed
go back to reference Wolfson, A. R., Crowley, S. J., Anwer, U., & Bassett, J. L. (2003). Changes in sleep patterns and depressive symptoms in first-time mothers: Last trimester to 1-year postpartum. Behavioral Sleep Medicine, 1(1), 54–67.CrossRefPubMed Wolfson, A. R., Crowley, S. J., Anwer, U., & Bassett, J. L. (2003). Changes in sleep patterns and depressive symptoms in first-time mothers: Last trimester to 1-year postpartum. Behavioral Sleep Medicine, 1(1), 54–67.CrossRefPubMed
Metagegevens
Titel
Brief integrative multiple behavior intervention effects and mediators for adolescents
Auteurs
Chudley E. Werch
Hui Bian
Joan M. Carlson
Michele J. Moore
Carlo C. DiClemente
I-Chan Huang
Steven C. Ames
Dennis Thombs
Robert M. Weiler
Steven B. Pokorny
Publicatiedatum
01-02-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2011
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-010-9281-9

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