TITLE

Make Better Choices (MBC): Study design of a randomized controlled trial testing optimal technology-supported change in multiple diet and physical activity risk behaviors

AUTHOR(S)
Spring, Bonnie; Schneider, Kristin; McFadden, H. G.; Vaughn, Jocelyn; Kozak, Andrea T.; Smith, Malaina; Moller, Arlen C.; Epstein, Leonard; Russell, Stephanie W.; DeMott, Andrew; Hedeker, Donald
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p586
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Suboptimal diet and physical inactivity are prevalent, co-occurring chronic disease risk factors, yet little is known about how to maximize multiple risk behavior change. Make Better Choices, a randomized controlled trial, tests competing hypotheses about the optimal way to promote healthy change in four bundled risk behaviors: high saturated fat intake, low fruit and vegetable intake, low physical activity, and high sedentary leisure screen time. The study aim is to determine which combination of two behavior change goals - one dietary, one activity - yields greatest overall healthy lifestyle change. Methods/Design: Adults (n = 200) with poor quality diet and sedentary lifestyle will be recruited and screened for study eligibility. Participants will be trained to record their diet and activities onto a personal data assistant, and use it to complete two weeks of baseline. Those who continue to show all four risk behaviors after baseline recording will be randomized to one of four behavior change prescriptions: 1) increase fruits and vegetables and increase physical activity, 2) decrease saturated fat and increase physical activity, 3) increase fruits and vegetable and decrease saturated fat, or 4) decrease saturated fat and decrease sedentary activity. They will use decision support feedback on the personal digital assistant and receive counseling from a coach to alter their diet and activity during a 3-week prescription period when payment is contingent upon meeting behavior change goals. They will continue recording on an intermittent schedule during a 4.5-month maintenance period when payment is not contingent upon goal attainment. The primary outcome is overall healthy lifestyle change, aggregated across all four risk behaviors. Discussion: The Make Better Choices trial tests a disseminable lifestyle intervention supported by handheld technology. Findings will fill a gap in knowledge about optimal goal prescription to facilitate simultaneous diet and activity change. Results will shed light on which goal prescription maximizes healthful lifestyle change. Trial Registration: Clinical Trials Gov. Identifier NCT00113672.
ACCESSION #
55092611

 

Related Articles

  • Ditch Your Diet. Solo, Sally // Real Simple;Feb2007, Vol. 8 Issue 2, p13 

    The article presents suggestions for eating foods that are beneficial for personal health and fitness. It is stated that the key to eating right and maintaining one's weight is picking nutrient-rich foods and a plan that fits an individual's lifestyle. It is reported that American diet is high...

  • EAT LIKE A HORSE.  // Horse & Rider;Jun2006, Vol. 45 Issue 6, p27 

    The article suggests several healthy eating habits learned from horses. Studies show that eating smaller meals throughout the day is better for controlling your weight than eating three large meals. Be sure to incorporate plenty of fruits and vegetables into your daily diet. Eat plenty of whole...

  • PIMP MY DIET. Aceto, Chris // Joe Weider's Muscle & Fitness;Apr2009, Vol. 70 Issue 4, p46 

    The article presents information on meal plans that can be adopted for physical fitness. Eating four egg whites and two whole eggs with 1 slice fat-free cheese, and 1 bagel in a meal will add both dietary fat and cholesterol. It is stated that for building strength, beef is better than fowl, as...

  • Fat-Proof Your Life And Your Wife...And Your Kids...And Your Dog. Rhodes, Phillip // Men's Health;Oct2004, Vol. 19 Issue 8, p200 

    Presents tips on improving eating habits and physical fitness. Examples of dietary rules; Establishment of food plan; Principles of exercise intervention.

  • FEEL GREAT IN '08. Wallace, Gini Kopecky // NEA Today;Jan2008, Vol. 26 Issue 4, p47 

    The article offers advice for maintaining fitness and proper diet. Topics discussed include healthy waist size, the importance for metabolism of eating regularly, the benefits of eating whole as opposed to processed foods, reducing portions, getting regular physical exercise, and pursuing active...

  • TRY THE QUIET DIET.  // Prevention;Mar2007, Vol. 59 Issue 3, p42 

    This article reports that researchers in the United Kingdom found that women who dined while distracted by a television or computer wanted to consume more once they were finished while those who ate in silence felt satisfied with their food.

  • Selected libraries to receive grant.  // Hudson Valley Business Journal;11/29/2004, Vol. 15 Issue 24, p23 

    The article reports that the Libraries for the Future, with support from the MetLife Foundation, is sponsoring Gel Real, Get Fit!, a program of library-based activities and discussions focused on physical fitness and healthy eating for teenagers and their families.

  • Feel amazing by Jan 1st! Abbondanza, Katie // Girls' Life;Dec2009/Jan2010, Vol. 16 Issue 3, p70 

    The article suggests various ways to girls to remain healthy and maintain a good body figure. Following a healthy diet and adopting a regular workout regime can help a girl getting into shape and stay fit. One should be patient, stay focused and do various workouts like weight lifting, treadmill...

  • 30 days to a healthier you! Wicker, Kate // Catholic Digest;Apr2013, Vol. 77 Issue 3, p20 

    The article presents 30 ways to maintain one's physical fitness and mental health and stay healthy. It reveals that an act of kindness leads to good mental health. It advices to add more fresh fruits and vegetables in one's diet to feel fresh and healthy. It further suggests adding more spices...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics