Tailored, Individualized or Peer Assisted Interventions: What Works Best for Teen Diet and Exercise?

2.50
Hdl Handle:
http://hdl.handle.net/10755/160045
Type:
Presentation
Title:
Tailored, Individualized or Peer Assisted Interventions: What Works Best for Teen Diet and Exercise?
Abstract:
Tailored, Individualized or Peer Assisted Interventions: What Works Best for Teen Diet and Exercise?
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Frenn, Marilyn, PhD, RN
P.I. Institution Name:Marquette University
Title:Associate Professor
Contact Address:College of Nursing, P.O. Box 1881, Milwaukee, WI, 53201-1881, USA
Contact Telephone:414-288-3845
Co-Authors:Shelly Malin, PhD, RN, Director; Paula Papanek, PhD, Associate Professor; and Yvonne Greer, MPH, RD, Clinical Director
PURPOSE Interventions delivered by Internet and Video were tested to determine whether computer tailored feedback alone or assisted by Individualized Email or peers was more effective in reducing dietary fat and increasing physical activity in middle school youth. BACKGROUND Project FUN was developed using the Health Promotion/Transtheoretical Model to tailor computerized interventions based on stage of change, benefits/barriers, and access. Tailored interventions modify feedback based on characteristics previously demonstrated to improve nutrition and exercise behaviors. Individualized interventions modify feedback based on many characteristics evident in clients. Peers may help with health behaviors by providing group support. METHODS Computer-delivered responses were developed based on qualitative analysis of middle school student responses to open-ended questions. The computer-delivered responses were compared with the addition of Individualized Email or peer feedback. Individualized Email responses were given to discussion board entries by subjects. Peers were trained with three additional computer modules and a half day session on campus to provide support for improved diet and exercise behaviors. Culturally diverse low-middle income 6th and 7th grade youth (N=466) were assigned by classroom to avoid diffusion of the interventions to the control condition. Outcome variables were percentage dietary fat and physical activity measured by log. RESULTS General Linear Model demonstrated a difference among groups for dietary fat (p< 0.006) with Email being the most effective, followed by peer feedback. Differences in physical activity were not significant. IMPLICATIONS Computerized interventions assisted by individualized Email most effectively improve dietary fat behaviors among middle school youth. Computerized tailoring provides appropriate feedback on selected variables, but individualized responses are more effective because tailoring to more individual differences can be provided or perhaps middle school youth respond more favorably when additional messages are Emailed personally to them. Further tailoring based on gender, race, and grade may improve computer tailored interventions used alone.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTailored, Individualized or Peer Assisted Interventions: What Works Best for Teen Diet and Exercise?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/160045-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Tailored, Individualized or Peer Assisted Interventions: What Works Best for Teen Diet and Exercise?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Frenn, Marilyn, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, P.O. Box 1881, Milwaukee, WI, 53201-1881, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414-288-3845</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">marilyn.frenn@marquette.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Shelly Malin, PhD, RN, Director; Paula Papanek, PhD, Associate Professor; and Yvonne Greer, MPH, RD, Clinical Director</td></tr><tr><td colspan="2" class="item-abstract">PURPOSE Interventions delivered by Internet and Video were tested to determine whether computer tailored feedback alone or assisted by Individualized Email or peers was more effective in reducing dietary fat and increasing physical activity in middle school youth. BACKGROUND Project FUN was developed using the Health Promotion/Transtheoretical Model to tailor computerized interventions based on stage of change, benefits/barriers, and access. Tailored interventions modify feedback based on characteristics previously demonstrated to improve nutrition and exercise behaviors. Individualized interventions modify feedback based on many characteristics evident in clients. Peers may help with health behaviors by providing group support. METHODS Computer-delivered responses were developed based on qualitative analysis of middle school student responses to open-ended questions. The computer-delivered responses were compared with the addition of Individualized Email or peer feedback. Individualized Email responses were given to discussion board entries by subjects. Peers were trained with three additional computer modules and a half day session on campus to provide support for improved diet and exercise behaviors. Culturally diverse low-middle income 6th and 7th grade youth (N=466) were assigned by classroom to avoid diffusion of the interventions to the control condition. Outcome variables were percentage dietary fat and physical activity measured by log. RESULTS General Linear Model demonstrated a difference among groups for dietary fat (p&lt; 0.006) with Email being the most effective, followed by peer feedback. Differences in physical activity were not significant. IMPLICATIONS Computerized interventions assisted by individualized Email most effectively improve dietary fat behaviors among middle school youth. Computerized tailoring provides appropriate feedback on selected variables, but individualized responses are more effective because tailoring to more individual differences can be provided or perhaps middle school youth respond more favorably when additional messages are Emailed personally to them. Further tailoring based on gender, race, and grade may improve computer tailored interventions used alone.</td></tr></table>en_GB
dc.date.available2011-10-26T22:34:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:34:27Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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