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A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial
BACKGROUND: This paper reports the results of a repeat trial assessing the effectiveness of an online theory-based intervention to promote healthy lifestyle behaviours in new university students. The original trial found that the intervention reduced the number of smokers at 6-month follow-up compar...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4672536/ https://www.ncbi.nlm.nih.gov/pubmed/26643917 http://dx.doi.org/10.1186/s13063-015-1092-4 |
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author | Cameron, David Epton, Tracy Norman, Paul Sheeran, Paschal Harris, Peter R. Webb, Thomas L. Julious, Steven A. Brennan, Alan Thomas, Chloe Petroczi, Andrea Naughton, Declan Shah, Iltaf |
author_facet | Cameron, David Epton, Tracy Norman, Paul Sheeran, Paschal Harris, Peter R. Webb, Thomas L. Julious, Steven A. Brennan, Alan Thomas, Chloe Petroczi, Andrea Naughton, Declan Shah, Iltaf |
author_sort | Cameron, David |
collection | PubMed |
description | BACKGROUND: This paper reports the results of a repeat trial assessing the effectiveness of an online theory-based intervention to promote healthy lifestyle behaviours in new university students. The original trial found that the intervention reduced the number of smokers at 6-month follow-up compared with the control condition, but had non-significant effects on the other targeted health behaviours. However, the original trial suffered from low levels of engagement, which the repeat trial sought to rectify. METHODS: Three weeks before staring university, all incoming undergraduate students at a large university in the UK were sent an email inviting them to participate in the study. After completing a baseline questionnaire, participants were randomly allocated to intervention or control conditions. The intervention consisted of a self-affirmation manipulation, health messages based on the theory of planned behaviour and implementation intention tasks. Participants were followed-up 1 and 6 months after starting university. The primary outcome measures were portions of fruit and vegetables consumed, physical activity levels, units of alcohol consumed and smoking status at 6-month follow-up. RESULTS: The study recruited 2,621 students (intervention n = 1346, control n = 1275), of whom 1495 completed at least one follow-up (intervention n = 696, control n = 799). Intention-to-treat analyses indicated that the intervention had a non-significant effect on the primary outcomes, although the effect of the intervention on fruit and vegetable intake was significant in the per-protocol analyses. Secondary analyses revealed that the intervention had significant effects on having smoked at university (self-report) and on a biochemical marker of alcohol use. CONCLUSIONS: Despite successfully increasing levels of engagement, the intervention did not have a significant effect on the primary outcome measures. The relatively weak effects of the intervention, found in both the original and repeat trials, may be due to the focus on multiple versus single health behaviours. Future interventions targeting the health behaviour of new university students should therefore focus on single health behaviours. TRIAL REGISTRATION: Current Controlled Trials ISRCTN07407344. |
format | Online Article Text |
id | pubmed-4672536 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46725362015-12-09 A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial Cameron, David Epton, Tracy Norman, Paul Sheeran, Paschal Harris, Peter R. Webb, Thomas L. Julious, Steven A. Brennan, Alan Thomas, Chloe Petroczi, Andrea Naughton, Declan Shah, Iltaf Trials Research BACKGROUND: This paper reports the results of a repeat trial assessing the effectiveness of an online theory-based intervention to promote healthy lifestyle behaviours in new university students. The original trial found that the intervention reduced the number of smokers at 6-month follow-up compared with the control condition, but had non-significant effects on the other targeted health behaviours. However, the original trial suffered from low levels of engagement, which the repeat trial sought to rectify. METHODS: Three weeks before staring university, all incoming undergraduate students at a large university in the UK were sent an email inviting them to participate in the study. After completing a baseline questionnaire, participants were randomly allocated to intervention or control conditions. The intervention consisted of a self-affirmation manipulation, health messages based on the theory of planned behaviour and implementation intention tasks. Participants were followed-up 1 and 6 months after starting university. The primary outcome measures were portions of fruit and vegetables consumed, physical activity levels, units of alcohol consumed and smoking status at 6-month follow-up. RESULTS: The study recruited 2,621 students (intervention n = 1346, control n = 1275), of whom 1495 completed at least one follow-up (intervention n = 696, control n = 799). Intention-to-treat analyses indicated that the intervention had a non-significant effect on the primary outcomes, although the effect of the intervention on fruit and vegetable intake was significant in the per-protocol analyses. Secondary analyses revealed that the intervention had significant effects on having smoked at university (self-report) and on a biochemical marker of alcohol use. CONCLUSIONS: Despite successfully increasing levels of engagement, the intervention did not have a significant effect on the primary outcome measures. The relatively weak effects of the intervention, found in both the original and repeat trials, may be due to the focus on multiple versus single health behaviours. Future interventions targeting the health behaviour of new university students should therefore focus on single health behaviours. TRIAL REGISTRATION: Current Controlled Trials ISRCTN07407344. BioMed Central 2015-12-07 /pmc/articles/PMC4672536/ /pubmed/26643917 http://dx.doi.org/10.1186/s13063-015-1092-4 Text en © Cameron et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Cameron, David Epton, Tracy Norman, Paul Sheeran, Paschal Harris, Peter R. Webb, Thomas L. Julious, Steven A. Brennan, Alan Thomas, Chloe Petroczi, Andrea Naughton, Declan Shah, Iltaf A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial |
title | A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial |
title_full | A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial |
title_fullStr | A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial |
title_full_unstemmed | A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial |
title_short | A theory-based online health behaviour intervention for new university students (U@Uni:LifeGuide): results from a repeat randomized controlled trial |
title_sort | theory-based online health behaviour intervention for new university students (u@uni:lifeguide): results from a repeat randomized controlled trial |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4672536/ https://www.ncbi.nlm.nih.gov/pubmed/26643917 http://dx.doi.org/10.1186/s13063-015-1092-4 |
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