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Targeting multiple health risk behaviours among vocational education students using electronic feedback and online and telephone support: protocol for a cluster randomised trial.

Tzelepis F, Paul CL, Wiggers J, Kypri K, Bonevski B, McElduff P, Hill MA, Morgan PJ, Lynagh M, Collins CE, Campbell E, Courtney RJ, Chapman K, Wolfenden L, Guillaumier A, Searles A - BMC Public Health (2015)

Bottom Line: Most TAFE students are young adults, a period when health risk behaviours become established.There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population.Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease.

View Article: PubMed Central - PubMed

Affiliation: School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, 2308, Australia. Flora.Tzelepis@newcastle.edu.au.

ABSTRACT

Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adults, a period when health risk behaviours become established. Furthermore, high rates of smoking, risky alcohol consumption, inadequate fruit and vegetable intake and insufficient physical activity have been reported in TAFE students. There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population. The proposed trial will examine the effectiveness of providing TAFE students with electronic feedback regarding health risk behaviours and referral to a suite of existing online and telephone services addressing smoking, risky alcohol consumption, fruit and vegetable intake, and physical activity levels.

Methods/design: A two arm, parallel, cluster randomised trial will be conducted within TAFE campuses in New South Wales (NSW), Australia. TAFE classes will be randomly allocated to an intervention or control condition (50 classes per condition). To be eligible, students must be: enrolled in a course that runs for more than 6 months; aged 16 years or older; and not meet Australian health guideline recommendations for at least one of the following: smoking, alcohol consumption, fruit and/or vegetable intake, or physical activity. Students attending intervention classes, will undertake via a computer tablet a risk assessment for health risk behaviours, and for behaviours not meeting Australian guidelines be provided with electronic feedback about these behaviours and referral to evidence-based online programs and telephone services. Students in control classes will not receive any intervention. Primary outcome measures that will be assessed via online surveys at baseline and 6 months post-recruitment are: 1) daily tobacco smoking; 2) standard drinks of alcohol consumed per week; 3) serves of fruit consumed daily; 4) serves of vegetables consumed daily; and 5) metabolic equivalent minutes of physical activity per week.

Discussion: Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease. This trial will be the first to examine a potentially scalable intervention targeting multiple health risk behaviours among students in the vocational training setting.

Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12615000105549; Registered 5/2/15.

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Flowchart of recruitment, intervention and follow-up
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Fig1: Flowchart of recruitment, intervention and follow-up

Mentions: A two arm, parallel, cluster randomised trial will be conducted with 100 TAFE classes (50 per condition) at TAFE campuses in the Hunter Region of New South Wales Australia (Fig. 1). The CONSORT statement will be followed [30]. TAFE classes will be randomly allocated to either the intervention or control condition. In intervention classes, students will receive electronic feedback about their health risk behaviours and will be proactively referred to evidence-based online and telephone services for behaviours that do not meet Australian health guidelines. Students in control classes will not receive an intervention. Online surveys will occur at baseline and 6 months post-recruitment and will be administered in classrooms using a computer tablet.Fig. 1


Targeting multiple health risk behaviours among vocational education students using electronic feedback and online and telephone support: protocol for a cluster randomised trial.

Tzelepis F, Paul CL, Wiggers J, Kypri K, Bonevski B, McElduff P, Hill MA, Morgan PJ, Lynagh M, Collins CE, Campbell E, Courtney RJ, Chapman K, Wolfenden L, Guillaumier A, Searles A - BMC Public Health (2015)

Flowchart of recruitment, intervention and follow-up
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4465000&req=5

Fig1: Flowchart of recruitment, intervention and follow-up
Mentions: A two arm, parallel, cluster randomised trial will be conducted with 100 TAFE classes (50 per condition) at TAFE campuses in the Hunter Region of New South Wales Australia (Fig. 1). The CONSORT statement will be followed [30]. TAFE classes will be randomly allocated to either the intervention or control condition. In intervention classes, students will receive electronic feedback about their health risk behaviours and will be proactively referred to evidence-based online and telephone services for behaviours that do not meet Australian health guidelines. Students in control classes will not receive an intervention. Online surveys will occur at baseline and 6 months post-recruitment and will be administered in classrooms using a computer tablet.Fig. 1

Bottom Line: Most TAFE students are young adults, a period when health risk behaviours become established.There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population.Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease.

View Article: PubMed Central - PubMed

Affiliation: School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, 2308, Australia. Flora.Tzelepis@newcastle.edu.au.

ABSTRACT

Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adults, a period when health risk behaviours become established. Furthermore, high rates of smoking, risky alcohol consumption, inadequate fruit and vegetable intake and insufficient physical activity have been reported in TAFE students. There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population. The proposed trial will examine the effectiveness of providing TAFE students with electronic feedback regarding health risk behaviours and referral to a suite of existing online and telephone services addressing smoking, risky alcohol consumption, fruit and vegetable intake, and physical activity levels.

Methods/design: A two arm, parallel, cluster randomised trial will be conducted within TAFE campuses in New South Wales (NSW), Australia. TAFE classes will be randomly allocated to an intervention or control condition (50 classes per condition). To be eligible, students must be: enrolled in a course that runs for more than 6 months; aged 16 years or older; and not meet Australian health guideline recommendations for at least one of the following: smoking, alcohol consumption, fruit and/or vegetable intake, or physical activity. Students attending intervention classes, will undertake via a computer tablet a risk assessment for health risk behaviours, and for behaviours not meeting Australian guidelines be provided with electronic feedback about these behaviours and referral to evidence-based online programs and telephone services. Students in control classes will not receive any intervention. Primary outcome measures that will be assessed via online surveys at baseline and 6 months post-recruitment are: 1) daily tobacco smoking; 2) standard drinks of alcohol consumed per week; 3) serves of fruit consumed daily; 4) serves of vegetables consumed daily; and 5) metabolic equivalent minutes of physical activity per week.

Discussion: Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease. This trial will be the first to examine a potentially scalable intervention targeting multiple health risk behaviours among students in the vocational training setting.

Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12615000105549; Registered 5/2/15.

Show MeSH