1. 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 (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 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 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.