Trial Outcomes & Findings for iSIPsmarter: An RCT Evaluating the Efficacy of a Technology-Based Intervention to Reduce Sugary Drinks in Rural Appalachia (NCT NCT05030753)
NCT ID: NCT05030753
Last Updated: 2025-10-22
Results Overview
The primary sugar sweetened beverage (SSB) outcome was assessed with the BEVQ-15, which queries intake over the past 30 days. Using standardized and validated scoring procedures, totals for the five SSB-related beverages (i.e., regular soft drinks, sweetened juice beverage/drink, sweetened tea, coffee with sugar, energy/sports drinks) were determined by multiplying reported intake frequency by portion size, and then summing the five categories to obtain total fluid milliters/day intake of all SSB.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
249 participants
Primary outcome timeframe
Baseline, 9-weeks (immediate-post follow-up)
Results posted on
2025-10-22
Participant Flow
Participant milestones
| Measure |
iSIPsmarter
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.
iSIPsmarter: 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.
|
Patient Education (PE)
he 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.
Patient Education (PE): he 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.
|
|---|---|---|
|
Baseline
STARTED
|
127
|
122
|
|
Baseline
COMPLETED
|
127
|
122
|
|
Baseline
NOT COMPLETED
|
0
|
0
|
|
9-week
STARTED
|
127
|
122
|
|
9-week
COMPLETED
|
114
|
114
|
|
9-week
NOT COMPLETED
|
13
|
8
|
|
6-month post intervention
STARTED
|
114
|
114
|
|
6-month post intervention
COMPLETED
|
105
|
110
|
|
6-month post intervention
NOT COMPLETED
|
9
|
4
|
|
18-month post intervention
STARTED
|
105
|
110
|
|
18-month post intervention
COMPLETED
|
102
|
109
|
|
18-month post intervention
NOT COMPLETED
|
3
|
1
|
Reasons for withdrawal
| Measure |
iSIPsmarter
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.
iSIPsmarter: 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.
|
Patient Education (PE)
he 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.
Patient Education (PE): he 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.
|
|---|---|---|
|
9-week
Lost to Follow-up
|
10
|
7
|
|
9-week
Withdrawal by Subject
|
1
|
0
|
|
9-week
Excluded from analysis due to missing covariates
|
2
|
1
|
|
6-month post intervention
Lost to Follow-up
|
5
|
4
|
|
6-month post intervention
Withdrawal by Subject
|
4
|
0
|
|
18-month post intervention
Lost to Follow-up
|
3
|
1
|
Baseline Characteristics
10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
Baseline characteristics by cohort
| Measure |
iSIPsmarter
n=127 Participants
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.
iSIPsmarter: 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.
|
Patient Education (PE)
n=122 Participants
he 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.
Patient Education (PE): he 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.
|
Total
n=249 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=127 Participants
|
0 Participants
n=122 Participants
|
0 Participants
n=249 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
125 Participants
n=127 Participants
|
116 Participants
n=122 Participants
|
241 Participants
n=249 Participants
|
|
Age, Categorical
>=65 years
|
2 Participants
n=127 Participants
|
6 Participants
n=122 Participants
|
8 Participants
n=249 Participants
|
|
Age, Continuous
|
42.0 years
STANDARD_DEVIATION 13.2 • n=127 Participants
|
41.2 years
STANDARD_DEVIATION 13.2 • n=122 Participants
|
41.6 years
STANDARD_DEVIATION 12.6 • n=249 Participants
|
|
Sex/Gender, Customized
Male
|
24 Participants
n=127 Participants
|
17 Participants
n=122 Participants
|
41 Participants
n=249 Participants
|
|
Sex/Gender, Customized
Female
|
103 Participants
n=127 Participants
|
104 Participants
n=122 Participants
|
207 Participants
n=249 Participants
|
|
Sex/Gender, Customized
Other
|
0 Participants
n=127 Participants
|
1 Participants
n=122 Participants
|
1 Participants
n=249 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
3 Participants
n=127 Participants
|
4 Participants
n=122 Participants
|
7 Participants
n=249 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
121 Participants
n=127 Participants
|
118 Participants
n=122 Participants
|
239 Participants
n=249 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
3 Participants
n=127 Participants
|
0 Participants
n=122 Participants
|
3 Participants
n=249 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=127 Participants
|
0 Participants
n=122 Participants
|
1 Participants
n=249 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=127 Participants
|
4 Participants
n=122 Participants
|
5 Participants
n=249 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=127 Participants
|
0 Participants
n=122 Participants
|
0 Participants
n=249 Participants
|
|
Race (NIH/OMB)
Black or African American
|
9 Participants
n=127 Participants
|
4 Participants
n=122 Participants
|
13 Participants
n=249 Participants
|
|
Race (NIH/OMB)
White
|
113 Participants
n=127 Participants
|
108 Participants
n=122 Participants
|
221 Participants
n=249 Participants
|
|
Race (NIH/OMB)
More than one race
|
2 Participants
n=127 Participants
|
6 Participants
n=122 Participants
|
8 Participants
n=249 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=127 Participants
|
0 Participants
n=122 Participants
|
1 Participants
n=249 Participants
|
|
Region of Enrollment
United States
|
127 participants
n=127 Participants
|
122 participants
n=122 Participants
|
249 participants
n=249 Participants
|
|
Annual Household Income
<= $14,999
|
9 Participants
n=127 Participants
|
8 Participants
n=122 Participants
|
17 Participants
n=249 Participants
|
|
Annual Household Income
$15,000-$34,999
|
27 Participants
n=127 Participants
|
22 Participants
n=122 Participants
|
49 Participants
n=249 Participants
|
|
Annual Household Income
$35,000-$54,999
|
26 Participants
n=127 Participants
|
36 Participants
n=122 Participants
|
62 Participants
n=249 Participants
|
|
Annual Household Income
>= $55,000
|
63 Participants
n=127 Participants
|
56 Participants
n=122 Participants
|
119 Participants
n=249 Participants
|
|
Annual Household Income
Unknown or unreported
|
2 Participants
n=127 Participants
|
0 Participants
n=122 Participants
|
2 Participants
n=249 Participants
|
|
Education Level, categorical
<= High school graduate
|
14 Participants
n=127 Participants
|
9 Participants
n=122 Participants
|
23 Participants
n=249 Participants
|
|
Education Level, categorical
Some college or greater
|
113 Participants
n=127 Participants
|
113 Participants
n=122 Participants
|
226 Participants
n=249 Participants
|
|
Perceived Health Literacy, continuous
|
11.6 units on a scale
STANDARD_DEVIATION 1.00 • n=127 Participants
|
11.5 units on a scale
STANDARD_DEVIATION 0.99 • n=122 Participants
|
11.5 units on a scale
STANDARD_DEVIATION 0.99 • n=249 Participants
|
|
Rurality Status, categorical
RUCC 1-2
|
16 Participants
n=127 Participants
|
20 Participants
n=122 Participants
|
36 Participants
n=249 Participants
|
|
Rurality Status, categorical
RUCC 3
|
57 Participants
n=127 Participants
|
54 Participants
n=122 Participants
|
111 Participants
n=249 Participants
|
|
Rurality Status, categorical
RUCC 4-9
|
54 Participants
n=127 Participants
|
48 Participants
n=122 Participants
|
102 Participants
n=249 Participants
|
|
Weight, continuous
|
94.2 kilograms
STANDARD_DEVIATION 26.8 • n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
90.6 kilograms
STANDARD_DEVIATION 23.6 • n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
92.4 kilograms
STANDARD_DEVIATION 25.4 • n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, continuous
|
33.8 kg/m^2
STANDARD_DEVIATION 9.0 • n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
32.5 kg/m^2
STANDARD_DEVIATION 8.0 • n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
33.2 kg/m^2
STANDARD_DEVIATION 8.7 • n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, categorical
Underweight
|
0 Participants
n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
1 Participants
n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
1 Participants
n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, categorical
Overweight
|
17 Participants
n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
22 Participants
n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
39 Participants
n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, categorical
Normal
|
30 Participants
n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
28 Participants
n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
58 Participants
n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, categorical
Obesity Class 1
|
28 Participants
n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
27 Participants
n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
55 Participants
n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, categorical
Obesity Class 2
|
19 Participants
n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
19 Participants
n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
38 Participants
n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
BMI, categorical
Obesity Class 3
|
28 Participants
n=122 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
20 Participants
n=117 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
48 Participants
n=239 Participants • 10 participants were excluded from analysis due to missing weight data (n=1), defective scales (n=4), pregnancy (n=2), bariatric surgery (n=1), and exceeding the scales maximum weight (n=2)
|
|
Sugar-sweetened beverage fluid milliliters/day
|
1313.1 fluid milliliters/day
STANDARD_DEVIATION 760.0 • n=127 Participants
|
1144.5 fluid milliliters/day
STANDARD_DEVIATION 603.3 • n=122 Participants
|
1230.2 fluid milliliters/day
STANDARD_DEVIATION 692.0 • n=249 Participants
|
|
Sugary-sweetened beverage kilocalories/day
|
514.4 kilocalories/day
STANDARD_DEVIATION 317.5 • n=127 Participants
|
446.2 kilocalories/day
STANDARD_DEVIATION 249.7 • n=122 Participants
|
481.0 kilocalories/day
STANDARD_DEVIATION 287.7 • n=249 Participants
|
PRIMARY outcome
Timeframe: Baseline, 9-weeks (immediate-post follow-up)Population: Participants who completed Baseline and 9-week Bev-Q survey, were not previously lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
The primary sugar sweetened beverage (SSB) outcome was assessed with the BEVQ-15, which queries intake over the past 30 days. Using standardized and validated scoring procedures, totals for the five SSB-related beverages (i.e., regular soft drinks, sweetened juice beverage/drink, sweetened tea, coffee with sugar, energy/sports drinks) were determined by multiplying reported intake frequency by portion size, and then summing the five categories to obtain total fluid milliters/day intake of all SSB.
Outcome measures
| Measure |
iSIPsmarter
n=114 Participants
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.
iSIPsmarter: 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.
|
Patient Education (PE)
n=114 Participants
he 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.
Patient Education (PE): he 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.
|
|---|---|---|
|
Change From Baseline Sugar-sweetened Beverage Fluid Milliters/Day at 9-weeks
|
-897.0 fluid milliters/day
Interval -1044.2 to -749.4
|
-291.0 fluid milliters/day
Interval -493.9 to -88.1
|
SECONDARY outcome
Timeframe: Baseline, 6-months (post-intervention follow-up)Population: Participants who completed the Bev-Q at 6-months, were not previously lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
The primary sugar sweetened beverage (SSB) outcome was assessed with the BEVQ-15, which queries intake over the past 30 days. Using standardized and validated scoring procedures, totals for the five SSB-related beverages (i.e., regular soft drinks, sweetened juice beverage/drink, sweetened tea, coffee with sugar, energy/sports drinks) were determined by multiplying reported intake frequency by portion size, and then summing the five categories to obtain total fluid milliters/day intake of all SSB.
Outcome measures
| Measure |
iSIPsmarter
n=105 Participants
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.
iSIPsmarter: 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.
|
Patient Education (PE)
n=110 Participants
he 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.
Patient Education (PE): he 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.
|
|---|---|---|
|
Change From Baseline Sugar-sweetened Beverage Fluid Milliters/Day at 6-months Post Intervention
|
-858.2 fluid milliters/day
Interval -1008.2 to -708.3
|
-279.5 fluid milliters/day
Interval -490.3 to -68.6
|
SECONDARY outcome
Timeframe: Baseline, 18-months (post itnervention follow-up)Population: Participants who completed the Bev-Q at 18-months, were not previously lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
The primary sugar sweetened beverage (SSB) outcome was assessed with the BEVQ-15, which queries intake over the past 30 days. Using standardized and validated scoring procedures, totals for the five SSB-related beverages (i.e., regular soft drinks, sweetened juice beverage/drink, sweetened tea, coffee with sugar, energy/sports drinks) were determined by multiplying reported intake frequency by portion size, and then summing the five categories to obtain total fluid milliters/day of all SSB.
Outcome measures
| Measure |
iSIPsmarter
n=102 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=109 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Sugar-sweetened Beverage Fluid Milliters/Day at 18-months Post Intervention
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-893.1 fluid milliters/day
Interval -1044.5 to -737.0
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-618.7 fluid milliters/day
Interval -762.1 to -475.2
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SECONDARY outcome
Timeframe: Baseline, 9-weeks (immediate-post follow-up)Population: Participants who weighed themselves on the BodyTrace scale, did not have an excluded weight (e.g., pregnancy, defective scale, bariatric surgery, weight exceed scale limit), were not lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
Using weight data collected from a cellular enabled in-home ©BodyTrace digital scale and calculating percent weight change between Baseline and 9-weeks (immediate post follow-up).
Outcome measures
| Measure |
iSIPsmarter
n=107 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=108 Participants
he 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.
Patient Education (PE): he 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.
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Percent Weight Change From Baseline Weight at 9-weeks
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-1.13 percent weight change
Interval -1.84 to -0.42
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-0.05 percent weight change
Interval -0.36 to 0.26
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SECONDARY outcome
Timeframe: Baseline, 6-months (post-intervention follow-up)Population: Participants who weighed themselves on the BodyTrace scale, did not have an excluded weight (e.g., pregnancy, defective scale, bariatric surgery, weight exceed scale limit), were not lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
Using weight data collected from a cellular enabled in-home ©BodyTrace digital scale and calculating percent weight change between Baseline and 6-months (post intervention follow-up).
Outcome measures
| Measure |
iSIPsmarter
n=100 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=101 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Percent Weight Change From Baseline Weight at 6-months
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-1.95 percent weight change
Interval -3.34 to -0.55
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-0.55 percent weight change
Interval -1.74 to 0.64
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SECONDARY outcome
Timeframe: Baseline, 18-months (post-intervention follow-up)Population: Participants who weighed themselves on the BodyTrace scale, did not have an excluded weight (e.g., pregnancy, defective scale, bariatric surgery, weight exceed scale limit), were not lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
Using weight data collected from a cellular enabled in-home ©BodyTrace digital scale and calculating percent weight change between Baseline and 6-months (post intervention follow-up).
Outcome measures
| Measure |
iSIPsmarter
n=88 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=91 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Percent Weight Change From Baseline Weight at 18-months
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-2.97 percent weight change
Interval -4.48 to -1.45
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-0.000003 percent weight change
Interval -0.00002 to 0.00000833
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SECONDARY outcome
Timeframe: Baseline, 9-weeks (immediate post-folllow-up)Population: Participants who completed the Healthy Days scale, were not lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
Using the Center's for Disease (CDC) Healthy Days Core Module to measure total days in the past month that were either physically or mentally unhealth. Range is from 0-30. Lower scores indicate greater quality of life.
Outcome measures
| Measure |
iSIPsmarter
n=113 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=113 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Overall Quality of Life at 9-weeks
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-0.61 score on a scale
Interval -3.32 to 2.11
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-1.28 score on a scale
Interval -3.9 to 1.34
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SECONDARY outcome
Timeframe: Baseline, 6-months (post intervention follow-up)Population: Participants who completed the Healthy Days scale, were not lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
Using the Center's for Disease (CDC) Healthy Days Core Module to measure total days in the past month that were either physically or mentally unhealth. Range is from 0-30. Lower scores indicate greater quality of life.
Outcome measures
| Measure |
iSIPsmarter
n=104 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=109 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Overall Quality of Life at 6-months
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-5.08 score on a scale
Interval -7.5 to -2.66
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-5.31 score on a scale
Interval -7.8 to -2.83
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SECONDARY outcome
Timeframe: Baseline, 18-months (post intervention follow-up)Population: Participants who completed the Healthy Days scale, were not lost to follow-up or withdrawn from the study, and had complete data for covariates used in the analysis (age, sex, race, income, educational level, and health literacy).
Using the Center's for Disease (CDC) Healthy Days Core Module to measure total days in the past month that were either physically or mentally unhealth. Range is from 0-30. Lower scores indicate greater quality of life.
Outcome measures
| Measure |
iSIPsmarter
n=101 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=107 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Overall Quality of Life at 18-months
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-0.71 score on a scale
Interval -3.62 to 2.21
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-1.92 score on a scale
Interval -4.79 to 0.95
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SECONDARY outcome
Timeframe: Baseline, 9-weeks (immediate-post follow-up)Population: Participants who completed dietary recalls at all time points (Baseline, 9-weeks, 6-months, and 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).
Outcome measures
| Measure |
iSIPsmarter
n=100 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=108 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Dietary Quality as Measured by the Healthy Eating Index (HEI) Score at 9-weeks
|
1.70 score on scale
Interval -1.13 to 4.52
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2.82 score on scale
Interval -0.06 to 5.7
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SECONDARY outcome
Timeframe: Baseline, 6-months (post intervention follow-up)Population: Participants who completed dietary recalls at all time points (Baseline, 9-weeks, 6-months, and 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).
Outcome measures
| Measure |
iSIPsmarter
n=100 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=108 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Dietary Quality as Measured by the Healthy Eating Index (HEI) Score at 6-months
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3.33 score on a scale
Interval 0.56 to 6.11
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1.65 score on a scale
Interval -1.0 to 4.3
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SECONDARY outcome
Timeframe: Baseline, 18-months (post intervention follow-up)Population: Participants who completed dietary recalls at all time points (Baseline, 9-weeks, 6-months, and 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).
Outcome measures
| Measure |
iSIPsmarter
n=100 Participants
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.
iSIPsmarter: 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.
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Patient Education (PE)
n=108 Participants
he 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.
Patient Education (PE): he 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.
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|---|---|---|
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Change From Baseline Dietary Quality as Measured the Healthy Eating Index (HEI) Score at 18 Months
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4.18 score on a scale
Interval 1.45 to 6.92
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3.21 score on a scale
Interval 0.39 to 6.03
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Adverse Events
iSIPsmarter
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Patient Education (PE)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place