Destination Areas (DAs)

Permanent URI for this community

https://hdl.handle.net/10919/78628

Destination Areas provide faculty and students with new tools to identify and solve complex, 21st-century problems in which Virginia Tech already has significant strengths and can take a global leadership role. The initiative represents the next step in the evolution of the land-grant university to meet economic and societal needs of the world.

Browse

Now showing 1 - 20 of 22

Assessing the Impact of the CIP Genebank
Brenal-Galeano, Vivian; Shirey, Emma; Alwang, Jeffrey R.; Anglin, Noelle L.; Ellis, David; Hareau, Guy; Pradel, Willy; Norton, George W. (2018-10-03)
Preserving plant diversity is a critical objective of a genebank. Genebanks provide breeding programs with new and crucial traits that can be incorporated into crops. Future Food security relies on these traits, that can improve resilience to a changing environment and new pests.
Bridging the Information Gap with Cost-Effective Dissemination Strategies: The Case of Integrated Pest Management in Bangladesh
Harris, Leah M.; Norton, George W.; Rezaul Karim, A.N.M.; Alwang, Jeffrey R.; Taylor, Daniel B. (Southern Agricultural Economics Association, 2013)
Cost-effective extension strategies are needed to promote widespread adoption of agricultural technologies in developing countries. Integrated pest management (IPM) practices, for example, can offer economic, health, and environmental benefits but remain largely underused. This study evaluates the current IPM dissemination program implemented by the Bangladesh Department of Agricultural Extension and uses a linear programming model to examine alternative strategies to improve IPM adoption. Results suggest that technology transfer programs may increase their impact by reallocating funding from intensive but costly interpersonal communication methods (i.e., farmer field schools) to less intensive methods (i.e., mass media and field days) that reach broader audiences.
Changes in the Healthy Beverage Index in Response to an Intervention Targeting a Reduction in Sugar-Sweetened Beverage Consumption as Compared to an Intervention Targeting Improvements in Physical Activity: Results from the Talking Health Trial
Hedrick, Valisa E.; Davy, Brenda M.; Myers, Emily A.; You, Wen; Zoellner, Jamie M. (MDPI, 2015-12-04)
The recently developed Healthy Beverage Index (HBI) was designed to evaluate overall beverage intake quality (including total fluid consumption and beverage calories), yet no known intervention studies have assessed longitudinal changes to the HBI. The objective of this investigation was to assess changes in HBI scores in response to a sugar-sweetened beverage (SSB) reduction trial as compared to a physical activity comparison group. Participants were enrolled into a six-month, community-based, controlled behavioral trial and randomized into either a SSB reduction group (SIPsmartER) or a physical activity group (MoveMore). Correlations and multilevel mixed-effects linear regression with intention-to-treat analyses are presented. Total HBI score significantly increased for SIPsmartER (n = 149) (mean increase = 7.5 points (5.4, 9.7), p ≤ 0.001) and MoveMore (n = 143) (mean increase = 3.4 points (1.6, 5.2), p ≤ 0.001) participants, with a significant between group effect (p ≤ 0.05), over the six-month intervention. Other significant changes in HBI components for SIPsmartER included increased SSB and total beverage calorie scores, and decreased low-fat milk and diet soda scores. Changes in total HBI scores were significantly correlated with changes in total Healthy Eating Index-2010 scores (r = 0.15, p ≤ 0.01). Our findings suggest that individual HBI component scores, beyond the SSB component, are influenced by intervention strategies that primarily focus on SSB reduction.
Characterization of Non-Nutritive Sweetener Intake in Rural Southwest Virginian Adults Living in a Health-Disparate Region
Hedrick, Valisa E.; Passaro, Erin M.; Davy, Brenda M.; You, Wen; Zoellner, Jamie M. (MDPI, 2017-07-01)
Few data assessing non-nutritive sweetener (NNS) intake are available, especially within rural, health-disparate populations, where obesity and related co-morbidities are prevalent. The objective of this study is to characterize NNS intake for this population and examine the variance in demographics, cardio-metabolic outcomes, and dietary intake between NNS consumers and non-consumers. A cross-sectional sample (n = 301) of Virginian adults from a randomized controlled trial (data collected from 2012 to 2014) targeting sugar-sweetened beverage (SSB) intake completed three 24-h dietary recalls, and demographics and cardio-metabolic measures were assessed. The frequency, types, and sources of NNS consumption were identified. Thirty-three percent of participants reported consuming NNS (n = 100). Sucralose was the largest contributor of mean daily NNS intake by weight (mg), followed by aspartame, acesulfame potassium, and saccharin. NNS in tabletop sweeteners, diet tea, and diet soda were the top contributors to absolute NNS intake. The most frequently consumed NNS sources were diet sodas, juice drinks, and tabletop sweeteners. Although mean body mass index (BMI) was greater for NNS consumers, they demonstrated significantly lower food, beverage, and SSB caloric intake and energy density, and higher overall dietary quality. It remains unclear whether NNS use plays a role in exacerbating weight gain. NNS consumers in this sample may have switched from drinking predominantly SSB to drinking some NNS beverages in an effort to cope with weight gain. Future studies should explore motivations for NNS use across a variety of weight and health categories.
Codex in Motion: Food Safety Standard Setting and Impacts on Developing Countries' Agricultural Exports
Wieck, Christine; Grant, Jason H. (2021-01-12)
The Codex Alimentarius, or 'food code', was established to set international standards to ensure the safety and quality of food and agricultural products while at the same time creating a level playing field for international trade. However, less is known about the duration of the standards setting process in the Codex committees, and the extent to which trade is impacted when standards are delayed versus cases in which the adoption of standards was accelerated. This article reviews and evaluates three case studies in which Codex standards were rapidly adopted: Sulphur Dioxide (SO2) levels in cinnamon; melamine standards for milk and powder; and Codex guidance procedures in the case of melons. Two recent cases in which Codex standards have been held up are also considered: maximum levels of aflatoxins in ready-to-eat peanuts; and cadmium in chocolate. We find evidence that accelerated adoption of Codex standards is an important catalyst facilitating exports by some developing countries. Delays and non-adoption of Codex standards, on the other hand, can lead to significant export underperformance in certain countries and regions. Thus, Codex members would do well to reflect on the positive trade flow benefits that can be realised among developing countries who depend on international standards for export earnings.
Cyberbiosecurity: A New Perspective on Protecting US Food and Agricultural System
Duncan, Susan E.; Reinhard, Robert; Williams, Robert C.; Ramsey, A. Ford; Thomason, Wade E.; Lee, Kiho; Dudek, Nancy; Mostaghimi, Saied; Colbert, Edward; Murch, Randall Steven (Frontiers, 2019-03-29)
Our national data and infrastructure security issues affecting the "bioeconomy" are evolving rapidly. Simultaneously, the conversation about cyber security of the U.S. food and agricultural system (cyber biosecurity) is incomplete and disjointed. The food and agricultural production sectors influence over 20% of the nation's economy ($ 6.7T) and 15% of U.S. employment (43.3M jobs). The food and agricultural sectors are immensely diverse and they require advanced technologies and efficiencies that rely on computer technologies, big data, cloud-based data storage, and internet accessibility. There is a critical need to safeguard the cyber biosecurity of our bio economy, but currently protections are minimal and do not broadly exist across the food and agricultural system. Using the food safetymanagement Hazard Analysis Critical Control Point systemconcept as an introductory point of reference, we identify important features in broad food and agricultural production and food systems: dairy, food animals, row crops, fruits and vegetables, and environmental resources (water). This analysis explores the relevant concepts of cyber biosecurity from food production to the end product user (such as the consumer) and considers the integration of diverse transportation, supplier, and retailer networks. We describe common challenges and unique barriers across these systems and recommend solutions to advance the role of cyber biosecurity in the food and agricultural sectors.
Disparities in obesity among rural and urban residents in a health disparate region
Hill, Jennie L.; You, Wen; Zoellner, Jamie M. (2014-10-08)
Background The burden of obesity and obesity-related conditions is not borne equally and disparities in prevalence are well documented for low-income, minority and rural adults in the United States. The current literature on rural versus urban disparities is largely derived from national surveillance data which may not reflect regional nuances. There is little practical research that supports the reality of local service providers such as county health departments that may serve both urban and rural residents in a given area. Conducted through a community-academic partnership, the primary aim of this study is to quantify the current levels of obesity (BMI), fruit and vegetable (FV) intake and physical activity (PA) in a predominately rural health disparate region. Secondary aims are to determine if a gradient exists within the region in which rural residents have poorer outcomes on these indicators compared to urban residents. Methods Conducted as part of a larger ongoing community-based participatory research (CBPR) initiative, data were gathered through a random digit dial telephone survey using previously validated measures (n = 784). Linear, logistic and quantile regression models are used to determine if residency (i.e. rural, urban) predicts outcomes of FV intake, PA and BMI. Results The majority (72%) of respondents were overweight (BMI = 29 ± 6-kg/m2), with 29% being obese. Only 9% of residents met recommendations for FV intake and 38% met recommendations for PA. Statistically significant gradients between urban and rural and race exist at the upper end of the BMI distribution. In other words, the severity of obesity is worse among black compared to white and for urban residents compared to rural residents. Conclusions These results will be used by the community-academic partnership to guide the development of culturally relevant and sustainable interventions to increase PA, increase FV intake and reduce obesity within this health disparate region. In particular, local stakeholders may wish to address disparities in BMI by allocating resources to the vulnerable groups identified.
Farm Decision Making and Gender: Results from a Randomized Experiment in Ecuador
Alwang, Jeffrey R.; Larochelle, Catherine; Barrera, Victor H. (Elsevier, 2017)
Substantial resources have been devoted to mitigating the asset gender gap in developing country agriculture. Efforts have been taken to understand the role of women in decision making and in farm operations. Recommendations for best practices in eliciting information on women’s roles have emphasized the importance of sex-disaggregated data collection and analysis. Collection of sex-disaggregated data is not straightforward and careful attention to context is needed. In Ecuador’s highlands, chemical use in agriculture is widespread, and outreach and training programs to reduce this use are essential. These programs should target the appropriate decision makers. This paper presents results from a field experiment conducted in the Ecuador highlands where responding farm households are randomly assigned to one of three treatment groups: (i) a male respondent, (ii) a female respondent, and (iii) both adult male and female respondents (interviewed separately, but with knowledge that the other would also be interviewed). We assess whether treatment assignment affects responses to questions about decision making and responsibility for agricultural activities. Perceptions about household decision making and who is responsible for agricultural activities vary substantially by type of respondent. Men are more likely to claim sole responsibility; women are more likely to claim responsibility or that decisions are jointly made. In households where both man and woman were interviewed (separately) we found stark differences in responses about responsibilities, with men claiming sole responsibility at higher rates. Interviewing both members led to less divergence in responses, but large differences in perceptions about responsibilities remain when both are interviewed. Best interviewing practices depend on the type of information needed: for precise quantification of gender roles, complex methods may be necessary, but where qualitative information is sufficient, single-member interviews may be sufficient.
Feedback Between Behavioral Adaptations and Disease Dynamics
Chen, Jiangzhuo; Marathe, Achla; Marathe, Madhav V. (Springer Nature, 2018-08-20)
We study the feedback processes between individual behavior, disease prevalence, interventions and social networks during an influenza pandemic when a limited stockpile of antivirals is shared between the private and the public sectors. An economic model that uses prevalence-elastic demand for interventions is combined with a detailed social network and a disease propagation model to understand the feedback mechanism between epidemic dynamics, market behavior, individual perceptions, and the social network. An urban and a rural region are simulated to assess the robustness of results. Results show that an optimal split between the private and public sectors can be reached to contain the disease but the accessibility of antivirals from the private sector is skewed towards the richest income quartile. Also, larger allocations to the private sector result in wastage where individuals who do not need it are able to purchase it but who need it cannot afford it. Disease prevalence increases with household size and total contact time but not by degree in the social network, whereas wastage of antivirals decreases with degree and contact time. The best utilization of drugs is achieved when individuals with high contact time use them, who tend to be the school-aged children of large families.
From concept to practice to policy: modeling coupled natural and human systems in lake catchments
Cobourn, Kelly M.; Carey, Cayelan C.; Boyle, Kevin J.; Duffy, Christopher J.; Dugan, Hilary A.; Farrell, Kaitlin J.; Fitchett, Leah Lynn; Hanson, Paul C.; Hart, Julia A.; Henson, Virginia Reilly; Hetherington, Amy L.; Kemanian, Armen R.; Rudstam, Lars G.; Shu, Lele; Soranno, Patricia A.; Sorice, Michael G.; Stachelek, Joseph; Ward, Nicole K.; Weathers, Kathleen C.; Weng, Weizhe; Zhang, Yu (Ecological Society of America, 2018-05-03)
Recent debate over the scope of the U.S. Clean Water Act underscores the need to develop a robust body of scientific work that defines the connectivity between freshwater systems and people. Coupled natural and human systems (CNHS) modeling is one tool that can be used to study the complex, reciprocal linkages between human actions and ecosystem processes. Well‐developed CNHS models exist at a conceptual level, but the mapping of these system representations in practice is limited in capturing these feedbacks. This article presents a paired conceptual–empirical methodology for functionally capturing feedbacks between human and natural systems in freshwater lake catchments, from human actions to the ecosystem and from the ecosystem back to human actions. We address extant challenges in CNHS modeling, which arise from differences in disciplinary approach, model structure, and spatiotemporal resolution, to connect a suite of models. In doing so, we create an integrated, multi‐disciplinary tool that captures diverse processes that operate at multiple scales, including land‐management decision‐making, hydrologic‐solute transport, aquatic nutrient cycling, and civic engagement. In this article, we build on this novel framework to advance cross‐disciplinary dialogue to move CNHS lake‐catchment modeling in a systematic direction and, ultimately, provide a foundation for smart decision‐making and policy.
Horticultural Growers’ Willingness To Adopt Recycling Of Irrigation Water
Cultice, Alyssa; Bosch, Darrell J.; Pease, James W.; Boyle, Kevin J.; Xu, Weibin (Cambridge University Press, 2016)
Recycling irrigation water can provide water during periods of drought for horticulture operations and can reduce nonpoint-source pollution, but water recycling increases production costs and can increase risk of disease infestation from waterborne pathogens such as Pythium and Phytophthora. This study of water recycling adoption by horticultural growers in Virginia, Maryland, and Pennsylvania finds that the potential for increased disease infestation would reduce growers’ probability of adopting water recycling. Widespread adoption of recycling irrigation water would require government incentives or coercion or growers’ ability to pass cost increases on to customers.
Impact of demographic disparities in social distancing and vaccination on influenza epidemics in urban and rural regions of the United States
Singh, Meghendra; Sarkhel, Prasenjit; Kang, Gloria J.; Marathe, Achla; Boyle, Kevin J.; Murray-Tuite, Pamela; Abbas, Kaja M.; Swarup, Samarth (2019-03-04)
Background Self-protective behaviors of social distancing and vaccination uptake vary by demographics and affect the transmission dynamics of influenza in the United States. By incorporating the socio-behavioral differences in social distancing and vaccination uptake into mathematical models of influenza transmission dynamics, we can improve our estimates of epidemic outcomes. In this study we analyze the impact of demographic disparities in social distancing and vaccination on influenza epidemics in urban and rural regions of the United States. Methods We conducted a survey of a nationally representative sample of US adults to collect data on their self-protective behaviors, including social distancing and vaccination to protect themselves from influenza infection. We incorporated this data in an agent-based model to simulate the transmission dynamics of influenza in the urban region of Miami Dade county in Florida and the rural region of Montgomery county in Virginia. Results We compare epidemic scenarios wherein the social distancing and vaccination behaviors are uniform versus non-uniform across different demographic subpopulations. We infer that a uniform compliance of social distancing and vaccination uptake among different demographic subpopulations underestimates the severity of the epidemic in comparison to differentiated compliance among different demographic subpopulations. This result holds for both urban and rural regions. Conclusions By taking into account the behavioral differences in social distancing and vaccination uptake among different demographic subpopulations in analysis of influenza epidemics, we provide improved estimates of epidemic outcomes that can assist in improved public health interventions for prevention and control of influenza.
Impacts of COVID-19 and Price Transmission in US Meat Markets
Ramsey, A. Ford; Goodwin, Barry K.; Hahn, William F.; Holt, Matthew T. (2021-05)
Coronavirus 2019 (COVID-19) has caused ongoing disruptions to U.S. meat markets via demand and supply-side shocks. Abnormally high prices have been reported at retail outlets and meat packers have been accused of unfair business practices because of widening price spreads. Processing facilities have experienced COVID-19 outbreaks resulting in shutdowns. Using weekly data on wholesale and retail prices of beef, pork, and poultry, we characterize the time series behavior and dynamic linkages of U.S. meat prices before the COVID-19 pandemic. We model vertical price transmission using both linear and threshold autoregressive (AR) models and vector error correction (VEC) models. With the estimated models, we then compare price movements under COVID-19 to model predictions. All three meat markets are well-integrated and we observe unexpected, large price movements in April and May of 2020. Early COVID-19 related shocks appear to be transitory with prices returning to expected levels at a pace consistent with the speed of transmission prior to the pandemic. This well-functioning market process suggests a degree of resilience in U.S. meat supply chains.
National, Regional, and State-Level Estimates of Returns to Scale in the Expanded Food and Nutrition Education Program
Baral, Ranju; Davis, George C.; You, Wen (Cambridge University Press, 2013-05)
The effectiveness of the Expanded Food and Nutrition Education Program in achieving its goals at the national, regional, and state level is unknown. Using US Department of Agriculture (USDA) data from all states and territories for the years 2000–2006, the impact of program and participant characteristics and returns to scale on the three outcome indicators used by the USDA are estimated. Program and participant characteristics do not seem to be as important as the amount of money spent on the program. Generally speaking, there are constant and increasing returns to scale for two of the three federal outcome indices for most states but not all.
Obstacles to Widespread Diffusion of IPM in Developing Countries: Lessons From the Field
Alwang, Jeffrey R.; Norton, George W.; Larochelle, Catherine (Entomological Society of America, 2019-04-15)
Integrated pest management (IPM) is a way of managing agricultural pests using ecological principles and with minimum damage to the environment and human health. In developing countries, numerous IPM programs have been developed with the intent of increasing yields, reducing costs, and minimizing adverse impacts of pest management. Despite its promise and many millions of dollars being spent on training and diffusion, IPM has not been widely adopted in developing countries. This paper provides evidence about what is known about global adoption, what factors have been identified as obstacles to more widespread adoption, and ways of overcoming these factors. Behavioral economics provides insights that help explain lagging IPM adoption and promises potential for relatively simple solutions. Means of evaluating and implementing behavioral economics approaches are described and some lessons are gleaned from a single study employing these approaches in Ecuador. Implications for broader diffusion are discussed.
Salt-tolerant rice variety adoption in the Mekong River Delta: Farmer adaptation to sea-level rise
Paik, SongYi; Dung Thi Phuong Le; Lien Thi Nhu; Mills, Bradford F. (2020-03-16)
Rice production in the Mekong River Delta of Vietnam (MRD) is endangered by sea-level rise and an associated increase in the incidence of salinity intrusion. This paper examines the diffusion of salt tolerant rice varieties in the MRD that were promoted through Consortium for Unfavorable Rice Environments (CURE) activities. Factors associated with adoption of CURE-related varieties are estimated using a random utilty model and a dataset of 800 farm households with rice fields in salinity prone areas of the MRD. Results suggest that there has been widespread adoption of CURE-related varieties in salinity-prone areas. Further, multivariate analysis reveals that environment and location characteristics, rather than household characteristics, are the most important determinants of adoption. In particular, CURE-related varieties are more likely to be adopted in high-salinity-risk areas that are not protected by salinity barrier gates. Neighbhors' adoption decisions also strongly influence household decisions to adopt CURE-related varieties. The contracting of mechanization, particularly for land preparation and harvest, requires the coordination of village households in timing of planting, harvest and varietal duration. This coordination appears to extend to choice of CURE-related varieties. Finally, CURE-related varieties and other varieties generate similar net revenues in a year with low salinity exposure, suggesting that CURE-related varieties are a low-cost insurance policy against salinity inundation in high risk areas. Combined, these results highlight the need to address complex factors beyond current economic profits, like environment, community choices, and risk mitigation, when designing technologies and policies that support farmer adaptation to climatic change.
Scaling participation in payments for ecosystem services programs
Sorice, Michael G.; Donlan, C. Josh; Boyle, Kevin J.; Weibin, Xu; Gelcich, Stefan (PLOS, 2018-03-09)
Payments for ecosystem services programs have become common tools but most have failed to achieve wide-ranging conservation outcomes. The capacity for scale and impact increases when PES programs are designed through the lens of the potential participants, yet this has received little attention in research or practice. Our work with small-scale marine fisheries integrates the social science of PES programs and provides a framework for designing programs that focus a priori on scaling. In addition to payments, desirable nonmonetary program attributes and ecological feedbacks attract a wider range of potential participants into PES programs, including those who have more negative attitudes and lower trust. Designing programs that draw individuals into participating in PES programs is likely the most strategic path to reaching scale. Research should engage in new models of participatory research to understand these dynamics and to design programs that explicitly integrate a broad range of needs, values, and modes of implementation.
Sensory and Consumer Studies in Plant Breeding: A Guidance for Edamame Development in the U.S.
Carneiro, Renata C. V.; Duncan, Susan E.; O'Keefe, Sean F.; Yin, Yun; Neill, Clinton L.; Zhang, Bo (Frontiers, 2020-08-19)
Plant breeding is an important discipline to develop food products and improve overall quality, chemical composition, and nutritional value of crops, vegetables, fruits, and nuts, which can be important allies in health promotion. Apples, blueberries, wine grapes, tomatoes, and peanuts are a few examples of food products that were improved in past decades through plant breeding programs in the United States. Recently, edamame (vegetable soybean) has gained special attention from breeders, non-breeder researchers, growers, and consumers, and new edamame varieties are currently being developed for domestic production. As a popular nutritious crop in Asian countries, edamame is increasing in sales and consumption in the United States. Therefore, edamame has great potential to be a profitable alternative crop to replace tobacco farming, whose production and market value have been declining. Until the present date, most published reviews on edamame have focused on its agronomic characteristics. However, understanding consumer expectations, needs, and acceptability for new and improved crops like edamame is vital to guide and sustain their production. It is important that researchers working on plant breeding programs understand and consider the aspects that are relevant for both growers and consumers (e.g., crop productivity, pest and disease resistance, nutritional properties, and sensory attributes). Thus, this review paper aims to integrate available information on sensory quality of edamame and to support its development and production in the United States. This review presents an overview of how sensory evaluation and consumer studies have been used to support plant breeding programs in the development of alternative crops, such as edamame.
SmartFarm Innovation Network
Duncan, Susan E.; Ramsey, A. Ford (2019-10-04)
This poster represents a variety of projects funded, in part, by the Virginia Agricultural Experiment Station, Virginia Tech Institute for Creativity, Arts, and Technology, NIFA, USDA NIFA and other funding sources. Some of these researchers are affiliated with the Southwest Virginia Regional Node of the Commonwealth Cyber Initiative.
Supporting maintenance of sugar-sweetened beverage reduction using automated versus live telephone support: findings from a randomized control trial
Zoellner, Jamie M.; You, Wen; Estabrooks, Paul A.; Chen, Yi-Chun Yvonnes; Davy, Brenda M.; Porter, Kathleen J.; Hedrick, Valisa E.; Bailey, Angela; Kružliaková, Natalie (2018-10-04)
Background Although reducing sugar-sweetened beverage (SSB) intake is an important behavioral strategy to improve health, no known SSB-focused behavioral trial has examined maintenance of SSB behaviors after an initial reduction. Guided by the RE-AIM framework, this study examines 6–18 month and 0–18 month individual-level maintenance outcomes from an SSB reduction trial conducted in a medically-underserved, rural Appalachia region of Virginia. Reach and implementation indicators are also reported. Methods Following completion of a 6-month, multi-component, behavioral RCT to reduce SSB intake (SIPsmartER condition vs. comparison condition), participants were further randomized to one of three 12-month maintenance conditions. Each condition included monthly telephone calls, but varied in mode and content: 1) interactive voice response (IVR) behavior support, 2) human-delivered behavior support, or 3) IVR control condition. Assessments included the Beverage Intake Questionnaire (BEVQ-15), weight, BMI, and quality of life. Call completion rates and costs were tracked. Analysis included descriptive statistics and multilevel mixed-effects linear regression models using intent-to-treat procedures. Results Of 301 subjects enrolled in the 6-month RCT, 242 (80%) were randomized into the maintenance phase and 235 (78%) included in the analyses. SIPsmartER participants maintained significant 0–18 month decreases in SSB. For SSB, weight, BMI and quality of life, there were no significant 6–18 month changes among SIPsmartER participants, indicating post-program maintenance. The IVR-behavior participants reported greater reductions in SSB kcals/day during the 6–18 month maintenance phase, compared to the IVR control participants (− 98 SSB kcals/day, 95% CI = − 196, − 0.55, p < 0.05); yet the human-delivered behavior condition was not significantly different from either the IVR-behavior condition (27 SSB kcals/day, 95% CI = − 69, 125) or IVR control condition (− 70 SSB kcals/day, 95% CI = − 209, 64). Call completion rates were similar across maintenance conditions (4.2–4.6 out of 11 calls); however, loss to follow-up was greatest in the IVR control condition. Approximated costs of IVR and human-delivered calls were remarkably similar (i.e., $3.15/participant/month or $38/participant total for the 12-month maintenance phase), yet implications for scalability and sustainability differ. Conclusion Overall, SIPsmartER participants maintained improvements in SSB behaviors. Using IVR to support SSB behaviors is effective and may offer advantages as a scalable maintenance strategy for real-world systems in rural regions to address excessive SSB consumption. Trial registry Clinicaltrials.gov; NCT02193009; Registered 11 July 2014. Retrospectively registered.

Browse

Browsing Destination Areas (DAs) by Department "Agricultural and Applied Economics"

Results Per Page

Sort Options