Diet Habit, Sugar-Sweetened Beverages
Conditions
Keywords
sugar-sweetened beverages, weight, health disparities, self-monitoring, internet intervention, e/m health, text messaging
Brief summary
The proposed pilot randomized controlled trial (RCT) will enroll 24 Black adults. The overall goal is to examine the preliminary efficacy of iSIPsmarter in a 2 group \[iSIPsmarter vs. static Patient Education (PE) website\] by 4 assessment (Pre, 3-, 6- and 18-month follow-up) design. The generated pilot data will allow us to better understand efficacy and engagement outcomes among Black participants. We anticipate trends that iSIPsmarter will be more efficacious at reducing SSB consumption than a PE website at post assessment.
Interventions
BEHAVIORALiSIPsmarter
iSIPsmarter is a technology-based behavioral and health literacy intervention. It is comprised of six Internet-delivered Cores, an integrated short message service (SMS) strategy to engage users in tracking SSB behaviors, and the incorporation of a cellular enabled scale for in-home weight tracking. Participants will be prompted (via email or text) to self-monitor their sugar-sweetened beverage intake. iSIPsmarter is a highly interactive, structured, and self-guided program that uses strategies previously proven to promote behavior change. iSIPsmarter also incorporates a stepped care approach to re-engage users who struggle to complete components.
BEHAVIORALPatient Education (PE)
The PE website will include scientifically accurate information that is typical of nutrition education websites and will include information about SSB recommendations, types of SSB and portion size, SSB-related health risks, energy balance information, identifying personal motivators and barriers to reducing SSB intake, interpreting SSB nutrition labels, and recognizing media influences and misclaims in SSB advertisements, as well as printable forms to track SSB and weight. Unlike iSIPsmarter, the content will not be tailored and will be presented all at once.
Sponsors
University of North Carolina
University of Virginia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 110 Years
Healthy volunteers
Yes
Inclusion criteria
* English speaking adults, identify as Black, \> or equal to 18 years of age, consume \>200 kcals of SSB/day, ability and willingness to access an internet-enabled device at least one time per week and receive SMS-based reminder prompts
Exclusion criteria
* non-English speaking adults, do not identify as Black, \<18 years of age, consume \<200 kcals of SSB/day, inability and willingness to access an internet-enabled device at least one time per week and receive SMS-based reminder prompts. Also, only one person per household is eligible to participate in the trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline sugar-sweetened beverage at 9-weeks | Baseline, 9-weeks (immediate-post follow-up) | Measured using the Beverage Questionnaire 15 (BEVQ-15) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline dietary quality as measured by the components of the Healthy Eating Index (HEI) at 9-weeks, 6-months and 18 months | Baseline, 9-weeks (immediate-post follow-up), 6-months, 18 months | 2 unannounced recalls (one weekend and one weekday) using state-of-the-art Nutrition Data System for Research (NDSR) software and multiple pass methods. HEI indicators will be extracted from the NDSR system and examined for changes in the total HEI score, on a 100-point continuous scale (higher scores reflective higher diet quality). |
| Change from baseline weight at 9-weeks, 6-months and 18 months | Baseline, 9-weeks (immediate-post follow-up), 6-months, 18 months | Cellular enabled in-home ©BodyTrace digital scale |
| Change from baseline overall quality of life at 9-weeks, 6-months and 18 months | Baseline, 9-weeks (immediate-post follow-up), 6-months, 18 months | Using the Center's for Disease (CDC) Healthy Days Core Module |
| Change from baseline sugar-sweetened beverage at 6-months and 18 months | Baseline, 6-months, 18 months | Measured using the BEVQ-15 |
Countries
United States
Outcome results
None listed