Clinical Trial: Appalachians Together Restoring the Eating Environment: Improving Healthy Diet in Rural Appalachian Kentucky

Study Status: Enrolling by invitation
Recruit Status: Enrolling by invitation
Study Type: Interventional

Official Title: Appalachians Together Restoring the Eating Environment (Appal-TREE): Advancing Sustainable CBPR Interventions to Improve Healthy Diet in Rural Appalachian Children

Brief Summary: Most of the nation's serious chronic health challenges and causes of death, including diabetes, heart disease, cancer, and obesity, are directly linked to sub-optimal diet. Both poor diets and associated disease are disproportionately common in the Appalachian counties of eastern Kentucky, a region with stark health inequities, including elevated rates of obesity, overweight, and premature mortality. The purpose of this study is to evaluate a multi-component intervention developed through community-based participatory research methods for improving access to healthy foods and enhancing dietary intake in eastern Kentucky. The intervention components evaluated in this study consist of: 1) a school-based campaign to promote water consumption in middle and high schools and 2) a series of group cooking classes for adults.

Detailed Summary:
Sponsor: Mark Swanson, PhD

Current Primary Outcome:

  • Change in beverage consumption (students) [ Time Frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months ]
    Survey items address frequency and quantity of beverages consumed in past month. Includes water, pop/soda, diet pop/soda, sports drinks, energy drinks, sweetened tea, 100% fruit juice, and milk.
  • Change in fruit and vegetable consumption (adults) [ Time Frame: Baseline to 8 weeks ]
    Survey items address frequency and quantity of consumption of fruits and vegetables in the past month.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Change in attitudes and preferences about beverages (students) [ Time Frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months ]
    Survey items address taste preferences, attitudes about eating/drinking behavior and body image, and self-efficacy.
  • Change in purchasing of drinks (students) [ Time Frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months ]
    Survey items will address frequency of purchasing beverages at fast food restaurants, convenience stores, and school venues and events.
  • Change in food preparation habits (adults) [ Time Frame: Baseline to 8 weeks ]
    Survey items address meal planning and preparation
  • Change in food purchasing habits (adults) [ Time Frame: Baseline to 8 weeks ]
    Survey items address frequency of purchasing food at work, grocery/convenience stores, restaurants and produce stands
  • Change in perceptions of availability of health foods (adults) [ Time Frame: Baseline to 8 weeks ]
    Survey items address availability of high quality fruits and vegetables and low-fat foods
  • Change in barriers to health eating (adults) [ Time Frame: Baseline to 8 weeks ]
    Survey items address physical, psychosocial, emotional, and financial barriers to healthy eating


Original Secondary Outcome: Same as current

Information By: University of Kentucky

Dates:
Date Received: December 6, 2016
Date Started: November 2016
Date Completion: April 2021
Last Updated: April 17, 2017
Last Verified: April 2017