SipSmarter: A Nutrition Literacy Approach to Reducing Sugary Beverages

Conditions

Dietary Habits, Physical Activity

Brief summary

The primary aim of this pragmatic randomized-controlled trial was to determine the effectiveness of a scalable 6-month intervention aimed at decreasing SSB consumption (SIPsmartER) when compared to a matched contact physical activity promotion control group (MoveMore).

Detailed description

The primary aim of this application targeting at-risk residents from rural southwest Virginia counties is to: 1\. Determine the effectiveness of SIPsmart and SIPsmartER at decreasing SSB consumption when compared to a matched contact control group targeting walking behaviors. The secondary aims are to: 1. Explore causal pathways through which changes in SSB attitudes, subjective norms, and perceived behavioral control influence behavioral intentions and SSB consumption, and the extent to which changes in SSB consumption are mediated by changes in nutrition numeracy and nutrition-related media literacy. 2. Determine the reach and representativeness, adoption feasibility, degree to which the intervention was implemented as intended (and associated costs), and the maintenance of behavior changes 6 and 12 months post intervention (i.e., 18 months from baseline) when compared to control. 3. Assess intervention impacts on body weight. An exploratory aim is to: 1\. Assess intervention impacts on a 13C biomarker, a new non-invasive biomarker fingerstick technique for added sugar intake, and evaluate the changes in this biomarker over time.

Zoellner JM, You W, Estabrooks PA, Chen Y, Davy BM, Porter KJ, Hedrick VE, Bailey A, Kružliaková N.

2018-10-046 citations

10.1186/s12966-018-0728-7

Dietary quality changes in response to a sugar-sweetened beverage-reduction intervention: results from the Talking Health randomized controlled clinical trial.

Hedrick VE, Davy BM, You W, Porter KJ, Estabrooks PA, Zoellner JM.

2017-03-0141 citations

10.3945/ajcn.116.144543

A pragmatic examination of active and passive recruitment methods to improve the reach of community lifestyle programs: The Talking Health Trial.

Estabrooks P, You W, Hedrick V, Reinholt M, Dohm E, Zoellner J.

2017-01-1942 citations

10.1186/s12966-017-0462-6

Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial

Jamie Zoellner, Valisa E. Hedrick, Wen You, Yvonnes Chen, Brenda M. Davy et al. (10 authors)

International Journal of Behavioral Nutrition and Physical Activity2016-03-22130 citations

10.1186/s12966-016-0362-1

A Dual-Carbon-and-Nitrogen Stable Isotope Ratio Model Is Not Superior to a Single-Carbon Stable Isotope Ratio Model for Predicting Added Sugar Intake in Southwest Virginian Adults.

Hedrick VE, Zoellner JM, Jahren AH, Woodford NA, Bostic JN, Davy BM.

2015-04-0825 citations

10.3945/jn.115.211011

Interventions

BEHAVIORALSipSmarter

6-month behavioral trial

BEHAVIORALMoveMore

6 month behavioral trial

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Inclusion criteria included English-speaking adults \>18 years of age, who consume \>200 SSB kcals/day, self-report no contraindications for physical activity, and have regular access to a telephone.

Exclusion criteria

* To minimize potential confounds, only one member per household is eligible to enroll and individuals cannot be concurrently enrolled in a Cooperative Extension program because these programs focus on improving nutrition.

Design outcomes

Primary

Measure	Time frame
Change from Baseline in Kilocalories of Sugar-Sweetened Beverages at 6 months	baseline, 6-months

Secondary

Measure	Time frame
Change from Baseline in Minutes of Physical Activity at 6 months	baseline, 6-months

Other

Measure	Time frame
Change from Baseline in Weight at 6 months	baseline, 6-months
Change from Baseline in C13 biomarker at 6 months	baseline, 6-months

Countries

United States

Outcome results

None listed