CClinicalTrials.gg
CompletedNCT00217490Updated Apr 4, 2017Results posted

Individual Counseling and/or Computer-Based Counseling in Helping Healthy Women Adopt a Cancer Prevention Diet

An interventional study of dietary counseling via computer and dietary counseling via nutritionist in Unspecified Adult Solid Tumor, Protocol Specific, sponsored by Kaiser Permanente. Completed at 3 sites in United States. Open to female participants aged 30 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-04-04.

Sponsored by Kaiser Permanente · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
621
Allocation
Randomized
Ages
30 Years to 70 Years
Sex
Female
01

Study summary

RATIONALE: Eating a diet high in fruits and vegetables and low in fat may lower the risk of some types of cancer. Dietary counseling may be effective in helping women change to a healthy diet.

PURPOSE: This randomized clinical trial is studying how well individual counseling and/or computer-based counseling work in helping healthy women adopt a cancer prevention diet.

Read the detailed description

OBJECTIVES:

  • Compare 3-, 12-, and 18-month changes in self-reported daily servings of fruits and vegetables and percent of energy from fat in healthy women undergoing dietary modification intervention comprising in-person individualized counseling vs automated computer-based counseling vs both dietary modification interventions vs automated computer-based physical activity counseling (control).
  • Compare the efficacy and long-term effects of these interventions in these participants.
  • Compare participant acceptance of these interventions, in terms of the proportion and characteristics (e.g., age and race) of participants who accept the intervention and participate in intervention activities.
  • Compare initial dietary change, in terms of dietary habits, socio-demographics, and self-efficacy, in participants undergoing these interventions.
  • Compare the maintenance of dietary change, in terms of demographics, self efficacy, and perceived community environmental support, in participants undergoing these interventions.
  • Compare the cost of delivering these interventions to these participants.
  • Compare the cost of these interventions when used in routine practice.

OUTLINE: This is a randomized study. Participants are randomized to 1 of 4 arms.

  • Arm I (in-person individualized dietary modification counseling): Participants undergo in-person individualized counseling in weeks 0 and 3 and receive a phone call by a counselor in weeks 1, 6, and 9 about increasing daily fruit and vegetable intake to 5-9 servings and reducing fat intake to no more than 25% of energy.
  • Arm II (automated computer-based dietary modification counseling): Participants undergo automated computer-based counseling in weeks 0 and 3 and receive an automated phone call in weeks 1, 6, and 9 about increasing daily fruit and vegetable intake to 5-9 servings and reducing fat intake to no more than 25% of energy.
  • Arm III (in-person individualized and automated computer-based dietary modification counseling): Participants undergo in-person individualized counseling and automated computer-based counseling in weeks 0 and 3 and receive a phone call by a counselor in week 6 and an automated phone call in weeks 1 and 9 about increasing daily fruit and vegetable intake to 5-9 servings and reduce fat intake to no more than 25% of energy.
  • Arm IV (automated computer-based physical activity counseling [control]): Participants undergo automated computer-based counseling in weeks 0 and 3 and receive an automated phone call in weeks 1, 6, and 9 about increasing daily physical activity to a moderate amount (20-30 minutes per day).

After study completion, patients are followed at 3, 12, and 18 months.

PROJECTED ACCRUAL: A total of 600 participants (150 per arm) will be accrued for this study within 2 years.

02

Conditions studied

  • Unspecified Adult Solid Tumor, Protocol Specific

Keywords

  • unspecified adult solid tumor, protocol specific
03

In context

Lead sponsor

Kaiser Permanente is the lead sponsor of 385 studies on the registry; 41 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 3 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Healthy participant

    • Not undergoing care for cancer
  • Kaiser Permanente health plan member for at least 2 years
  • No current dietary goals
  • No diet comprising an average consumption of > 4 combined servings of fruits and vegetables per day and/or fat consumption below 30% of total energy
  • No physician-prescribed diets

PATIENT CHARACTERISTICS:

Age

  • 30 to 70

Sex

  • Female

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Not pregnant

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
621 participants (actual)

Study arms

  • Experimental
    Computer Only

    Dietary Counseling delivered by interactive computer program, without the addition of individual counseling provided by a health counselor. This arm tested a completely automated counseling program that did not include personalized behavioral counseling provided by a study staff member.

    Behavioral: dietary counseling via computer

  • Experimental
    Counseling only

    In this arm, dietary counseling was delivered by nutritionist, and this counseling did not include use of an automated, computer program.

    Behavioral: dietary counseling via nutritionist

  • Experimental
    Combined

    In this arm, participants received dietary counseling delivered using both the automated computer program and additional counseling by a study nutritionist. That is, this arm combined the intervention programs delivered in the other two active intervention arms.

    Behavioral: combined computer and nutritionist

  • Active comparator
    Physical Activity-computer

    Participants assigned to this arm did not receive nutrition counseling, but they were provided physical activity counseling delivered by computer only.

    Other: physical activity counseling via computer

Interventions

  • Behavioraldietary counseling via computer

    An interactive computer program that addresses dietary change, barriers to change and possible solution to barriers to develop an action plan

  • Behavioraldietary counseling via nutritionist

    A one on one counseling sessions to addresses dietary change, barriers to change and possible solution to barriers to develop an action plan

  • Behavioralcombined computer and nutritionist

    An interactive computer program plus one on one nutrition counseling that addresses dietary change, barriers to change and possible solution to barriers to develop an action plan

  • Otherphysical activity counseling via computer

    An interactive computer program that addresses increase to physical activity, barriers to change and possible solution to barriers to develop an action plan

06

What researchers measure

Primary outcomes

  1. Change in Fruit, Vegetable Consumption as Measured by Food Frequency Questionnaire at 3 Months

    Self reported dietary change in consumption as collected via Block Food Frequency Questionnaire (FFQ) servings of fruit or vegetable per day and average fat consumption. This FFQ asks participants to recall their average consumption of various categories of food during the previous three months.

    Time frame: Baseline and 3 months

  2. Change in Percentage of Fat Consumed

    Self reported dietary change in consumption as collected via Block Food Frequency Questionnaire (FFQ) servings of fruit or vegetable per day and average fat consumption. This FFQ asks participants to recall their average consumption of various categories of food during the previous three months.

    Time frame: Baseline and 3 months

07

Results

Posted Apr 4, 2017

Participant flow

Women in Kaiser Permanente were identified from the electronic medical record and sent a letter inviting them to participate in the study. Recruitment started in 2003

Participant flow — Overall Study
MilestoneComputer OnlyCounseling OnlyCombinedPhyscial Activity-computer
Started154153155153
Completed137128131130
Not completed17252423

Outcome measures

PrimaryChange in Fruit, Vegetable Consumption as Measured by Food Frequency Questionnaire at 3 Months

Self reported dietary change in consumption as collected via Block Food Frequency Questionnaire (FFQ) servings of fruit or vegetable per day and average fat consumption. This FFQ asks participants to recall their average consumption of various categories of food during the previous three months.

Time frame:
Baseline and 3 months
Reported as:
Mean · number of servings per day
Change in Fruit, Vegetable Consumption as Measured by Food Frequency Questionnaire at 3 Months
number of servings per dayComputer OnlyCounseling OnlyCombinedPhyscial Activity-computer
Change in Fruit, Vegetable Consumption as Measured by Food Frequency Questionnaire at 3 Months2.7272727 ± 2.74804832.9758065 ± 2.84264562.7330645 ± 2.77420530.4720000 ± 2.2229594
PrimaryChange in Percentage of Fat Consumed

Self reported dietary change in consumption as collected via Block Food Frequency Questionnaire (FFQ) servings of fruit or vegetable per day and average fat consumption. This FFQ asks participants to recall their average consumption of various categories of food during the previous three months.

Time frame:
Baseline and 3 months
Reported as:
Mean · Percentage of fat consumed
Change in Percentage of Fat Consumed
Percentage of fat consumedComputer OnlyCounseling OnlyCombinedPhyscial Activity-computer
Change in Percentage of Fat Consumed-4.653333 ± 7.4788051-5.3439516 ± 7.3594025-6.0113710 ± 6.9703683-1.4154400 ± 7.9831426

Adverse events

Collected over 18 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Computer Only—0/154 (0%)0/154 (0%)
Counseling Only—0/153 (0%)0/153 (0%)
Combined—0/155 (0%)0/155 (0%)
Physcial Activity-computer—0/153 (0%)0/153 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Computer OnlyCounseling OnlyCombinedPhyscial Activity-computerTotal
<=18 years00000
Between 18 and 65 years144143143144574
>=65 years101012941
Sex: Female, Male
Sex: Female, Male(Participants)Computer OnlyCounseling OnlyCombinedPhyscial Activity-computerTotal
Female154153155153615
Male00000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Computer OnlyCounseling OnlyCombinedPhyscial Activity-computerTotal
Hispanic or Latino636419
Not Hispanic or Latino145148147146586
Unknown or Not Reported322310
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Computer OnlyCounseling OnlyCombinedPhyscial Activity-computerTotal
American Indian or Alaska Native22116
Asian24118
Native Hawaiian or Other Pacific Islander03104
Black or African American99141648
White132131135129527
More than one race00000
Unknown or Not Reported943622
Region of Enrollment
Region of Enrollment(participants)Computer OnlyCounseling OnlyCombinedPhyscial Activity-computerTotal
United States154153155153615
08

Study locations

3 sites
  • Kaiser Permanente - Aurora
    Aurora, Colorado 80014, United States
  • Oregon Research Institute
    Eugene, Oregon 97403, United States
  • Kaiser Permanente Center for Health Research
    Portland, Oregon 97227, United States
09

References and documents

Publications

  • Glasgow RE, Christiansen S, Smith KS, Stevens VJ, Toobert DJ. Development and implementation of an integrated, multi-modality, user-centered interactive dietary change program. Health Educ Res. 2009 Jun;24(3):461-71. doi: 10.1093/her/cyn042. Epub 2008 Aug 18. PubMed 18711204 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00217490
Lead sponsor
Kaiser Permanente
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Sep 22, 2005
Start date
Mar 2005
Primary completion
Sep 2008
Completion
Sep 2008
Results posted
Apr 4, 2017
Last update
Apr 4, 2017

Study contacts

Victor J. Stevens, PhD
study chair · Kaiser Permanente

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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