Grant Details
Grant Number: |
5R01CA154364-05 Interpret this number |
Primary Investigator: |
Zoellner, Jamie |
Organization: |
Virginia Polytechnic Inst And St Univ |
Project Title: |
SIPSMARTER: a Nutrition Literacy Approach to Reducing Sugar-Sweetened Beverages |
Fiscal Year: |
2015 |
Abstract
DESCRIPTION (provided by applicant): Despite the substantial impact sugar-sweetened beverages (SSB) have on total energy intake and the fact that consumption has doubled in the US over the past 25 years; there are no known efficacy trials that have specifically targeted reducing SSB intake among adults. Furthermore, adults with lower health literacy consume higher amounts of SSB and the field lacks theory-based interventions to support behavior change in this population. This research explicitly targets changes in SSB intake through improvements in health literacy, defined within a nutrition context as nutrition numeracy (the ability to read, understand, and apply numbers to make appropriate dietary decisions) and nutrition-related media literacy (the ability to access, analyze, and evaluate nutrition-related media). Phase 1 of the project utilizes focus groups and pilot testing methodologies to guide development of the interventions. The primary objective for Phase 2 is to conduct a three group randomized controlled trial to determine the relative effectiveness of a Theory of Planned Behavior (TPB)-based SSB intervention with (SIPmatE) and without (SIPmart) an enhanced and integrated nutrition literacy component targeting nutrition numeracy and nutrition-related media literacy, as compared to a matched-contact control condition. All three 6-month interventions will be delivered using in- person, small-group communication channels and automated self-monitoring through interactive voice response (IVR) technology. The target population includes 639 low socioeconomic participants residing in 11 at-risk, rural southwest Virginia counties. All outcomes will be assessed at baseline, 6 months, and 12 months post intervention (i.e., 18 months post baseline). The primary outcome is SSB consumption, and secondary outcomes include body weight and a new non-invasive 13C biomarker technique for added sugar intake. Changes in the primary and secondary outcomes will be determined using a mixed effect model to account for individual, time, and group differences within a multi-treatment framework. Components from the RE-AIM framework (i.e. reach, effectiveness, adoption, implementation, & maintenance) will also be assessed and evaluated, along with cost-effectiveness models for each arm. This study fills an important void in the health literacy literature by integrating motivation/intention processes with skill-based nutrition literacy processes to understand causal pathways and complex relationships impacting a life-style behavior under real world and naturally occurring community environments. The long-term goals of this research are to improve nutrition literacy among health disparate populations, reduce SSB consumption and the associated adverse health consequences related to excessive caloric and added sugar consumption (i.e. obesity, type II diabetes, coronary heart disease, dental caries, and cancer), bridge the conceptual gap among concepts in health behavior theory and health literacy, expand the reach of simple and cost-effective interventions among hard-to- reach populations, and reduce the reliance on self-reported measures of dietary intake.
Publications
A Single-Carbon Stable Isotope Ratio Model Prediction Equation Can Estimate Self-Reported Added Sugars Intake in an Adult Population Living in Southwest Virginia.
Authors: Hedrick V.E.
, Halliday T.M.
, Davy B.M.
, Zoellner J.M.
, Jahren A.H.
.
Source: Nutrients, 2021-10-28 00:00:00.0; 13(11), .
EPub date: 2021-10-28 00:00:00.0.
PMID: 34836098
Related Citations
Changes in Non-Nutritive Sweetener Consumption Patterns in Response to a Sugar-Sweetened Beverage Reduction Intervention.
Authors: Acero D.
, Zoellner J.M.
, Davy B.M.
, Hedrick V.E.
.
Source: Nutrients, 2020-11-08 00:00:00.0; 12(11), .
EPub date: 2020-11-08 00:00:00.0.
PMID: 33171645
Related Citations
Predictors of engagement and outcome achievement in a behavioural intervention targeting sugar-sweetened beverage intake among rural adults.
Authors: Porter K.J.
, Thomson J.L.
, Zoellner J.M.
.
Source: Public Health Nutrition, 2020 02; 23(3), p. 554-563.
EPub date: 2019-12-04 00:00:00.0.
PMID: 31796129
Related Citations
Supporting maintenance of sugar-sweetened beverage reduction using automated versus live telephone support: findings from a randomized control trial.
Authors: Zoellner J.M.
, You W.
, Estabrooks P.A.
, Chen Y.
, Davy B.M.
, Porter K.J.
, Hedrick V.E.
, Bailey A.
, Kružliaková N.
.
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2018-10-04 00:00:00.0; 15(1), p. 97.
EPub date: 2018-10-04 00:00:00.0.
PMID: 30286755
Related Citations
Dietary Intake Changes in Response to a Sugar-Sweetened Beverage Reduction Trial for Various Supplemental Nutrition Assistance Program (SNAP) Eligibility Groups.
Authors: Bremer M.C.
, Zoellner J.M.
, Misyak S.A.
, Hedrick V.E.
.
Source: Journal Of Nutrition Education And Behavior, 2018 10; 50(9), p. 931-936.
PMID: 30297018
Related Citations
The Relationship Between the Stanford Leisure-Time Activity Categorical Item and the Godin Leisure-Time Exercise Questionnaire Among Rural Intervention Participants of Varying Health Literacy Status.
Authors: Kružliaková N.
, Estabrooks P.A.
, You W.
, Hedrick V.
, Porter K.
, Kiernan M.
, Zoellner J.
.
Source: Journal Of Physical Activity & Health, 2018-04-01 00:00:00.0; 15(4), p. 269-278.
EPub date: 2018-02-09 00:00:00.0.
PMID: 29421974
Related Citations
A Participatory Process to Engage Appalachian Youth in Reducing Sugar-Sweetened Beverage Consumption.
Authors: Lane H.G.
, Porter K.J.
, Hecht E.
, Harris P.
, Zoellner J.M.
.
Source: Health Promotion Practice, 2018-03-01 00:00:00.0; , p. 1524839918762123.
EPub date: 2018-03-01 00:00:00.0.
PMID: 29577771
Related Citations
Using the Clear Communication Index to Improve Materials for a Behavioral Intervention.
Authors: Porter K.J.
, Alexander R.
, Perzynski K.M.
, Kruzliakova N.
, Zoellner J.M.
.
Source: Health Communication, 2018-02-08 00:00:00.0; , p. 1-7.
EPub date: 2018-02-08 00:00:00.0.
PMID: 29419320
Related Citations
Validation of a Rapid Method to Assess Habitual Beverage Intake Patterns.
Authors: Hedrick V.E.
, Myers E.A.
, Zoellner J.M.
, Duffey K.J.
, Davy B.M.
.
Source: Nutrients, 2018-01-13 00:00:00.0; 10(1), .
EPub date: 2018-01-13 00:00:00.0.
PMID: 29342863
Related Citations
Implementation of Media Production Activities in an Intervention Designed to Reduce Sugar-Sweetened Beverage Intake Among Adults.
Authors: Porter K.J.
, Chen Y.
, Lane H.G.
, Zoellner J.M.
.
Source: Journal Of Nutrition Education And Behavior, 2017-08-14 00:00:00.0; , .
EPub date: 2017-08-14 00:00:00.0.
PMID: 28818486
Related Citations
Predicting sugar-sweetened behaviours with theory of planned behaviour constructs: Outcome and process results from the SIPsmartER behavioural intervention.
Authors: Zoellner J.M.
, Porter K.J.
, Chen Y.
, Hedrick V.E.
, You W.
, Hickman M.
, Estabrooks P.A.
.
Source: Psychology & Health, 2017 May; 32(5), p. 509-529.
EPub date: 2017-02-06 00:00:00.0.
PMID: 28165771
Related Citations
Dietary quality changes in response to a sugar-sweetened beverage-reduction intervention: results from the Talking Health randomized controlled clinical trial.
Authors: Hedrick V.E.
, Davy B.M.
, You W.
, Porter K.J.
, Estabrooks P.A.
, Zoellner J.M.
.
Source: The American Journal Of Clinical Nutrition, 2017 Apr; 105(4), p. 824-833.
EPub date: 2017-03-01 00:00:00.0.
PMID: 28251935
Related Citations
A Pragmatic Examination Of Active And Passive Recruitment Methods To Improve The Reach Of Community Lifestyle Programs: The Talking Health Trial
Authors: Estabrooks P.
, You W.
, Hedrick V.
, Reinholt M.
, Dohm E.
, Zoellner J.
.
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2017-01-19 00:00:00.0; 14(1), p. 7.
PMID: 28103935
Related Citations
Influence of an intervention targeting a reduction in sugary beverage intake on the δ13C sugar intake biomarker in a predominantly obese, health-disparate sample.
Authors: Davy B.M.
, Jahren A.H.
, Hedrick V.E.
, You W.
, Zoellner J.M.
.
Source: Public Health Nutrition, 2017 Jan; 20(1), p. 25-29.
EPub date: 2016-06-14 00:00:00.0.
PMID: 27297740
Related Citations
Kids SIP smartER: A Feasibility Study to Reduce Sugar-Sweetened Beverage Consumption Among Middle School Youth in Central Appalachia.
Authors: Lane H.
, Porter K.J.
, Hecht E.
, Harris P.
, Kraak V.
, Zoellner J.
.
Source: American Journal Of Health Promotion : Ajhp, 2017-01-01 00:00:00.0; , p. 890117117715052.
EPub date: 2017-01-01 00:00:00.0.
PMID: 28731385
Related Citations
The Impact of Health Literacy Status on the Comparative Validity and Sensitivity of an Interactive Multimedia Beverage Intake Questionnaire.
Authors: Hooper L.P.
, Myers E.A.
, Zoellner J.M.
, Davy B.M.
, Hedrick V.E.
.
Source: Nutrients, 2016-12-23 00:00:00.0; 9(1), .
EPub date: 2016-12-23 00:00:00.0.
PMID: 28025538
Related Citations
Development and Evaluation of the Sugar-Sweetened Beverages Media Literacy (SSB-ML) Scale and Its Relationship With SSB Consumption.
Authors: Chen Y.
, Porter K.J.
, Estabrooks P.A.
, Zoellner J.
.
Source: Health Communication, 2016-10-03 00:00:00.0; , p. 1-8.
EPub date: 2016-10-03 00:00:00.0.
PMID: 27690635
Related Citations
The Impact Of Health Literacy On Rural Adults' Satisfaction With A Multi-component Intervention To Reduce Sugar-sweetened Beverage Intake
Authors: Bailey A.N.
, Porter K.J.
, Hill J.L.
, Chen Y.
, Estabrooks P.A.
, Zoellner J.M.
.
Source: Health Education Research, 2016 Aug; 31(4), p. 492-508.
PMID: 27173641
Related Citations
New Markers Of Dietary Added Sugar Intake
Authors: Davy B.
, Jahren H.
.
Source: Current Opinion In Clinical Nutrition And Metabolic Care, 2016 Jul; 19(4), p. 282-8.
PMID: 27137898
Related Citations
A Systematic Review To Assess Sugar-sweetened Beverage Interventions For Children And Adolescents Across The Socioecological Model
Authors: Lane H.
, Porter K.
, Estabrooks P.
, Zoellner J.
.
Source: Journal Of The Academy Of Nutrition And Dietetics, 2016-06-02 00:00:00.0; , .
PMID: 27262383
Related Citations
Evaluation Of A Novel Biomarker Of Added Sugar Intake (¿ 13c) Compared With Self-reported Added Sugar Intake And The Healthy Eating Index-2010 In A Community-based, Rural U.s. Sample
Authors: Hedrick V.E.
, Davy B.M.
, Wilburn G.A.
, Jahren A.H.
, Zoellner J.M.
.
Source: Public Health Nutrition, 2016 Feb; 19(3), p. 429-36.
PMID: 25901966
Related Citations
Using Teach-back To Understand Participant Behavioral Self-monitoring Skills Across Health Literacy Level And behavioral Condition
Authors: Porter K.
, Chen Y.
, Estabrooks P.
, Noel L.
, Bailey A.
, Zoellner J.
.
Source: Journal Of Nutrition Education And Behavior, 2016 Jan; 48(1), p. 20-26.e1.
PMID: 26453368
Related Citations
Effects Of A Behavioral And Health Literacy Intervention To Reduce Sugar-sweetened Beverages: A Randomized-controlled Trial
Authors: Zoellner J.M.
, Hedrick V.E.
, You W.
, Chen Y.
, Davy B.M.
, Porter K.J.
, Bailey A.
, Lane H.
, Alexander R.
, Estabrooks P.A.
.
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2016; 13, p. 38.
PMID: 27000402
Related Citations
Changes In The Healthy Beverage Index In Response To An Intervention Targeting A Reduction In Sugar-sweetened Beverage Consumption As Compared To An Intervention Targeting Improvements In Physical Activity: Results From The Talking Health Trial
Authors: Hedrick V.E.
, Davy B.M.
, Myers E.A.
, You W.
, Zoellner J.M.
.
Source: Nutrients, 2015 Dec; 7(12), p. 10168-78.
PMID: 26690208
Related Citations
A Dual-carbon-and-nitrogen Stable Isotope Ratio Model Is Not Superior To A Single-carbon Stable Isotope Ratio Model For Predicting Added Sugar Intake In Southwest Virginian Adults
Authors: Hedrick V.E.
, Zoellner J.M.
, Jahren A.H.
, Woodford N.A.
, Bostic J.N.
, Davy B.M.
.
Source: The Journal Of Nutrition, 2015 Jun; 145(6), p. 1362-9.
PMID: 25855120
Related Citations
Talking Health, A Pragmatic Randomized-controlled Health Literacy Trial Targeting Sugar-sweetened Beverage Consumption Among Adults: Rationale, Design & Methods
Authors: Zoellner J.
, Chen Y.
, Davy B.
, You W.
, Hedrick V.
, Corsi T.
, Estabrooks P.
.
Source: Contemporary Clinical Trials, 2014 Jan; 37(1), p. 43-57.
PMID: 24246819
Related Citations
Mixed Methods Evaluation Of A Randomized Control Pilot Trial Targeting Sugar-sweetened Beverage Behaviors
Authors: Zoellner J.
, Cook E.
, Chen Y.
, You W.
, Davy B.
, Estabrooks P.
.
Source: Open Journal Of Preventive Medicine, 2013-02-01 00:00:00.0; 3(1), p. 51-57.
PMID: 23997992
Related Citations
The Comparative Validity Of Interactive Multimedia Questionnaires To Paper-administered Questionnaires For Beverage Intake And Physical Activity: Pilot Study
Authors: Riebl S.K.
, Paone A.C.
, Hedrick V.E.
, Zoellner J.M.
, Estabrooks P.A.
, Davy B.M.
.
Source: Jmir Research Protocols, 2013; 2(2), p. e40.
PMID: 24148226
Related Citations