Preliminary Efficacy of a Multi-Behavioral Zoom-Based Peer Health Coaching Intervention in Young Adults: A Stepped Wedge Randomized Controlled Trial.

IF 4.2 2区 心理学 Q1 PSYCHOLOGY, SOCIAL Cyberpsychology, behavior and social networking Pub Date : 2023-09-01 DOI:10.1089/cyber.2022.0365
Anna Bilic, Ryan D Burns, Yang Bai, Timothy A Brusseau, Julie E Lucero, Jessica L King Jensen
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Abstract

The purpose of this study was to test the preliminary efficacy of a Zoom-based peer coaching intervention on health and risk behaviors in young adults. A convenience sample of young adults was recruited from one U.S. university (N = 89; 73.0 percent female). Participants were randomized to one of two coaching session sequences within the framework of a stepped wedge randomized controlled trial. One experimental sequence received a control condition and a single coaching session, and the second sequence received two sessions. The intervention was a 1-hour program delivered by peer health coaches in a one-on-one setting on Zoom. The program consisted of a behavior image screen, a consultation, and goal planning. Behavioral assessments were completed after each condition. Mixed-effects models were employed to test for behavior differences after coaching sessions compared with the control condition (no coaching session) adjusting for baseline scores. Participants reported significantly higher levels of vigorous physical activity (b = 750 metabolic equivalent of task minutes, p < 0.001), a lower frequency of e-cigarette use (b = -2.1 days; p < 0.001), and a lower risk of e-cigarette susceptibility after two sessions (relative risk = 0.04, p = 0.05), and higher odds of using stress reduction techniques after one session (odds ratio = 1.4, p = 0.04). A nonsignificant trend was observed for longer weekday sleep (b = 0.4 h/night, p = 0.11) after two coaching sessions. The Zoom-based peer health coaching intervention may be an efficient way to improve vigorous physical activity, lower e-cigarette use and susceptibility, and facilitate the use of stress reduction techniques in young adults. The results observed from this preliminary study warrants further investigation using powered effectiveness trials.

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基于多行为放大的同伴健康指导干预在年轻人中的初步效果:一项阶梯楔形随机对照试验。
本研究的目的是测试基于zoom的同伴指导干预对年轻人健康和风险行为的初步效果。从一所美国大学招募了方便的年轻人样本(N = 89;女性占73.0%)。在阶梯式楔形随机对照试验的框架内,参与者被随机分配到两种辅导课程序列中的一种。一个实验序列接受一个控制条件和一个单独的指导会话,第二个序列接受两个会话。干预是一个1小时的项目,由同伴健康教练在Zoom上一对一授课。该程序由行为图像屏幕、咨询和目标规划组成。在每种情况下完成行为评估。采用混合效应模型来检验训练后与对照条件(无训练)在基线分数调整后的行为差异。参与者报告的剧烈体育活动水平显著提高(b = 750代谢当量的任务分钟,p = -2.1天;P P = 0.05),并且在一次治疗后使用减压技术的几率更高(优势比= 1.4,P = 0.04)。两次训练后,工作日睡眠时间延长(b = 0.4小时/夜,p = 0.11)的趋势不显著。基于zoom的同伴健康指导干预可能是一种有效的方法,可以改善剧烈的身体活动,降低电子烟的使用和易感性,并促进年轻人使用减压技术。从这项初步研究中观察到的结果值得进一步调查,使用功率有效性试验。
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来源期刊
CiteScore
9.60
自引率
3.00%
发文量
123
期刊介绍: Cyberpsychology, Behavior, and Social Networking is a leading peer-reviewed journal that is recognized for its authoritative research on the social, behavioral, and psychological impacts of contemporary social networking practices. The journal covers a wide range of platforms, including Twitter, Facebook, internet gaming, and e-commerce, and examines how these digital environments shape human interaction and societal norms. For over two decades, this journal has been a pioneering voice in the exploration of social networking and virtual reality, establishing itself as an indispensable resource for professionals and academics in the field. It is particularly celebrated for its swift dissemination of findings through rapid communication articles, alongside comprehensive, in-depth studies that delve into the multifaceted effects of interactive technologies on both individual behavior and broader societal trends. The journal's scope encompasses the full spectrum of impacts—highlighting not only the potential benefits but also the challenges that arise as a result of these technologies. By providing a platform for rigorous research and critical discussions, it fosters a deeper understanding of the complex interplay between technology and human behavior.
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