||5R01CA085999-05 Interpret this number
||University Of Rhode Island
||School Computer Programs for Teens for Six Cancer Risks
DESCRIPTION (Adapted from the Applicant's Abstract): This project applying
cognitives in schools with adolescents has four primary aims: 1) to replicate
the excellent results found with adolescents who received at school proactive,
individualized and interactive multimedia expert systems for smoking, high fat
diets and sun exposure. 2) To expand these findings to three additional
behavioral risk factors for cancer, namely alcohol abuse, sedentary life-styles
and stress; and 3) to enhance our current best practices for smoking, diet and
sun exposure by creating an integrated expert system that teaches teenagers the
basic principles and processes for changing these and other risk behaviors; 4)
to explore the additive effects of treating both students at school and their
parents at home (in a parallel Interactive RO1 project entitled "Home Computers
for Parents for Six Cancer Risk Factors") compared to treating just the
students alone for each of the six target behaviors. This population-based
clinical trial employs a 3 X 4 repeated measures design crossing 3 groups (the
Best Practices expert systems for smoking, diet and sun exposure; an innovative
integrated expert system; and the New Behaviors comparison group that also
serves as a distraction placebo control. Fourteen high schools will participate
with 3570 ninth graders being randomly assigned to one of the three groups. All
participants will receive six 45 minute expert system sessions during their
ninth and tenth grades. The expert systems provide normative (compared to their
peers) and ipsative (compared to self) feedback on each of the 15 relevant
Transtheoretical Model variables for each of their relevant risk factors. These
systems are designed to provide guided learning for accelerating and
facilitating progress through stages of change. Since nearly 80 percent of
eligible students are expected to participate, these programs have considerable
potential to produce major population impacts on six of the most important
behavioral risks for cancer and other chronic diseases. The project will
produce individualized and interactive multimedia computer programs that can be
disseminated in a cost-effective manner through schools to help entire
populations of adolescents.
Common factors predicting long-term changes in multiple health behaviors.
Blissmer B, Prochaska JO, Velicer WF, Redding CA, Rossi JS, Greene GW, Paiva A, Robbins M
J Health Psychol, 2010 Mar;15(2), p. 205-14.
Assessment of the pros and cons of stress management among adolescents: development and validation of a decisional balance measure.
Mauriello LM, Rossi JS, Fava JL, Redding CA, Robbins M, Prochaska JO, Meier KS
Am J Health Promot, 2007 Nov-Dec;22(2), p. 140-3.