24 Weekly Topic Areas Included

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24 Weekly Topic Areas Included A Social Marketing and Environmental Change Intervention: Get Fruved Years 01-03 Colby, S1; Olfert, MD2; Mathews, A3; Kattelmann, K4; Kidd, T5; Brown, O6; White, A7; Horacek, T8; Franzen-Castle, L9; Morrell, J10; Greene, G11; Byrd-Bredbenner, C12; Shelnutt, K3 1University of Tennessee; 2West Virginia University; 3 University of Florida; 4South Dakota State University; 5Kansas State University; 6Auburn University; 7University of Maine; 8 Syracuse University; 9University of Nebraska-Lincoln; 10 University of New Hampshire; 11University of Rhode Island; 12Rutgers University Abstract Objective: To describe Get Fruved year 03 components and outcomes. Description: Get Fruved is a health promotion intervention utilizing Community Based Participatory Research to develop and test a social marketing and environmental change intervention to prevent unwanted weight gain among older adolescents. The intervention was developed, refined, and pilot/feasibility tested at four intervention colleges with four other colleges as control. One high school (HS) served as a site for initial development and feasibility testing of the program and data collection tools. Evaluation: In 2015-2016 (college wave I), 215 non-first year students and 1,148 first year college students (FYCS) completed physical assessments and online surveys and 2,669 FYCS completed online-only surveys. In fall 2016, wave II online survey assessments were completed with 2,491 new FYCS and 237 HS students. Weight was the primary outcome, but since the intervention focused only on obesity-prevention health-related behaviors, numerous health-related behaviors were assessed. Conclusions and Implications: Two-year post assessments with college wave I, and one-year post assessments with college wave II were completed in May 2017. As of year 03, twelve new instruments/methods have been developed/validated, three college courses created, seventy-five presentations conducted, and a college toolkit (providing a systematic approach to promoting health for obesity prevention) has been developed for national testing and dissemination. In year 04, intervention refinement and feasibility testing will occur on eight additional HS campuses. In years 04 and 05 the toolkit will be tested for effectiveness using a Randomized Control Trial design on new college and HS campuses. Assessment Components Intense Intervention & Wave I- At-Risk First Year Students Wave I Not-At Risk First Year Students Wave II First Year Students ToolKit Components FALL Surveys College Environment Perceptions Survey Readiness to Change Survey Student Priorities Survey Wellness Report Cards Healthy Campus Environmental Audits FRESH (Dining Environmental) Audit SHELF (Convenience Store) Audit VENDing (Vending Machines) Audit PACES (Physical Activity) Audit Walkability/Bike-ability Audit POINTS (Policy) Audit Campus Environmental Demographics Audit First meeting with health-related organization leaders to identify needed health promotion activities, develop calendar of events to market Market health and health-related activities on social media (at least 1 per week) Implement two health promotion activities throughout the fall First online progress report SPRING Second meeting with health-related organization leaders to discuss findings from surveys and audits Town Hall Meeting to discuss findings and priorities Second online progress report Third meeting with health-related organization leaders to discuss outcomes from town hall meeting and plan for advocacy Meeting with administrators to advocate for environmental change Implement two health promotion activities throughout the Spring Ripple Mapping Focus Groups Third online progress report Survey Only Eligibility Screening Low fruit & vegetable intake 1st generation college Minority status Overweight/ obese parent Lower income household Fruit and Vegetables Consumption [2 items] Self-Reported Height and Weight [2 items] Full Assessment Facial Imagery Surveys Accelerometers Anthropometrics Blood Pressure NCI Fruit and Vegetables [19 items] Sleep Hours [1 item] IPAQ [6 items] Cohen’s Stress [14 items] Self-Reported Height and Weight [2 items] CEPS Perception [38 ITEMS] Weight Intentions [3 QUESTIONS] Reported Height and Weight [3 questions] Body Shape Questions [8 Items] Body Image [19 items] Chronic Disease [10 questions] Medical History [11 questions] Breastfeeding [7 questions] Male Health Questions [10 questions] Cohen’s Stress [14 items] Pittsburgh Sleep [25 Items] Sleep Hours Substance Abuse [32 questions] IPAQ [6 items] Knowledge [3 items] Muscle Strengthening [1 item] Sitting [6 items] NCI Fruit and Vegetables [19-items] Dietary Screener Questions [28 items] NCI Fat Screener [17 items] Food Choice Priorities [14 items] Meal Preparations [10 items] Cooking [6 items] Food Security [15 questions] Green Eating [25 items] Food Safety [3 questions] Gardening [6+ questions] Eating Disorder Questions [26 Items] Diet Physical Activity Other Health- Related Behavior Stress Full Survey Components Project Goal Get Fruved is a health-promotion intervention utilizing Community Based Participatory Research. Project researchers have developed a social marketing and environmental change intervention to prevent unwanted weight gain among older adolescents at four intervention colleges with four other colleges as control. The non-diet approach used by the project promotes healthy behaviors associated with weight management; healthy behaviors include improving dietary intake patterns (increasing intakes of fruits and vegetables, decreasing food high in saturated fats and added sugars), increasing physical activity, and improving stress management (including sleep).  Developed Partnerships  Developed Courses  Students Developed Preliminary Intervention  Assessed Students in Intense Intervention (II; n=336 spring)  Assessed Environments (spring)  Assessed Wave I At-Risk FYS (n=1,148 fall and n=846 spring)  Assessed Not-At-Risk FYS (n=2,669 fall and n=576 spring) Reassessed II Group (n=215 fall and n= 199 spring) Intervention Development in College  Assessed Wave II FYS (n=2,491 fall and spring)  Reassessed Wave I and Not-At-Risk FYS, and II (spring)  Feasibility/ Pilot Testing Intervention in College (n=4 intervention and 4 control)  Intervention Development in High School  Assessed High School Students (n=237 fall)  RCT Testing of Intervention in Colleges (n=45 intervention and 45 control)  Feasibility and Pilot Testing Intervention in High Schools  RCT Testing of Intervention in High Schools  Delayed Control Colleges get Intervention Overview of Project Year 05 Year 01 Year 02 Year 03 Year 04 Other survey components included: GLBT [5 questions], Demographics [14 questions], Recruitment [3], Geo [2 questions], Social Media [18 questions], Personality [10 questions], Arts [3], Sustainable Transportation [22 questions] Next Steps Data analysis will continue. See attached reference list for current outputs. Year 04 Refine the intervention at high schools Test the intervention at colleges using an Randomized Control Trial Design (n=45 intervention sites and n=45 control sites) Year 05 Test the intervention at high schools using an Randomized Control Trial Design Intervention Components STRESS Time Management Friendship Music Meditation Sleep Positivity DIETARY My Plate Fiber Portions Hydration Flavor New Foods ACTIVITY Strength Flexibility Dance Yoga Cardio Walking Healthy Body Image, Substance Abuse, Thankfulness and Maintaining Behaviors 24 Weekly Topic Areas Included This project was supported by Agriculture and Food Research Initiative Grant no. 2014-67001-21851 from the USDA National Institute of Food and Agriculture, “Get Fruved:” A peer-led, train-the-trainer social marketing intervention to increase fruit and vegetable intake and prevent childhood obesity –A2101.