- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00169312
Internet-Based Nutrition Education Program in Preventing Cancer in Participants of Health Maintenance Organizations
The HMO Cancer Research Network (CRN) - Making Effective Nutritional Choices for Cancer Prevention: The MENU Study
RATIONALE: Websites for nutrition education may be an effective method to help people eat more fruits and vegetables which may lower their risk of cancer.
PURPOSE: This randomized trial is studying how well an internet-based nutrition education program works in preventing cancer in participants of health maintenance organizations.
Study Overview
Status
Detailed Description
OBJECTIVES:
Primary
- Compare the effects of internet-based nutrition education through untailored websites vs tailored websites (TW) vs TW and tailored human online behavioral interaction (HOBI) on the change in the number of daily fruit and vegetable servings consumed in participants of health maintenance organizations.
Secondary
- Compare the proportion of participants reporting consumption of 5 or more servings of fruits and vegetables per day at each 3-month interval.
- Compare the change in fruit and vegetable servings consumed from baseline to each intermediate time point.
- Compare the effects of intervention and observation time in these participants.
- Determine the effect of HOBI in these participants.
- Compare the impact of participant characteristics, in terms of the effect of the intervention on the change in fruit and vegetable intake, in these participants.
OUTLINE: This is a randomized, controlled, single-blind, multicenter study. Participants are stratified according to participating site, gender, and the participant's stage of change readiness. Participants are randomized to 1 of 3 intervention arms.
- Arm I (untailored websites): Participants are given unlimited access to an internet-based nutrition education program for up to 6 months. They are provided with 4 serial educational websites at 1, 3, 13, and 15 weeks after initial login. These internet sites provide general information about fruits and vegetables, new recipes with emphasis on fruits and vegetables, and how participants can incorporate them into their diet. Participants complete an online survey at 3 months.
- Arm II (tailored websites): Participants are given unlimited access to an internet-based nutrition education program for up to 6 months. They are provided with 4 serial educational websites, at the same timepoints as in arm I, with emphasis on vegetable consumption in weeks 1 and 13 and fruit consumption in weeks 3 and 15. Materials in these websites, including new recipes with emphasis on fruits and vegetables, are tailored and then revised (or retailored) based on individual health-risk information obtained at baseline and at the 3-month online survey.
- Arm III (tailored websites and human online behavioral interaction [HOBI]): Participants are given unlimited access to an internet-based nutrition education program for up to 6 months. Participants are provided with 4 serial educational websites with tailored materials as in arm II. They also receive HOBI (tailored e-mail messages) developed and then revised based on health-risk information obtained at baseline and the 3-month online survey.
In all arms, participants complete online surveys at 3, 6, and 12 months to measure fruit and vegetable intake and change in long-term risk behavior. For each survey, participants receive up to 6 automatically generated reminder e-mails and 1 mailed announcement.
PROJECTED ACCRUAL: A total of 2,619 participants were accrued for this study.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Colorado
-
Denver, Colorado, United States
- Kaiser Permanente - Colorado
-
-
Georgia
-
Atlanta, Georgia, United States
- Kaiser Permanente, Georgia
-
-
Minnesota
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Minneapolis, Minnesota, United States
- HealthPartners Research Foundation
-
-
Washington
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Seattle, Washington, United States, 98101
- Group Health Cooperative
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Current member of any of the following participating health maintenance organizations:
- Group Health Cooperative
- Kaiser Permanente, Colorado
- Kaiser Permanante, Georgia
- HealthPartners Research Foundation
- Henry Ford Health System/Health Alliance Plan
- Must complete a web-based health survey prior to randomization
PATIENT CHARACTERISTICS:
- No medical or mental health condition that would be adversely affected by increased vegetable and fruit intake
- One participant allowed per household
PRIOR CONCURRENT THERAPY:
- No concurrent anticoagulation therapy (e.g., warfarin)
- No other concurrent medications that would be adversely affected by increased vegetable and fruit intake
No grapefruit concurrently with any of the following medications:
- Statin for high cholesterol
- Blood pressure medications (e.g., Losartan)
- Calcium channel blockers
- Certain psychiatric medications (e.g., buspirone hydrochloride, triazolam [Halcion], carbamazepine, diazepam [Valium], or midazolam hydrochloride)
- Immune suppressants (e.g., cyclosporine or tacrolimus)
- Impotence medications (e.g., sildenafil [Viagra])
- Methadone
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Masking: Single
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
---|
Change in the number of daily fruit and vegetable servings consumed from baseline to 12 months post intervention
|
Secondary Outcome Measures
Outcome Measure |
---|
Change in the number of daily fruit and vegetable servings consumed at the 3- and 6-month post-intervention assessments
|
Proportion of participants who achieve an intake of 5 or more daily fruit and vegetable servings by 12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Christine Cole Johnson, PhD, Josephine Ford Cancer Center
Publications and helpful links
General Publications
- Stopponi MA, Alexander GL, McClure JB, Carroll NM, Divine GW, Calvi JH, Rolnick SJ, Strecher VJ, Johnson CC, Ritzwoller DP. Recruitment to a randomized web-based nutritional intervention trial: characteristics of participants compared to non-participants. J Med Internet Res. 2009 Aug 26;11(3):e38. doi: 10.2196/jmir.1086.
- Couper MP, Alexander GL, Zhang N, Little RJ, Maddy N, Nowak MA, McClure JB, Calvi JJ, Rolnick SJ, Stopponi MA, Cole Johnson C. Engagement and retention: measuring breadth and depth of participant use of an online intervention. J Med Internet Res. 2010 Nov 18;12(4):e52. doi: 10.2196/jmir.1430.
Study record dates
Study Major Dates
Study Start
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- CDR0000514226
- HFH-B40389
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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