Predictors of engagement and outcome achievement in a behavioural intervention targeting sugar-sweetened beverage intake among rural adults

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dc.contributor.authorPorter, Kathleen J.en
dc.contributor.authorThomson, Jessica L.en
dc.contributor.authorZoellner, Jamie M.en
dc.contributor.departmentHuman Nutrition, Foods, and Exerciseen
dc.date.accessioned2021-04-07T18:23:50Zen
dc.date.available2021-04-07T18:23:50Zen
dc.date.issued2020-02en
dc.description.abstractObjective: To describe relationships among baseline characteristics, engagement indicators and outcomes for rural participants enrolled in SIPsmartER, a behavioural intervention targeting sugar-sweetened beverage (SSB) intake. Design: A secondary data analysis. Bivariate analyses determined relationships among baseline characteristics (e.g. age, gender, race, education, income), engagement indicators (completion of 6-month health screening, class attendance, call completion) and SSB outcomes (SSB ounce reduction (i.e. US fluid ounces; 1 US fl. oz = 29 center dot 57 ml), reduced >= 12 ounces, achieved <= 8 ounce intake). Generalized linear models tested for significant effects of baseline characteristics on engagement indicators and of baseline characteristics and engagement indicators on SSB outcomes. Setting: South-west Virginia, USA, a rural, medically underserved region. Participants: Participants' (n 155) mean age was 41 years; most were female (81 %), White (91 %) and earned <=$US 20 000 per annum (61 %). Results: All final models were significant. Engagement models predicted 12-17 % of variance, with age being a significant predictor in all three models. SSB outcome models explained 5-70 % of variance. Number of classes attended was a significant predictor of SSB ounce reduction (beta = -6 center dot 12, P < 0 center dot 01). Baseline SSB intake significantly predicted SSB ounce reduction (beta = -0 center dot 90, P < 0 center dot 001) and achieved <= 8 ounce intake (beta = 0 center dot 98, P < 0 center dot 05). Conclusions: The study identifies several participant baseline characteristics that may impact engagement in and outcomes from a community-based intervention targeting SSB intake. Findings suggest greater attendance of SIPsmartER classes is associated with greater reduction in overall SSB intake; yet engagement variables did not predict other outcomes. Findings will inform the future implementation of SIPsmartER and research studies of similar design and intent.en
dc.description.adminPublic domain – authored by a U.S. government employeeen
dc.description.notesThis work was supported by the National Institutes of Health/National Cancer Institute (NIH/NCI; J.M.Z. principal investigator, grant number 1R01CA154364-01A1). NIH had had no role in the design, analysis or writing of this article.en
dc.description.sponsorshipNational Institutes of Health/National Cancer Institute (NIH/NCI)United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Cancer Institute (NCI) [1R01CA154364-01A1]en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1017/S1368980019003392en
dc.identifier.eissn1475-2727en
dc.identifier.issn1368-9800en
dc.identifier.issue3en
dc.identifier.otherPII S1368980019003392en
dc.identifier.pmid31796129en
dc.identifier.urihttp://hdl.handle.net/10919/102973en
dc.identifier.volume23en
dc.language.isoenen
dc.rightsPublic Domainen
dc.rights.urihttp://creativecommons.org/publicdomain/mark/1.0/en
dc.subjectCompletionen
dc.subjectTreatment effectivenessen
dc.subjectHealth educationen
dc.subjectRural communitiesen
dc.subjectBeveragesen
dc.titlePredictors of engagement and outcome achievement in a behavioural intervention targeting sugar-sweetened beverage intake among rural adultsen
dc.title.serialPublic Health Nutritionen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.dcmitypeStillImageen

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