In Shape From: National Registry of Evidence- based Programs and Practices (NREPP) Trey Thomas 11/19/2012 Health 313_01 Drugs and Human Behavior

In Shape:  Is a brief intervention designed to reduce drug abuse and increase positive mental and physical health outcomes among college students ages  Is universal and has no population or culture-specific adaptations of the intervention.

 Can be offered to individual participants in a single session of approximately 30 minutes.  Specifically targets avoidance of alcohol, tobacco, and illicit drugs and increases in physical activity and exercise, healthy eating, sleep, and stress management.

 In Shape incorporates naturally motivating social images (image prototypes of a typical peer who engages in a specific health behavior) and future self-images (images of a possible future desired self) to help young adults think about and plan positive changes in their lives.  The intervention is based on the Behavior-Image Model, which asserts that positive social images and future self-images can be used to link multiple divergent health risk habits among adolescents and young adults and motivate them to effect change in multiple behaviors.

The key components of In Shape include: A self-administered fitness behavior-image screen measuring targeted health habits and self images A fully scripted and standardized one-on-one consultation using PowerPoint slides to provide brief, tailored feedback to participants and highlight key positive image content A goal plan that provides fitness recommendations and facilitates commitment to setting goals and achieving positive change across several health habits, leading to a desired future self-image

In Shape offers three types of training for health, education and fitness teachers, coaches, trainers, nurses, counselors, youth and peer leaders, and other professionals: 1)Webinar Training Goal: Provide an overview of the key components of and steps for implementing our brief evidence-based motivational interventions. 2)Program Implementation Workshop Training Goal: Provide an opportunity to gain the knowledge, skills and confidence to effectively implement our programs with fidelity. 3)Training of Trainers Workshop Goal: Provide an opportunity to gain the knowledge, skills and confidence to effectively provide our Program Implementation Training under contract with Brief Programs for Health.

Strengths and weaknesses: Dissemination Strengths: Clear and detailed information on how this program can be implemented is provided. The materials have been developed so that individuals of varying skill levels can deliver the program. Because implementation directions are clear, training requirements are minimal. Training is available in person, by phone, and online. The survey used to collect data on student perceptions and behaviors is specific and well designed. The self-evaluation form is concise and easy to understand.

Strengths and weaknesses: Dissemination Weaknesses: Little information is provided on how to integrate this program into existing operations and how to manage it once it is implemented. The materials do not address implementation challenges or adaptations to diverse settings. Although training is required for all implementers, the training materials provided did not include a curriculum to ensure that all sites receive standardized implementation guidance. Little information is provided on how to use data collected from students. Tools to support quality assurance and program fidelity are limited and are primarily self-administered.

Program Materials and Costs: Item DescriptionCostDeveloper In Shape program for individuals or groups (includes webinar training and program support) Varies depending on site size (starting at $499 per site) Yes In Shape booklet$14.99 eachNo Positive Image Webinars $299 per Webinar for two participants No Young Adult Health Outcome Survey $99 per sitNo

Program Published Evaluations: Alcohol use and driving after drinking: College students exposed to In Shape had a significant decrease from baseline to 3-month follow-up in the frequency of any alcohol use (p <.0001), heavy alcohol use (p <.0001), and driving after drinking (p =.02). Marijuana use: College students exposed to In Shape had a significant decrease in the frequency of heavy marijuana use (p =.02) and the quantity of marijuana use (p =.03) from baseline to 3-month follow-up.

Program Published Evaluations: Health-related quality of life: College students exposed to In Shape had a significant decrease from baseline to 3-month follow-up in the number of days in which their spiritual health (p =.01) and social health (p<.0001) were not good. Quantity of sleep: College students exposed to In Shape had a significant increase in sleep from baseline to 3- month follow-up (p <.0001).

Work Cited In shape. (2012, June 12). Retrieved from ntion.aspx?id=42