Adherence to the Polyp Prevention Trial Dietary Intervention Is Associated with a Behavioral Pattern of Adherence to Nondietary Trial Requirements and General Health Recommendations1,2
This study investigated the factors associated with success in meeting the dietary goals of the Polyp Prevention Trial (PPT), a 4-y low-fat, high-fiber, high-fruit/vegetable dietary intervention. The PPT provided a rare opportunity to assess factors in long-term adherence to a dietary pattern that r...
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| Published in | The Journal of nutrition Vol. 137; no. 2; pp. 391 - 398 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Bethesda
Elsevier Inc
01.02.2007
American Institute of Nutrition |
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| Online Access | Get full text |
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| Abstract | This study investigated the factors associated with success in meeting the dietary goals of the Polyp Prevention Trial (PPT), a 4-y low-fat, high-fiber, high-fruit/vegetable dietary intervention. The PPT provided a rare opportunity to assess factors in long-term adherence to a dietary pattern that required changes to multiple aspects rather than a single aspect of diet. Demographics, health indicators, and dietary intake were assessed at baseline and annually for 4 y of follow-up. Participants (n = 833) received dietary and behavioral counseling to support adherence to trial dietary goals. We assessed the association of baseline variables and trial participation with success in meeting dietary goals. Participant adherence to the intervention goals was significantly associated with never smoking, no history of weight gain, and consumption of less fat and more fiber, fruits, and vegetables at trial baseline. Successful participants were also more educated and married, whereas those with the poorest adherence were older. In addition, successful participants demonstrated greater participation throughout the trial, including attendance at counseling sessions, completion of dietary records, and contacts with staff. Of particular interest were the behavioral and demographic characteristics that distinguished the subset of participants who achieved most or all dietary intervention goals across all 4 study years who we termed Super Compliers. These individuals also were more likely to adhere to social norms for healthy lifestyles and demonstrated greater adherence to other aspects of trial participation. |
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| AbstractList | This study investigated the factors associated with success in meeting the dietary goals of the Polyp Prevention Trial (PPT), a 4-y low-fat, high-fiber, high-fruit/vegetable dietary intervention. The PPT provided a rare opportunity to assess factors in long-term adherence to a dietary pattern that required changes to multiple aspects rather than a single aspect of diet. Demographics, health indicators, and dietary intake were assessed at baseline and annually for 4 y of follow-up. Participants (n = 833) received dietary and behavioral counseling to support adherence to trial dietary goals. We assessed the association of baseline variables and trial participation with success in meeting dietary goals. Participant adherence to the intervention goals was significantly associated with never smoking, no history of weight gain, and consumption of less fat and more fiber, fruits, and vegetables at trial baseline. Successful participants were also more educated and married, whereas those with the poorest adherence were older. In addition, successful participants demonstrated greater participation throughout the trial, including attendance at counseling sessions, completion of dietary records, and contacts with staff. Of particular interest were the behavioral and demographic characteristics that distinguished the subset of participants who achieved most or all dietary intervention goals across all 4 study years who we termed Super Compilers, These individuals also were more likely to adhere to social norms for healthy lifestyles and demonstrated greater adherence to other aspects of trial participation. [PUBLICATION ABSTRACT] This study investigated the factors associated with success in meeting the dietary goals of the Polyp Prevention Trial (PPT), a 4-y low-fat, high-fiber, high-fruit/vegetable dietary intervention. The PPT provided a rare opportunity to assess factors in long-term adherence to a dietary pattern that required changes to multiple aspects rather than a single aspect of diet. Demographics, health indicators, and dietary intake were assessed at baseline and annually for 4 y of follow-up. Participants (n = 833) received dietary and behavioral counseling to support adherence to trial dietary goals. We assessed the association of baseline variables and trial participation with success in meeting dietary goals. Participant adherence to the intervention goals was significantly associated with never smoking, no history of weight gain, and consumption of less fat and more fiber, fruits, and vegetables at trial baseline. Successful participants were also more educated and married, whereas those with the poorest adherence were older. In addition, successful participants demonstrated greater participation throughout the trial, including attendance at counseling sessions, completion of dietary records, and contacts with staff. Of particular interest were the behavioral and demographic characteristics that distinguished the subset of participants who achieved most or all dietary intervention goals across all 4 study years who we termed Super Compliers. These individuals also were more likely to adhere to social norms for healthy lifestyles and demonstrated greater adherence to other aspects of trial participation. |
| Author | Daston, Cassandra Wanke, Kay L. Slonim, Amy Snyder, Kirk Albert, Paul S. Schatzkin, Arthur Lanza, Elaine |
| Author_xml | – sequence: 1 givenname: Kay L. surname: Wanke fullname: Wanke, Kay L. email: wankek@mail.nih.gov organization: Epidemiology Research Branch, Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse, Bethesda, MD 20892 – sequence: 2 givenname: Cassandra surname: Daston fullname: Daston, Cassandra organization: Daston Communications, Chapel Hill, NC 27514 – sequence: 3 givenname: Amy surname: Slonim fullname: Slonim, Amy organization: Michigan Public Health Institute, Okemos, MI 48864 – sequence: 4 givenname: Paul S. surname: Albert fullname: Albert, Paul S. organization: Biometric Research Branch, Division of Cancer Treatment and Diagnosis, Bethesda, MD 20892 – sequence: 5 givenname: Kirk surname: Snyder fullname: Snyder, Kirk organization: Information Management Services, Inc., Silver Spring, MD 20904 – sequence: 6 givenname: Arthur surname: Schatzkin fullname: Schatzkin, Arthur organization: Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, Bethesda, MD 20892 – sequence: 7 givenname: Elaine surname: Lanza fullname: Lanza, Elaine organization: Laboratory of Cancer Prevention, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892 |
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| Title | Adherence to the Polyp Prevention Trial Dietary Intervention Is Associated with a Behavioral Pattern of Adherence to Nondietary Trial Requirements and General Health Recommendations1,2 |
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