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Process evaluation of Project WebHealth: a nondieting Web-based intervention for obesity prevention in college
Colleen A Dour1, Tanya M Horacek, Susan M Schembre
1Department of Public Health, Food Studies and Nutrition, Syracuse University, Syracuse, NY 13244-3240, USA. cboyle@syr.edu
Objective:
To evaluate the motivational effect of the Project WebHealth study procedures and intervention components on weight-related health behavior changes in male and female college students.
Design:
Process evaluation.
Setting:
Eight universities in the United States.
Participants:
Project WebHealth participants (n = 653; 29% men).
Main Outcome Measures:
Participants rated motivational effects of study procedures and intervention components. Participants were grouped into outcome-based health behavior categories based on achievement of desired targets for fruit and vegetable intake, physical activity, and/or body weight.
Analysis:
Differences in motivation from each procedure and component were analyzed by gender- and outcome-based health behavior category.
Results:
Women were generally more motivated than men. Compared to those who did not meet any target health behaviors, men with improved health outcomes (68%) were significantly more motivated by the skills to fuel the body lesson, goal setting, and research snippets. Their female counterparts (63%) were significantly more motivated by the lessons on body size and eating enjoyment, and by the suggested weekly activities.
Conclusions And Implications:
Specific study procedures and components of Project WebHealth motivated study participants to improve their weight-related health behaviors, and they differed by gender. Findings support the need for gender-tailored interventions in this population.
