142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

300442
Social Cognitive Determinants of Overweight and Obesity in College Students

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014

Sarah E Rush, BS, MA , Health Education and Promotion, The University of Alabama, Tuscaloosa, AL
Adam Knowlden, CHES, MBA, MS, Ph.D. , Department of Health Science, University of Alabama, Tuscaloosa, AL
Manoj Sharma, PhD , Health Promotion & Education, University of Cincinnati, Cincinnati, OH
Background: The purpose of this study was to assess the validity and reliability of the Social Cognitive Theory (SCT) Assessment of Physical Health Instrument, a novel tool for measuring determinants of college student obesity.

Methods: The tool measured four SCT constructs for predicting four modifiable behavioral determinants of college student obesity (physical activity, fruit and vegetable consumption, sugar-free beverage consumption, and screen time). Self-reported body mass index was collected to model body composition.  Instrumentation development included face and content validity by a panel of six experts. Construct and predictive validity of the instrument was assessed through structural equation modeling. Significance levels for direct path coefficients were set a priori at p-value less than 0.05.   

Results: The sample exceeded the recommended 30 minutes of moderate-to-vigorous physical activity per day (M=76.07); however, screen time exceeded the recommended limit of four hours per day (M=538.16). Sugar-free beverage to sugar-sweetened beverage consumption ratio was at 2.7:1. Fruit and vegetable consumption (M=3.04) fell below the recommended five cups per day. Mean self-reported BMI of the sample was normal at 23.63. Stratified by BMI qualitative cut points, 1% were severely underweight, 5% were underweight, 61% were normal weight, 26% were overweight, and 8% were obese.  Each of the four structural models met the acceptable a priori goodness-of-fit indices.

Conclusion: SCT is a useful framework for measuring and predicting determinants of college student obesity. Interventions aimed at college students should focus on reducing screen time and increasing fruit and vegetable consumption.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Define four primary determinants of college student obesity. Describe the process of developing an instrument that incorporates social cognitive theory constructs for predicting obesity in college students. Design a social cognitive theory-based educational intervention that will promote physical activity, fruit and vegetable consumption, sugar-free beverage consumption, and reduced screen time.

Keyword(s): College Students, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved with various studies focusing on overweight and obesity in children and college students. Among my specific interests are the development and implementation of theory-based interventions for increasing physical and mental health in college students.
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.