Correlates of adherence to a telephone-based multiple health behavior change cancer preventive intervention for teens: the Healthy for Life Program (HELP)

Health Educ Behav. 2012 Feb;39(1):18-26. doi: 10.1177/1090198111404554. Epub 2011 May 31.

Abstract

This study examined factors associated with teens' adherence to a multiple health behavior cancer preventive intervention. Analyses identified predictors of trial enrollment, run-in completion, and adherence (intervention initiation, number of sessions completed). Of 104 teens screened, 73% (n = 76) were trial eligible. White teens were more likely to enroll than non-Whites (χ(2)[1] df = 4.49, p = .04). Among enrolled teens, 76% (n = 50) completed the run-in; there were no differences between run-in completers and noncompleters. A majority of run-in completers (70%, n = 35) initiated the intervention, though teens who initiated the intervention were significantly younger than those who did not (p < .05). The mean number of sessions completed was 5.7 (SD = 2.6; maximum = 8). After adjusting for age, teens with poorer session engagement (e.g., less cooperative) completed fewer sessions (B = -1.97, p = .003, R (2) = .24). Implications for adolescent cancer prevention research are discussed.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking
  • Diet
  • Exercise
  • Female
  • Health Behavior*
  • Health Education / methods*
  • Health Education / statistics & numerical data*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Neoplasms / prevention & control*
  • Patient Dropouts / statistics & numerical data
  • Patient Education as Topic
  • Smoking
  • Socioeconomic Factors
  • Telephone*
  • Young Adult