Neoplasms

Digestive System Diseases

All Conditions

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Rectal Diseases

This is a standardized intervention to increase fruit and vegetable consumption among church members through pastoral and peer counseling and church activities/menus.

Four tailored newsletters and peer counseling calls to promote CRC screening among church members out-of-date according to screening guidelines. For those up-to-date, promotion is of increased physical activity.

Pastoral and peer counseling, and church activities/menus to promote increased fruit and vegetable consumption among church members.

Body & Soul nutritional intervention

Four tailored newsletters and peer counseling calls to promote CRC screening in church members who are out-of-date with screening. Four tailored newsletters and peer counseling calls to others to increase physical activity.

Experimental: newsletters and peer counseling

Marci K Campbell, PhD

This is an intervention study to increase colorectal cancer screening and physical activity in members of African-American churches who are 50 years old and older. The control arm receives the Body \& Soul program, a program to increase fruit and vegetable intake. The investigators hypothesize that those receiving the intervention, which includes four tailored newsletters and peer counseling, will be more likely to be screened if not up-to-date, and more likely to increase physical activity if screening was up-to-date at baseline, than controls.

Increasing Colorectal Cancer Screening in Urban African American Communities Via Churches

Increasing CRC Screening in Urban African American Communities Via Churches

Among church members who were out-of-date for CRC screening at baseline, a higher percentage of experimental participants will have been screened at the time of follow-up.

Centers for Disease Control and Prevention

University of North Carolina, Chapel Hill

(1) 12 weekly interactive sessions with a health coach to help them set goals and make changes toward becoming physically active and consuming the recommended number of fruits and vegetables.

This arm will receive personalized health coaching (behaviour change counseling)

interactive sessions

Participating in regular physical activity and consuming a diet high in fruits and vegetables can aid in the management of various acute and chronic side effects of cancer treatment; however, few rural-dwelling young adult cancer survivors are active enough and consume enough fruits and vegetables to accrue benefits. Telehealth interventions show promise for helping these young adults increase their motivation to participate in these behaviours by addressing barriers associated with accessing face-to-face behaviour counselling services (e.g., time commitment, travel distance). Yet, few researchers have examined the feasibility and acceptability of a telehealth intervention that provides motivational support grounded in self-determination theory for these health behaviours in rural-dwelling young adult cancer survivors. Based on previous research, the researchers reasoned that rural-dwelling young adult cancer survivors' physical activity and fruit and vegetable consumption would be more likely to increase if they participated in a telehealth intervention therefore, the researchers aim to test the feasibility, acceptability, and preliminary efficacy of the intervention. The researchers also aim to assess if changes in perceived basic psychological need satisfaction, behaviour regulation, and perceived autonomy support are associated with changes in physical activity and fruit and vegetable consumption.

Making Healthy Choices: Does Having an Online Health Coach Help?

Helping Rural-living Young Adult Cancer Survivors Make Healthy Lifestyle Choices: Does Having a Telehealth Personal Health Coach Help?

Change in self-reported physical activity (over the past 7 days) from baseline to post-intervention, with higher scores representing a better outcome.

Change in self-reported fruit and vegetable intake (over the past 7 days) from baseline to post-intervention, with higher scores representing a better outcome.

Change in basic psychological need satisfaction for physical activity from baseline to post-intervention, using a 1 (false) to 6 (true) scale with higher scores representing a better outcome.

Change in basic psychological need satisfaction for fruit and vegetable consumption from baseline to post-intervention, using a 1 (strongly disagree) to 7 (strongly agree) scale with higher scores representing a better outcome.

Change in motivational regulations for physical activity from baseline to post-intervention, using a 1 (not at all true) to 7 (very true) scale with higher scores representing a better outcome.

Change in motivational regulations for fruit and vegetable consumption from baseline to post-intervention, using a 1 (not at all true) to 7 (very true) scale with higher scores representing a better outcome.

Level of perceived autonomy support for health behaviours post-intervention, using a 1 (strongly disagree) to 7 (strongly agree) scale with higher scores representing a better outcome.

The number of eligible participants who enrol in the study out of the number assessed for eligibility

The number of participants completing the 12-week intervention.

The number of eligible participants completing ≥ 70% of the intervention sessions (i.e., 8/12)

Participants will be asked what they liked, disliked, and experienced during the intervention

University of Ottawa

Associate Professor

Nutritional and Metabolic Diseases

Symptoms and General Pathology

Obesity

Overweight

Overnutrition

Nutrition Disorders

Body Weight

This group will set goals and form action intentions (plans) to facilitate goal attainment.

This group will set goals and form coping intentions (plans) to facilitate goal attainment.

This group will set goals, form action intentions (plans), and form coping intentions (plans) to facilitate goal attainment.

simple goal setting

This group will set goals and form action intentions (plans)

goal setting plus action intentions

This group will set goals and form coping intentions (plans)

goal setting plus coping intentions

This group will set goals and form action intentions and coping intentions

goal setting plus action intentions plus coping intentions

The primary purpose of this research is to test the effects of goal setting on fruit and vegetable goal attainment and consumption in a 10 episode video game. Factors associated with maintenance of behavior change will also be examined. Secondary purposes are to explore the impact of the intervention on psychosocial factors and the home environment. 400 parent-child pairs will be recruited for this research (800 participants total). Children will play the video game and participate in data collection activities. Parents will receive newsletters, have access to a healthy foods web site, and participate in data collection activities. A small subset will be randomly selected to participate in interviews about the intervention and its effect on the home food environment.

Obesity is increasing among youth and is associated with increased risk of certain cancers and other chronic diseases. Fruit, juice, and vegetable (FJV) intake is associated with decreased risk of many types of cancer and obesity, but is well below the recommended minimum of five servings a day. Innovative methods are needed to promote increased consumption among youth.

Goal setting enhances goal attainment and, therefore, facilitates behavior change. Little research has been conducted, however, on the most effective goal setting methods to use with youth. Among adults, the formation of implementation intentions (a detailed plan of when, where, and how goals will be achieved) has been shown to enhance goal attainment and/or behavior change, including dietary change. Research is needed to determine if extending the goal setting process to include implementation intentions is an effective method for enhancing goal attainment, and therefore, increasing FJV intake among youth.

Squire's Quest! is a proven-effective 10-session, 5 week interactive multi media program that enabled children to increase FJV consumption by 1.0 servings a day. Total consumption was still well below five servings a day, however. Additionally, goal attainment was related to FJV consumption among certain sub-groups of youth. Therefore, additional work in this area is warranted. The research outlined in this proposal will expand the goal setting component of this successful intervention to include the formation of implementation intentions. Hypotheses related to the impact of implementation intentions on goal attainment and FJV consumption will then be tested. Issues related to maintenance of youth dietary behavior change will also be explored.

This project is relevant to public health because enhancing our understanding of how to more effectively help young children set and achieve FJV goals should result in increased FJV consumption, which should decrease risk of both obesity and certain cancers in a vulnerable segment of the population.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Increasing Colorectal Cancer Screening in Urban African American Communities Via Churches	NCT01139242	Colorectal Canc...	Body & Soul nut... Experimental: n...	50 Years - 99 Years	University of North Carolina, Chapel Hill
Making Healthy Choices: Does Having an Online Health Coach Help?	NCT03691545	Physical Activi... Dietary Modific...	interactive ses...	20 Years - 39 Years	University of Ottawa
Increasing Colorectal Cancer Screening in Urban African American Communities Via Churches	NCT01139242	Colorectal Canc...	Body & Soul nut... Experimental: n...	50 Years - 99 Years	University of North Carolina, Chapel Hill
Squire's Quest! II: Implementation Intentions and Children's Fruit, Juice, and Vegetable (FJV) Consumption	NCT01004094	Obesity Cancer	simple goal set... goal setting pl... goal setting pl... goal setting pl...	8 Years - 12 Years	Baylor College of Medicine

Spots Global Cancer Trial Database for fruit and vegetable consumption