Squire's Quest! II: Implementation Intentions and Children's Fruit, Juice, and Vegetable (FJV) Consumption

NCT ID: NCT01004094

Last Updated: 2016-01-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 800 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2009-10-31
• Study Completion Date: 2011-03-31

Brief Summary

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.

Detailed Description

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.

Conditions

Obesity; Cancer

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

simple goal setting

This group will only set a goal.

Group Type: EXPERIMENTAL

simple goal setting

Intervention Type: BEHAVIORAL

This group will set goals only

goal setting plus action intentions

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

Group Type: EXPERIMENTAL

goal setting plus action intentions

Intervention Type: BEHAVIORAL

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

goal setting plus coping intentions

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

Group Type: EXPERIMENTAL

goal setting plus coping intentions

Intervention Type: BEHAVIORAL

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

goal setting plus action intentions plus coping intentions

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

Group Type: EXPERIMENTAL

goal setting plus action intentions plus coping intentions

Intervention Type: BEHAVIORAL

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

Interventions

simple goal setting

This group will set goals only

Intervention Type: BEHAVIORAL

goal setting plus action intentions

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

Intervention Type: BEHAVIORAL

goal setting plus coping intentions

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

Intervention Type: BEHAVIORAL

goal setting plus action intentions plus coping intentions

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

Intervention Type: BEHAVIORAL

Other Intervention Names

goal setting; implementation intentions; action plans; implementation intentions; problem solving; implementation intentions; action plans; problem solving

Eligibility Criteria

Inclusion Criteria

• child: 4th or 5th grade children who speak, write, and understand English; have access to a computer with high speed internet; provide written parental consent and child assent; and have a parent who speaks and understands English or Spanish who is willing to participate in the study
• Parents: parent or legal guardian of a child participating in the study

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role: collaborator

United States Department of Agriculture (USDA)

FED

Sponsor Role: collaborator

Baylor College of Medicine

OTHER

Sponsor Role: lead

Responsible Party

Deborah Thompson

Associate Professor of Pediatrics

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Baylor College of Medicine

Houston, Texas, United States

Countries

United States

References

DeSmet A, Liu Y, De Bourdeaudhuij I, Baranowski T, Thompson D. The effectiveness of asking behaviors among 9-11 year-old children in increasing home availability and children's intake of fruit and vegetables: results from the Squire's Quest II self-regulation game intervention. Int J Behav Nutr Phys Act. 2017 Apr 21;14(1):51. doi: 10.1186/s12966-017-0506-y.

Reference Type: DERIVED

PMID: 28431547 (View on PubMed)

Thompson D, Ferry RJ Jr, Cullen KW, Liu Y. Improvement in Fruit and Vegetable Consumption Associated with More Favorable Energy Density and Nutrient and Food Group Intake, but not Kilocalories. J Acad Nutr Diet. 2016 Sep;116(9):1443-1449. doi: 10.1016/j.jand.2016.05.002. Epub 2016 Jun 15.

Reference Type: DERIVED

PMID: 27316780 (View on PubMed)

Thompson D, Bhatt R, Vazquez I, Cullen KW, Baranowski J, Baranowski T, Liu Y. Creating action plans in a serious video game increases and maintains child fruit-vegetable intake: a randomized controlled trial. Int J Behav Nutr Phys Act. 2015 Mar 18;12:39. doi: 10.1186/s12966-015-0199-z.

Reference Type: DERIVED

PMID: 25890060 (View on PubMed)

Thompson D, Bhatt R, Lazarus M, Cullen K, Baranowski J, Baranowski T. A Serious Video Game to Increase Fruit and Vegetable Consumption Among Elementary Aged Youth (Squire's Quest! II): Rationale, Design, and Methods. JMIR Res Protoc. 2012 Nov 21;1(2):e19. doi: 10.2196/resprot.2348.

Reference Type: DERIVED

PMID: 23612366 (View on PubMed)

Other Identifiers

5R01HD050595

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Thompson_Squires_Quest_II

Identifier Type: -

Identifier Source: org_study_id