Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial
Despite excessive consumption of sugar-sweetened beverages (SSB), little is known about behavioral interventions to reduce SSB intake among adults, particularly in medically-underserved rural communities. This type 1 effectiveness-implementation hybrid RCT, conducted in 2012-2014, applied the RE-AIM...
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| Veröffentlicht in: | The international journal of behavioral nutrition and physical activity 2016-03, Vol.13 (1), p.38-38, Article 38 |
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| container_title | The international journal of behavioral nutrition and physical activity |
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| creator | Zoellner, Jamie M Hedrick, Valisa E You, Wen Chen, Yvonnes Davy, Brenda M Porter, Kathleen J Bailey, Angela Lane, Hannah Alexander, Ramine Estabrooks, Paul A |
| description | Despite excessive consumption of sugar-sweetened beverages (SSB), little is known about behavioral interventions to reduce SSB intake among adults, particularly in medically-underserved rural communities. This type 1 effectiveness-implementation hybrid RCT, conducted in 2012-2014, applied the RE-AIM framework and was designed to assess the effectiveness of a behavioral intervention targeting SSB consumption (SIPsmartER) when compared to an intervention targeting physical activity (MoveMore) and to determine if health literacy influenced retention, engagement or outcomes.
Guided by the Theory of Planned Behavior and health literacy strategies, the 6 month multi-component intervention for both conditions included three small-group classes, one live teach-back call, and 11 interactive voice response calls. Validated measures were used to assess SSB consumption (primary outcome) and all secondary outcomes including physical activity behaviors, theory-based constructs, quality of life, media literacy, anthropometric, and biological outcomes.
Targeting a medically-underserved rural region in southwest Virginia, 1056 adult participants were screened, 620 (59%) eligible, 301 (49%) enrolled and randomized, and 296 included in these 2015 analyses. Participants were 93% Caucasian, 81% female, 31 % ≤ high-school educated, 43% |
| doi_str_mv | 10.1186/s12966-016-0362-1 |
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Guided by the Theory of Planned Behavior and health literacy strategies, the 6 month multi-component intervention for both conditions included three small-group classes, one live teach-back call, and 11 interactive voice response calls. Validated measures were used to assess SSB consumption (primary outcome) and all secondary outcomes including physical activity behaviors, theory-based constructs, quality of life, media literacy, anthropometric, and biological outcomes.
Targeting a medically-underserved rural region in southwest Virginia, 1056 adult participants were screened, 620 (59%) eligible, 301 (49%) enrolled and randomized, and 296 included in these 2015 analyses. Participants were 93% Caucasian, 81% female, 31 % ≤ high-school educated, 43% < $14,999 household income, and 33% low health literate. Retention rates (74%) and program engagement was not statistically different between conditions. Compared to MoveMore, SIPsmartER participants significantly decreased SSB kcals and BMI at 6 months. SIPsmartER participants significantly decreased SSB intake by 227 (95% CI = -326,-127, p < 0.001) kcals/day from baseline to 6 months when compared to the decrease of 53 (95% CI = -88,-17, p < 0.01) kcals/day among MoveMore participants (p < 0.001). SIPsmartER participants decreased BMI by 0.21 (95% CI = -0.35,-0.06; p < 0.01) kg/m(2) from baseline to 6 months when compared to the non-significant 0.10 (95 % CI = -0.23, 0.43; NS) kg/m(2) gain among MoveMore participants (p < 0.05). Significant 0-6 month effects were observed for about half of the theory-based constructs, but for no biological outcomes. Health literacy status did not influence retention rates, engagement or outcomes.
SIPsmartER is an effective intervention to decrease SSB consumption among adults and is promising for translation into practice settings. SIPsmartER also yielded small, yet significant, improvements in BMI. By using health literacy-focused strategies, the intervention was robust in achieving reductions for participants of varying health literacy status.
Clinicaltrials.gov; ID: NCT02193009 .]]></description><identifier>ISSN: 1479-5868</identifier><identifier>EISSN: 1479-5868</identifier><identifier>DOI: 10.1186/s12966-016-0362-1</identifier><identifier>PMID: 27000402</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adolescent ; Adult ; Aged ; Beverages ; Body Mass Index ; Diet ; Dietary Sucrose - administration & dosage ; Exercise ; Feeding Behavior ; Female ; Health Behavior ; Health Literacy ; Humans ; Literacy ; Male ; Middle Aged ; Obesity - therapy ; Rural Population ; Socioeconomic Factors ; Sweetening Agents - administration & dosage ; Treatment Outcome ; Virginia ; Young Adult</subject><ispartof>The international journal of behavioral nutrition and physical activity, 2016-03, Vol.13 (1), p.38-38, Article 38</ispartof><rights>Copyright BioMed Central 2016</rights><rights>Zoellner et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-df8cf7276c1c0e6ded57050fc19f30d2c13d3fe008214abe3f3c66a6cebb5b7f3</citedby><cites>FETCH-LOGICAL-c493t-df8cf7276c1c0e6ded57050fc19f30d2c13d3fe008214abe3f3c66a6cebb5b7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802861/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4802861/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27000402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zoellner, Jamie M</creatorcontrib><creatorcontrib>Hedrick, Valisa E</creatorcontrib><creatorcontrib>You, Wen</creatorcontrib><creatorcontrib>Chen, Yvonnes</creatorcontrib><creatorcontrib>Davy, Brenda M</creatorcontrib><creatorcontrib>Porter, Kathleen J</creatorcontrib><creatorcontrib>Bailey, Angela</creatorcontrib><creatorcontrib>Lane, Hannah</creatorcontrib><creatorcontrib>Alexander, Ramine</creatorcontrib><creatorcontrib>Estabrooks, Paul A</creatorcontrib><title>Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial</title><title>The international journal of behavioral nutrition and physical activity</title><addtitle>Int J Behav Nutr Phys Act</addtitle><description><![CDATA[Despite excessive consumption of sugar-sweetened beverages (SSB), little is known about behavioral interventions to reduce SSB intake among adults, particularly in medically-underserved rural communities. This type 1 effectiveness-implementation hybrid RCT, conducted in 2012-2014, applied the RE-AIM framework and was designed to assess the effectiveness of a behavioral intervention targeting SSB consumption (SIPsmartER) when compared to an intervention targeting physical activity (MoveMore) and to determine if health literacy influenced retention, engagement or outcomes.
Guided by the Theory of Planned Behavior and health literacy strategies, the 6 month multi-component intervention for both conditions included three small-group classes, one live teach-back call, and 11 interactive voice response calls. Validated measures were used to assess SSB consumption (primary outcome) and all secondary outcomes including physical activity behaviors, theory-based constructs, quality of life, media literacy, anthropometric, and biological outcomes.
Targeting a medically-underserved rural region in southwest Virginia, 1056 adult participants were screened, 620 (59%) eligible, 301 (49%) enrolled and randomized, and 296 included in these 2015 analyses. Participants were 93% Caucasian, 81% female, 31 % ≤ high-school educated, 43% < $14,999 household income, and 33% low health literate. Retention rates (74%) and program engagement was not statistically different between conditions. Compared to MoveMore, SIPsmartER participants significantly decreased SSB kcals and BMI at 6 months. SIPsmartER participants significantly decreased SSB intake by 227 (95% CI = -326,-127, p < 0.001) kcals/day from baseline to 6 months when compared to the decrease of 53 (95% CI = -88,-17, p < 0.01) kcals/day among MoveMore participants (p < 0.001). SIPsmartER participants decreased BMI by 0.21 (95% CI = -0.35,-0.06; p < 0.01) kg/m(2) from baseline to 6 months when compared to the non-significant 0.10 (95 % CI = -0.23, 0.43; NS) kg/m(2) gain among MoveMore participants (p < 0.05). Significant 0-6 month effects were observed for about half of the theory-based constructs, but for no biological outcomes. Health literacy status did not influence retention rates, engagement or outcomes.
SIPsmartER is an effective intervention to decrease SSB consumption among adults and is promising for translation into practice settings. SIPsmartER also yielded small, yet significant, improvements in BMI. By using health literacy-focused strategies, the intervention was robust in achieving reductions for participants of varying health literacy status.
Clinicaltrials.gov; ID: NCT02193009 .]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Beverages</subject><subject>Body Mass Index</subject><subject>Diet</subject><subject>Dietary Sucrose - administration & dosage</subject><subject>Exercise</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health Literacy</subject><subject>Humans</subject><subject>Literacy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - therapy</subject><subject>Rural Population</subject><subject>Socioeconomic Factors</subject><subject>Sweetening Agents - administration & dosage</subject><subject>Treatment Outcome</subject><subject>Virginia</subject><subject>Young Adult</subject><issn>1479-5868</issn><issn>1479-5868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkU1rFTEUhgdRbK3-ADcScONm9GQyk2RcCFLqBxTc6DpkkpN7U3KTmmRuqf55c7m1VBchB_Lk4by8XfeSwltKJX9X6DBz3gNth_Ghp4-6UzqKuZ8kl48fzCfds1KuABiVMD3tTgYBACMMp93vC-fQ1EKSI5osuNV7n7IOREdLtqhD3ZLgK2ZtbomPbdhjrD5FUhPJaFeDpKwbnftyg1gxom2WfeM3WN43ZW6itPO_0PYmxZpTCA2p2evwvHvidCj44u4-6358uvh-_qW__Pb56_nHy96MM6u9ddI4MQhuqAHkFu0kYAJn6OwY2MFQZplDADnQUS_IHDOca25wWaZFOHbWfTh6r9dlh9a0AC2hus5-p_OtStqrf1-i36pN2qtRwiA5bYI3d4Kcfq5Yqtr5YjAEHTGtRVEhJiZE27Ghr_9Dr9KaY4vXqFnMwOU4NooeKZNTKRnd_TIU1KFadaxWtWrVoVp1WOLVwxT3P_52yf4AnZ-i_A</recordid><startdate>20160322</startdate><enddate>20160322</enddate><creator>Zoellner, Jamie M</creator><creator>Hedrick, Valisa E</creator><creator>You, Wen</creator><creator>Chen, Yvonnes</creator><creator>Davy, Brenda M</creator><creator>Porter, Kathleen J</creator><creator>Bailey, Angela</creator><creator>Lane, Hannah</creator><creator>Alexander, Ramine</creator><creator>Estabrooks, Paul A</creator><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160322</creationdate><title>Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial</title><author>Zoellner, Jamie M ; Hedrick, Valisa E ; You, Wen ; Chen, Yvonnes ; Davy, Brenda M ; Porter, Kathleen J ; Bailey, Angela ; Lane, Hannah ; Alexander, Ramine ; Estabrooks, Paul A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-df8cf7276c1c0e6ded57050fc19f30d2c13d3fe008214abe3f3c66a6cebb5b7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Beverages</topic><topic>Body Mass Index</topic><topic>Diet</topic><topic>Dietary Sucrose - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of behavioral nutrition and physical activity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zoellner, Jamie M</au><au>Hedrick, Valisa E</au><au>You, Wen</au><au>Chen, Yvonnes</au><au>Davy, Brenda M</au><au>Porter, Kathleen J</au><au>Bailey, Angela</au><au>Lane, Hannah</au><au>Alexander, Ramine</au><au>Estabrooks, Paul A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial</atitle><jtitle>The international journal of behavioral nutrition and physical activity</jtitle><addtitle>Int J Behav Nutr Phys Act</addtitle><date>2016-03-22</date><risdate>2016</risdate><volume>13</volume><issue>1</issue><spage>38</spage><epage>38</epage><pages>38-38</pages><artnum>38</artnum><issn>1479-5868</issn><eissn>1479-5868</eissn><abstract><![CDATA[Despite excessive consumption of sugar-sweetened beverages (SSB), little is known about behavioral interventions to reduce SSB intake among adults, particularly in medically-underserved rural communities. This type 1 effectiveness-implementation hybrid RCT, conducted in 2012-2014, applied the RE-AIM framework and was designed to assess the effectiveness of a behavioral intervention targeting SSB consumption (SIPsmartER) when compared to an intervention targeting physical activity (MoveMore) and to determine if health literacy influenced retention, engagement or outcomes.
Guided by the Theory of Planned Behavior and health literacy strategies, the 6 month multi-component intervention for both conditions included three small-group classes, one live teach-back call, and 11 interactive voice response calls. Validated measures were used to assess SSB consumption (primary outcome) and all secondary outcomes including physical activity behaviors, theory-based constructs, quality of life, media literacy, anthropometric, and biological outcomes.
Targeting a medically-underserved rural region in southwest Virginia, 1056 adult participants were screened, 620 (59%) eligible, 301 (49%) enrolled and randomized, and 296 included in these 2015 analyses. Participants were 93% Caucasian, 81% female, 31 % ≤ high-school educated, 43% < $14,999 household income, and 33% low health literate. Retention rates (74%) and program engagement was not statistically different between conditions. Compared to MoveMore, SIPsmartER participants significantly decreased SSB kcals and BMI at 6 months. SIPsmartER participants significantly decreased SSB intake by 227 (95% CI = -326,-127, p < 0.001) kcals/day from baseline to 6 months when compared to the decrease of 53 (95% CI = -88,-17, p < 0.01) kcals/day among MoveMore participants (p < 0.001). SIPsmartER participants decreased BMI by 0.21 (95% CI = -0.35,-0.06; p < 0.01) kg/m(2) from baseline to 6 months when compared to the non-significant 0.10 (95 % CI = -0.23, 0.43; NS) kg/m(2) gain among MoveMore participants (p < 0.05). Significant 0-6 month effects were observed for about half of the theory-based constructs, but for no biological outcomes. Health literacy status did not influence retention rates, engagement or outcomes.
SIPsmartER is an effective intervention to decrease SSB consumption among adults and is promising for translation into practice settings. SIPsmartER also yielded small, yet significant, improvements in BMI. By using health literacy-focused strategies, the intervention was robust in achieving reductions for participants of varying health literacy status.
Clinicaltrials.gov; ID: NCT02193009 .]]></abstract><cop>England</cop><pub>BioMed Central</pub><pmid>27000402</pmid><doi>10.1186/s12966-016-0362-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1479-5868 |
| ispartof | The international journal of behavioral nutrition and physical activity, 2016-03, Vol.13 (1), p.38-38, Article 38 |
| issn | 1479-5868 1479-5868 |
| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Beverages Body Mass Index Diet Dietary Sucrose - administration & dosage Exercise Feeding Behavior Female Health Behavior Health Literacy Humans Literacy Male Middle Aged Obesity - therapy Rural Population Socioeconomic Factors Sweetening Agents - administration & dosage Treatment Outcome Virginia Young Adult |
| title | Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial |
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