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College students in the United States face unique health risks such as problematic alcohol use, poor nutrition, low sleep quality, and low rates of exercise. Research increasingly shows interventions utilizing individualized approaches lead to longer term pro-health behavior change. Values-centered Acceptance and Commitment Therapy (ACT) interventions are a useful framework to for development of personalized, effective interventions. One reason for this may be that impersonalized interventions and researcher-generated target behaviors common in other literatures may not hold the same evocative effect and connection to health behaviors for each or every participant. In ACT, valuing increases the probability of values-consistent behavior, such as engagement in valued health behaviors, by increasing their reinforcing properties. This investigation will exploring health valuing with innovative, values-focued methods applied to a group level intervention. Specifically, this study will replicate the of multiple domain-specific outcomes (Stapleton et al., 2020) and ideographic motivational statements (Jackson et al., 2016) of previous work. Additionally, in line with the ACT conceptualization of valuing, participants will select the health outcome that is most related to their personal health valuing. Past findings will be extended by evaluating them in the context of an established valuing intervention (Harris, 2008; Wilson & Sandoz, 2010) versus an informational control. Following this intervention, participants will receive either their ideographic valuing statement on health or information on health every morning through text. every evening they will report on their health behaviors for the day. Changes in health behaviors and experiences from baseline to post-intervention will be evaluated. Hypothesis 1: I predict that participant selected outcomes of most personal importance will predict higher pre-post change in the related outcome for those in the intervention condition. The intervention condition will show greater standardized improvements in selected health outcome of most personal importance relative to pre-post changes in the control condition. An ANCOVA is planned to test hypothesis 1. Hypothesis 2: I predict that changes in values awareness and engagement will mediate the relation between intervention condition and the standardized change score in selected health outcome of most personal importance, with participants in the intervention condition experiencing improvements in their chosen domain via the indirect effect of the valuing process. A simple mediation model will be used to test hypothesis 2. Additional analyses will include ANCOVAs to explore the intervention's influence on all domains of health regardless of personal importance. Additional analyses may also explore daily survey data and/or individual participant level data.
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