scholarly journals Sugar-Sweetened Beverage Health Warnings and Purchases: A Randomized Controlled Trial

2019 ◽  
Vol 57 (5) ◽  
pp. 601-610 ◽  
Author(s):  
Anna H. Grummon ◽  
Lindsey S. Taillie ◽  
Shelley D. Golden ◽  
Marissa G. Hall ◽  
Leah M. Ranney ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Health Warnings ◽  
Sugar Sweetened Beverage ◽  
Sweetened Beverage ◽  
Randomized Controlled

scholarly journals Impact of Sugar-sweetened Beverage Health Warnings on Beverage Purchases: A Randomized Controlled Trial (OR28-01-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Anna Grummon ◽  
Lindsey Smith Taillie ◽  
Shelley Golden ◽  
Marissa Hall ◽  
Leah Ranney ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Warning Label ◽  
Health Warnings ◽  
Sugar Sweetened Beverages ◽  
Convenience Sample ◽  
Health Warning ◽  
Adult Age ◽  
Randomized Controlled ◽  
Sweetened Beverages

Abstract Objectives Five U.S. states have proposed policies to require health warnings on sugar-sweetened beverages (SSBs). SSB health warnings reduce intentions to purchase SSBs, but their effect on actual purchasing behavior remains uncertain. We aimed to evaluate the effect of front-of-package SSB health warnings on SSB purchases. Methods In 2018, we conducted a randomized controlled trial in a life-size replica of a convenience store located in Durham, North Carolina, U.S.A. Items were sold at real-world prices and included foods, sugar-sweetened and non-sugar-sweetened beverages, and household products. A convenience sample of 400 adult (age ≥ 18) SSB consumers (consume ≥ 12 oz/week of SSBs) were randomly assigned to a health warning arm (SSBs in the store displayed a health warning label modeled after proposed warnings in the U.S.) or a control condition (SSBs displayed a control label). Labels were displayed on the front of SSB containers. Participants selected items for purchase using $10 provided at study start. The primary outcome was SSB calories purchased. Results All 400 participants (236 women, 159 men, and 5 transgender people; mean age = 29.0 [SD = 10.3] years) completed the trial and were included in analyses. Control arm participants were less likely to be Hispanic and to have body mass index in the overweight/obese range than health warning arm participants. Participants in the control arm purchased an average of 143.2 calories from SSBs (SE = 9.7), compared to 109.9 calories from SSBs (SE = 9.5) in the health warning arm. In intent-to-treat analyses adjusting for Hispanic ethnicity and overweight/obesity, health warnings significantly reduced SSB purchases (adjusted difference, −32.4 calories; 95% CI, −59.5, −5.2; P = 0.019). SSB health warnings also reduced the proportion of participants who purchased an SSB from 64% to 50% and the number of SSBs purchased from 0.9 to 0.7 beverages. Results were identical in unadjusted analyses. Conclusions Brief exposure to health warnings reduced SSB purchases in this naturalistic randomized controlled trial. Implementing policies to require SSB health warnings could discourage SSB consumption. Funding Sources Funding for this study was provided by the National Center for Advancing Translational Sciences (NCATS) and by an internal university grant. Supporting Tables, Images and/or Graphs

scholarly journals Between-meal sucrose-sweetened beverage consumption impairs glycaemia and lipid metabolism during prolonged sitting: A randomized controlled trial

2019 ◽  
Vol 38 (4) ◽  
pp. 1536-1543 ◽  
Author(s):  
Pia Varsamis ◽  
Melissa F. Formosa ◽  
Robyn N. Larsen ◽  
Medini Reddy-Luthmoodoo ◽  
Garry L. Jennings ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Lipid Metabolism ◽  
Controlled Trial ◽  
Beverage Consumption ◽  
Sweetened Beverage ◽  
Prolonged Sitting ◽  
Randomized Controlled

scholarly journals Text Messages to Curb Sugar-Sweetened Beverage Consumption among Pregnant Women and Mothers: A Mobile Health Randomized Controlled Trial

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4367
Author(s):  
Jennifer A. Woo Baidal ◽  
Kelsey Nichols ◽  
Nalini Charles ◽  
Lauren Chernick ◽  
Ngoc Duong ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Controlled Trial ◽  
Sugar Content ◽  
Text Messages ◽  
Warning Labels ◽  
Sugar Sweetened Beverage ◽  
Health Warning ◽  
Sweetened Beverage ◽  
Randomized Controlled ◽  
Content Information

Racial, ethnic, and socioeconomic disparities in childhood obesity in the United States (U.S.) originate in early life. Maternal sugar-sweetened beverage (SSB) consumption is an early life risk factor for later offspring obesity. The goal of this study was to test the effects of policy-relevant messages delivered by text messages mobile devices (mHealth) on maternal SSB consumption. In this three-arm 1-month randomized controlled trial (RCT), pregnant women or mothers of infants in predominantly Hispanic/Latino New York City neighborhoods were randomized to receive one of three text message sets: graphic beverage health warning labels, beverage sugar content information, or attention control. The main outcome was change in maternal self-reporting of average daily SSB consumption from baseline to one month. Among 262 participants, maternal SSB consumption declined over the 1-month period in all three arms. No intervention effect was detected in primary analyses. In sensitivity analyses accounting for outliers, graphic health warning labels reduced maternal SSB consumption by 28 kcal daily (95% CI: −56, −1). In this mHealth RCT among pregnant women and mothers of infants, graphic health warning labels and beverage sugar content information did not reduce maternal SSB consumption.

Treatment Fidelity Procedures for an Aphasia Intervention Within a Randomized Controlled Trial: Design, Feasibility, and Results

2020 ◽  
Vol 29 (1S) ◽  
pp. 412-424
Author(s):  
Elissa L. Conlon ◽  
Emily J. Braun ◽  
Edna M. Babbitt ◽  
Leora R. Cherney
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Treatment Protocol ◽  
Treatment Fidelity ◽  
Protocol Adherence ◽  
Study Condition ◽  
Randomized Controlled ◽  
Aphasia Therapy ◽  
Percent Accuracy ◽  
Over Time

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.

Phonomotor Versus Semantic Feature Analysis Treatment for Anomia in 58 Persons With Aphasia: A Randomized Controlled Trial

2019 ◽  
Vol 62 (12) ◽  
pp. 4464-4482 ◽  
Author(s):  
Diane L. Kendall ◽  
Megan Oelke Moldestad ◽  
Wesley Allen ◽  
Janaki Torrence ◽  
Stephen E. Nadeau
Keyword(s):  
Randomized Controlled Trial ◽  
Response Latency ◽  
Controlled Trial ◽  
Semantic Knowledge ◽  
Semantic Feature ◽  
Feature Analysis ◽  
Group Differences ◽  
Randomized Controlled ◽  
Confrontation Naming ◽  
Semantic Feature Analysis

Purpose The ultimate goal of anomia treatment should be to achieve gains in exemplars trained in the therapy session, as well as generalization to untrained exemplars and contexts. The purpose of this study was to test the efficacy of phonomotor treatment, a treatment focusing on enhancement of phonological sequence knowledge, against semantic feature analysis (SFA), a lexical-semantic therapy that focuses on enhancement of semantic knowledge and is well known and commonly used to treat anomia in aphasia. Method In a between-groups randomized controlled trial, 58 persons with aphasia characterized by anomia and phonological dysfunction were randomized to receive 56–60 hr of intensively delivered treatment over 6 weeks with testing pretreatment, posttreatment, and 3 months posttreatment termination. Results There was no significant between-groups difference on the primary outcome measure (untrained nouns phonologically and semantically unrelated to each treatment) at 3 months posttreatment. Significant within-group immediately posttreatment acquisition effects for confrontation naming and response latency were observed for both groups. Treatment-specific generalization effects for confrontation naming were observed for both groups immediately and 3 months posttreatment; a significant decrease in response latency was observed at both time points for the SFA group only. Finally, significant within-group differences on the Comprehensive Aphasia Test–Disability Questionnaire ( Swinburn, Porter, & Howard, 2004 ) were observed both immediately and 3 months posttreatment for the SFA group, and significant within-group differences on the Functional Outcome Questionnaire ( Glueckauf et al., 2003 ) were found for both treatment groups 3 months posttreatment. Discussion Our results are consistent with those of prior studies that have shown that SFA treatment and phonomotor treatment generalize to untrained words that share features (semantic or phonological sequence, respectively) with the training set. However, they show that there is no significant generalization to untrained words that do not share semantic features or phonological sequence features.

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