203628 Process evaluation of Brief Multiple Behavior Intervention (BMBI) for high school students

Tuesday, November 10, 2009

Joan M. Carlson, MSW , Addictive & Health Behaviors Research Institute, University of Florida, Jacksonville, FL
C. Chad Werch, PhD , Addictive & Health Behavior Research Institute, Department of Health Education & Behavior, University of Florida, Jacksonville, FL
Hui Bian, MA, PhD, CHES , Department of Health Education & Behavior, Addictive & Health Behaviors Research Institute, University of Florida, Jacksonville, FL
The purpose of this study was to determine the acceptability, perceived effectiveness, and immediate impact of an in-person consultation addressing multiple health behaviors linking health promoting habits to drug use avoidance employing Brief Multiple Behavior Intervention (BMBI). A total of 479 high school aged adolescents were recruited in suburban Northeast Florida to participate in a randomized control trial evaluating a brief multiple behavior, in-person consultation (n=237) versus commercial health promotion print materials (n=242). Participants were 11th and 12th graders with a mean age of 17 years (SD= .82). Sixty-two percent were females with 53% Black, 27% Caucasian and 20% reporting Mixed and Other. A confidential feedback form was administered immediately after the consultation or reading the commercial print materials. ANOVA tests indicated students rated the brief in-person consultation as being more likely to help young adults to: 1) make healthy choices; 2) increase physical activity; 3) eat more healthy food; and 4) use more stress management or relaxation techniques than the control materials (p< .01). Analysis also found that students believed the brief consultation would help them to avoid overdrinking, stop/reduce smoking, stop/reduce drug use, that the information was meant for them and that the information made them think about their health habits (p< .01). Additionally, the overall evaluation of the consult was significantly higher than students receiving the commercial print materials (p< .01). BMBIs should be evaluated for effectiveness in preventing risk behaviors and increasing health promoting behaviors.

Learning Objectives:
Discuss the intervention differences between the in-person consultation and the commercial health promotion programming. Describe the statistical methods employed to evaluate student feedback. List four health promoting activities that students receiving the BMBI identified as more likely to help young adults.

Keywords: Alcohol, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The Florida State University - Masters of Social Work, 1997 University of North Florida - Bachelor of Arts, Psychology, 1993 The Florida State University – Currently a Doctoral Student in the College of Social Work Peer Reviewed Select Publications Ames, S. C., Stevens, S. R., Schroeder, D., Werch, C. E., Carlson, J. M., Kiros, G. E., Kershaw, J., Ebbert J., Patten, C., & Offord, K. (under review). Non-daily tobacco use among Black and White college undergraduates: A comparison of non-daily versus daily tobacco users. Ames, Steve C., Stevens Susanna R., Werch, Chudley E., Carlson, Joan M., Schroeder, Darrell R., Kiros, Gebre-Egziabh, Kershaw, Josephine, Patten, Christi A., Ebbert, Jon O., & Offord, Kenneth P. (under review). The association of alcohol consumption with tobacco use in Black and White college students. Ames, Steven C., Stevens, Susanna R., Schroeder, Darrell R., Werch Chudley E., Carlson, Joan M., Kiros, Gebre-Egziabh, Kershaw, Josephine, Patten, Christi A., Ebbert, Jon O., & Offord Kenneth P. (under review). Non-daily tobacco use in Black and White college undergraduates: A comparison of non-daily versus daily tobacco users. Patten, C.A., Brockman, Ames, S.C., Ebbert, J.O., Stevens, S.R., Thomas, J.T., Werch, C.E., Kiros, G.E. Kershaw, J., 7Carlson, J.M. (2008). Differences among Black and White adults on prior attempts and motivation to help a smoker quit. Addictive Behaviors 33(3), 496-502. Nyquist-Battie, C., Fletcher, Gerald F., Fletcher, Barbara F., Carlson, Joan M., Castello, Ramon, & Oken, K. (In press). Upper extremity exercise training in heart failure. Journal of Cardiac Rehabilitation. Werch, Chudley E., Moore, Michele J., DiClemente, Carlo C., Owen, Deborah M., Carlson, Joan M., & Jobli, Edessa (2005). Single versus multiple drug prevention: Is more better and for whom? Substance Use & Misuse, 40(8), 1085-1101. Chally, Pamela S. & Carlson, Joan M. Spirituality, rehabilitation and aging: A literature review. (2004). Archives of Physical Medicine and Rehabilitation, 85(7), Suppl. 3, 60-65. Werch, Chudley E., Owen, Deborah M., Carlson, Joan M., DiClemente, Carlo C., & Edgemon, P. (2003). One-year follow-up results of the STARS for Families alcohol prevention program. Health Education Research: Theory & Practice, 18(1), 74-87. Werch, Chudley E., Carlson, Joan M., Pappas, Deborah M., Edgemon, Patricia, & DiClemente, Carlo (2002). A brief alcohol preventive intervention for student athletes. The Prevention Researcher, 9(3), 4-5. (Condensed from Werch, Chudley E., Carlson, Joan M., Pappas, Deborah M., Edgemon, Patricia, & Di Clemente, Carlo (2000). Effects of a brief alcohol preventive intervention for youth attending school sports physical examinations. Substance Use and Misuse, 35(3), 421-432. Werch, Chudley E., Carlson, Joan M., Owen, Deborah M., DiClemente, Carlo C., & Carbonari, Joseph P. (2001). Effects of a stage-based alcohol preventive intervention for inner-city youth. Journal of Drug Education, 31(2), 123-138. Carlson, Joan M., Moore, Michele J., Pappas, Deborah M., Werch, Chudley E., Watts, Graham F., & Edgemon, Patricia A., (2000). An intervention to increase parent-child communication about preventing alcohol use. Journal of Alcohol and Drug Education, 45(2), 59-70. Werch, Chudley E., Pappas, Deborah M., Carlson, Joan M., DiClemente, Carlo C., Chally, Pamela S., and Sinder, Jacqueline A. (2000). Results of a social norm intervention to prevent binge drinking among first-year residential college students. Journal of American College Health, 49, 85-92. Werch, Chudley E., Carlson, Joan M., Pappas, Deborah M., Edgemon, Patricia, Watts, Graham, and DiClemente, Carlo C. (2000). Effects of a brief alcohol preventive intervention for youth attending school sports physical examinations. Substance Use & Misuse, 35(3), 421-432. Werch, Chudley E., Carlson, Joan M., Pappas, Deborah M., DiClemente, Carlo C., and Carbonari, Joseph P. (2000). Evaluation of a brief alcohol prevention program for urban school youth. American Journal of Health Behavior, 24(2), 120-131. Werch, Chudley E., Pappas, Deborah M., Carlson, Joan M., and DiClemente, Carlo C. (1999). Six month outcomes of an alcohol prevention program for inner-city youth. American Journal of Health Promotion, 13(4), 237-240. Werch, Chudley E., Pappas, Deborah M., Carlson, Joan M., and DiClemente, Carlo C. (1998). Short and long-term effects of a pilot prevention program to reduce alcohol consumption. Substance Use & Misuse, 33(11), 2303-2321. Pappas, Deborah M., Werch, Chudley E., and Carlson, Joan M. (1998). Recruitment and retention in an alcohol prevention program at two inner-city middle schools. Journal of School Health, 68(6), 231-236. Werch, C.E., Carlson, J. M., Pappas, D. M., Dunn, M., Williams, T. (1997). Risk factors related to urban youth stage of alcohol initiation. American Journal of Health Behavior, 21(5), 377-387. Werch, C.E., Carlson, J.M., Pappas, D.M., Brokiewicz, L.M., Castellon-Vogel, E.A. & DiClemente, C. (1996). Brief nurse consultations for preventing alcohol use among urban school youth. Journal of School Health, 66(9), 335-338. Werch, C.E., Anzalone, D.M., Brokiewicz, L.M., Felker, J., Carlson, J.M., & Castellon-Vogel, E.A. (1996). An intervention for preventing alcohol use among inner-city middle school students. Archives of Family Medicine, 5(3), 146-152. Werch, C.E., Anzalone, D., Castellon-Vogel, E., Carlson, J., Brokiewicz, L. & Felker, J. (1995). Factors associated with the stages of alcohol use among inner city school youth. Journal of School Health, 65(7), 225-259. Select Presentations J. Carlson, D. Siebert & C. Siebert. January 2008. Development and Validation of the Religion Alcohol and Drug Questionnaire for College Students. SSWR: Washington, DC. J. Carlson. September 2007. A Systematic Review of Quantitative Studies Investigating the Efficacy of Brief Alcohol Interventions for College Students. Symposium on Addictive & Health behaviors Research, Amelia Island, FL. J. Carlson, D. Siebert & C. Siebert. November 2007. Development of the Religion, Alcohol and Drug Questionnaire for College Students. APHA; Washington, DC. J. Carlson, P. Chally. November 2004. Role of Spirituality in rehabilitation for an aging population. APHA; Washington, DC. J. Carlson, M. Moore, C. Werch, P. Chally. November 2004. Results of a brief alcohol misuse preventive intervention for freshmen residential college students. APHA; Washington, DC. E. Jobli, C. Werch, M. Moore, H. Dore, G. Butler, J. Carlson. November 2003. Relationship of drinking locations to demographic variables, alcohol abuse patterns, and alcohol-related problems and violence among underage drinkers. APHA; San Francisco, CA. R. Bledsoe, C. Werch, M. Moore, D. Burgess, E. Ford, J. Carlson. November, 2003. Process evaluation of a health promotion program for high school students. APHA; San Francisco, CA. M. Moore, C. Werch, R. Bledsoe, J. Carlson, E. Jobli. November, 2003. Relationship between exercise level and substance use behaviors among youth. APHA; San Francisco, CA. C. Werch, M. Moore, C. DiClemente, D. Owen, J. Carlson, E. Jobli. November 2002. Comparing the efficacy of single and multiple drug prevention. APHA; Philadelphia, PA. P. Chally, M. Moore, C. Werch, J. Carlson, A. Jaglowski. November 2002. Differences in gender regarding drinking and binging behavior among freshmen residential students. APHA; Philadelphia, PA. J. Carlson, P. Chally, C. Werch, M. Moore, A. Jaglowski. November 2002. Binge drinking initiation among freshmen residential students consuming alcohol in the past 30 days. APHA; Philadelphia, PA. E. Jobli, C. Werch, M. Moore, D. Owen, J. Carlson, R. Bledsoe. November 2002. Specific alcohol beverage use among middle school youth. APHA; Philadelphia, PA. R. Bledsoe, C. Werch, M. Moore, J. Carlson, E. Jobli, D. Owen. November 2002. Relationship between health behaviors and alcohol use among adolescents. APHA; Philadelphia, PA. A. Jaglowski, M. Moore, C. Werch, P. Chally, J. Carlson, C. Sain. November 2002. Student perceptions of messages for a college binge drinking intervention. APHA; Philadelphia, PA. M. Moore, J. Carlson, C. Werch, P. Chally. October 2002. Risk and protective factors for binge drinking. ASHA; Charlotte, NC. E. Jobli, C. Werch, M. Moore, D. Owen, J. Carlson. March 2002. Role of familial context and influences on alcohol and drug use, expectancies and problems among adolescents. AAHB; Napa Valley, CA. J. Carlson, C. Werch, D. Owen, M. Moore, E. Jobli. March 2002. Alcohol, physical fighting and weapon-carrying among middle school youth. AAHB; Napa Valley, CA. E. Jobli, C. Werch, D. Owen, J. Carlson. October 2001. Parenting behaviors and their effect on alcohol use among inner-city middle school youth. APHA; Atlanta, GA. J. Carlson, C. Werch, D. Pappas. 2001. STARS for Families, a CSAP model program. FADAA; Orlando, FL. J. Carlson, C. Werch, D. Owen, M. Moore, I. Kolomeyer, E. Jobli, L. Provencher. October 2001. Recruitment and retention in a longitudinal study to prevent binge drinking among residential college students. APHA; Atlanta, GA. M. Moore, C. Werch, J. Carlson, D. Owen. 2001.Results of a two-year intervention to prevent binge drinking among university students. APHA; Atlanta, GA. D. Owen, C. Werch, E. Jobli, L. Provencher, J. Carlson. 2001. Longitudinal study of alcohol outcome expectancies among inner-city youth. APHA; Atlanta, GA. M. Dunn, C. Werch, D. Owen, J. Carlson. 2001. Longitudinal analysis of alcohol and other drug use among black and white inner-city middle school students. APHA; Atlanta, GA. M. Moore, C. Werch, J. Carlson, D. Owen. 2001. Results of a tailored intervention to prevent binge drinking among university students. HPHE; Paris, France. C. Werch, D. Owen, J. Carlson, C. DiClemente, P. Edgemon. 2000. Longitudinal effects of a tailored alcohol preventive intervention. APHA; Boston, MA. J. Carlson, C. Werch, D. Owen, E. Jobli, I. Kolomeyer, L. Provencher, M. Dunn. 2000. A Longitudinal study of first-year residential college students drug use. APHA; Boston, MA D. Owen, C. Werch, J. Carlson. 2000. A longitudinal study of the progression of alcohol, tobacco, and marijuana use among inner-city middle school youth. APHA; Boston, MA. C. Werch, J. Carlson, P. Chally, D. Owen. 2000. A social norm intervention for first-year residential college students to prevent binge drinking. DOE; Pittsburgh, PA. M. Moore, C. Werch, D. Pappas, J. Carlson. 2000. Factors associated with heavy drinking among first year university students. AAHB; Santa Fe, NM. J. Carlson, C. Werch, D. Pappas, P. Chally. 2000. Binge drinking initiation and problems among incoming residential college students. AAHB; Santa Fe, NM. C. Werch, P. Chally, J. Carlson, D. Pappas, K. Thall, J. Sinder, M. Wezniak. 2000. Preliminary results of a social norm binge drinking intervention for first year college students. AAHPERD; Orlando, FL. J. Carlson, C. Werch, D. Pappas. 1999. Closing the gap between treatment research and community practice. FADAA; Orlando, FL. J. Carlson, C. Werch, D. Pappas. 1999. Binge drinking initiation and problems among first-year college students living in dorms. AJHP; Colorado Springs, CO. C. Werch, D. Pappas, J. Carlson, P. Edgemon, J. Sinder, C. DiClemente. 1999. Efficacy of a brief, stage-based alcohol prevention program. APHA; Chicago, IL. D. Pappas, C. Werch, J. Carlson. 1999. 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Carbonari. 1998. Effects of a brief primary care-based alcohol prevention program for urban youth. SPR; Park City, UT. C. Werch, J. Carlson, D. Pappas, C. DiClemente, J. Carbonari. 1998. Results of brief stage-based alcohol preventive interventions for urban youth. AJHP; Monterey, CA. J. Carlson, C. Werch, D. Pappas, T. Williams, G. Watts, P. Edgemon. 1998. An intervention to increase parent-child communication about preventing alcohol use. AJHP; Monterey, CA. C. Werch, D. Pappas, J. Carlson, C. DiClemente. 1997. One-year follow-up of a pilot alcohol prevention program. APHA; Indianapolis, IN. C. Werch, D. Pappas, J. Carlson. 1997. Recruitment and retention in an alcohol prevention program in two inner city middle schools. APHA; Indianapolis, IN. J. Carlson, C. Werch, D. Pappas. 1997. Lessons learned from a pilot program to prevent alcohol use. APHA; Indianapolis, IN. C. Werch, J. Carlson, D. Pappas. 1997. Effects of stage-based alcohol preventive interventions for inner-city youth. 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AJHP; Orlando, FL. 2008-Current, Senior Research Associate & Project Coordinator Addictive & Health Behaviors Research Institute University of Florida 2005 - 2008 Program Evaluator, Thagard Student Health Center, Florida State University 2005 Research Associate, Department of Public Health, University of North Florida. 2004 Visiting Research Scientist, Mayo Clinic, Jacksonville, Florida 2003 Co-Conference Chair, American Academy of Health Behavior, Third Annual Scientific Meeting, St. Augustine, Florida 1999 – 2004 Research Associate, College Binge Drinking Prevention Project, U.S. Department of Education, Center for Drug Prevention and Health Promotion, University of North Florida, Jacksonville, Florida. 1995 - 1997 Group/Individual Facilitator, St. Johns River Psychiatric Hospital, Chemical Dependency Unit, Jacksonville, Florida. 1993 – 2004 Research Associate, Project Coordinator STARS for Families Project, NIAAA, Center for Drug Prevention and Health Promotion, University of North Florida, Jacksonville, Florida. 1993 - 1995 Technical Assistance Committee First Coast Community Aids Coalition, Jacksonville, Florida. 1990 - 1991 Facilitator, Navy Alcohol and Drug Safety Action Program, University of Arizona, College of Medicine, Department of Family Practice, Subic Bay, Philippines.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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