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Sugar Champ: Pilot Social Network Intervention to Reduce Intake of Sugary Drinks

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ClinicalTrials.gov Identifier: NCT02138240
Recruitment Status : Completed
First Posted : May 14, 2014
Results First Posted : July 9, 2019
Last Update Posted : July 9, 2019
Sponsor:
Collaborator:
National Heart, Lung, and Blood Institute (NHLBI)
Information provided by (Responsible Party):
Johns Hopkins University

Study Type Interventional
Study Design Allocation: N/A;   Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Overweight and Obesity
Intervention Behavioral: Social network intervention
Enrollment 34
Recruitment Details  
Pre-assignment Details  
Arm/Group Title Social Network Intervention
Hide Arm/Group Description

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Period Title: Overall Study
Started 34
Completed 34
Not Completed 0
Arm/Group Title Social Network Intervention
Hide Arm/Group Description

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Baseline Participants 34
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 34 participants
45.7  (12.0)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 34 participants
Female
27
  79.4%
Male
7
  20.6%
Race/Ethnicity, Customized  
Measure Type: Count of Participants
Unit of measure:  Participants
African-American Number Analyzed 34 participants
33
  97.1%
Other Number Analyzed 34 participants
1
   2.9%
Added sugar intake total sample   [1] 
Median (Inter-Quartile Range)
Unit of measure:  Teaspoons/day
Number Analyzed 34 participants
38.0
(28.3 to 47.5)
[1]
Measure Description: Participants answered questions from the National Health Interview Survey (NHIS) 5-factor dietary screener. Relevant elements as recommended by NHIS were combined to estimate the daily added sugar intake (i.e.,soda, sugar-sweetened beverages, sweets and doughnuts). Prior assessments of African-Americans report that typical added sugar intake is 13.9 and 19.4 teaspoons/day among women and men, respectively. The American Heart Association recommends that all adults limit their added sugar intake to no more than 9 teaspoons per day. Baseline range (min-max) in this sample 14.1-78.9 teaspoons/day.
Added Sugar Intake among Sidekicks   [1] [2] 
Median (Inter-Quartile Range)
Unit of measure:  Teaspoons/day
Number Analyzed 17 participants
37.0
(30.8 to 41.1)
[1]
Measure Description: Participants answered questions from the National Health Interview Survey (NHIS) 5-factor dietary screener, and relevant elements as recommended by NHIS were combined to estimate the daily added sugar intake (i.e.,soda, sugar-sweetened beverages, sweets and doughnuts).
[2]
Measure Analysis Population Description: Limited to only Sidekicks
Added Sugar Intake among Peer Educators   [1] [2] 
Median (Inter-Quartile Range)
Unit of measure:  Teaspoons/day
Number Analyzed 17 participants
42.4
(18.4 to 57.6)
[1]
Measure Description: Participants answered questions from the National Health Interview Survey (NHIS) 5-factor dietary screener, and relevant elements as recommended by NHIS were combined to estimate the daily added sugar intake (i.e.,soda, sugar-sweetened beverages, sweets and doughnuts).
[2]
Measure Analysis Population Description: Limited to only Peer Educators
Weight, continuous  
Median (Inter-Quartile Range)
Unit of measure:  Kg
Number Analyzed 34 participants
85.9
(73.5 to 96.9)
Body mass index, continuous  
Mean (Standard Deviation)
Unit of measure:  Kg/m^2
Number Analyzed 34 participants
32.1  (6.7)
1.Primary Outcome
Title Number of Sessions Attended
Hide Description Number of sessions attended calculated from attendance sign-in sheets. This is used for the assessment of program feasibility.
Time Frame 3 months
Hide Outcome Measure Data
Hide Analysis Population Description
Limited to Peer Educators who had the opportunity to attend the sessions.
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 17
Median (Inter-Quartile Range)
Unit of Measure: Number of sessions
9
(4 to 9)
2.Primary Outcome
Title Participant Satisfaction as Assessed by 4-point Likert Scale
Hide Description Survey question assesses participant satisfaction with the intervention using a 4-point Likert scale (1 = Very satisfied; 2= Somewhat satisfied; 3 = Somewhat dissatisfied; 4 = Very dissatisfied). This is used for the assessment of program acceptability.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 34
Measure Type: Count of Participants
Unit of Measure: Participants
Very satisfied
30
  88.2%
Somewhat satisfied
4
  11.8%
Somewhat dissatisfied
0
   0.0%
Very dissatisfied
0
   0.0%
3.Primary Outcome
Title Participant's Likelihood to Recommend Program Assessed by 4-point Likert Scale
Hide Description Survey question assesses willingness to recommend that a friend participate using a 4-point Likert scale (1 = Very likely; 2= Somewhat likely; 3 = Somewhat unlikely; 4 = Very unlikely). This is used to assess the program acceptability.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 34
Measure Type: Count of Participants
Unit of Measure: Participants
Very likely
31
  91.2%
Somewhat likely
3
   8.8%
Somewhat unlikely
0
   0.0%
Very unlikely
0
   0.0%
4.Primary Outcome
Title Added Sugar Intake (Teaspoons/Day) Among Total Sample at Follow up
Hide Description Participants answered questions from the National Health Interview Survey (NHIS) 5-factor dietary screener, and relevant elements as recommended by NHIS were combined to estimate the daily added sugar intake (i.e.,soda, sugar-sweetened beverages, sweets and doughnuts). At 6 months, this measure ranged (min-max) from 9.1 to 56.0 teaspoons/day in this sample. The American Heart Association recommends that all adults limit their added sugar intake to no more than 9 teaspoons per day.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 34
Median (Inter-Quartile Range)
Unit of Measure: teaspoons/day
17.2
(11.2 to 27.8)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Social Network Intervention
Comments [Not Specified]
Type of Statistical Test Other
Comments Pre-post comparison
Statistical Test of Hypothesis P-Value <0.001
Comments [Not Specified]
Method Wilcoxon signed rank sum
Comments [Not Specified]
5.Secondary Outcome
Title Added Sugar Intake (Teaspoons/Day) Among Alters ("Sidekicks") at Follow up
Hide Description Participants answered questions from the National Health Interview Survey (NHIS) 5-factor dietary screener, and relevant elements as recommended by NHIS were combined to estimate the daily added sugar intake (i.e.,soda, sugar-sweetened beverages, sweets and doughnuts). The American Heart Association recommends that all adults limit their added sugar intake to no more than 9 teaspoons per day.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
Limited to Sidekicks only
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 17
Median (Inter-Quartile Range)
Unit of Measure: teaspoons/day
16.9
(12.7 to 27.8)
6.Secondary Outcome
Title Added Sugar Intake (Teaspoons/Day) Among Egos ("Peer Educators") at Follow up
Hide Description Participants answered questions from the National Health Interview Survey (NHIS) 5-factor dietary screener, and relevant elements as recommended by NHIS were combined to estimate the daily added sugar intake (i.e.,soda, sugar-sweetened beverages, sweets and doughnuts). The American Heart Association recommends that all adults limit their added sugar intake to no more than 9 teaspoons per day.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
Limited to Peer Educators
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 17
Median (Inter-Quartile Range)
Unit of Measure: teaspoons/day
17.4
(11.2 to 24.5)
7.Secondary Outcome
Title Median Weight at Follow up
Hide Description Weight (kg) measured using standard methods
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Social Network Intervention
Hide Arm/Group Description:

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

Overall Number of Participants Analyzed 34
Median (Inter-Quartile Range)
Unit of Measure: kg
84.3
(74.7 to 100.4)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Social Network Intervention
Comments [Not Specified]
Type of Statistical Test Other
Comments Pre-post comparison of baseline median weight to median weight at 6-month follow up
Statistical Test of Hypothesis P-Value 0.21
Comments [Not Specified]
Method Wilcoxon signed rank sum
Comments [Not Specified]
Time Frame 6 months
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Social Network Intervention
Hide Arm/Group Description

Individuals will be recruited and trained to be "Peer Educators" who will participate in group sessions and then communicate this information with members of their social network ("Sidekick") and work to make changes to reduce intake of sugar-sweetened beverages. Peer Educators will participate in 6 core group sessions over a 6-week period as well as 3 additional booster sessions over the subsequent 3 months after completing the core curriculum. All sessions will be delivered by a facilitator and assistant facilitator using a guide.

Social network intervention: The intervention combined a social network approach with strategies that address public housing residents' challenges related to the built environment to improve dietary habits. Given the frequent intake of sugar-sweetened beverages (SSB) in this population, the intervention focused on reducing added sugar intake through the reduced consumption of SSB.

All-Cause Mortality
Social Network Intervention
Affected / at Risk (%)
Total   0/34 (0.00%) 
Hide Serious Adverse Events
Social Network Intervention
Affected / at Risk (%)
Total   0/34 (0.00%) 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Social Network Intervention
Affected / at Risk (%)
Total   0/34 (0.00%) 
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Kimberly Gudzune
Organization: Johns Hopkins University School of Medicine
Phone: 443-287-7238
EMail: gudzune@jhu.edu
Layout table for additonal information
Responsible Party: Johns Hopkins University
ClinicalTrials.gov Identifier: NCT02138240    
Other Study ID Numbers: IRB00107116
K23HL116601 ( U.S. NIH Grant/Contract )
First Submitted: May 9, 2014
First Posted: May 14, 2014
Results First Submitted: June 17, 2019
Results First Posted: July 9, 2019
Last Update Posted: July 9, 2019