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Optimizing an mHealth Intervention to Change Food Purchasing Behaviors for Cancer Prevention

Optimizing an mHealth Intervention to Change Food Purchasing Behaviors for Cancer Prevention

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04947150
Acronym
EatWell
Enrollment
62
Registered
2021-07-01
Start date
2021-06-01
Completion date
2022-03-29
Last updated
2023-10-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer

Brief summary

Dietary intake is a powerful, modifiable factor that influences cancer risk. Unfortunately, most adults in the U.S. find it difficult to adhere to dietary guidelines for cancer prevention. One promising pathway for improving dietary adherence is to target grocery shopping habits, i.e., foods purchased for consumption at home. Two-thirds of daily food intake is sourced from or eaten in the home, so improving the quality of the home food environment should improve overall diet quality. When healthy foods are purchased and unhealthy foods are not, minimal self-control is needed to make healthy eating choices in the home. At the point of purchase, it is difficult to resist the temptation of palatable foods, but interventions might facilitate healthy choices by promoting dietary goal salience in real-time while grocery shopping, enhancing motivation to make and sustain changes to the diet, and increasing household support and accountability for healthy food purchasing. The proposed study will enroll adults who have low adherence to cancer prevention dietary recommendations. All participants will attend a nutrition education workshop conducted via Zoom. For 20 weeks, all participants also will receive once weekly reminders and recommendations for food purchasing via an app. The study will experimentally test four additional intervention components: location-triggered messages, coaching monitoring of food purchases, benefit of change content, and household member involvement. The preliminary aim of the study is to assess feasibility and acceptability of the intervention components. The primary aim of the study is to quantify the effect of each intervention component, individually and in combination, on dietary intake (assessed with 24-hour food recalls). The overarching goal of this project is to optimize this mHealth intervention, which can be tested in the future in a fully powered clinical trial.

Interventions

BEHAVIORALLocation-triggered notification

If participants are randomized to have this component ON, the app will send the notification when the participant's smartphone is within a 50-meter geofence around designated grocery stores. No more than one notification will be sent per week. Mindfulness of program goals in the moment of decision making is expected to facilitate program-consistent food purchasing behaviors. Participants assigned to have location-triggered message delivery OFF will receive their weekly recommendations and reminders messages at standard times throughout the week. The content of the messages will not differ according to whether this component is ON vs. OFF.

BEHAVIORALReflections on benefits of change

Participants will reflect on anticipated benefits of purchasing healthy foods, consistent with motivational interviewing and self-determination theory. Message content will be personalized as follows: During the initial workshop, all participants will complete an exercise identifying benefits of healthy eating that are important to them. Message content will then be programmed to be personalized according to anticipated rewards important to that participant. Participants assigned to have this intervention component OFF will not have content about anticipated benefits of change added to any messages.

BEHAVIORALCoach monitoring

Coaches will monitor participant food purchases via a dashboard for viewing purchase data, and send messages designed to provide feedback and enhance supportive accountability for program goals. The messages will provide reinforcement for purchases consistent with program goals and express concern for areas in which adherence is low. Participants assigned to have this component OFF will not receive these extra messages or phone calls, and their food purchases will only be viewed by research staff for research outcome assessment purposes.

BEHAVIORALHousehold support

If participants are assigned to have household support ON, one adult in the household will receive weekly text messages designed to elicit support for changing food purchases. In addition, the index participant and household member will be invited to participate in one extra workshop session and three brief coaching calls focused on household support. If participants are assigned to have this OFF, household members will have no program involvement.

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Drexel University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Masking description

Outcomes assessors will be blind to condition.

Intervention model description

This is a 2x2x2x2 design. There are four factors, each with two levels: ON vs OFF.

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes

Inclusion criteria

* 18 years or older * Fluent in English * Low adherence to cancer prevention dietary guidelines, operationalized as a score of ≤ 2 out of 4 using the National Cancer Institute method for assessing adherence to World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) lifestyle recommendations. This three-level scoring system (meeting/partially meeting/not meeting each recommendation) includes 4 items specific to diet. Participants must score equal or less than 2, meaning that they are fully meeting recommendations for no more than 2 of the 4 dietary recommendations. * Performs the majority of the household's food shopping, and do so at stores that can passively stream item-level data from a store loyalty card to the Information Machine API (e.g., Walmart, Target, ShopRite, Wegman's, etc.) * Has a smartphone with iOS or Android operating system that is compatible with the program app * Lives in a household with at least one other adult who consents to being randomized to possibly receive messages on his/her own cell phone through the program app

Exclusion criteria

* Medical condition or psychiatric condition (e.g., active substance abuse, eating disorder) that may limit appropriateness of or ability to comply with program dietary recommendations * Planning to enroll in another lifestyle modification program in the next 6 months * Bariatric surgery history * Currently pregnant or breastfeeding or planning to become pregnant in the next 6 months

Design outcomes

Primary

MeasureTime frameDescription
2g. Dietary Intake: DHQ-III (Fat)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in grams of saturated fat per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2f. Dietary Intake: DHQ-III (Sodium)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in mg of sodium consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2e. Dietary Intake: DHQ-III (Added Sugars)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in grams of added sugars consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2d. Dietary Intake: DHQ-III (Processed Meat)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in oz of processed meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2b. Dietary Intake: DHQ-III (Fruits/Veg)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in cups of fruits and vegetables per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2a: Dietary Intake: DHQ-III (Fiber)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in grams of fiber per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in oz of sugar sweetened beverages consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1g. Primary Outcome: Dietary Intake ASA24 (Fat)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in grams of saturated fat consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in ounces of processed meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1f. Primary Outcome: Dietary Intake ASA24 (Sodium)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in mg of sodium consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in grams of added sugars consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in ounces of sugar-sweetened beverages per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1a. Dietary Intake: ASA24 (Fiber)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in grams of fiber per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in number of cups of fruits and vegetables per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)Baseline and post-treatment (0 and 20 weeks)In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in ounces of red meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
2c. Dietary Intake: DHQ-III (Red Meat)Baseline and post-treatment (0 and 20 weeks)In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in oz of red meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Secondary

MeasureTime frameDescription
Treatment Acceptability: 10 Weeks10 weeks (mid-treatment)An adapted 8- item version of the Treatment Acceptability Questionnaire (Hunsley, 1993) was used to assess intervention acceptability. Eight questions probed their program experience and how helpful/acceptable they found various intervention components (e.g., How effective do you think this program is?). Responses ranged from 1 = no/low acceptability to 7 = high acceptability. A total score was calculated as the average across all 8 items (range 8-56) where higher scores indicate greater treatment acceptability. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Treatment Acceptability: 20 Weeks20 weeks (post-treatment)An adapted 8- item version of the Treatment Acceptability Questionnaire (Hunsley, 1993) was used to assess intervention acceptability. Eight questions probed their program experience and how helpful/acceptable they found various intervention components (e.g., How effective do you think this program is?). Responses ranged from 1 = no/low acceptability to 7 = high acceptability. A total score was calculated as the average across all 8 items (range 8-56) where higher scores indicate greater treatment acceptability. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Goals and Stages of Change- Household Member0 weeksTwo self-report items developed by the investigator assessed the goals of the selected household member at baseline: On a scale of 1-100, how important is it that you adopt healthier eating habits right now?. Item 2 asked On a scale of 1-100, how important is it that you help your household member adopt healthier eating habits right now?. For each item, household members responded on a scale from 0 - not important at all, 50 - about as important as most of the other things I would like to achieve now, to 100 - most important thing in my life now. Items were analyzed at individually, and each item ranged 0-100 where higher scores indicate higher importance of the associated goal.
Dietary Intake-household Member0, 20 weeksHousehold members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. Household members are presented with 13 categories of foods that are relevant for each of the cancer prevention dietary guidelines (e.g., Fresh, frozen, or canned fruit (not dried or fruit juice), Red meats such as beef, pork, lamb). They rated how frequently they consume each category during an average week over the past month. Scale is as follows: 0 = Never, 1 = less than per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. The 13 items are then classified into the guideline they pertain to and total guidelines scores were calculated as the average of responses to all relevant items (range 0-5) where higher scores indicate more frequently eating items associated with that nutrition guideline.
Treatment Acceptability - Household20 weeksHousehold members completed the same adapted 8- item version of the Treatment Acceptability Questionnaire (Hunsley, 1993) as index participants. This measured acceptability of the intervention. Household members were presented with 8 questions about their experience during the program and how helpful/acceptable they found various intervention components to be (e.g., How effective do you think this program is?, How trustworthy do you think your coach was?. Household members responded to each question on a 7-point Likert scale where 1 = no/low acceptability and 7 = high acceptability. A total score was calculated as the average across all 8 items (range 8-56) where higher scores indicate greater treatment acceptability.
Dietary Intake - Household Member - FFQ (Guideline 2)0, 20 weeksHousehold members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 2 of the dietary cancer prevention guidelines (i.e., intake of processed foods high in fat, starches, or sugars), household members rated how frequently they consumed foods that fell into these categories (6 items) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 2 score was calculated as the average of responses to the 6 items (range 0-5), where higher scores indicate more frequently eating processed foods high in far, starches, and sugars.
Dietary Intake-household Member - FFQ (Guideline 3)0, 20 weeksHousehold members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 3 of the dietary cancer prevention guidelines (i.e., intake of red and processed meats), household members rated how frequently they consumed red meats and processed meats (2 items) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 3 score was calculated as the average of responses to the 2 items (range 0-5), where higher scores indicate more frequently eating red and processed meats.
Dietary Intake-household Member - FFQ - Guideline 40, 20 weeksHousehold members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 4 of the dietary cancer prevention guidelines (i.e., intake of sugar sweetened beverages), household members rated how frequently they consumed sugar sweetened beverages (1 item) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 4 score was calculated as the response to this item (range 0-5), where higher scores indicate more frequently drinking sugar sweetened beverages.
Dietary Intake- Household Member - FFQ (Guideline 1)0, 20 weeksHousehold members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 1 of the dietary cancer prevention guidelines (i.e., intake of fruits, vegetables, whole grains, and bean/ legumes ), household members rated how frequently they consumed these categories (4 items) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 1 score was calculated as the average of responses to the 4 items (range 0-5), where higher scores indicate more frequently eating fruits, vegetables, whole grains, and beans/legumes.
Goal Salience0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Goal salience while grocery shopping was measured using an investigator-developed self-report questionnaire. Participants rated 3 questions pertaining to salience of health goals during grocery shopping on a sliding scale from 0 (not at all) to 100 (very much): Scores on these three items were averaged to compute a global Goal Salience total score (range = 0-100), with higher scores indicating higher goal salience. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Supportive Accountability0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Supportive accountability was measured using 5 items adapted from the Perceptions of Accountability Scale (Chhabria et al., 2020). Participants rated 5 items (e.g., I feel accountable to others for meeting my dietary goals) on a sliding scale from 0 (not at all) to 100 (very much). Scores on the 5 items were averaged to produce a global Supportive Accountability total score (range 0-100), with higher scores indicating higher perceived supportive accountability to others for dietary/healthy eating goals. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Autonomous Motivation0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Motivation for healthy eating was measured using 10 items adapted from the Treatment Self-Regulation Questionnaire (Levesque et al., 2007). Using the question stem The reason I would follow a healthy diet is..., participants rated items on a scale from 1 (not at all true) to 7 (very true). Six items were averaged to create a subscale of autonomous Motivation for healthy eating (range 1-7), with higher scores on each subscale indicated higher Autonomous Motivation. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
External Motivation0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Motivation for healthy eating was measured using 10 items adapted from the Treatment Self-Regulation Questionnaire (Levesque et al., 2007). Using the question stem The reason I would follow a healthy diet is..., participants rated items on a scale from 1 (not at all true) to 7 (very true). Four items were averaged to create the subscale of external Motivation for healthy eating (range 1-7). Higher scores on each subscale indicated higher external motivation for healthy eating. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Social Support (Encouragement)0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Participants responded to 10 items adapted from the Sallis Social Support for Diet Questionnaire (Sallis et al., 1987). Using the question stem The other adult(s) in my household..., participants rated items on a scale from 1 (none) to 5 (very often), with 6 indicating Not Applicable (N/A; recoded as 1). Five items were summed to measure encouragement of healthy eating (e.g., complimented me on changing my eating habits; range 5-25), with higher scores indicating higher encouragement. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Social Support (Discouragement)0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Participants completed the Sallis Social Support for Diet Questionnaire (Sallis et al., 1987). Using the question stem The other adult(s) in my household..., participants rated items on a scale from 1 (none) to 5 (very often). 6 indicated Not Applicable, which was recoded as 1 (none). Five items (e.g., ate unhealthy foods in front of me) were summed to create the Discouragement of Healthy Eating subscale (range 5-25); higher scores indicated higher discouragement. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Quality of Household RelationshipBaselineQuality of the household relationship was measured using 5 items adapted from the Relationship Assessment Scale (Hendrick, 1988). Items assessed the quality of their relationship with the person who served as their household support partner in the Eatwell program (e.g., How well does this person meet your needs) on a scale from 1 (Low) to 5 (High). Scores on the 5 items were averaged to calculate a Relationship Quality total score (range 1-5); higher scores indicated higher perceived relationship quality. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Weight History0 weeks (Baseline)Weight history was measured using an investigator developed questionnaire. Participants answered the following question about weight history in the past 6 months: Which of these statements best describe what has happened to your weight during the past 6 months? Answer choices included: (1) My weight has stayed the same; (2) I've been losing weight; (3) I've been gaining weight; or (4) My weigh has fluctuated a lot. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Dietary Restraint0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Dietary restraint was measured using the Three Factor Eating Questionnaire (Cappelleri et al., 2009). For items #1-20, participants rated statements on a 4-point Likert scale from 1 (definitely true) to 4 (definitely false; reverse coded). Item 21 assessed overall restraint on an 8-point scale from 1 (no restraint) to 8 (total restraint), recoded such that 1-2=1; 3-4=2; 5-6=3; and 7-8=4 (so that all items ranged 1-4). Six items were summed to calculate a Restraint score (range = 6-24); higher scores indicated more restraint. This pilot study used a factorial design, with 16 conditions and \ 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Uncontrolled Eating0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Uncontrolled eating was measured using the subscale of the Three Factor Eating Questionnaire - 21 item (Cappelleri et al., 2009). Responses ranged from 1 (definitely true) to 4 (definitely false). Items were reverse coded and summed to calculate an uncontrolled eating (range = 6-24), with higher scores indicating higher uncontrolled eating. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Emotional Eating0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)Emotional eating was measured using the subscale of the Three Factor Eating Questionnaire - 21 item (Cappelleri et al., 2009). Responses ranged from 1 (definitely true) to 4 (definitely false). Six were reverse coded and summed to calculate an emotional eating (range = 6-24), with higher scores indicating higher emotional eating. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Dietary Intake - FFQ (Guideline 1)0, 10, 20 weeksA 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 1 (i.e., fruits, vegetables, whole grains, and bean/ legumes ), participants rated how frequently they consumed these categories (4 items) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). A total guideline 1 score was calculated as the average of responses to the 4 items (range 0-5), where higher scores indicate more frequently eating fruits, vegetables, whole grains, and beans/legumes. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Dietary Intake - FFQ (Guideline 2)0, 10, 20 weeksA 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 2 (i.e., processed foods high in fat, starches, sugars), participants rated how frequently they consumed foods from these categories (6 items) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). A total guideline 2 score was calculated as the average of responses to the 6 items (range 0-5), where higher scores indicate more frequently eating processed foods. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Dietary Intake - FFQ (Guideline 3)0, 10, 20 weeksA 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 3 (i.e., red and processed meat), participants rated how frequently they consumed these categories (2 items) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). A total guideline 3 score was calculated as the average of responses to the 2 items (range 0-5), where higher scores indicate more frequently eating red and processed meats. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Dietary Intake - FFQ (Guideline 4)0, 10, 20 weeksA 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 4 (i.e., sugar-sweetened drinks), participants rated how frequently they consumed these drinks (1 item) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). Given intake for guideline 4 was assessed with only 1 item on the FFQ, the total guideline 4 score was the response to this single item (range 0-5), where higher scores indicate more frequently drinking sugar-sweetened drinks. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Other

MeasureTime frameDescription
Adherence to AICR Cancer Prevention Guidelines: Guideline 1Baseline and post-treatment (0 and 20 weeks)To calculate adherence to the NCI dietary recommendations for guideline 1 (fruits, vegetables, and fiber), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of dietary intake for whole grains, beans, fruits, and vegetable consumption, participants receive adherence scores for each dietary domain of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 1 (fruits, vegetables, and fiber) total adherence score (range 0-1) was calculated as the average of adherence scores for whole grains, beans, fruits, and vegetable consumption.
Grocery Store Purchases - Other Processed FoodsBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Processed food purchases were calculated by tabulating the percent of processed food purchases divided by total purchases. Scores range from 0-100%.This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - SnacksBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Snack purchases were calculated by tabulating the percent of snack purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - SweetsBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Sweets purchases were calculated by tabulating the percent of meat purchases divided by total sweets purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - Sugar-Sweetened BeveragesBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Sugar-sweetened beverage (SSB) purchases were calculated by tabulating the percent of SSB purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - Grains and BeansBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Grains/beans purchases were calculated by tabulating the percent of grains and beans purchases divided by total purchases. Scores range from 0-100%.This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - MeatBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Meat purchases were calculated by tabulating the percent of meat purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - VegetablesBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Vegetable purchases were calculated by tabulating the percent of fruit purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Grocery Store Purchases - FruitBaseline and post-treatment (0 and 20 weeks)To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Fruit purchases were calculated by tabulating the percent of fruit purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.
Adherence to AICR Cancer Prevention Guidelines: Guideline 4Baseline and post-treatment (0 and 20 weeks)To calculate adherence to the NCI dietary recommendations for guideline 4 (intake of sugar sweetened beverages), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of intake of sugar sweetened beverages, participants receive an adherence score of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 4 total adherence score (range 0-1) was calculated as adherence score for intake of sugar sweetened beverages.
Adherence to AICR Cancer Prevention Guidelines: Guideline 3Baseline and post-treatment (0 and 20 weeks)To calculate adherence to the NCI dietary recommendations for guideline 3 (intake of red and processed meats), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of intake of red and processed meats, participants receive adherence scores for each dietary domain of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 3 total adherence score (range 0-1) was calculated as the average of adherence scores for red and processed meat intake.
Adherence to AICR Cancer Prevention Guidelines: Guideline 2Baseline and post-treatment (0 and 20 weeks)To calculate adherence to the NCI dietary recommendations for guideline 2 (intake of processed foods), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of intake of added sugar, saturated fat, and sodium in processed foods, participants receive adherence scores for each dietary domain of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 2 total adherence score (range 0-1) was calculated as the average of adherence scores for consumption of added sugar, saturated fat, and sodium in processed foods.

Countries

United States

Participant flow

Pre-assignment details

The four experimental intervention components are each provided to 50% of participants.

Participants by arm

ArmCount
Condition 1
Location triggered messaging - OFF, Benefits of change - OFF, Coach monitoring - OFF, Household support - OFF.
4
Condition 2
Location triggered messaging - ON, Benefits of change - OFF, Coach monitoring - OFF, Household support - OFF.
7
Condition 3
Location triggered messaging - ON, Benefits of change - ON, Coach monitoring - OFF, Household support - OFF.
2
Condition 4
Location triggered messaging - ON, Benefits of change - ON, Coach monitoring - ON, Household support - OFF.
2
Condition 5
Location triggered messaging - ON, Benefits of change - ON, Coach monitoring - ON, Household support - ON.
7
Condition 6
Location triggered messaging - ON, Benefits of change - ON, Coach monitoring - OFF, Household support - ON.
2
Condition 7
Location triggered messaging - ON, Benefits of change - OFF, Coach monitoring - ON, Household support - ON.
5
Condition 8
Location triggered messaging - ON, Benefits of change - OFF, Coach monitoring - OFF, Household support - ON.
2
Condition 9
Location triggered messaging - ON, Benefits of change - OFF, Coach monitoring - ON, Household support - OFF.
3
Condition 10
Location triggered messaging - OFF, Benefits of change - ON, Coach monitoring - OFF, Household support - OFF.
5
Condition 11
Location triggered messaging - OFF, Benefits of change - ON, Coach monitoring - ON, Household support - OFF.
6
Condition 12
Location triggered messaging - OFF, Benefits of change - ON, Coach monitoring - ON, Household support - ON.
2
Condition 13
Location triggered messaging - OFF, Benefits of change - ON, Coach monitoring - OFF, Household support - ON.
5
Condition 14
Location triggered messaging - OFF, Benefits of change - OFF, Coach monitoring - ON Household support - OFF.
2
Condition 15
Location triggered messaging - OFF, Benefits of change - OFF, Coach monitoring - OFF, Household support - ON.
4
Condition 16
Location triggered messaging - OFF, Benefits of change - OFF, Coach monitoring - ON, Household support - ON.
4
Total62

Baseline characteristics

CharacteristicTotalCondition 16Condition 15Condition 14Condition 13Condition 12Condition 11Condition 10Condition 9Condition 8Condition 1Condition 7Condition 6Condition 5Condition 4Condition 3Condition 2
Age, Continuous47.2 years
STANDARD_DEVIATION 13.5
42.3 years
STANDARD_DEVIATION 12.1
43.3 years
STANDARD_DEVIATION 20
40.5 years
STANDARD_DEVIATION 17.7
56.0 years
STANDARD_DEVIATION 8.4
39.5 years
STANDARD_DEVIATION 17.7
48.3 years
STANDARD_DEVIATION 11.4
44.8 years
STANDARD_DEVIATION 9.9
35.0 years
STANDARD_DEVIATION 7
45.0 years
STANDARD_DEVIATION 9.9
49.5 years
STANDARD_DEVIATION 19.5
52.4 years
STANDARD_DEVIATION 15.3
36.0 years
STANDARD_DEVIATION 15.6
46.7 years
STANDARD_DEVIATION 14.9
53.0 years
STANDARD_DEVIATION 11.3
47.5 years
STANDARD_DEVIATION 27.6
53.6 years
STANDARD_DEVIATION 11
Body Mass Index32.1 kg^m2
STANDARD_DEVIATION 8
29.5 kg^m2
STANDARD_DEVIATION 5.7
28.0 kg^m2
STANDARD_DEVIATION 9.6
24.7 kg^m2
STANDARD_DEVIATION 7.2
28.0 kg^m2
STANDARD_DEVIATION 5.2
34.8 kg^m2
STANDARD_DEVIATION 16.3
36.1 kg^m2
STANDARD_DEVIATION 9.1
31.2 kg^m2
STANDARD_DEVIATION 6
30.7 kg^m2
STANDARD_DEVIATION 5.6
38.0 kg^m2
STANDARD_DEVIATION 18.9
40.0 kg^m2
STANDARD_DEVIATION 5.1
28.1 kg^m2
STANDARD_DEVIATION 7.8
29.8 kg^m2
STANDARD_DEVIATION 1.8
36.2 kg^m2
STANDARD_DEVIATION 8.5
31.3 kg^m2
STANDARD_DEVIATION 1.9
24.3 kg^m2
STANDARD_DEVIATION 3.3
33.9 kg^m2
STANDARD_DEVIATION 7.4
Education level
Completed postgraduate or professional degree
18 Participants1 Participants3 Participants0 Participants2 Participants0 Participants1 Participants2 Participants2 Participants1 Participants1 Participants2 Participants0 Participants1 Participants0 Participants0 Participants2 Participants
Education level
Completed senior high
3 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Education level
Completed some college
12 Participants0 Participants0 Participants0 Participants1 Participants1 Participants1 Participants1 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants2 Participants1 Participants1 Participants
Education level
Graduated from college
29 Participants3 Participants1 Participants2 Participants2 Participants1 Participants3 Participants2 Participants1 Participants1 Participants2 Participants2 Participants2 Participants4 Participants0 Participants1 Participants2 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants1 Participants1 Participants1 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
56 Participants3 Participants3 Participants1 Participants5 Participants2 Participants5 Participants5 Participants2 Participants2 Participants4 Participants5 Participants2 Participants7 Participants2 Participants1 Participants7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Grocery shopping frequency
Less than once per week
6 Participants0 Participants1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Grocery shopping frequency
More than twice per week
9 Participants2 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants1 Participants1 Participants1 Participants0 Participants1 Participants
Grocery shopping frequency
Once per week
29 Participants1 Participants1 Participants1 Participants3 Participants1 Participants2 Participants4 Participants0 Participants1 Participants3 Participants4 Participants0 Participants4 Participants0 Participants2 Participants2 Participants
Grocery shopping frequency
Twice per week
18 Participants1 Participants2 Participants0 Participants1 Participants0 Participants4 Participants1 Participants2 Participants0 Participants0 Participants0 Participants1 Participants2 Participants1 Participants0 Participants3 Participants
Household size
Five or more
7 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants1 Participants1 Participants2 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants
Household size
Four
16 Participants2 Participants1 Participants0 Participants1 Participants1 Participants1 Participants1 Participants1 Participants1 Participants1 Participants1 Participants1 Participants2 Participants1 Participants0 Participants1 Participants
Household size
Three
15 Participants1 Participants0 Participants1 Participants0 Participants0 Participants1 Participants2 Participants1 Participants0 Participants0 Participants1 Participants1 Participants3 Participants0 Participants1 Participants3 Participants
Household size
Two
24 Participants1 Participants3 Participants1 Participants3 Participants1 Participants3 Participants2 Participants0 Participants0 Participants1 Participants3 Participants0 Participants1 Participants1 Participants1 Participants3 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
4 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
21 Participants0 Participants2 Participants0 Participants2 Participants0 Participants4 Participants3 Participants1 Participants2 Participants2 Participants0 Participants1 Participants3 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
3 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
33 Participants2 Participants2 Participants2 Participants3 Participants2 Participants1 Participants2 Participants2 Participants0 Participants2 Participants4 Participants1 Participants3 Participants1 Participants1 Participants5 Participants
Sex: Female, Male
Female
57 Participants4 Participants4 Participants2 Participants5 Participants1 Participants6 Participants5 Participants3 Participants2 Participants3 Participants4 Participants1 Participants7 Participants2 Participants2 Participants6 Participants
Sex: Female, Male
Male
5 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Weight188.7 pounds
STANDARD_DEVIATION 47.8
164.3 pounds
STANDARD_DEVIATION 37
166.0 pounds
STANDARD_DEVIATION 58.2
152.0 pounds
STANDARD_DEVIATION 53.7
168.4 pounds
STANDARD_DEVIATION 36.8
216.0 pounds
STANDARD_DEVIATION 76.4
211.3 pounds
STANDARD_DEVIATION 53.9
180.8 pounds
STANDARD_DEVIATION 43.7
177.3 pounds
STANDARD_DEVIATION 35
208.5 pounds
STANDARD_DEVIATION 128
242.8 pounds
STANDARD_DEVIATION 31.2
173.4 pounds
STANDARD_DEVIATION 44.7
190.0 pounds
STANDARD_DEVIATION 11.3
205.7 pounds
STANDARD_DEVIATION 50.7
168.5 pounds
STANDARD_DEVIATION 6.4
145.0 pounds
STANDARD_DEVIATION 35.4
199.3 pounds
STANDARD_DEVIATION 32.8

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
deaths
Total, all-cause mortality
0 / 40 / 70 / 20 / 20 / 70 / 20 / 50 / 20 / 30 / 50 / 60 / 20 / 50 / 20 / 40 / 4
other
Total, other adverse events
0 / 40 / 70 / 20 / 20 / 70 / 20 / 50 / 20 / 30 / 50 / 60 / 20 / 50 / 20 / 40 / 4
serious
Total, serious adverse events
0 / 40 / 70 / 20 / 20 / 70 / 21 / 50 / 20 / 30 / 50 / 60 / 20 / 50 / 20 / 40 / 4

Outcome results

Primary

1a. Dietary Intake: ASA24 (Fiber)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in grams of fiber per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)18.45 grams/dayStandard Error 2.12
Coach Monitoring - ON1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)18.51 grams/dayStandard Error 2.91
Coach Monitoring - OFF1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)14.19 grams/dayStandard Error 3.28
Coach Monitoring - OFF1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)18.17 grams/dayStandard Error 2.39
Benefits of Change - ON1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)16.98 grams/dayStandard Error 3.2
Benefits of Change - ON1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)15.89 grams/dayStandard Error 2.31
Benefits of Change - OFF1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)20.73 grams/dayStandard Error 2.1
Benefits of Change - OFF1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)15.72 grams/dayStandard Error 2.89
Location Triggered Messaging - ON1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)14.50 grams/dayStandard Error 3.37
Location Triggered Messaging - ON1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)16.30 grams/dayStandard Error 2.45
Location-Triggered Messaging - OFF1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)18.20 grams/dayStandard Error 2.82
Location-Triggered Messaging - OFF1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)20.32 grams/dayStandard Error 2.05
Household Support - ON1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)18.90 grams/dayStandard Error 2.25
Household Support - ON1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)18.40 grams/dayStandard Error 3.09
Household Support - OFF1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)17.72 grams/dayStandard Error 2.08
Household Support - OFF1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)14.30 grams/dayStandard Error 2.86
Full Sample1a. Dietary Intake: ASA24 (Fiber)20 weeks (post-treatment)16.35 grams/dayStandard Error 2.11
Full Sample1a. Dietary Intake: ASA24 (Fiber)0 weeks (baseline)18.31 grams/dayStandard Error 1.53
p-value: 0.255ANOVA
Primary

1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in number of cups of fruits and vegetables per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)1.86 Cups/dayStandard Error 0.4
Coach Monitoring - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.70 Cups/dayStandard Error 0.58
Coach Monitoring - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.63 Cups/dayStandard Error 0.44
Coach Monitoring - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.15 Cups/dayStandard Error 0.65
Benefits of Change - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.40 Cups/dayStandard Error 0.43
Benefits of Change - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.67 Cups/dayStandard Error 0.63
Benefits of Change - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.09 Cups/dayStandard Error 0.39
Benefits of Change - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.18 Cups/dayStandard Error 0.57
Location Triggered Messaging - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.33 Cups/dayStandard Error 0.46
Location Triggered Messaging - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.10 Cups/dayStandard Error 0.66
Location-Triggered Messaging - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.75 Cups/dayStandard Error 0.56
Location-Triggered Messaging - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.16 Cups/dayStandard Error 0.38
Household Support - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.69 Cups/dayStandard Error 0.61
Household Support - ON1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.41 Cups/dayStandard Error 0.42
Household Support - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.08 Cups/dayStandard Error 0.39
Household Support - OFF1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.16 Cups/dayStandard Error 0.56
Full Sample1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)0 weeks (baseline)2.25 Cups/dayStandard Error 0.29
Full Sample1b. Primary Outcome: Dietary Intake ASA24 (Fruit/Veg)20 weeks (post-treatment)2.42 Cups/dayStandard Error 0.42
p-value: 0.56ANOVA
Primary

1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in ounces of red meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)10.10 oz/weekStandard Error 4.4
Coach Monitoring - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)3.71 oz/weekStandard Error 2.06
Coach Monitoring - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)8.98 oz/weekStandard Error 4.95
Coach Monitoring - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)8.39 oz/weekStandard Error 2.32
Benefits of Change - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)4.10 oz/weekStandard Error 4.79
Benefits of Change - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)8.23 oz/weekStandard Error 2.24
Benefits of Change - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)14.98 oz/weekStandard Error 4.35
Benefits of Change - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)3.87 oz/weekStandard Error 2.04
Location Triggered Messaging - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)4.35 oz/weekStandard Error 5.08
Location Triggered Messaging - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)4.36 oz/weekStandard Error 2.38
Location-Triggered Messaging - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)7.74 oz/weekStandard Error 1.99
Location-Triggered Messaging - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)14.72 oz/weekStandard Error 4.25
Household Support - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)3.91 oz/weekStandard Error 2.18
Household Support - ON1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)13.13 oz/weekStandard Error 4.66
Household Support - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)5.95 oz/weekStandard Error 4.31
Household Support - OFF1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)8.19 oz/weekStandard Error 2.02
Full Sample1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)0 weeks (baseline)9.54 oz/weekStandard Error 3.18
Full Sample1c. Primary Outcome: Dietary Intake ASA24 (Red Meat)10 weeks (post-treatment)6.05 oz/weekStandard Error 1.49
p-value: 0.319ANOVA
Primary

1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in ounces of processed meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)325.95 oz/weekStandard Error 109.76
Coach Monitoring - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)97.34 oz/weekStandard Error 31.24
Coach Monitoring - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)216.18 oz/weekStandard Error 123.43
Coach Monitoring - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)49.79 oz/weekStandard Error 35.13
Benefits of Change - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)282.69 oz/weekStandard Error 119.44
Benefits of Change - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)74.12 oz/weekStandard Error 33.99
Benefits of Change - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)259.44 oz/weekStandard Error 108.47
Benefits of Change - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)73.01 oz/weekStandard Error 30.87
Location Triggered Messaging - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)278.05 oz/weekStandard Error 126.79
Location Triggered Messaging - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)87.96 oz/weekStandard Error 37.08
Location-Triggered Messaging - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)59.17 oz/weekStandard Error 30.18
Location-Triggered Messaging - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)264.09 oz/weekStandard Error 106.06
Household Support - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)72.10 oz/weekStandard Error 33.1
Household Support - ON1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)371.70 oz/weekStandard Error 116.32
Household Support - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)170.44 oz/weekStandard Error 107.53
Household Support - OFF1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)75.03 oz/weekStandard Error 30.6
Full Sample1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)0 weeks (baseline)271.07 oz/weekStandard Error 79.2
Full Sample1d. Primary Outcome: Dietary Intake ASA24 (Processed Meat)10 weeks (post-treatment)73.56 oz/weekStandard Error 22.54
p-value: 0.032ANOVA
Primary

1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in grams of added sugars consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)41.82 grams/dayStandard Error 8.72
Coach Monitoring - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)25.63 grams/dayStandard Error 7.2
Coach Monitoring - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)31.16 grams/dayStandard Error 9.81
Coach Monitoring - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)17.11 grams/dayStandard Error 8.1
Benefits of Change - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)28.30 grams/dayStandard Error 9.49
Benefits of Change - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)11.84 grams/dayStandard Error 7.84
Benefits of Change - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)44.67 grams/dayStandard Error 8.62
Benefits of Change - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)30.91 grams/dayStandard Error 7.12
Location Triggered Messaging - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)34.25 grams/dayStandard Error 10.08
Location Triggered Messaging - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)21.93 grams/dayStandard Error 8.32
Location-Triggered Messaging - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)20.81 grams/dayStandard Error 6.96
Location-Triggered Messaging - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)38.72 grams/dayStandard Error 8.43
Household Support - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)21.94 grams/dayStandard Error 7.63
Household Support - ON1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)40.93 grams/dayStandard Error 9.24
Household Support - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)32.04 grams/dayStandard Error 8.55
Household Support - OFF1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)20.81 grams/dayStandard Error 7.05
Full Sample1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)0 weeks (baseline)36.49 grams/dayStandard Error 6.3
Full Sample1e. Primary Outcome: Dietary Intake ASA24 (Added Sugars)20 weeks (post-treatment)21.37 grams/dayStandard Error 5.2
p-value: 0.044ANOVA
Primary

1f. Primary Outcome: Dietary Intake ASA24 (Sodium)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in mg of sodium consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)730.13 mg/dayStandard Error 86
Coach Monitoring - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)440.77 mg/dayStandard Error 99.2
Coach Monitoring - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)571.33 mg/dayStandard Error 81.16
Coach Monitoring - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)323.50 mg/dayStandard Error 93.62
Benefits of Change - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)647.89 mg/dayStandard Error 83.99
Benefits of Change - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)323.24 mg/dayStandard Error 96.88
Benefits of Change - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)653.57 mg/dayStandard Error 79.51
Benefits of Change - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)441.03 mg/dayStandard Error 91.71
Location Triggered Messaging - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)663.92 mg/dayStandard Error 82.3
Location Triggered Messaging - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)343.04 mg/dayStandard Error 94.94
Location-Triggered Messaging - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)421.24 mg/dayStandard Error 94.77
Location-Triggered Messaging - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)637.53 mg/dayStandard Error 82.16
Household Support - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)353.12 mg/dayStandard Error 94.3
Household Support - ON1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)676.85 mg/dayStandard Error 81.75
Household Support - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)624.61 mg/dayStandard Error 83.57
Household Support - OFF1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)411.15 mg/dayStandard Error 96.4
Full Sample1f. Primary Outcome: Dietary Intake ASA24 (Sodium)0 weeks (baseline)650.73 mg/dayStandard Error 59.94
Full Sample1f. Primary Outcome: Dietary Intake ASA24 (Sodium)20 weeks (post-treatment)382.14 mg/dayStandard Error 65.68
p-value: 0.01ANOVA
Primary

1g. Primary Outcome: Dietary Intake ASA24 (Fat)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in grams of saturated fat consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)4.92 grams/dayStandard Error 1.06
Coach Monitoring - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)9.27 grams/dayStandard Error 1.15
Coach Monitoring - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)7.91 grams/dayStandard Error 1.08
Coach Monitoring - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)3.59 grams/dayStandard Error 1
Benefits of Change - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)9.05 grams/dayStandard Error 1.12
Benefits of Change - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)3.76 grams/dayStandard Error 1.04
Benefits of Change - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)4.74 grams/dayStandard Error 0.98
Benefits of Change - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)8.13 grams/dayStandard Error 1.06
Location Triggered Messaging - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)4.17 grams/dayStandard Error 1.02
Location Triggered Messaging - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)9.86 grams/dayStandard Error 1.1
Location-Triggered Messaging - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)7.32 grams/dayStandard Error 1.1
Location-Triggered Messaging - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)4.34 grams/dayStandard Error 1.02
Household Support - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)9.47 grams/dayStandard Error 1.09
Household Support - ON1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)3.67 grams/dayStandard Error 1.01
Household Support - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)7.71 grams/dayStandard Error 1.12
Household Support - OFF1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)4.84 grams/dayStandard Error 1.03
Full Sample1g. Primary Outcome: Dietary Intake ASA24 (Fat)20 weeks (post-treatment)4.25 grams/dayStandard Error 0.7
Full Sample1g. Primary Outcome: Dietary Intake ASA24 (Fat)0 weeks (baseline)8.59 grams/dayStandard Error 0.76
p-value: 0.073ANOVA
Primary

1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)

In Wave 1, the primary outcome will be change from 0-20 weeks in dietary intake of the major food categories from the American Institute for Cancer Research guidelines. Self-reported dietary recalls will be completed for three days at baseline and week 20 using the Automated Self Administered 24-hour food recall (ASA-24). This table reports the change in oz of sugar sweetened beverages consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 1 participants completed the ASA-24. Results here only include Wave 1 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)17.29 oz/dayStandard Error 6.85
Coach Monitoring - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)18.72 oz/dayStandard Error 5.09
Coach Monitoring - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)17.39 oz/dayStandard Error 6.46
Coach Monitoring - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)6.84 oz/dayStandard Error 4.81
Benefits of Change - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)21.44 oz/dayStandard Error 6.69
Benefits of Change - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)14.38 oz/dayStandard Error 4.97
Benefits of Change - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)13.24 oz/dayStandard Error 6.33
Benefits of Change - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)11.18 oz/dayStandard Error 4.71
Location Triggered Messaging - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)24.64 oz/dayStandard Error 6.55
Location Triggered Messaging - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)7.71 oz/dayStandard Error 4.87
Location-Triggered Messaging - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)17.85 oz/dayStandard Error 4.86
Location-Triggered Messaging - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)10.04 oz/dayStandard Error 6.54
Household Support - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)10.55 oz/dayStandard Error 4.84
Household Support - ON1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)19.79 oz/dayStandard Error 6.51
Household Support - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)14.90 oz/dayStandard Error 6.66
Household Support - OFF1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)15.01 oz/dayStandard Error 4.95
Full Sample1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)0 weeks (baseline)17.34 oz/dayStandard Error 4.53
Full Sample1h. Primary Outcome: Dietary Intake ASA24 (Sugar-Sweetened Beverages)20 weeks (post-treatment)12.78 oz/dayStandard Error 3.37
p-value: 0.872ANOVA
Primary

2a: Dietary Intake: DHQ-III (Fiber)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in grams of fiber per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)16.94 grams/dayStandard Error 2.41
Coach Monitoring - ON2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)20.18 grams/dayStandard Error 3.9
Coach Monitoring - OFF2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)16.83 grams/dayStandard Error 2.28
Coach Monitoring - OFF2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)18.24 grams/dayStandard Error 3.68
Benefits of Change - ON2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)18.38 grams/dayStandard Error 2.36
Benefits of Change - ON2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)20.65 grams/dayStandard Error 3.81
Benefits of Change - OFF2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)15.38 grams/dayStandard Error 2.23
Benefits of Change - OFF2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)17.78 grams/dayStandard Error 3.6
Location Triggered Messaging - ON2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)18.98 grams/dayStandard Error 2.31
Location Triggered Messaging - ON2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)21.37 grams/dayStandard Error 3.73
Location-Triggered Messaging - OFF2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)17.05 grams/dayStandard Error 3.73
Location-Triggered Messaging - OFF2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)14.78 grams/dayStandard Error 2.31
Household Support - ON2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)18.79 grams/dayStandard Error 3.71
Household Support - ON2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)15.56 grams/dayStandard Error 2.29
Household Support - OFF2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)18.21 grams/dayStandard Error 2.34
Household Support - OFF2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)19.63 grams/dayStandard Error 3.79
Full Sample2a: Dietary Intake: DHQ-III (Fiber)0 weeks (baseline)16.88 grams/dayStandard Error 1.6
Full Sample2a: Dietary Intake: DHQ-III (Fiber)20 weeks (post-treatment)19.21 grams/dayStandard Error 2.58
p-value: 0.145ANOVA
Primary

2b. Dietary Intake: DHQ-III (Fruits/Veg)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in cups of fruits and vegetables per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)2.56 cups/dayStandard Error 0.42
Coach Monitoring - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.09 cups/dayStandard Error 0.69
Coach Monitoring - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)2.93 cups/dayStandard Error 0.39
Coach Monitoring - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.35 cups/dayStandard Error 0.66
Benefits of Change - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)3.06 cups/dayStandard Error 0.41
Benefits of Change - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.47 cups/dayStandard Error 0.68
Benefits of Change - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)4.23 cups/dayStandard Error 0.39
Benefits of Change - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)2.97 cups/dayStandard Error 0.64
Location Triggered Messaging - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)3.31 cups/dayStandard Error 0.4
Location Triggered Messaging - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.84 cups/dayStandard Error 0.66
Location-Triggered Messaging - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)2.60 cups/dayStandard Error 0.66
Location-Triggered Messaging - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)2.17 cups/dayStandard Error 0.4
Household Support - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.26 cups/dayStandard Error 0.66
Household Support - ON2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)2.61 cups/dayStandard Error 0.4
Household Support - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)2.88 cups/dayStandard Error 0.41
Household Support - OFF2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.18 cups/dayStandard Error 0.67
Full Sample2b. Dietary Intake: DHQ-III (Fruits/Veg)0 weeks (baseline)2.74 cups/dayStandard Error 0.28
Full Sample2b. Dietary Intake: DHQ-III (Fruits/Veg)20 weeks (post-treatment)3.22 cups/dayStandard Error 0.46
p-value: 0.173ANOVA
Primary

2c. Dietary Intake: DHQ-III (Red Meat)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in oz of red meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)2.66 oz/weekStandard Error 0.7
Coach Monitoring - ON2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)4.43 oz/weekStandard Error 0.82
Coach Monitoring - OFF2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)3.49 oz/weekStandard Error 0.77
Coach Monitoring - OFF2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)3.03 oz/weekStandard Error 0.66
Benefits of Change - ON2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)3.01 oz/weekStandard Error 0.8
Benefits of Change - ON2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)2.48 oz/weekStandard Error 0.69
Benefits of Change - OFF2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)4.90 oz/weekStandard Error 0.76
Benefits of Change - OFF2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)3.21 oz/weekStandard Error 0.65
Location Triggered Messaging - ON2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)3.88 oz/weekStandard Error 0.78
Location Triggered Messaging - ON2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)2.77 oz/weekStandard Error 0.67
Location-Triggered Messaging - OFF2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)2.92 oz/weekStandard Error 0.67
Location-Triggered Messaging - OFF2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)4.04 oz/weekStandard Error 0.78
Household Support - ON2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)3.13 oz/weekStandard Error 0.78
Household Support - ON2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)2.46 oz/weekStandard Error 0.67
Household Support - OFF2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)4.79 oz/weekStandard Error 0.8
Household Support - OFF2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)3.23 oz/weekStandard Error 0.68
Full Sample2c. Dietary Intake: DHQ-III (Red Meat)0 weeks (baseline)3.96 oz/weekStandard Error 0.54
Full Sample2c. Dietary Intake: DHQ-III (Red Meat)20 weeks (post-treatment)2.84 oz/weekStandard Error 0.47
p-value: 0.012ANOVA
Primary

2d. Dietary Intake: DHQ-III (Processed Meat)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in oz of processed meat consumed per week. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)165.20 oz/weekStandard Error 57.26
Coach Monitoring - ON2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)40.72 oz/weekStandard Error 12.12
Coach Monitoring - OFF2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)133.88 oz/weekStandard Error 54.04
Coach Monitoring - OFF2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)48.04 oz/weekStandard Error 11.43
Benefits of Change - ON2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)103.41 oz/weekStandard Error 55.92
Benefits of Change - ON2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)35.75 oz/weekStandard Error 11.83
Benefits of Change - OFF2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)195.66 oz/weekStandard Error 52.94
Benefits of Change - OFF2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)53.01 oz/weekStandard Error 11.2
Location Triggered Messaging - ON2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)59.94 oz/weekStandard Error 54.8
Location Triggered Messaging - ON2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)31.86 oz/weekStandard Error 11.6
Location-Triggered Messaging - OFF2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)56.89 oz/weekStandard Error 11.58
Location-Triggered Messaging - OFF2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)239.14 oz/weekStandard Error 54.7
Household Support - ON2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)25.92 oz/weekStandard Error 11.52
Household Support - ON2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)133.67 oz/weekStandard Error 54.43
Household Support - OFF2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)165.40 oz/weekStandard Error 55.64
Household Support - OFF2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)62.84 oz/weekStandard Error 11.77
Full Sample2d. Dietary Intake: DHQ-III (Processed Meat)0 weeks (baseline)149.54 oz/weekStandard Error 37.91
Full Sample2d. Dietary Intake: DHQ-III (Processed Meat)20 weeks (post-treatment)44.38 oz/weekStandard Error 8.02
p-value: 0.008ANOVA
Primary

2e. Dietary Intake: DHQ-III (Added Sugars)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in grams of added sugars consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)28.37 grams/dayStandard Error 5.01
Coach Monitoring - ON2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)16.98 grams/dayStandard Error 4.84
Coach Monitoring - OFF2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)24.53 grams/dayStandard Error 4.73
Coach Monitoring - OFF2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)14.06 grams/dayStandard Error 4.57
Benefits of Change - ON2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)28.35 grams/dayStandard Error 4.89
Benefits of Change - ON2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)16.69 grams/dayStandard Error 4.73
Benefits of Change - OFF2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)24.55 grams/dayStandard Error 4.63
Benefits of Change - OFF2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)14.35 grams/dayStandard Error 4.48
Location Triggered Messaging - ON2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)30.27 grams/dayStandard Error 4.79
Location Triggered Messaging - ON2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)15.01 grams/dayStandard Error 4.64
Location-Triggered Messaging - OFF2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)16.04 grams/dayStandard Error 4.63
Location-Triggered Messaging - OFF2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)22.62 grams/dayStandard Error 4.78
Household Support - ON2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)13.38 grams/dayStandard Error 4.6
Household Support - ON2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)26.53 grams/dayStandard Error 4.76
Household Support - OFF2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)23.37 grams/dayStandard Error 4.87
Household Support - OFF2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)17.67 grams/dayStandard Error 4.71
Full Sample2e. Dietary Intake: DHQ-III (Added Sugars)0 weeks (baseline)26.45 grams/dayStandard Error 3.32
Full Sample2e. Dietary Intake: DHQ-III (Added Sugars)20 weeks (post-treatment)15.52 grams/dayStandard Error 3.21
p-value: <0.001ANOVA
Primary

2f. Dietary Intake: DHQ-III (Sodium)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in mg of sodium consumed per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)730.13 mg/dayStandard Error 86
Coach Monitoring - ON2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)440.77 mg/dayStandard Error 99.2
Coach Monitoring - OFF2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)571.33 mg/dayStandard Error 81.16
Coach Monitoring - OFF2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)323.50 mg/dayStandard Error 93.62
Benefits of Change - ON2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)647.89 mg/dayStandard Error 83.99
Benefits of Change - ON2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)323.24 mg/dayStandard Error 96.88
Benefits of Change - OFF2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)653.57 mg/dayStandard Error 79.51
Benefits of Change - OFF2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)441.03 mg/dayStandard Error 91.71
Location Triggered Messaging - ON2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)663.92 mg/dayStandard Error 82.3
Location Triggered Messaging - ON2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)343.04 mg/dayStandard Error 94.94
Location-Triggered Messaging - OFF2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)421.24 mg/dayStandard Error 94.77
Location-Triggered Messaging - OFF2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)637.53 mg/dayStandard Error 82.16
Household Support - ON2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)353.12 mg/dayStandard Error 94.3
Household Support - ON2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)676.85 mg/dayStandard Error 81.75
Household Support - OFF2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)624.61 mg/dayStandard Error 83.57
Household Support - OFF2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)411.15 mg/dayStandard Error 96.4
Full Sample2f. Dietary Intake: DHQ-III (Sodium)0 weeks (baseline)650.73 mg/dayStandard Error 59.94
Full Sample2f. Dietary Intake: DHQ-III (Sodium)20 weeks (post-treatment)382.14 mg/dayStandard Error 65.68
p-value: <0.001ANOVA
Primary

2g. Dietary Intake: DHQ-III (Fat)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in grams of saturated fat per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)9.27 grams/dayStandard Error 1.15
Coach Monitoring - ON2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)4.92 grams/dayStandard Error 1.06
Coach Monitoring - OFF2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)7.91 grams/dayStandard Error 1.08
Coach Monitoring - OFF2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)3.59 grams/dayStandard Error 1
Benefits of Change - ON2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)9.05 grams/dayStandard Error 1.12
Benefits of Change - ON2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)3.76 grams/dayStandard Error 1.04
Benefits of Change - OFF2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)8.13 grams/dayStandard Error 1.06
Benefits of Change - OFF2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)4.74 grams/dayStandard Error 0.98
Location Triggered Messaging - ON2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)9.86 grams/dayStandard Error 1.1
Location Triggered Messaging - ON2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)4.17 grams/dayStandard Error 1.02
Location-Triggered Messaging - OFF2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)4.34 grams/dayStandard Error 1.02
Location-Triggered Messaging - OFF2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)7.32 grams/dayStandard Error 1.1
Household Support - ON2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)3.67 grams/dayStandard Error 1.01
Household Support - ON2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)9.47 grams/dayStandard Error 1.09
Household Support - OFF2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)7.71 grams/dayStandard Error 1.12
Household Support - OFF2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)4.84 grams/dayStandard Error 1.03
Full Sample2g. Dietary Intake: DHQ-III (Fat)0 weeks (baseline)8.59 grams/dayStandard Error 0.76
Full Sample2g. Dietary Intake: DHQ-III (Fat)20 weeks (post-treatment)4.25 grams/dayStandard Error 0.7
p-value: <0.001ANOVA
Primary

2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)

In Wave 2, the Diet History Questionnaire (DHQ-III) will be used instead of food recalls to assess dietary intake. This table reports the change in ounces of sugar-sweetened beverages per day. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.~The Ns reported here are smaller than the full trial sample because only Wave 2 participants completed the DHQ-III. Results here only include Wave 2 participants.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)17.29 grams/dayStandard Error 6.85
Coach Monitoring - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)18.72 grams/dayStandard Error 5.09
Coach Monitoring - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)17.39 grams/dayStandard Error 6.46
Coach Monitoring - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)6.84 grams/dayStandard Error 4.81
Benefits of Change - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)21.44 grams/dayStandard Error 6.69
Benefits of Change - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)14.38 grams/dayStandard Error 4.97
Benefits of Change - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)13.24 grams/dayStandard Error 6.33
Benefits of Change - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)11.18 grams/dayStandard Error 4.71
Location Triggered Messaging - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)24.64 grams/dayStandard Error 6.55
Location Triggered Messaging - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)7.71 grams/dayStandard Error 4.87
Location-Triggered Messaging - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)17.85 grams/dayStandard Error 4.86
Location-Triggered Messaging - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)10.04 grams/dayStandard Error 6.54
Household Support - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)10.55 grams/dayStandard Error 4.84
Household Support - ON2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)19.79 grams/dayStandard Error 6.51
Household Support - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)14.90 grams/dayStandard Error 6.66
Household Support - OFF2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)15.01 grams/dayStandard Error 4.95
Full Sample2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)0 weeks (baseline)17.34 grams/dayStandard Error 4.53
Full Sample2h. Dietary Intake: DHQ-III (Sugar-Sweetened Beverages)20 weeks (post-treatment)12.78 grams/dayStandard Error 3.37
p-value: 0.382ANOVA
Secondary

Autonomous Motivation

Motivation for healthy eating was measured using 10 items adapted from the Treatment Self-Regulation Questionnaire (Levesque et al., 2007). Using the question stem The reason I would follow a healthy diet is..., participants rated items on a scale from 1 (not at all true) to 7 (very true). Six items were averaged to create a subscale of autonomous Motivation for healthy eating (range 1-7), with higher scores on each subscale indicated higher Autonomous Motivation. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONAutonomous Motivation0 weeks (baseline)6.32 score on a scaleStandard Error 0.15
Coach Monitoring - ONAutonomous Motivation20 weeks (Post-Treatment)6.09 score on a scaleStandard Error 0.15
Coach Monitoring - ONAutonomous Motivation10 weeks (Midtreatment)6.32 score on a scaleStandard Error 0.22
Coach Monitoring - OFFAutonomous Motivation20 weeks (Post-Treatment)6.28 score on a scaleStandard Error 0.14
Coach Monitoring - OFFAutonomous Motivation10 weeks (Midtreatment)6.03 score on a scaleStandard Error 0.2
Coach Monitoring - OFFAutonomous Motivation0 weeks (baseline)6.48 score on a scaleStandard Error 0.14
Benefits of Change - ONAutonomous Motivation10 weeks (Midtreatment)5.96 score on a scaleStandard Error 0.21
Benefits of Change - ONAutonomous Motivation0 weeks (baseline)6.34 score on a scaleStandard Error 0.14
Benefits of Change - ONAutonomous Motivation20 weeks (Post-Treatment)6.09 score on a scaleStandard Error 0.14
Benefits of Change - OFFAutonomous Motivation20 weeks (Post-Treatment)6.27 score on a scaleStandard Error 0.13
Benefits of Change - OFFAutonomous Motivation0 weeks (baseline)6.46 score on a scaleStandard Error 0.13
Benefits of Change - OFFAutonomous Motivation10 weeks (Midtreatment)6.39 score on a scaleStandard Error 0.2
Location Triggered Messaging - ONAutonomous Motivation10 weeks (Midtreatment)6.22 score on a scaleStandard Error 0.21
Location Triggered Messaging - ONAutonomous Motivation0 weeks (baseline)6.43 score on a scaleStandard Error 0.14
Location Triggered Messaging - ONAutonomous Motivation20 weeks (Post-Treatment)6.32 score on a scaleStandard Error 0.14
Location-Triggered Messaging - OFFAutonomous Motivation10 weeks (Midtreatment)6.13 score on a scaleStandard Error 0.2
Location-Triggered Messaging - OFFAutonomous Motivation0 weeks (baseline)6.37 score on a scaleStandard Error 0.14
Location-Triggered Messaging - OFFAutonomous Motivation20 weeks (Post-Treatment)6.05 score on a scaleStandard Error 0.14
Household Support - ONAutonomous Motivation20 weeks (Post-Treatment)6.44 score on a scaleStandard Error 0.13
Household Support - ONAutonomous Motivation0 weeks (baseline)6.42 score on a scaleStandard Error 0.13
Household Support - ONAutonomous Motivation10 weeks (Midtreatment)6.11 score on a scaleStandard Error 0.2
Household Support - OFFAutonomous Motivation10 weeks (Midtreatment)6.24 score on a scaleStandard Error 0.21
Household Support - OFFAutonomous Motivation20 weeks (Post-Treatment)5.93 score on a scaleStandard Error 0.14
Household Support - OFFAutonomous Motivation0 weeks (baseline)6.38 score on a scaleStandard Error 0.14
Full SampleAutonomous Motivation10 weeks (Midtreatment)6.18 score on a scaleStandard Error 0.14
Full SampleAutonomous Motivation20 weeks (Post-Treatment)6.18 score on a scaleStandard Error 0.1
Full SampleAutonomous Motivation0 weeks (baseline)6.40 score on a scaleStandard Error 0.1
p-value: 0.081ANOVA
Secondary

Dietary Intake - FFQ (Guideline 1)

A 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 1 (i.e., fruits, vegetables, whole grains, and bean/ legumes ), participants rated how frequently they consumed these categories (4 items) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). A total guideline 1 score was calculated as the average of responses to the 4 items (range 0-5), where higher scores indicate more frequently eating fruits, vegetables, whole grains, and beans/legumes. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0, 10, 20 weeks

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.71 score on a scaleStandard Error 0.16
Coach Monitoring - ONDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.48 score on a scaleStandard Error 0.2
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.58 score on a scaleStandard Error 0.15
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.08 score on a scaleStandard Error 0.18
Benefits of Change - ONDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.74 score on a scaleStandard Error 0.16
Benefits of Change - ONDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.39 score on a scaleStandard Error 0.19
Benefits of Change - OFFDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.56 score on a scaleStandard Error 0.15
Benefits of Change - OFFDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.17 score on a scaleStandard Error 0.18
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.79 score on a scaleStandard Error 0.15
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.36 score on a scaleStandard Error 0.19
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.19 score on a scaleStandard Error 0.18
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.51 score on a scaleStandard Error 0.15
Household Support - ONDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.25 score on a scaleStandard Error 0.18
Household Support - ONDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.60 score on a scaleStandard Error 0.15
Household Support - OFFDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.70 score on a scaleStandard Error 0.16
Household Support - OFFDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.31 score on a scaleStandard Error 0.19
Full SampleDietary Intake - FFQ (Guideline 1)0 weeks (baseline)2.65 score on a scaleStandard Error 0.11
Full SampleDietary Intake - FFQ (Guideline 1)20 weeks (post-treatment)3.28 score on a scaleStandard Error 0.13
p-value: <0.001ANOVA
Secondary

Dietary Intake - FFQ (Guideline 2)

A 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 2 (i.e., processed foods high in fat, starches, sugars), participants rated how frequently they consumed foods from these categories (6 items) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). A total guideline 2 score was calculated as the average of responses to the 6 items (range 0-5), where higher scores indicate more frequently eating processed foods. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0, 10, 20 weeks

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.41 score on a scaleStandard Error 0.17
Coach Monitoring - ONDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.43 score on a scaleStandard Error 0.16
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.10 score on a scaleStandard Error 0.16
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.33 score on a scaleStandard Error 0.15
Benefits of Change - ONDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.20 score on a scaleStandard Error 0.16
Benefits of Change - ONDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.22 score on a scaleStandard Error 0.15
Benefits of Change - OFFDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.30 score on a scaleStandard Error 0.15
Benefits of Change - OFFDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.54 score on a scaleStandard Error 0.14
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.23 score on a scaleStandard Error 0.16
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.23 score on a scaleStandard Error 0.15
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.53 score on a scaleStandard Error 0.15
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.28 score on a scaleStandard Error 0.16
Household Support - ONDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.29 score on a scaleStandard Error 0.15
Household Support - ONDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.27 score on a scaleStandard Error 0.15
Household Support - OFFDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.24 score on a scaleStandard Error 0.16
Household Support - OFFDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.47 score on a scaleStandard Error 0.15
Full SampleDietary Intake - FFQ (Guideline 2)0 weeks (baseline)2.25 score on a scaleStandard Error 0.11
Full SampleDietary Intake - FFQ (Guideline 2)20 weeks (post-treatment)1.38 score on a scaleStandard Error 0.1
p-value: <0.001ANOVA
Secondary

Dietary Intake - FFQ (Guideline 3)

A 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 3 (i.e., red and processed meat), participants rated how frequently they consumed these categories (2 items) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). A total guideline 3 score was calculated as the average of responses to the 2 items (range 0-5), where higher scores indicate more frequently eating red and processed meats. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0, 10, 20 weeks

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.82 score on a scaleStandard Error 0.19
Coach Monitoring - ONDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment)1.11 score on a scaleStandard Error 0.16
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment)1.08 score on a scaleStandard Error 0.15
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.98 score on a scaleStandard Error 0.17
Benefits of Change - ONDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment).91 score on a scaleStandard Error 0.16
Benefits of Change - ONDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.68 score on a scaleStandard Error 0.18
Benefits of Change - OFFDietary Intake - FFQ (Guideline 3)0 weeks (baseline)2.12 score on a scaleStandard Error 0.17
Benefits of Change - OFFDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment)1.28 score on a scaleStandard Error 0.15
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment).95 score on a scaleStandard Error 0.15
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.77 score on a scaleStandard Error 0.18
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment)1.24 score on a scaleStandard Error 0.15
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 3)0 weeks (baseline)2.02 score on a scaleStandard Error 0.17
Household Support - ONDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.84 score on a scaleStandard Error 0.17
Household Support - ONDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment).93 score on a scaleStandard Error 0.15
Household Support - OFFDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.98 score on a scaleStandard Error 0.18
Household Support - OFFDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment)1.26 score on a scaleStandard Error 0.16
Full SampleDietary Intake - FFQ (Guideline 3)20 weeks (post-treatment)1.09 score on a scaleStandard Error 0.11
Full SampleDietary Intake - FFQ (Guideline 3)0 weeks (baseline)1.90 score on a scaleStandard Error 0.12
p-value: <0.001ANOVA
Secondary

Dietary Intake - FFQ (Guideline 4)

A 13-item Food Frequency Questionnaire was adapted from similar measures (Rifas-Shiman et al., 2001). To measure intake for guideline 4 (i.e., sugar-sweetened drinks), participants rated how frequently they consumed these drinks (1 item) during an average week over the past month (0=Never, 1=less than once per week, 2=once per week, 3=2-4 times/week, 4=nearly daily/daily, 5=greater than twice per day). Given intake for guideline 4 was assessed with only 1 item on the FFQ, the total guideline 4 score was the response to this single item (range 0-5), where higher scores indicate more frequently drinking sugar-sweetened drinks. This study used a factorial design, with 16 conditions (with \ 4 participants) and was designed to collapse across conditions (i.e., comparing 8 conditions where factor is ON to 8 OFF conditions). Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0, 10, 20 weeks

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.29 score on a scaleStandard Error 0.28
Coach Monitoring - ONDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.07 score on a scaleStandard Error 0.31
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.21 score on a scaleStandard Error 0.3
Coach Monitoring - OFFDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.11 score on a scaleStandard Error 0.27
Benefits of Change - ONDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.29 score on a scaleStandard Error 0.28
Benefits of Change - ONDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.07 score on a scaleStandard Error 0.31
Benefits of Change - OFFDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.16 score on a scaleStandard Error 0.29
Benefits of Change - OFFDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment).96 score on a scaleStandard Error 0.26
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.04 score on a scaleStandard Error 0.3
Location Triggered Messaging - ONDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.28 score on a scaleStandard Error 0.28
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.28 score on a scaleStandard Error 0.28
Location-Triggered Messaging - OFFDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.19 score on a scaleStandard Error 0.3
Household Support - ONDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment).94 score on a scaleStandard Error 0.27
Household Support - ONDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.24 score on a scaleStandard Error 0.29
Household Support - OFFDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.00 score on a scaleStandard Error 0.31
Household Support - OFFDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.31 score on a scaleStandard Error 0.28
Full SampleDietary Intake - FFQ (Guideline 4)20 weeks (post-treatment)1.12 score on a scaleStandard Error 0.19
Full SampleDietary Intake - FFQ (Guideline 4)0 weeks (baseline)2.12 score on a scaleStandard Error 0.21
p-value: <0.001ANOVA
Secondary

Dietary Intake-household Member

Household members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. Household members are presented with 13 categories of foods that are relevant for each of the cancer prevention dietary guidelines (e.g., Fresh, frozen, or canned fruit (not dried or fruit juice), Red meats such as beef, pork, lamb). They rated how frequently they consume each category during an average week over the past month. Scale is as follows: 0 = Never, 1 = less than per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. The 13 items are then classified into the guideline they pertain to and total guidelines scores were calculated as the average of responses to all relevant items (range 0-5) where higher scores indicate more frequently eating items associated with that nutrition guideline.

Time frame: 0, 20 weeks

Population: Household members (among partners in the household condition). Household members who served in a support role for participants assigned to the household support ON condition. We attempted to get data from all household members; however, only 17 responded to this item.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake-household MemberGuideline 1 (Baseline)2.78 score on a scaleStandard Deviation 0.83
Coach Monitoring - ONDietary Intake-household MemberGuideline 1 (Posttreatment)3.29 score on a scaleStandard Deviation 0.65
Coach Monitoring - ONDietary Intake-household MemberGuideline 2 (Baseline)2.49 score on a scaleStandard Deviation 0.72
Coach Monitoring - ONDietary Intake-household MemberGuideline 2 (Posttreatment)1.73 score on a scaleStandard Deviation 0.7
Coach Monitoring - ONDietary Intake-household MemberGuideline 3 (Baseline)2.24 score on a scaleStandard Deviation 0.66
Coach Monitoring - ONDietary Intake-household MemberGuideline 3 (Posttreatment)1.79 score on a scaleStandard Deviation 0.97
Coach Monitoring - ONDietary Intake-household MemberGuideline 4 (Baseline)1.65 score on a scaleStandard Deviation 1.8
Coach Monitoring - ONDietary Intake-household MemberGuideline 4 (Posttreatment)1.41 score on a scaleStandard Deviation 1.18
p-value: <0.05t-test, 2 sided
Secondary

Dietary Intake- Household Member - FFQ (Guideline 1)

Household members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 1 of the dietary cancer prevention guidelines (i.e., intake of fruits, vegetables, whole grains, and bean/ legumes ), household members rated how frequently they consumed these categories (4 items) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 1 score was calculated as the average of responses to the 4 items (range 0-5), where higher scores indicate more frequently eating fruits, vegetables, whole grains, and beans/legumes.

Time frame: 0, 20 weeks

Population: Household members (among partners in the household condition). Only half of participants were asked to include a household member, and 12 of these household members successfully provided data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake- Household Member - FFQ (Guideline 1)0 weeks (baseline)2.73 score on a scaleStandard Deviation 0.67
Coach Monitoring - ONDietary Intake- Household Member - FFQ (Guideline 1)20 weeks (post-treatment)3.38 score on a scaleStandard Deviation 0.67
p-value: 0.006t-test, 2 sided
Secondary

Dietary Intake - Household Member - FFQ (Guideline 2)

Household members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 2 of the dietary cancer prevention guidelines (i.e., intake of processed foods high in fat, starches, or sugars), household members rated how frequently they consumed foods that fell into these categories (6 items) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 2 score was calculated as the average of responses to the 6 items (range 0-5), where higher scores indicate more frequently eating processed foods high in far, starches, and sugars.

Time frame: 0, 20 weeks

Population: Household members (among partners in the household condition). Only half of participants were asked to include a household member, and 12 of these household members successfully provided data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake - Household Member - FFQ (Guideline 2)0 weeks (baseline)2.65 score on a scaleStandard Deviation 0.63
Coach Monitoring - ONDietary Intake - Household Member - FFQ (Guideline 2)20 weeks (post-treatment)1.71 score on a scaleStandard Deviation 0.76
p-value: <0.001t-test, 2 sided
Secondary

Dietary Intake-household Member - FFQ (Guideline 3)

Household members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 3 of the dietary cancer prevention guidelines (i.e., intake of red and processed meats), household members rated how frequently they consumed red meats and processed meats (2 items) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 3 score was calculated as the average of responses to the 2 items (range 0-5), where higher scores indicate more frequently eating red and processed meats.

Time frame: 0, 20 weeks

Population: Household members (among partners in the household condition). Only half of participants were asked to include a household member, and 12 of these household members successfully provided data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake-household Member - FFQ (Guideline 3)0 weeks (baseline)2.17 score on a scaleStandard Deviation 0.75
Coach Monitoring - ONDietary Intake-household Member - FFQ (Guideline 3)20 weeks (post-treatment)1.67 score on a scaleStandard Deviation 1.09
p-value: 0.22t-test, 2 sided
Secondary

Dietary Intake-household Member - FFQ - Guideline 4

Household members completed the same 13-item Food Frequency Questionnaire as the index participant (adapted from Rifas-Shiman et al., 2001) to measure dietary intake. To measure intake consistent with guideline 4 of the dietary cancer prevention guidelines (i.e., intake of sugar sweetened beverages), household members rated how frequently they consumed sugar sweetened beverages (1 item) during an average week over the past month. Scale was as follows: 0 = Never, 1 = less than once per week, 2= once per week, 3 = 2-4 times per week, 4 = nearly daily or daily, 5 = greater than twice per day. A total guideline 4 score was calculated as the response to this item (range 0-5), where higher scores indicate more frequently drinking sugar sweetened beverages.

Time frame: 0, 20 weeks

Population: Household members (among partners in the household condition). Only half of participants were asked to include a household member, and 12 of these household members successfully provided data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Intake-household Member - FFQ - Guideline 40 weeks (baseline)1.75 score on a scaleStandard Deviation 1.91
Coach Monitoring - ONDietary Intake-household Member - FFQ - Guideline 420 weeks (post-treatment)1.50 score on a scaleStandard Deviation 1.31
p-value: 0.623t-test, 2 sided
Secondary

Dietary Restraint

Dietary restraint was measured using the Three Factor Eating Questionnaire (Cappelleri et al., 2009). For items #1-20, participants rated statements on a 4-point Likert scale from 1 (definitely true) to 4 (definitely false; reverse coded). Item 21 assessed overall restraint on an 8-point scale from 1 (no restraint) to 8 (total restraint), recoded such that 1-2=1; 3-4=2; 5-6=3; and 7-8=4 (so that all items ranged 1-4). Six items were summed to calculate a Restraint score (range = 6-24); higher scores indicated more restraint. This pilot study used a factorial design, with 16 conditions and \ 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONDietary Restraint0 weeks (Baseline)15.98 score on a scaleStandard Error 0.6
Coach Monitoring - ONDietary Restraint20 weeks (Post-Treatment)16.57 score on a scaleStandard Error 0.65
Coach Monitoring - ONDietary Restraint10 weeks (Midtreatment)16.82 score on a scaleStandard Error 0.62
Coach Monitoring - OFFDietary Restraint20 weeks (Post-Treatment)17.05 score on a scaleStandard Error 0.6
Coach Monitoring - OFFDietary Restraint10 weeks (Midtreatment)16.45 score on a scaleStandard Error 0.57
Coach Monitoring - OFFDietary Restraint0 weeks (Baseline)14.71 score on a scaleStandard Error 0.55
Benefits of Change - ONDietary Restraint10 weeks (Midtreatment)17.04 score on a scaleStandard Error 0.59
Benefits of Change - ONDietary Restraint0 weeks (Baseline)15.21 score on a scaleStandard Error 0.57
Benefits of Change - ONDietary Restraint20 weeks (Post-Treatment)16.80 score on a scaleStandard Error 0.62
Benefits of Change - OFFDietary Restraint20 weeks (Post-Treatment)16.82 score on a scaleStandard Error 0.59
Benefits of Change - OFFDietary Restraint0 weeks (Baseline)15.49 score on a scaleStandard Error 0.55
Benefits of Change - OFFDietary Restraint10 weeks (Midtreatment)16.22 score on a scaleStandard Error 0.56
Location Triggered Messaging - ONDietary Restraint10 weeks (Midtreatment)17.00 score on a scaleStandard Error 0.6
Location Triggered Messaging - ONDietary Restraint0 weeks (Baseline)15.12 score on a scaleStandard Error 0.58
Location Triggered Messaging - ONDietary Restraint20 weeks (Post-Treatment)17.37 score on a scaleStandard Error 0.62
Location-Triggered Messaging - OFFDietary Restraint10 weeks (Midtreatment)16.27 score on a scaleStandard Error 0.57
Location-Triggered Messaging - OFFDietary Restraint0 weeks (Baseline)15.57 score on a scaleStandard Error 0.55
Location-Triggered Messaging - OFFDietary Restraint20 weeks (Post-Treatment)16.24 score on a scaleStandard Error 0.6
Household Support - ONDietary Restraint20 weeks (Post-Treatment)17.12 score on a scaleStandard Error 0.59
Household Support - ONDietary Restraint0 weeks (Baseline)14.77 score on a scaleStandard Error 0.55
Household Support - ONDietary Restraint10 weeks (Midtreatment)16.65 score on a scaleStandard Error 0.57
Household Support - OFFDietary Restraint10 weeks (Midtreatment)16.61 score on a scaleStandard Error 0.59
Household Support - OFFDietary Restraint20 weeks (Post-Treatment)16.50 score on a scaleStandard Error 0.62
Household Support - OFFDietary Restraint0 weeks (Baseline)15.92 score on a scaleStandard Error 0.57
Full SampleDietary Restraint10 weeks (Midtreatment)16.63 score on a scaleStandard Error 0.4
Full SampleDietary Restraint20 weeks (Post-Treatment)16.81 score on a scaleStandard Error 0.42
Full SampleDietary Restraint0 weeks (Baseline)15.34 score on a scaleStandard Error 0.39
p-value: 0.001ANOVA
Secondary

Emotional Eating

Emotional eating was measured using the subscale of the Three Factor Eating Questionnaire - 21 item (Cappelleri et al., 2009). Responses ranged from 1 (definitely true) to 4 (definitely false). Six were reverse coded and summed to calculate an emotional eating (range = 6-24), with higher scores indicating higher emotional eating. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONEmotional Eating0 weeks (baseline)14.43 score on a scaleStandard Error 1.23
Coach Monitoring - ONEmotional Eating20 weeks (post-treatment)13.47 score on a scaleStandard Error 1.14
Coach Monitoring - ONEmotional Eating10 weeks (mid-treatment)14.26 score on a scaleStandard Error 1.07
Coach Monitoring - OFFEmotional Eating20 weeks (post-treatment)13.04 score on a scaleStandard Error 1.07
Coach Monitoring - OFFEmotional Eating10 weeks (mid-treatment)12.87 score on a scaleStandard Error 1
Coach Monitoring - OFFEmotional Eating0 weeks (baseline)12.94 score on a scaleStandard Error 1.15
Benefits of Change - ONEmotional Eating10 weeks (mid-treatment)13.29 score on a scaleStandard Error 1.03
Benefits of Change - ONEmotional Eating0 weeks (baseline)13.21 score on a scaleStandard Error 1.19
Benefits of Change - ONEmotional Eating20 weeks (post-treatment)12.69 score on a scaleStandard Error 1.1
Benefits of Change - OFFEmotional Eating20 weeks (post-treatment)13.82 score on a scaleStandard Error 1.03
Benefits of Change - OFFEmotional Eating0 weeks (baseline)14.14 score on a scaleStandard Error 1.11
Benefits of Change - OFFEmotional Eating10 weeks (mid-treatment)13.83 score on a scaleStandard Error 0.96
Location Triggered Messaging - ONEmotional Eating10 weeks (mid-treatment)13.46 score on a scaleStandard Error 1.02
Location Triggered Messaging - ONEmotional Eating0 weeks (baseline)12.98 score on a scaleStandard Error 1.18
Location Triggered Messaging - ONEmotional Eating20 weeks (post-treatment)13.43 score on a scaleStandard Error 1.09
Location-Triggered Messaging - OFFEmotional Eating10 weeks (mid-treatment)13.66 score on a scaleStandard Error 1
Location-Triggered Messaging - OFFEmotional Eating0 weeks (baseline)14.36 score on a scaleStandard Error 1.15
Location-Triggered Messaging - OFFEmotional Eating20 weeks (post-treatment)13.08 score on a scaleStandard Error 1.07
Household Support - ONEmotional Eating20 weeks (post-treatment)12.61 score on a scaleStandard Error 1.04
Household Support - ONEmotional Eating0 weeks (baseline)13.08 score on a scaleStandard Error 1.12
Household Support - ONEmotional Eating10 weeks (mid-treatment)13.19 score on a scaleStandard Error 0.97
Household Support - OFFEmotional Eating10 weeks (mid-treatment)13.93 score on a scaleStandard Error 1.03
Household Support - OFFEmotional Eating20 weeks (post-treatment)13.90 score on a scaleStandard Error 1.11
Household Support - OFFEmotional Eating0 weeks (baseline)14.26 score on a scaleStandard Error 1.19
Full SampleEmotional Eating10 weeks (mid-treatment)13.56 score on a scaleStandard Error 0.7
Full SampleEmotional Eating20 weeks (post-treatment)13.25 score on a scaleStandard Error 0.75
Full SampleEmotional Eating0 weeks (baseline)13.67 score on a scaleStandard Error 0.8
p-value: 0.581ANOVA
Secondary

External Motivation

Motivation for healthy eating was measured using 10 items adapted from the Treatment Self-Regulation Questionnaire (Levesque et al., 2007). Using the question stem The reason I would follow a healthy diet is..., participants rated items on a scale from 1 (not at all true) to 7 (very true). Four items were averaged to create the subscale of external Motivation for healthy eating (range 1-7). Higher scores on each subscale indicated higher external motivation for healthy eating. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONExternal Motivation0 weeks (Baseline)2.82 score on a scaleStandard Error 0.28
Coach Monitoring - ONExternal Motivation20 weeks (Post-Treatment)2.95 score on a scaleStandard Error 0.28
Coach Monitoring - ONExternal Motivation10 weeks (Midtreatment)3.19 score on a scaleStandard Error 0.29
Coach Monitoring - OFFExternal Motivation20 weeks (Post-Treatment)2.44 score on a scaleStandard Error 0.26
Coach Monitoring - OFFExternal Motivation10 weeks (Midtreatment)2.74 score on a scaleStandard Error 0.27
Coach Monitoring - OFFExternal Motivation0 weeks (Baseline)2.75 score on a scaleStandard Error 0.26
Benefits of Change - ONExternal Motivation10 weeks (Midtreatment)2.88 score on a scaleStandard Error 0.28
Benefits of Change - ONExternal Motivation0 weeks (Baseline)2.89 score on a scaleStandard Error 0.27
Benefits of Change - ONExternal Motivation20 weeks (Post-Treatment)2.74 score on a scaleStandard Error 0.27
Benefits of Change - OFFExternal Motivation20 weeks (Post-Treatment)2.65 score on a scaleStandard Error 0.25
Benefits of Change - OFFExternal Motivation0 weeks (Baseline)2.68 score on a scaleStandard Error 0.25
Benefits of Change - OFFExternal Motivation10 weeks (Midtreatment)3.05 score on a scaleStandard Error 0.26
Location Triggered Messaging - ONExternal Motivation10 weeks (Midtreatment)2.88 score on a scaleStandard Error 0.28
Location Triggered Messaging - ONExternal Motivation0 weeks (Baseline)2.82 score on a scaleStandard Error 0.27
Location Triggered Messaging - ONExternal Motivation20 weeks (Post-Treatment)2.80 score on a scaleStandard Error 0.27
Location-Triggered Messaging - OFFExternal Motivation10 weeks (Midtreatment)3.05 score on a scaleStandard Error 0.27
Location-Triggered Messaging - OFFExternal Motivation0 weeks (Baseline)2.75 score on a scaleStandard Error 0.26
Location-Triggered Messaging - OFFExternal Motivation20 weeks (Post-Treatment)2.58 score on a scaleStandard Error 0.26
Household Support - ONExternal Motivation20 weeks (Post-Treatment)2.32 score on a scaleStandard Error 0.25
Household Support - ONExternal Motivation0 weeks (Baseline)2.71 score on a scaleStandard Error 0.25
Household Support - ONExternal Motivation10 weeks (Midtreatment)2.72 score on a scaleStandard Error 0.27
Household Support - OFFExternal Motivation10 weeks (Midtreatment)3.21 score on a scaleStandard Error 0.28
Household Support - OFFExternal Motivation20 weeks (Post-Treatment)3.06 score on a scaleStandard Error 0.27
Household Support - OFFExternal Motivation0 weeks (Baseline)2.86 score on a scaleStandard Error 0.27
Full SampleExternal Motivation10 weeks (Midtreatment)2.96 score on a scaleStandard Error 0.19
Full SampleExternal Motivation20 weeks (Post-Treatment)2.69 score on a scaleStandard Error 0.18
Full SampleExternal Motivation0 weeks (Baseline)2.78 score on a scaleStandard Error 0.18
p-value: 0.343ANOVA
Secondary

Goal Salience

Goal salience while grocery shopping was measured using an investigator-developed self-report questionnaire. Participants rated 3 questions pertaining to salience of health goals during grocery shopping on a sliding scale from 0 (not at all) to 100 (very much): Scores on these three items were averaged to compute a global Goal Salience total score (range = 0-100), with higher scores indicating higher goal salience. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGoal Salience10 weeks (mid-treatment)71.96 score on a scaleStandard Error 4.22
Coach Monitoring - ONGoal Salience20 weeks (post-treatment)66.58 score on a scaleStandard Error 3.96
Coach Monitoring - ONGoal Salience0 weeks (baseline)56.62 score on a scaleStandard Error 4.62
Coach Monitoring - OFFGoal Salience10 weeks (mid-treatment)72.04 score on a scaleStandard Error 3.94
Coach Monitoring - OFFGoal Salience0 weeks (baseline)53.35 score on a scaleStandard Error 4.32
Coach Monitoring - OFFGoal Salience20 weeks (post-treatment)69.23 score on a scaleStandard Error 3.7
Benefits of Change - ONGoal Salience20 weeks (post-treatment)70.67 score on a scaleStandard Error 3.82
Benefits of Change - ONGoal Salience0 weeks (baseline)57.97 score on a scaleStandard Error 4.46
Benefits of Change - ONGoal Salience10 weeks (mid-treatment)74.40 score on a scaleStandard Error 4.06
Benefits of Change - OFFGoal Salience10 weeks (mid-treatment)69.60 score on a scaleStandard Error 3.79
Benefits of Change - OFFGoal Salience20 weeks (post-treatment)65.14 score on a scaleStandard Error 3.56
Benefits of Change - OFFGoal Salience0 weeks (baseline)53.99 score on a scaleStandard Error 4.16
Location Triggered Messaging - ONGoal Salience0 weeks (baseline)53.80 score on a scaleStandard Error 4.42
Location Triggered Messaging - ONGoal Salience20 weeks (post-treatment)70.88 score on a scaleStandard Error 3.79
Location Triggered Messaging - ONGoal Salience10 weeks (mid-treatment)74.52 score on a scaleStandard Error 4.03
Location-Triggered Messaging - OFFGoal Salience10 weeks (mid-treatment)69.48 score on a scaleStandard Error 3.93
Location-Triggered Messaging - OFFGoal Salience20 weeks (post-treatment)64.93 score on a scaleStandard Error 3.7
Location-Triggered Messaging - OFFGoal Salience0 weeks (baseline)58.16 score on a scaleStandard Error 4.31
Household Support - ONGoal Salience20 weeks (post-treatment)69.61 score on a scaleStandard Error 3.61
Household Support - ONGoal Salience10 weeks (mid-treatment)71.93 score on a scaleStandard Error 3.84
Household Support - ONGoal Salience0 weeks (baseline)59.02 score on a scaleStandard Error 4.21
Household Support - OFFGoal Salience0 weeks (baseline)53.94 score on a scaleStandard Error 4.47
Household Support - OFFGoal Salience10 weeks (mid-treatment)72.07 score on a scaleStandard Error 4.07
Household Support - OFFGoal Salience20 weeks (post-treatment)66.20 score on a scaleStandard Error 3.83
Full SampleGoal Salience20 weeks (post-treatment)67.90 score on a scaleStandard Error 2.58
Full SampleGoal Salience0 weeks (baseline)55.98 score on a scaleStandard Error 3.02
Full SampleGoal Salience10 weeks (mid-treatment)72.00 score on a scaleStandard Error 2.75
p-value: <0.001ANOVA
Secondary

Goals and Stages of Change- Household Member

Two self-report items developed by the investigator assessed the goals of the selected household member at baseline: On a scale of 1-100, how important is it that you adopt healthier eating habits right now?. Item 2 asked On a scale of 1-100, how important is it that you help your household member adopt healthier eating habits right now?. For each item, household members responded on a scale from 0 - not important at all, 50 - about as important as most of the other things I would like to achieve now, to 100 - most important thing in my life now. Items were analyzed at individually, and each item ranged 0-100 where higher scores indicate higher importance of the associated goal.

Time frame: 0 weeks

Population: Household members who served in a support role for participants assigned to the household support ON condition. We attempted to get data from all household members; however, only 17 responded on this item.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGoals and Stages of Change- Household MemberImportance of Change Own Habits69.76 score on a scaleStandard Deviation 19.94
Coach Monitoring - ONGoals and Stages of Change- Household MemberImportance of Helping Participant Change Habits73.88 score on a scaleStandard Deviation 22.32
Secondary

Quality of Household Relationship

Quality of the household relationship was measured using 5 items adapted from the Relationship Assessment Scale (Hendrick, 1988). Items assessed the quality of their relationship with the person who served as their household support partner in the Eatwell program (e.g., How well does this person meet your needs) on a scale from 1 (Low) to 5 (High). Scores on the 5 items were averaged to calculate a Relationship Quality total score (range 1-5); higher scores indicated higher perceived relationship quality. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Baseline scores are reported for each condition and for the full sample.

ArmMeasureValue (MEAN)Dispersion
Coach Monitoring - ONQuality of Household Relationship4.10 score on a scaleStandard Error 0.13
Coach Monitoring - OFFQuality of Household Relationship4.41 score on a scaleStandard Error 0.13
Benefits of Change - ONQuality of Household Relationship4.30 score on a scaleStandard Error 0.13
Benefits of Change - OFFQuality of Household Relationship4.21 score on a scaleStandard Error 0.13
Location Triggered Messaging - ONQuality of Household Relationship4.19 score on a scaleStandard Error 0.13
Location-Triggered Messaging - OFFQuality of Household Relationship4.32 score on a scaleStandard Error 0.13
Household Support - ONQuality of Household Relationship4.33 score on a scaleStandard Error 0.13
Household Support - OFFQuality of Household Relationship4.18 score on a scaleStandard Error 0.13
Full SampleQuality of Household Relationship4.25 score on a scaleStandard Error 0.72
Secondary

Social Support (Discouragement)

Participants completed the Sallis Social Support for Diet Questionnaire (Sallis et al., 1987). Using the question stem The other adult(s) in my household..., participants rated items on a scale from 1 (none) to 5 (very often). 6 indicated Not Applicable, which was recoded as 1 (none). Five items (e.g., ate unhealthy foods in front of me) were summed to create the Discouragement of Healthy Eating subscale (range 5-25); higher scores indicated higher discouragement. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONSocial Support (Discouragement)0 weeks (Baseline)13.64 score on a scaleStandard Error 0.99
Coach Monitoring - ONSocial Support (Discouragement)20 weeks (Post-Treatment)12.71 score on a scaleStandard Error 1.01
Coach Monitoring - ONSocial Support (Discouragement)10 weeks (Midtreatment)12.64 score on a scaleStandard Error 0.9
Coach Monitoring - OFFSocial Support (Discouragement)20 weeks (Post-Treatment)12.10 score on a scaleStandard Error 0.94
Coach Monitoring - OFFSocial Support (Discouragement)10 weeks (Midtreatment)11.56 score on a scaleStandard Error 0.84
Coach Monitoring - OFFSocial Support (Discouragement)0 weeks (Baseline)13.37 score on a scaleStandard Error 0.92
Benefits of Change - ONSocial Support (Discouragement)10 weeks (Midtreatment)11.43 score on a scaleStandard Error 0.87
Benefits of Change - ONSocial Support (Discouragement)0 weeks (Baseline)13.55 score on a scaleStandard Error 0.95
Benefits of Change - ONSocial Support (Discouragement)20 weeks (Post-Treatment)11.91 score on a scaleStandard Error 0.97
Benefits of Change - OFFSocial Support (Discouragement)20 weeks (Post-Treatment)12.90 score on a scaleStandard Error 0.91
Benefits of Change - OFFSocial Support (Discouragement)0 weeks (Baseline)13.46 score on a scaleStandard Error 0.89
Benefits of Change - OFFSocial Support (Discouragement)10 weeks (Midtreatment)12.76 score on a scaleStandard Error 0.81
Location Triggered Messaging - ONSocial Support (Discouragement)10 weeks (Midtreatment)11.03 score on a scaleStandard Error 0.86
Location Triggered Messaging - ONSocial Support (Discouragement)0 weeks (Baseline)13.42 score on a scaleStandard Error 0.95
Location Triggered Messaging - ONSocial Support (Discouragement)20 weeks (Post-Treatment)11.26 score on a scaleStandard Error 0.97
Location-Triggered Messaging - OFFSocial Support (Discouragement)10 weeks (Midtreatment)13.16 score on a scaleStandard Error 0.84
Location-Triggered Messaging - OFFSocial Support (Discouragement)0 weeks (Baseline)13.59 score on a scaleStandard Error 0.92
Location-Triggered Messaging - OFFSocial Support (Discouragement)20 weeks (Post-Treatment)13.55 score on a scaleStandard Error 0.94
Household Support - ONSocial Support (Discouragement)20 weeks (Post-Treatment)11.88 score on a scaleStandard Error 0.92
Household Support - ONSocial Support (Discouragement)0 weeks (Baseline)13.64 score on a scaleStandard Error 0.9
Household Support - ONSocial Support (Discouragement)10 weeks (Midtreatment)11.28 score on a scaleStandard Error 0.82
Household Support - OFFSocial Support (Discouragement)10 weeks (Midtreatment)12.91 score on a scaleStandard Error 0.87
Household Support - OFFSocial Support (Discouragement)20 weeks (Post-Treatment)12.93 score on a scaleStandard Error 0.98
Household Support - OFFSocial Support (Discouragement)0 weeks (Baseline)13.37 score on a scaleStandard Error 0.95
Full SampleSocial Support (Discouragement)10 weeks (Midtreatment)12.10 score on a scaleStandard Error 0.59
Full SampleSocial Support (Discouragement)20 weeks (Post-Treatment)12.40 score on a scaleStandard Error 0.66
Full SampleSocial Support (Discouragement)0 weeks (Baseline)13.51 score on a scaleStandard Error 0.64
p-value: 0.055ANOVA
Secondary

Social Support (Encouragement)

Participants responded to 10 items adapted from the Sallis Social Support for Diet Questionnaire (Sallis et al., 1987). Using the question stem The other adult(s) in my household..., participants rated items on a scale from 1 (none) to 5 (very often), with 6 indicating Not Applicable (N/A; recoded as 1). Five items were summed to measure encouragement of healthy eating (e.g., complimented me on changing my eating habits; range 5-25), with higher scores indicating higher encouragement. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONSocial Support (Encouragement)0 weeks (Baseline)14.05 score on a scaleStandard Error 0.9
Coach Monitoring - ONSocial Support (Encouragement)20 weeks (Post-Treatment)13.65 score on a scaleStandard Error 1.14
Coach Monitoring - ONSocial Support (Encouragement)10 weeks (Midtreatment)14.16 score on a scaleStandard Error 1.03
Coach Monitoring - OFFSocial Support (Encouragement)20 weeks (Post-Treatment)14.14 score on a scaleStandard Error 1.07
Coach Monitoring - OFFSocial Support (Encouragement)10 weeks (Midtreatment)14.46 score on a scaleStandard Error 0.96
Coach Monitoring - OFFSocial Support (Encouragement)0 weeks (Baseline)12.51 score on a scaleStandard Error 0.84
Benefits of Change - ONSocial Support (Encouragement)10 weeks (Midtreatment)14.66 score on a scaleStandard Error 0.99
Benefits of Change - ONSocial Support (Encouragement)0 weeks (Baseline)13.64 score on a scaleStandard Error 0.87
Benefits of Change - ONSocial Support (Encouragement)20 weeks (Post-Treatment)14.02 score on a scaleStandard Error 1.1
Benefits of Change - OFFSocial Support (Encouragement)20 weeks (Post-Treatment)13.78 score on a scaleStandard Error 1.03
Benefits of Change - OFFSocial Support (Encouragement)0 weeks (Baseline)12.91 score on a scaleStandard Error 0.81
Benefits of Change - OFFSocial Support (Encouragement)10 weeks (Midtreatment)13.95 score on a scaleStandard Error 0.92
Location Triggered Messaging - ONSocial Support (Encouragement)10 weeks (Midtreatment)14.54 score on a scaleStandard Error 0.98
Location Triggered Messaging - ONSocial Support (Encouragement)0 weeks (Baseline)13.31 score on a scaleStandard Error 0.86
Location Triggered Messaging - ONSocial Support (Encouragement)20 weeks (Post-Treatment)13.24 score on a scaleStandard Error 1.09
Location-Triggered Messaging - OFFSocial Support (Encouragement)10 weeks (Midtreatment)14.08 score on a scaleStandard Error 0.96
Location-Triggered Messaging - OFFSocial Support (Encouragement)0 weeks (Baseline)13.24 score on a scaleStandard Error 0.84
Location-Triggered Messaging - OFFSocial Support (Encouragement)20 weeks (Post-Treatment)14.55 score on a scaleStandard Error 1.07
Household Support - ONSocial Support (Encouragement)20 weeks (Post-Treatment)14.66 score on a scaleStandard Error 1.04
Household Support - ONSocial Support (Encouragement)0 weeks (Baseline)12.39 score on a scaleStandard Error 0.82
Household Support - ONSocial Support (Encouragement)10 weeks (Midtreatment)14.46 score on a scaleStandard Error 0.94
Household Support - OFFSocial Support (Encouragement)10 weeks (Midtreatment)14.16 score on a scaleStandard Error 0.99
Household Support - OFFSocial Support (Encouragement)20 weeks (Post-Treatment)13.14 score on a scaleStandard Error 1.11
Household Support - OFFSocial Support (Encouragement)0 weeks (Baseline)14.16 score on a scaleStandard Error 0.87
Full SampleSocial Support (Encouragement)10 weeks (Midtreatment)14.31 score on a scaleStandard Error 0.67
Full SampleSocial Support (Encouragement)20 weeks (Post-Treatment)13.90 score on a scaleStandard Error 12.4
Full SampleSocial Support (Encouragement)0 weeks (Baseline)13.28 score on a scaleStandard Error 0.59
p-value: 0.369ANOVA
Secondary

Supportive Accountability

Supportive accountability was measured using 5 items adapted from the Perceptions of Accountability Scale (Chhabria et al., 2020). Participants rated 5 items (e.g., I feel accountable to others for meeting my dietary goals) on a sliding scale from 0 (not at all) to 100 (very much). Scores on the 5 items were averaged to produce a global Supportive Accountability total score (range 0-100), with higher scores indicating higher perceived supportive accountability to others for dietary/healthy eating goals. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONSupportive Accountability0 weeks (baseline)54.89 score on a scaleStandard Error 5.11
Coach Monitoring - ONSupportive Accountability20 weeks (post-treatment)49.42 score on a scaleStandard Error 4.84
Coach Monitoring - ONSupportive Accountability10 weeks (mid-treatment)52.82 score on a scaleStandard Error 4.99
Coach Monitoring - OFFSupportive Accountability20 weeks (post-treatment)43.19 score on a scaleStandard Error 4.52
Coach Monitoring - OFFSupportive Accountability10 weeks (mid-treatment)50.53 score on a scaleStandard Error 4.66
Coach Monitoring - OFFSupportive Accountability0 weeks (baseline)44.23 score on a scaleStandard Error 4.77
Benefits of Change - ONSupportive Accountability10 weeks (mid-treatment)57.13 score on a scaleStandard Error 4.81
Benefits of Change - ONSupportive Accountability0 weeks (baseline)51.69 score on a scaleStandard Error 4.93
Benefits of Change - ONSupportive Accountability20 weeks (post-treatment)49.20 score on a scaleStandard Error 4.67
Benefits of Change - OFFSupportive Accountability10 weeks (mid-treatment)46.22 score on a scaleStandard Error 4.49
Benefits of Change - OFFSupportive Accountability0 weeks (baseline)47.42 score on a scaleStandard Error 4.6
Benefits of Change - OFFSupportive Accountability20 weeks (post-treatment)43.41 score on a scaleStandard Error 4.36
Location Triggered Messaging - ONSupportive Accountability10 weeks (mid-treatment)50.86 score on a scaleStandard Error 4.78
Location Triggered Messaging - ONSupportive Accountability20 weeks (post-treatment)49.20 score on a scaleStandard Error 4.63
Location Triggered Messaging - ONSupportive Accountability0 weeks (baseline)48.39 score on a scaleStandard Error 4.89
Location-Triggered Messaging - OFFSupportive Accountability20 weeks (post-treatment)43.41 score on a scaleStandard Error 4.52
Location-Triggered Messaging - OFFSupportive Accountability10 weeks (mid-treatment)52.49 score on a scaleStandard Error 4.66
Location-Triggered Messaging - OFFSupportive Accountability0 weeks (baseline)50.73 score on a scaleStandard Error 4.77
Household Support - ONSupportive Accountability0 weeks (baseline)46.62 score on a scaleStandard Error 4.66
Household Support - ONSupportive Accountability10 weeks (mid-treatment)49.55 score on a scaleStandard Error 4.55
Household Support - ONSupportive Accountability20 weeks (post-treatment)42.50 score on a scaleStandard Error 4.41
Household Support - OFFSupportive Accountability10 weeks (mid-treatment)53.80 score on a scaleStandard Error 4.82
Household Support - OFFSupportive Accountability0 weeks (baseline)52.40 score on a scaleStandard Error 4.94
Household Support - OFFSupportive Accountability20 weeks (post-treatment)50.11 score on a scaleStandard Error 4.68
Full SampleSupportive Accountability10 weeks (mid-treatment)51.67 score on a scaleStandard Error 3.26
Full SampleSupportive Accountability20 weeks (post-treatment)46.31 score on a scaleStandard Error 3.16
Full SampleSupportive Accountability0 weeks (baseline)49.56 score on a scaleStandard Error 3.33
p-value: 0.178ANOVA
Secondary

Treatment Acceptability: 10 Weeks

An adapted 8- item version of the Treatment Acceptability Questionnaire (Hunsley, 1993) was used to assess intervention acceptability. Eight questions probed their program experience and how helpful/acceptable they found various intervention components (e.g., How effective do you think this program is?). Responses ranged from 1 = no/low acceptability to 7 = high acceptability. A total score was calculated as the average across all 8 items (range 8-56) where higher scores indicate greater treatment acceptability. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 10 weeks (mid-treatment)

ArmMeasureValue (MEAN)Dispersion
Coach Monitoring - ONTreatment Acceptability: 10 Weeks47.51 score on a scaleStandard Error 2.02
Coach Monitoring - OFFTreatment Acceptability: 10 Weeks44.13 score on a scaleStandard Error 1.97
Benefits of Change - ONTreatment Acceptability: 10 Weeks46.25 score on a scaleStandard Error 1.85
Benefits of Change - OFFTreatment Acceptability: 10 Weeks45.39 score on a scaleStandard Error 2.03
Location Triggered Messaging - ONTreatment Acceptability: 10 Weeks44.87 score on a scaleStandard Error 2.04
Location-Triggered Messaging - OFFTreatment Acceptability: 10 Weeks46.77 score on a scaleStandard Error 1.89
Household Support - ONTreatment Acceptability: 10 Weeks44.82 score on a scaleStandard Error 1.7
Household Support - OFFTreatment Acceptability: 10 Weeks46.82 score on a scaleStandard Error 2.09
Full SampleTreatment Acceptability: 10 Weeks45.76 score on a scaleStandard Error 1.28
Secondary

Treatment Acceptability: 20 Weeks

An adapted 8- item version of the Treatment Acceptability Questionnaire (Hunsley, 1993) was used to assess intervention acceptability. Eight questions probed their program experience and how helpful/acceptable they found various intervention components (e.g., How effective do you think this program is?). Responses ranged from 1 = no/low acceptability to 7 = high acceptability. A total score was calculated as the average across all 8 items (range 8-56) where higher scores indicate greater treatment acceptability. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 20 weeks (post-treatment)

ArmMeasureValue (MEAN)Dispersion
Coach Monitoring - ONTreatment Acceptability: 20 Weeks47.71 score on a scaleStandard Deviation 2.11
Coach Monitoring - OFFTreatment Acceptability: 20 Weeks46.46 score on a scaleStandard Deviation 2.1
Benefits of Change - ONTreatment Acceptability: 20 Weeks48.31 score on a scaleStandard Deviation 1.94
Benefits of Change - OFFTreatment Acceptability: 20 Weeks45.87 score on a scaleStandard Deviation 1.87
Location Triggered Messaging - ONTreatment Acceptability: 20 Weeks48.51 score on a scaleStandard Deviation 2.21
Location-Triggered Messaging - OFFTreatment Acceptability: 20 Weeks45.67 score on a scaleStandard Deviation 2.02
Household Support - ONTreatment Acceptability: 20 Weeks46.87 score on a scaleStandard Deviation 1.53
Household Support - OFFTreatment Acceptability: 20 Weeks47.31 score on a scaleStandard Deviation 2.33
Full SampleTreatment Acceptability: 20 Weeks46.82 score on a scaleStandard Deviation 1.25
Secondary

Treatment Acceptability - Household

Household members completed the same adapted 8- item version of the Treatment Acceptability Questionnaire (Hunsley, 1993) as index participants. This measured acceptability of the intervention. Household members were presented with 8 questions about their experience during the program and how helpful/acceptable they found various intervention components to be (e.g., How effective do you think this program is?, How trustworthy do you think your coach was?. Household members responded to each question on a 7-point Likert scale where 1 = no/low acceptability and 7 = high acceptability. A total score was calculated as the average across all 8 items (range 8-56) where higher scores indicate greater treatment acceptability.

Time frame: 20 weeks

Population: Household members (among partners in the household condition). Household members who served in a support role for participants assigned to the household support ON condition. We attempted to get data from all household members; however, only 17 responded on this item.

ArmMeasureValue (MEAN)Dispersion
Coach Monitoring - ONTreatment Acceptability - Household45.00 score on a scaleStandard Deviation 5.71
Secondary

Uncontrolled Eating

Uncontrolled eating was measured using the subscale of the Three Factor Eating Questionnaire - 21 item (Cappelleri et al., 2009). Responses ranged from 1 (definitely true) to 4 (definitely false). Items were reverse coded and summed to calculate an uncontrolled eating (range = 6-24), with higher scores indicating higher uncontrolled eating. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 (Baseline), 10 (Midtreatment), 20 weeks (Posttreatment)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Change across time for each outcome are reported for each condition and for the full sample.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONUncontrolled Eating0 weeks (baseline)20.03 score on a scaleStandard Error 1.28
Coach Monitoring - ONUncontrolled Eating20 weeks (post-treatment)18.49 score on a scaleStandard Error 1.17
Coach Monitoring - ONUncontrolled Eating10 weeks (mid-treatment)18.80 score on a scaleStandard Error 1.11
Coach Monitoring - OFFUncontrolled Eating20 weeks (post-treatment)17.91 score on a scaleStandard Error 1.09
Coach Monitoring - OFFUncontrolled Eating10 weeks (mid-treatment)18.13 score on a scaleStandard Error 1.04
Coach Monitoring - OFFUncontrolled Eating0 weeks (baseline)19.45 score on a scaleStandard Error 1.2
Benefits of Change - ONUncontrolled Eating10 weeks (mid-treatment)18.83 score on a scaleStandard Error 1.07
Benefits of Change - ONUncontrolled Eating0 weeks (baseline)19.47 score on a scaleStandard Error 1.23
Benefits of Change - ONUncontrolled Eating20 weeks (post-treatment)17.49 score on a scaleStandard Error 1.12
Benefits of Change - OFFUncontrolled Eating20 weeks (post-treatment)18.90 score on a scaleStandard Error 1.05
Benefits of Change - OFFUncontrolled Eating0 weeks (baseline)20.02 score on a scaleStandard Error 1.25
Benefits of Change - OFFUncontrolled Eating10 weeks (mid-treatment)18.10 score on a scaleStandard Error 1
Location Triggered Messaging - ONUncontrolled Eating10 weeks (mid-treatment)18.07 score on a scaleStandard Error 1.06
Location Triggered Messaging - ONUncontrolled Eating0 weeks (baseline)19.37 score on a scaleStandard Error 1.23
Location Triggered Messaging - ONUncontrolled Eating20 weeks (post-treatment)18.43 score on a scaleStandard Error 1.11
Location-Triggered Messaging - OFFUncontrolled Eating10 weeks (mid-treatment)18.86 score on a scaleStandard Error 1.04
Location-Triggered Messaging - OFFUncontrolled Eating0 weeks (baseline)20.11 score on a scaleStandard Error 1.19
Location-Triggered Messaging - OFFUncontrolled Eating20 weeks (post-treatment)17.97 score on a scaleStandard Error 1.09
Household Support - ONUncontrolled Eating20 weeks (post-treatment)18.48 score on a scaleStandard Error 1.06
Household Support - ONUncontrolled Eating0 weeks (baseline)20.63 score on a scaleStandard Error 1.17
Household Support - ONUncontrolled Eating10 weeks (mid-treatment)18.90 score on a scaleStandard Error 1.01
Household Support - OFFUncontrolled Eating10 weeks (mid-treatment)18.03 score on a scaleStandard Error 1.07
Household Support - OFFUncontrolled Eating20 weeks (post-treatment)17.91 score on a scaleStandard Error 1.13
Household Support - OFFUncontrolled Eating0 weeks (baseline)18.86 score on a scaleStandard Error 1.24
Full SampleUncontrolled Eating10 weeks (mid-treatment)18.46 score on a scaleStandard Error 0.73
Full SampleUncontrolled Eating20 weeks (post-treatment)18.20 score on a scaleStandard Error 0.76
Full SampleUncontrolled Eating0 weeks (baseline)19.74 score on a scaleStandard Error 0.84
p-value: 0.079ANOVA
Secondary

Weight History

Weight history was measured using an investigator developed questionnaire. Participants answered the following question about weight history in the past 6 months: Which of these statements best describe what has happened to your weight during the past 6 months? Answer choices included: (1) My weight has stayed the same; (2) I've been losing weight; (3) I've been gaining weight; or (4) My weigh has fluctuated a lot. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: 0 weeks (Baseline)

Population: Participants were randomly assigned to whether each of the four conditions were on (location triggered messaging, coach monitoring, benefits of change, and household report). Baseline scores are reported for each condition and for the full sample.

ArmMeasureGroupValue (NUMBER)
Coach Monitoring - ONWeight HistoryMy weight has stayed about the same11 count of participants
Coach Monitoring - ONWeight HistoryI've been losing weight2 count of participants
Coach Monitoring - ONWeight HistoryI've been gaining weight14 count of participants
Coach Monitoring - ONWeight HistoryMy weight has fluctuated a lot4 count of participants
Coach Monitoring - OFFWeight HistoryMy weight has fluctuated a lot6 count of participants
Coach Monitoring - OFFWeight HistoryMy weight has stayed about the same14 count of participants
Coach Monitoring - OFFWeight HistoryI've been losing weight5 count of participants
Coach Monitoring - OFFWeight HistoryI've been gaining weight6 count of participants
Benefits of Change - ONWeight HistoryI've been losing weight4 count of participants
Benefits of Change - ONWeight HistoryMy weight has fluctuated a lot5 count of participants
Benefits of Change - ONWeight HistoryI've been gaining weight6 count of participants
Benefits of Change - ONWeight HistoryMy weight has stayed about the same16 count of participants
Benefits of Change - OFFWeight HistoryMy weight has stayed about the same9 count of participants
Benefits of Change - OFFWeight HistoryI've been losing weight3 count of participants
Benefits of Change - OFFWeight HistoryI've been gaining weight14 count of participants
Benefits of Change - OFFWeight HistoryMy weight has fluctuated a lot5 count of participants
Location Triggered Messaging - ONWeight HistoryI've been gaining weight10 count of participants
Location Triggered Messaging - ONWeight HistoryI've been losing weight3 count of participants
Location Triggered Messaging - ONWeight HistoryMy weight has stayed about the same12 count of participants
Location Triggered Messaging - ONWeight HistoryMy weight has fluctuated a lot5 count of participants
Location-Triggered Messaging - OFFWeight HistoryMy weight has fluctuated a lot5 count of participants
Location-Triggered Messaging - OFFWeight HistoryMy weight has stayed about the same13 count of participants
Location-Triggered Messaging - OFFWeight HistoryI've been gaining weight10 count of participants
Location-Triggered Messaging - OFFWeight HistoryI've been losing weight4 count of participants
Household Support - ONWeight HistoryI've been gaining weight10 count of participants
Household Support - ONWeight HistoryI've been losing weight5 count of participants
Household Support - ONWeight HistoryMy weight has fluctuated a lot3 count of participants
Household Support - ONWeight HistoryMy weight has stayed about the same13 count of participants
Household Support - OFFWeight HistoryI've been losing weight2 count of participants
Household Support - OFFWeight HistoryMy weight has fluctuated a lot7 count of participants
Household Support - OFFWeight HistoryI've been gaining weight10 count of participants
Household Support - OFFWeight HistoryMy weight has stayed about the same12 count of participants
Full SampleWeight HistoryMy weight has stayed about the same25 count of participants
Full SampleWeight HistoryMy weight has fluctuated a lot10 count of participants
Full SampleWeight HistoryI've been gaining weight20 count of participants
Full SampleWeight HistoryI've been losing weight7 count of participants
Other Pre-specified

Adherence to AICR Cancer Prevention Guidelines: Guideline 1

To calculate adherence to the NCI dietary recommendations for guideline 1 (fruits, vegetables, and fiber), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of dietary intake for whole grains, beans, fruits, and vegetable consumption, participants receive adherence scores for each dietary domain of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 1 (fruits, vegetables, and fiber) total adherence score (range 0-1) was calculated as the average of adherence scores for whole grains, beans, fruits, and vegetable consumption.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).38 score on a scaleStandard Error 0.05
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).50 score on a scaleStandard Error 0.06
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).48 score on a scaleStandard Error 0.05
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).39 score on a scaleStandard Error 0.06
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).45 score on a scaleStandard Error 0.06
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).44 score on a scaleStandard Error 0.06
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).40 score on a scaleStandard Error 0.05
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).45 score on a scaleStandard Error 0.06
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).47 score on a scaleStandard Error 0.06
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).44 score on a scaleStandard Error 0.06
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).45 score on a scaleStandard Error 0.06
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).38 score on a scaleStandard Error 0.05
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).44 score on a scaleStandard Error 0.06
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).44 score on a scaleStandard Error 0.05
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).41 score on a scaleStandard Error 0.05
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).45 score on a scaleStandard Error 0.06
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 10 weeks (baseline).43 score on a scaleStandard Error 0.04
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 120 weeks (post-treatment).45 score on a scaleStandard Error 0.04
p-value: 0.577ANOVA
Other Pre-specified

Adherence to AICR Cancer Prevention Guidelines: Guideline 2

To calculate adherence to the NCI dietary recommendations for guideline 2 (intake of processed foods), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of intake of added sugar, saturated fat, and sodium in processed foods, participants receive adherence scores for each dietary domain of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 2 total adherence score (range 0-1) was calculated as the average of adherence scores for consumption of added sugar, saturated fat, and sodium in processed foods.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).47 score on a scaleStandard Error 0.05
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).71 score on a scaleStandard Error 0.06
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).58 score on a scaleStandard Error 0.05
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).77 score on a scaleStandard Error 0.06
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).57 score on a scaleStandard Error 0.05
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).80 score on a scaleStandard Error 0.06
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).48 score on a scaleStandard Error 0.05
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).69 score on a scaleStandard Error 0.05
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).54 score on a scaleStandard Error 0.05
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).75 score on a scaleStandard Error 0.06
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).73 score on a scaleStandard Error 0.05
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).51 score on a scaleStandard Error 0.05
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).79 score on a scaleStandard Error 0.05
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).48 score on a scaleStandard Error 0.05
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).58 score on a scaleStandard Error 0.05
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).70 score on a scaleStandard Error 0.05
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 20 weeks (baseline).53 score on a scaleStandard Error 0.04
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 220 weeks (post-treatment).74 score on a scaleStandard Error 0.04
p-value: <0.001ANOVA
Other Pre-specified

Adherence to AICR Cancer Prevention Guidelines: Guideline 3

To calculate adherence to the NCI dietary recommendations for guideline 3 (intake of red and processed meats), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of intake of red and processed meats, participants receive adherence scores for each dietary domain of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 3 total adherence score (range 0-1) was calculated as the average of adherence scores for red and processed meat intake.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).56 score on a scaleStandard Error 0.06
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).72 score on a scaleStandard Error 0.06
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).55 score on a scaleStandard Error 0.06
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).69 score on a scaleStandard Error 0.06
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).61 score on a scaleStandard Error 0.06
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).70 score on a scaleStandard Error 0.06
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).50 score on a scaleStandard Error 0.06
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).72 score on a scaleStandard Error 0.05
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).64 score on a scaleStandard Error 0.06
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).73 score on a scaleStandard Error 0.06
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).68 score on a scaleStandard Error 0.05
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline)48 score on a scaleStandard Error 0.06
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).79 score on a scaleStandard Error 0.05
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).55 score on a scaleStandard Error 0.06
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).57 score on a scaleStandard Error 0.06
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).63 score on a scaleStandard Error 0.05
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 30 weeks (baseline).56 score on a scaleStandard Error 0.04
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 320 weeks (post-treatment).71 score on a scaleStandard Error 0.04
p-value: <0.001ANOVA
Other Pre-specified

Adherence to AICR Cancer Prevention Guidelines: Guideline 4

To calculate adherence to the NCI dietary recommendations for guideline 4 (intake of sugar sweetened beverages), the WCRF/AICR scoring method from Turati et al., 2020 was used. This method has pre-defined cutoff values for the recommended levels of intake for each nutrient that is expected to have clinical significance. Based on their self-reported levels of intake of sugar sweetened beverages, participants receive an adherence score of 0 (failure to meet recommendation), 0.5 (partially meeting recommended levels), or 1 (fully meeting recommended level of intake). Guideline 4 total adherence score (range 0-1) was calculated as adherence score for intake of sugar sweetened beverages.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).26 score on a scaleStandard Error 0.07
Coach Monitoring - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).40 score on a scaleStandard Error 0.07
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).26 score on a scaleStandard Error 0.07
Coach Monitoring - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).43 score on a scaleStandard Error 0.07
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).21 score on a scaleStandard Error 0.07
Benefits of Change - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).38 score on a scaleStandard Error 0.07
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).31 score on a scaleStandard Error 0.06
Benefits of Change - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).45 score on a scaleStandard Error 0.07
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).26 score on a scaleStandard Error 0.07
Location Triggered Messaging - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).38 score on a scaleStandard Error 0.07
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).45 score on a scaleStandard Error 0.07
Location-Triggered Messaging - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).26 score on a scaleStandard Error 0.06
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).43 score on a scaleStandard Error 0.07
Household Support - ONAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).30 score on a scaleStandard Error 0.07
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).23 score on a scaleStandard Error 0.07
Household Support - OFFAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).40 score on a scaleStandard Error 0.07
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 40 weeks (baseline).26 score on a scaleStandard Error 0.05
Full SampleAdherence to AICR Cancer Prevention Guidelines: Guideline 420 weeks (post-treatment).41 score on a scaleStandard Error 0.05
p-value: 0.008ANOVA
Other Pre-specified

Grocery Store Purchases - Fruit

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Fruit purchases were calculated by tabulating the percent of fruit purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Fruit0 weeks (baseline)7.57 percentage of grocery store purchasesStandard Error 2.55
Coach Monitoring - ONGrocery Store Purchases - Fruit20 weeks (post-treatment)10.61 percentage of grocery store purchasesStandard Error 5.66
Coach Monitoring - OFFGrocery Store Purchases - Fruit0 weeks (baseline)6.49 percentage of grocery store purchasesStandard Error 2.61
Coach Monitoring - OFFGrocery Store Purchases - Fruit20 weeks (post-treatment)7.55 percentage of grocery store purchasesStandard Error 5.79
Benefits of Change - ONGrocery Store Purchases - Fruit0 weeks (baseline)7.07 percentage of grocery store purchasesStandard Error 1.44
Benefits of Change - ONGrocery Store Purchases - Fruit20 weeks (post-treatment)8.18 percentage of grocery store purchasesStandard Error 3.19
Benefits of Change - OFFGrocery Store Purchases - Fruit0 weeks (baseline)6.99 percentage of grocery store purchasesStandard Error 2.31
Benefits of Change - OFFGrocery Store Purchases - Fruit20 weeks (post-treatment)9.97 percentage of grocery store purchasesStandard Error 5.12
Location Triggered Messaging - ONGrocery Store Purchases - Fruit0 weeks (baseline)4.29 percentage of grocery store purchasesStandard Error 2.83
Location Triggered Messaging - ONGrocery Store Purchases - Fruit20 weeks (post-treatment)7.19 percentage of grocery store purchasesStandard Error 6.28
Location-Triggered Messaging - OFFGrocery Store Purchases - Fruit20 weeks (post-treatment)10.96 percentage of grocery store purchasesStandard Error 5.27
Location-Triggered Messaging - OFFGrocery Store Purchases - Fruit0 weeks (baseline)9.77 percentage of grocery store purchasesStandard Error 2.38
Household Support - ONGrocery Store Purchases - Fruit20 weeks (post-treatment)9.13 percentage of grocery store purchasesStandard Error 3.49
Household Support - ONGrocery Store Purchases - Fruit0 weeks (baseline)3.54 percentage of grocery store purchasesStandard Error 1.57
Household Support - OFFGrocery Store Purchases - Fruit0 weeks (baseline)10.52 percentage of grocery store purchasesStandard Error 2.13
Household Support - OFFGrocery Store Purchases - Fruit20 weeks (post-treatment)9.02 percentage of grocery store purchasesStandard Error 4.73
Full SampleGrocery Store Purchases - Fruit0 weeks (baseline)7.03 percentage of grocery store purchasesStandard Error 1.41
Full SampleGrocery Store Purchases - Fruit20 weeks (post-treatment)9.08 percentage of grocery store purchasesStandard Error 3.14
p-value: 0.601ANOVA
Other Pre-specified

Grocery Store Purchases - Grains and Beans

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Grains/beans purchases were calculated by tabulating the percent of grains and beans purchases divided by total purchases. Scores range from 0-100%.This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Grains and Beans0 weeks (baseline)11.28 percentage of grocery store purchasesStandard Error 6.39
Coach Monitoring - ONGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)5.64 percentage of grocery store purchasesStandard Error 2.65
Coach Monitoring - OFFGrocery Store Purchases - Grains and Beans0 weeks (baseline)15.71 percentage of grocery store purchasesStandard Error 6.54
Coach Monitoring - OFFGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)5.53 percentage of grocery store purchasesStandard Error 2.71
Benefits of Change - ONGrocery Store Purchases - Grains and Beans0 weeks (baseline)8.75 percentage of grocery store purchasesStandard Error 3.61
Benefits of Change - ONGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)4.57 percentage of grocery store purchasesStandard Error 1.5
Benefits of Change - OFFGrocery Store Purchases - Grains and Beans0 weeks (baseline)18.24 percentage of grocery store purchasesStandard Error 5.78
Benefits of Change - OFFGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)6.60 percentage of grocery store purchasesStandard Error 2.4
Location Triggered Messaging - ONGrocery Store Purchases - Grains and Beans0 weeks (baseline)16.47 percentage of grocery store purchasesStandard Error 7.09
Location Triggered Messaging - ONGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)6.87 percentage of grocery store purchasesStandard Error 2.94
Location-Triggered Messaging - OFFGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)4.30 percentage of grocery store purchasesStandard Error 2.47
Location-Triggered Messaging - OFFGrocery Store Purchases - Grains and Beans0 weeks (baseline)10.53 percentage of grocery store purchasesStandard Error 5.95
Household Support - ONGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)4.69 percentage of grocery store purchasesStandard Error 1.63
Household Support - ONGrocery Store Purchases - Grains and Beans0 weeks (baseline)15.78 percentage of grocery store purchasesStandard Error 3.93
Household Support - OFFGrocery Store Purchases - Grains and Beans0 weeks (baseline)11.21 percentage of grocery store purchasesStandard Error 5.34
Household Support - OFFGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)6.48 percentage of grocery store purchasesStandard Error 2.22
Full SampleGrocery Store Purchases - Grains and Beans0 weeks (baseline)13.50 percentage of grocery store purchasesStandard Error 3.54
Full SampleGrocery Store Purchases - Grains and Beans20 weeks (post-treatment)5.59 percentage of grocery store purchasesStandard Error 1.47
p-value: 0.06ANOVA
Other Pre-specified

Grocery Store Purchases - Meat

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Meat purchases were calculated by tabulating the percent of meat purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Meat0 weeks (baseline)3.87 percentage of grocery store purchasesStandard Error 2.83
Coach Monitoring - ONGrocery Store Purchases - Meat20 weeks (post-treatment)9.25 percentage of grocery store purchasesStandard Error 4.62
Coach Monitoring - OFFGrocery Store Purchases - Meat0 weeks (baseline)7.48 percentage of grocery store purchasesStandard Error 2.83
Coach Monitoring - OFFGrocery Store Purchases - Meat20 weeks (post-treatment)7.72 percentage of grocery store purchasesStandard Error 4.73
Benefits of Change - ONGrocery Store Purchases - Meat0 weeks (baseline)5.03 percentage of grocery store purchasesStandard Error 1.6
Benefits of Change - ONGrocery Store Purchases - Meat20 weeks (post-treatment)7.32 percentage of grocery store purchasesStandard Error 2.61
Benefits of Change - OFFGrocery Store Purchases - Meat0 weeks (baseline)6.32 percentage of grocery store purchasesStandard Error 2.56
Benefits of Change - OFFGrocery Store Purchases - Meat20 weeks (post-treatment)9.65 percentage of grocery store purchasesStandard Error 4.18
Location Triggered Messaging - ONGrocery Store Purchases - Meat0 weeks (baseline)6.50 percentage of grocery store purchasesStandard Error 3.14
Location Triggered Messaging - ONGrocery Store Purchases - Meat20 weeks (post-treatment)6.83 percentage of grocery store purchasesStandard Error 5.13
Location-Triggered Messaging - OFFGrocery Store Purchases - Meat20 weeks (post-treatment)6.83 percentage of grocery store purchasesStandard Error 5.13
Location-Triggered Messaging - OFFGrocery Store Purchases - Meat0 weeks (baseline)4.86 percentage of grocery store purchasesStandard Error 2.63
Household Support - ONGrocery Store Purchases - Meat20 weeks (post-treatment)10.07 percentage of grocery store purchasesStandard Error 2.84
Household Support - ONGrocery Store Purchases - Meat0 weeks (baseline)6.21 percentage of grocery store purchasesStandard Error 1.74
Household Support - OFFGrocery Store Purchases - Meat0 weeks (baseline)5.14 percentage of grocery store purchasesStandard Error 2.36
Household Support - OFFGrocery Store Purchases - Meat20 weeks (post-treatment)6.90 percentage of grocery store purchasesStandard Error 3.86
Full SampleGrocery Store Purchases - Meat0 weeks (baseline)5.68 percentage of grocery store purchasesStandard Error 1.57
Full SampleGrocery Store Purchases - Meat20 weeks (post-treatment)8.48 percentage of grocery store purchasesStandard Error 2.56
p-value: 0.21ANOVA
Other Pre-specified

Grocery Store Purchases - Other Processed Foods

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Processed food purchases were calculated by tabulating the percent of processed food purchases divided by total purchases. Scores range from 0-100%.This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Other Processed Foods0 weeks (baseline)27.78 percentage of grocery store purchasesStandard Error 9.5
Coach Monitoring - ONGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)19.48 percentage of grocery store purchasesStandard Error 9.86
Coach Monitoring - OFFGrocery Store Purchases - Other Processed Foods0 weeks (baseline)37.45 percentage of grocery store purchasesStandard Error 9.72
Coach Monitoring - OFFGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)24.19 percentage of grocery store purchasesStandard Error 10.08
Benefits of Change - ONGrocery Store Purchases - Other Processed Foods0 weeks (baseline)34.84 percentage of grocery store purchasesStandard Error 5.36
Benefits of Change - ONGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)23.06 percentage of grocery store purchasesStandard Error 5.56
Benefits of Change - OFFGrocery Store Purchases - Other Processed Foods0 weeks (baseline)30.40 percentage of grocery store purchasesStandard Error 8.6
Benefits of Change - OFFGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)20.62 percentage of grocery store purchasesStandard Error 8.92
Location Triggered Messaging - ONGrocery Store Purchases - Other Processed Foods0 weeks (baseline)35.52 percentage of grocery store purchasesStandard Error 10.55
Location Triggered Messaging - ONGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)17.14 percentage of grocery store purchasesStandard Error 10.94
Location-Triggered Messaging - OFFGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)26.53 percentage of grocery store purchasesStandard Error 9.18
Location-Triggered Messaging - OFFGrocery Store Purchases - Other Processed Foods0 weeks (baseline)29.71 percentage of grocery store purchasesStandard Error 8.85
Household Support - ONGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)22.86 percentage of grocery store purchasesStandard Error 6.07
Household Support - ONGrocery Store Purchases - Other Processed Foods0 weeks (baseline)29.76 percentage of grocery store purchasesStandard Error 5.85
Household Support - OFFGrocery Store Purchases - Other Processed Foods0 weeks (baseline)35.47 percentage of grocery store purchasesStandard Error 7.94
Household Support - OFFGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)20.81 percentage of grocery store purchasesStandard Error 8.32
Full SampleGrocery Store Purchases - Other Processed Foods0 weeks (baseline)32.62 percentage of grocery store purchasesStandard Error 5.26
Full SampleGrocery Store Purchases - Other Processed Foods20 weeks (post-treatment)21.84 percentage of grocery store purchasesStandard Error 5.46
p-value: 0.241ANOVA
Other Pre-specified

Grocery Store Purchases - Snacks

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Snack purchases were calculated by tabulating the percent of snack purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Snacks0 weeks (baseline)13.37 percentage of grocery store purchasesStandard Error 3.7
Coach Monitoring - ONGrocery Store Purchases - Snacks20 weeks (post-treatment)14.81 percentage of grocery store purchasesStandard Error 4.22
Coach Monitoring - OFFGrocery Store Purchases - Snacks0 weeks (baseline)7.16 percentage of grocery store purchasesStandard Error 3.79
Coach Monitoring - OFFGrocery Store Purchases - Snacks20 weeks (post-treatment)5.11 percentage of grocery store purchasesStandard Error 4.32
Benefits of Change - ONGrocery Store Purchases - Snacks0 weeks (baseline)10.56 percentage of grocery store purchasesStandard Error 2.09
Benefits of Change - ONGrocery Store Purchases - Snacks20 weeks (post-treatment)7.33 percentage of grocery store purchasesStandard Error 2.38
Benefits of Change - OFFGrocery Store Purchases - Snacks0 weeks (baseline)9.97 percentage of grocery store purchasesStandard Error 3.35
Benefits of Change - OFFGrocery Store Purchases - Snacks20 weeks (post-treatment)12.59 percentage of grocery store purchasesStandard Error 3.82
Location Triggered Messaging - ONGrocery Store Purchases - Snacks0 weeks (baseline)11.70 percentage of grocery store purchasesStandard Error 4.11
Location Triggered Messaging - ONGrocery Store Purchases - Snacks20 weeks (post-treatment)6.30 percentage of grocery store purchasesStandard Error 4.69
Location-Triggered Messaging - OFFGrocery Store Purchases - Snacks20 weeks (post-treatment)13.61 percentage of grocery store purchasesStandard Error 3.93
Location-Triggered Messaging - OFFGrocery Store Purchases - Snacks0 weeks (baseline)8.83 percentage of grocery store purchasesStandard Error 3.45
Household Support - ONGrocery Store Purchases - Snacks20 weeks (post-treatment)8.22 percentage of grocery store purchasesStandard Error 2.6
Household Support - ONGrocery Store Purchases - Snacks0 weeks (baseline)9.72 percentage of grocery store purchasesStandard Error 2.28
Household Support - OFFGrocery Store Purchases - Snacks0 weeks (baseline)10.82 percentage of grocery store purchasesStandard Error 3.09
Household Support - OFFGrocery Store Purchases - Snacks20 weeks (post-treatment)11.69 percentage of grocery store purchasesStandard Error 3.53
Full SampleGrocery Store Purchases - Snacks0 weeks (baseline)10.27 percentage of grocery store purchasesStandard Error 2.05
Full SampleGrocery Store Purchases - Snacks20 weeks (post-treatment)9.96 percentage of grocery store purchasesStandard Error 2.34
p-value: 0.913ANOVA
Other Pre-specified

Grocery Store Purchases - Sugar-Sweetened Beverages

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Sugar-sweetened beverage (SSB) purchases were calculated by tabulating the percent of SSB purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)9.88 percentage of grocery store purchasesStandard Error 1.95
Coach Monitoring - ONGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)15.11 percentage of grocery store purchasesStandard Error 5.25
Coach Monitoring - OFFGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)5.88 percentage of grocery store purchasesStandard Error 1.99
Coach Monitoring - OFFGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)5.52 percentage of grocery store purchasesStandard Error 5.37
Benefits of Change - ONGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)6.92 percentage of grocery store purchasesStandard Error 1.1
Benefits of Change - ONGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)13.07 percentage of grocery store purchasesStandard Error 2.96
Benefits of Change - OFFGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)8.84 percentage of grocery store purchasesStandard Error 1.76
Benefits of Change - OFFGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)7.56 percentage of grocery store purchasesStandard Error 4.75
Location Triggered Messaging - ONGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)7.64 percentage of grocery store purchasesStandard Error 2.16
Location Triggered Messaging - ONGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)7.30 percentage of grocery store purchasesStandard Error 5.83
Location-Triggered Messaging - OFFGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)13.32 percentage of grocery store purchasesStandard Error 4.89
Location-Triggered Messaging - OFFGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)8.12 percentage of grocery store purchasesStandard Error 1.81
Household Support - ONGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)8.20 percentage of grocery store purchasesStandard Error 3.23
Household Support - ONGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)7.43 percentage of grocery store purchasesStandard Error 1.2
Household Support - OFFGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)8.33 percentage of grocery store purchasesStandard Error 1.63
Household Support - OFFGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)12.43 percentage of grocery store purchasesStandard Error 4.39
Full SampleGrocery Store Purchases - Sugar-Sweetened Beverages0 weeks (baseline)7.88 percentage of grocery store purchasesStandard Error 1.08
Full SampleGrocery Store Purchases - Sugar-Sweetened Beverages20 weeks (post-treatment)10.31 percentage of grocery store purchasesStandard Error 2.91
p-value: 0.37ANOVA
Other Pre-specified

Grocery Store Purchases - Sweets

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Sweets purchases were calculated by tabulating the percent of meat purchases divided by total sweets purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Sweets0 weeks (baseline)20.11 percentage of grocery store purchasesStandard Error 5.83
Coach Monitoring - ONGrocery Store Purchases - Sweets20 weeks (post-treatment)10.71 percentage of grocery store purchasesStandard Error 6.2
Coach Monitoring - OFFGrocery Store Purchases - Sweets0 weeks (baseline).00 percentage of grocery store purchasesStandard Error 5.96
Coach Monitoring - OFFGrocery Store Purchases - Sweets20 weeks (post-treatment)13.78 percentage of grocery store purchasesStandard Error 6.33
Benefits of Change - ONGrocery Store Purchases - Sweets0 weeks (baseline)13.68 percentage of grocery store purchasesStandard Error 3.29
Benefits of Change - ONGrocery Store Purchases - Sweets20 weeks (post-treatment)13.89 percentage of grocery store purchasesStandard Error 3.5
Benefits of Change - OFFGrocery Store Purchases - Sweets0 weeks (baseline)6.43 percentage of grocery store purchasesStandard Error 5.27
Benefits of Change - OFFGrocery Store Purchases - Sweets20 weeks (post-treatment)10.61 percentage of grocery store purchasesStandard Error 5.6
Location Triggered Messaging - ONGrocery Store Purchases - Sweets0 weeks (baseline)3.24 percentage of grocery store purchasesStandard Error 6.47
Location Triggered Messaging - ONGrocery Store Purchases - Sweets20 weeks (post-treatment)19.80 percentage of grocery store purchasesStandard Error 6.87
Location-Triggered Messaging - OFFGrocery Store Purchases - Sweets20 weeks (post-treatment)4.70 percentage of grocery store purchasesStandard Error 5.77
Location-Triggered Messaging - OFFGrocery Store Purchases - Sweets0 weeks (baseline)16.87 percentage of grocery store purchasesStandard Error 5.43
Household Support - ONGrocery Store Purchases - Sweets20 weeks (post-treatment)14.22 percentage of grocery store purchasesStandard Error 3.81
Household Support - ONGrocery Store Purchases - Sweets0 weeks (baseline)13.33 percentage of grocery store purchasesStandard Error 3.59
Household Support - OFFGrocery Store Purchases - Sweets0 weeks (baseline)6.78 percentage of grocery store purchasesStandard Error 4.87
Household Support - OFFGrocery Store Purchases - Sweets20 weeks (post-treatment)10.27 percentage of grocery store purchasesStandard Error 5.17
Full SampleGrocery Store Purchases - Sweets0 weeks (baseline)10.06 percentage of grocery store purchasesStandard Error 3.23
Full SampleGrocery Store Purchases - Sweets20 weeks (post-treatment)12.25 percentage of grocery store purchasesStandard Error 3.43
p-value: 0.556ANOVA
Other Pre-specified

Grocery Store Purchases - Vegetables

To measure grocery purchasing, an API transferred participants' item-level food purchases to the study database whenever they shopped at designated grocery stores (Wegmans, ShopRite, Target, and Walmart). Each item in the shopping trip was linked to an existing nutrition databases (e.g., FNDDS) to categorize it into a NCI relevant category and to pull nutritional information. Vegetable purchases were calculated by tabulating the percent of fruit purchases divided by total purchases. Scores range from 0-100%. This pilot study used a factorial design, with 16 conditions and typically 4 participants per condition. The study was designed with the intent to collapse across conditions for all analyses, such that the 8 conditions in which a given factor is ON would be compared to the 8 conditions in which that factor was OFF. Participants are counted multiple times in the table, such that the total number of participants in any ON/OFF condition pair will equal the full sample.

Time frame: Baseline and post-treatment (0 and 20 weeks)

Population: Through a factorial design, participants were randomly assigned to receive coach monitoring (ON/OFF), benefits of change (ON/OFF), location triggered messaging (ON/OFF), and household support (ON/OFF).~Ns are lower for grocery store purchasing outcome vs. others because the aim was exploratory, as the project was pilot testing the grocery store purchase data collection system. Many participants had missing data.

ArmMeasureGroupValue (MEAN)Dispersion
Coach Monitoring - ONGrocery Store Purchases - Vegetables0 weeks (baseline)6.14 percentage of grocery store purchasesStandard Error 5.29
Coach Monitoring - ONGrocery Store Purchases - Vegetables20 weeks (post-treatment)14.40 percentage of grocery store purchasesStandard Error 7.7
Coach Monitoring - OFFGrocery Store Purchases - Vegetables0 weeks (baseline)19.82 percentage of grocery store purchasesStandard Error 5.41
Coach Monitoring - OFFGrocery Store Purchases - Vegetables20 weeks (post-treatment)30.61 percentage of grocery store purchasesStandard Error 7.87
Benefits of Change - ONGrocery Store Purchases - Vegetables0 weeks (baseline)13.14 percentage of grocery store purchasesStandard Error 2.98
Benefits of Change - ONGrocery Store Purchases - Vegetables20 weeks (post-treatment)22.60 percentage of grocery store purchasesStandard Error 4.34
Benefits of Change - OFFGrocery Store Purchases - Vegetables0 weeks (baseline)12.83 percentage of grocery store purchasesStandard Error 4.79
Benefits of Change - OFFGrocery Store Purchases - Vegetables20 weeks (post-treatment)22.41 percentage of grocery store purchasesStandard Error 6.97
Location Triggered Messaging - ONGrocery Store Purchases - Vegetables0 weeks (baseline)14.65 percentage of grocery store purchasesStandard Error 5.87
Location Triggered Messaging - ONGrocery Store Purchases - Vegetables20 weeks (post-treatment)28.57 percentage of grocery store purchasesStandard Error 8.54
Location-Triggered Messaging - OFFGrocery Store Purchases - Vegetables20 weeks (post-treatment)16.44 percentage of grocery store purchasesStandard Error 7.17
Location-Triggered Messaging - OFFGrocery Store Purchases - Vegetables0 weeks (baseline)11.32 percentage of grocery store purchasesStandard Error 4.93
Household Support - ONGrocery Store Purchases - Vegetables20 weeks (post-treatment)22.61 percentage of grocery store purchasesStandard Error 4.74
Household Support - ONGrocery Store Purchases - Vegetables0 weeks (baseline)14.23 percentage of grocery store purchasesStandard Error 3.26
Household Support - OFFGrocery Store Purchases - Vegetables0 weeks (baseline)11.74 percentage of grocery store purchasesStandard Error 4.42
Household Support - OFFGrocery Store Purchases - Vegetables20 weeks (post-treatment)22.40 percentage of grocery store purchasesStandard Error 6.43
Full SampleGrocery Store Purchases - Vegetables0 weeks (baseline)12.98 percentage of grocery store purchasesStandard Error 2.93
Full SampleGrocery Store Purchases - Vegetables20 weeks (post-treatment)22.51 percentage of grocery store purchasesStandard Error 4.27
p-value: 0.088ANOVA

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026