title: Correlates of adherence to a telephone-based multiple health behavior change cancer preventive intervention for teens: the Healthy for Life Program (HELP).
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.
authors.affiliation: Lombardi Comprehensive Cancer Center, Washington, DC, USA. dmm239@georgetown.edu
authors.forename: Darren
authors.initials: D
authors.lastname: Mays
authors.forename: Beth N
authors.initials: BN
authors.lastname: Peshkin
authors.forename: McKane E
authors.initials: ME
authors.lastname: Sharff
authors.forename: Leslie R
authors.initials: LR
authors.lastname: Walker
authors.forename: Anisha A
authors.initials: AA
authors.lastname: Abraham
authors.forename: Kirsten B
authors.initials: KB
authors.lastname: Hawkins
authors.forename: Kenneth P
authors.initials: KP
authors.lastname: Tercyak
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods* / Q000706:statistics & numerical data*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000517:prevention & control*; D010352:Patient Dropouts / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D012907:Smoking; D012959:Socioeconomic Factors; D013689:Telephone; D055815:Young Adult