ClinicalTrials.gg
CompletedNCT02996422Updated Jun 16, 2021

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

An interventional study of School-based water campaign and Community cooking classes in Feeding Behavior and Drinking Behavior, sponsored by Mark Swanson, PhD. Completed. Open to participants aged 10 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-06-16.

Sponsored by Mark Swanson, PhD · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
1,657
Allocation
Non-randomized
Ages
10 Years and older
Sex
All
01

Study 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.

02

Conditions studied

  • Feeding Behavior
  • Drinking Behavior
03

In context

Feeding Behavior

985 studies on the registry are indexed under Feeding Behavior; 178 are open to participants now.

This study's enrollment of 1,657 is above the median of 77 across 700 interventional studies indexed under Feeding Behavior.

Browse Feeding Behavior studies →

Lead sponsor

Mark Swanson, PhD is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
10 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • For school-based component: Student in selected middle or high school classroom in a participating school in intervention or comparison counties (6th to 12th grades)
  • For cooking classes: adult aged 18 years or older and residing in intervention county who have at least one dependent child attending middle or high school in the participating school districts

Exclusion criteria

Exclusion Criteria:

  • Unable to speak or read English, as all materials will be presented in English
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,657 participants (actual)

Study arms

  • Experimental
    School-based water campaign

    Students who attend middle and high schools in the intervention counties will receive a school-based water campaign. A sample of students from each school will complete surveys before and after the installation of the water refilling stations to measure beverage consumption, knowledge, attitudes, and self-efficacy.

    Behavioral: School-based water campaign

  • No intervention
    Comparison schools

    A sample of students who attend middle and high schools in the comparison county, which does not receive any intervention components, will complete surveys to measure beverage consumption, knowledge, attitudes, and self-efficacy.

  • Experimental
    Community cooking classes

    Adults in the same intervention counties as the school-based water campaign will enroll in group cooking classes. They will complete a baseline and two follow-up surveys to measure changes in fruit and vegetable consumption, attitudes, and self-efficacy.

    Behavioral: Community cooking classes

Interventions

  • BehavioralSchool-based water campaign

    Includes: 1) the installation of filtered water bottle refilling stations, 2) the distribution of reusable water bottles to all students and teachers, and 3) a social marketing campaign to support the increase of water consumption among students.

  • BehavioralCommunity cooking classes

    Cooking classes will be delivered to groups of 8-12 adult participants as a series of 8 weekly classes in community venues. The content of each class is driven by topics and themes identified and prioritized by community members, namely cooking healthy on tight budget.

06

What researchers measure

Primary outcomes

  1. Change in beverage consumption (students)

    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.

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months

  2. Change in fruit and vegetable consumption (adults)

    Survey items address frequency and quantity of consumption of fruits and vegetables in the past month.

    Time frame: Baseline to 8 weeks

Secondary outcomes

  1. Change in attitudes and preferences about beverages (students)

    Survey items address taste preferences, attitudes about eating/drinking behavior and body image, and self-efficacy.

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months

  2. Change in purchasing of drinks (students)

    Survey items will address frequency of purchasing beverages at fast food restaurants, convenience stores, and school venues and events.

    Time frame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months

  3. Change in food preparation habits (adults)

    Survey items address meal planning and preparation

    Time frame: Baseline to 8 weeks

  4. Change in food purchasing habits (adults)

    Survey items address frequency of purchasing food at work, grocery/convenience stores, restaurants and produce stands

    Time frame: Baseline to 8 weeks

  5. Change in perceptions of availability of health foods (adults)

    Survey items address availability of high quality fruits and vegetables and low-fat foods

    Time frame: Baseline to 8 weeks

  6. Change in barriers to health eating (adults)

    Survey items address physical, psychosocial, emotional, and financial barriers to healthy eating

    Time frame: Baseline to 8 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Nov 2016, a primary completion of Jul 2020 and a completion of Jul 2020. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 6, 2016
First posted
Dec 19, 2016
Start
Nov 2016
Primary completionActual
Jul 31, 2020
CompletionActual
Jul 31, 2020
Last update
Jun 16, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02996422
Lead sponsor
Mark Swanson, PhD
Responsible party
Mark Swanson, PhD (Associate Professor, University of Kentucky) — Sponsor-investigator
First posted
Dec 19, 2016
Start date
Nov 2016
Primary completion
Jul 31, 2020
Completion
Jul 31, 2020
Last update
Jun 16, 2021

Study contacts

Mark Swanson, PhD
principal investigator · University of Kentucky

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion