Table 2.
First author(s)a [reference number] | Country | Study population [N] | Intervention modesb | Validated questionnaire | Outcome measurement instruments | Outcome measurement units | Resultsc and effect sized at short (ST), medium (MT), or long term (LT)e |
---|---|---|---|---|---|---|---|
A. Physical activity | |||||||
Adachi, 2007 [28] | Japan | Overweight Japanese women [205] recruited from the general population (Adachi, 2007) | C Self-help booklet | ? | 15-item | Self-rated physical activities (points 1 (bad)–3 (good) | LT No significant effects |
Tanaka, 2010 [27] | Overweight Japanese men [51] recruited from the general population (Tanaka, 2010) | EXP1 C + self-monitoring of weight and walking | Pedometer | Daily walking steps | |||
EXP2 CT advice | |||||||
EXP3 f CT advice + self-monitoring of weight and walking | |||||||
Carroll, 2010 [96] | USA | Inactive participants [394] recruited through primary care providers | C Generic HE | Yes | 7-Day PA | Leisure-time PA (min/week) | MT No significant effects |
EXP1 CT advice | Recall | Non-leisure-time PA (min/week) | |||||
Dunton, 2008 [62] | USA | Women [156] (21–65) recruited from the general population | C No intervention | Yes | Standardized activity inventory | MVPA (min/week) | ST No significant effects |
EXP1 CT advice | Walking (min/week) | MT Significant effect on MVPA | |||||
ES: 0.24 | |||||||
MT Significant effect on walking | |||||||
ES: 0.21 | |||||||
Hageman, 2005 [66] | USA | Women [31] (50–69 years) recruited through newspaper advertisement | C Generic HE | Yes | Modified 7-day physical activity recall | MVPA (min/week) calories expended daily | MT Significant effect on VO2 max |
EXP1 CT advice | Fitness walking test | Aerobic fitness (VO2 max in ml/kg/min), flexibility (cm) | ES: 0.42 | ||||
Sit-and-reach test | |||||||
Hurling, 2007 [37] | UK | Participants [77] (30–55 years) recruited through market research recruitment agency | C No intervention | Yes | IPAQ | Overall PA (MET min/week) | ST Significant effect on leisure-time PA |
EXP1 CT advice | Accelerometer | Leisure-time PA (MET min/week) | Accelerometer data | ||||
Overall sitting time (h/week) | Significant effect on MPA (3–6 MET range) | ||||||
Weekday sitting time (h/week) | ES: N/A | ||||||
Weekend sitting time (h/week) | |||||||
Jacobs, 2004 [95] | USA | Women [511] (50–64) recruited from nutrition and PA program (WISEWOMAN) | C Generic HE | ? | 31-item PAA questionnaire | Score from 31-item scale: not very active (0)–very active (42) | LT No significant effect on PA score |
EXP1 CT advice | |||||||
Marcus, 2007 [67] | USA | Sedentary participants [239] (18–65) recruited from the general population | C Generic HE | Yes | 7-Day physical activity recall | ||
EXP1 CT advice (print-based) | Actigraph | ||||||
EXP2 CT advice (telephone-based) | Submaximal exercise threadmill test | MPA/VPA (min/week) | MT Significant effect on PA in EXP2 compared to C | ||||
Aerobic fitness (VO2max in ml/kg/min) | ES: 0.46 | ||||||
MT Significant effect on PA in EXP1 compared to C | |||||||
ES: 0.39 | |||||||
MT No significant difference between EXP1 and EXP2 | |||||||
LT Significant effect on PA in EXP2 compared to C | |||||||
ES: N/A | |||||||
LT No significant effect on PA in EXP1 compared to C | |||||||
LT No significant difference between EXP1 and EXP2 | |||||||
Marcus, 2007 [69] | USA | Sedentary participants [249] (18+) from the general population | C Generic HE | Yes | 7-Day physical activity recall | MPA/VPA (min/week) | MT/LT No significant effect on MVPA |
EXP1 CT advice (internet) | Submaximal exercise treadmill test | Aerobic fitness (VO2max in ml/kg/min) | |||||
EXP2 CT advice (print-based) | |||||||
Napolitano, 2006 [68] | USA | Sedentary women [280] recruited from the general population | C1 Generic HE | Yes | 7-Day physical activity recall | MPA/VPA (min/week) | MT/LT No significant effect on MVPA |
C2 Self-help booklet | |||||||
EXP2 CT advice | |||||||
Oenema, 2008 [60] | The Netherlands | Participants [2,159] (>30) recruited from online research panel | C No intervention | Yes | Short version of IPAQ | Self-rated PA level (scale from −2 to +2) | ST Significant effect on % compliant to PA guideline in at-risk group (those who did not comply with the PA guidelines at baseline) |
EXP1 CT advice | % compliant to PA guideline (moderate intensity PA for at least 30 min/day in at least 5 days/week) | ES: 0.16 | |||||
Pekmezi, 2009 [97] | USA | Sedentary Latinas [93] (18–65) recruited from the general population | C Generic HE | Yes | 7-Day physical activity recall | MPA/VPA (min/week) | MT No significant effect on MVPA |
EXP1 CT advice | |||||||
Prochaska, 2008 [54] | USA | Participants [1400] at risk for at least one risk behavior (exercise, stress, BMI >25 kg/m2 and smoking) recruited from a major medical university | C Health risk assessment | Yes | Self-reported level of exercise | % exercising moderately 30 min/day for at least 5 days/week | MT Significant effect on % exercising moderately 30 min/day for at least 5 days/week in EXP1 and EXP2 compared to C |
EXP1 C + coaching | ES: N/A | ||||||
EXP2 C + transtheoretic model-based feedback | |||||||
Quintiliani, 2010 [59] | USA | Female college students [408] recruited from universities/colleges | C Generic HE | Yes | US Behavioral Risk Factor Surveillance Survey | MVPA (min/week) | ST Significant effect on VPA in EXP2 compared to C |
EXP1 CT advice (topic by choice) | VPA (min/week) | ES: 0.41 | |||||
EXP2 CT advice (topic by expert) | |||||||
Slootmaker, 2009 [35] | The Netherlands | Participants [102] (20–40 years) recruited from worksites | C Generic HE | ? | AQuAA[99] | LPA/MPA/VPA (MET min/week) | MT/LT No significant effects |
EXP1 CT advice | Chester Step Test | Aerobic fitness (VO2max in ml/kg/min) | |||||
Smeets, 2007 [33] | The Netherlands | Participants [2,827] (18–65) recruited from companies and the general population | C Generic HE | Yes | SQUASH | Action moments/week | MT Significant effect on PA of EXP1 compared to C |
De Vries, 2008 [32] | EXP1 CT advice (once delivered in 3 months (Smeets et al.)) | % compliant to PA guideline (moderate intensity PA for at least 30 min/day in at least 5 days/week) | ES: 0.12 | ||||
EXP2 CT advice (3 times delivered in 9 months (De Vries et al.)) | LT Significant effect on PA and % compliance to PA guideline of EXP2 compared to C | ||||||
ES: 0.15 | |||||||
ES: 0.14 | |||||||
Smeets, 2008 [64] | The Netherlands | Participants [487] (18–65 year) recruited from the general population | C No intervention | Yes | SQUASH | Total PA (MET min/week) | MT Significant effect on transport related PA and total PA among motivated participants |
EXP1 CT advice | Transport related PA (MET min/week) | ES: 0.48 | |||||
Leisure-time related PA (MET min/week) | ES: 0.49 | ||||||
Sports related PA (MET min/week) | |||||||
Spittaels, 2007 [63] | Belgium | Participants [434] (20–55 year) recruited through parents and staff of primary/secondary schools | C No intervention | Yes | IPAQ | Total MVPA (min/week) | MT Significant effect on transportation PA, leisure-time PA and weekday sitting time in EXP1 and EXP2 compared to C |
EXP1 CT advice | Transportation PA (min/week) | EXP2 compared to C | |||||
EXP2 CT advice + repeated feedback | Household PA (min/week) | ES (transportation PA): 0.21 | |||||
Leisure-time PA (min/week) | ES (leisure-time PA): 0.52 | ||||||
Job-related PA (min/week) weekday sitting time (min/day) | ES (weekday sitting time): 1.58 | ||||||
Weekend sitting time (min/day) | EXP1 compared to C | ||||||
ES (transportation PA): 0.18 | |||||||
ES (leisure-time PA): 0.40 | |||||||
ES (weekday sitting time): 1.62 | |||||||
Spittaels, 2007 [98] | Belgium | Participants [526] (25–55 year) recruited from worksites | C Generic HE | Yes | IPAQ | Total PA (min/week) | MT No significant effects in EXP1 or EXP2 compared to C |
EXP1 CT advice | Accelerometer | MVPA (min/week) | |||||
EXP2 CT advice + stage-of-change based emails | 30 min of PA on most days (%) | ||||||
Sternfeld, 2009 [36] | USA | Participants [787] recruited from administration offices of a large healthcare organization | C No intervention | Yes | Physical Activity Questionnaire adapted from Cross-Cultural Activity Patterns Questionnaire | Total PA (MET min/week) | ST Significant effect on MPA, VPA, walking, and sedentary behavior |
EXP1 CT advice | MT Significant effect on MPA, walking, and sedentary behavior | ||||||
MPA (min/week) | ST Significant effect on MPA, VPA, walking and sedentary behavior among those who chose the PA path of the intervention | ||||||
VPA (min/week) | ES: N/A | ||||||
Walking (min/week | |||||||
Sedentary behavior (min/week) | |||||||
Van Keulen, 2011 [65] | The Netherlands | Participants [1,629] (45–70) recruited from general practices | C1 No intervention | Yes | 28-item modified Community Health Activities Model Program for Seniors | PA (hours/week) | MT Significant effect of EXP1 compared to C1 |
C2 Coaching | ES: 0.20 | ||||||
C3 C2 + EXP1 | LT (~11 months) Significant effect of EXP1 compared to C1 and C3 | ||||||
EXP1 TC advice | ES (EXP1-C1): 0.32 | ||||||
ES (EXP1-C3): 0.15 | |||||||
LT (~18 months) no significant effects | |||||||
Van Stralen, 2009 [22] | The Netherlands | Participants [1971] (>50 years) recruited from Regional Municipal Health Councils | C No intervention | Yes | 1-item from SQUASH | Self-rated PA (total weekly days of MPA) | MT (3 months) Significant effect on self-rated PA in EXP1 and EXP2 compared to C |
Van Stralen, 2011 [23] | EXP1 CT advice (psychosocial) | Self-rated compliance with PA guidelines (% of participants that show compliance with guidelines) | ES: 0.20 | ||||
EXP2 CT advice (psychosocial + environmental) | ES: 0.20 | ||||||
MT (3 months) Significant effect on PA initiation among insufficiently active participants in EXP1 and EXP2 compared to C | |||||||
ES: 0.26 | |||||||
ES: 0.21 | |||||||
MT (6 months) Significant effect on self-rated PA in EXP1 and EXP2 compared to C | |||||||
ES: 0.30 | |||||||
ES: 0.35 | |||||||
MT (6 months) Significant effect on PA initiation among insufficiently active participants in EXP1 and EXP2 compared to C | |||||||
ES: 0.32 | |||||||
ES: 0.27 | |||||||
MT (6 months) Significant effect on PA maintenance among sufficiently active participants in EXP 1 and EXP 2 compared to C | |||||||
ES: 0.33 | |||||||
ES: 0.34 | |||||||
LT (12 months) Significant effect on self-rated PA in EXP1 and EXP2 compared to C | |||||||
ES: 0.18 (for both EXP1 and EXP2) | |||||||
Walker, 2009 [24] | USA | Women [225] (50–69) recruited from the general population | C Generic HE EXP1 CT advice | Yes | Modified 7-day Physical Activity Recall | MVPA (min/day) | MT Significant effect on lower body muscular strength |
Walker, 2010 [25] | ES: −0.36 | ||||||
1 mile walk test Modified sit-and-reach test | Kilocalories expended per kilogram/day | LT (12 months) Significant effect on lower body muscular strength | |||||
Repeated timed chair stands | Time engaged in strengthening and stretching exercise (min/week) | ES: −0.41 | |||||
Aerobic fitness (VO2max in ml/kg/min) | LT (18 months) Significant effect on lower body muscular strength | ||||||
Lower body muscular strength (timed chair stands in s) | ES: −0.51 | ||||||
Wanner, 2009 [61] | Switzerland | Participants [1,531] recruited from the general population | C Generic HE EXP1 CT advice | ? | 4-item derived from official PA monitoring in Swiss population Accelerometer | MPA/VPA (min/week) | ST/LT No significant effect on MPA and VPA |
Werkman, 2010 [56] | The Netherlands | Recent retirees [415] (55–65) recruited from pre-retirement workshops | C Generic HE EXP1 CT advice | Yes | Dutch version of the PA Scale for the Elderly (PASE) [96] | Daily routine PA (min/week) | LT No significant effect (12 and 24 months) on daily routine PA, recreation/sports PA, Σ household activities (0–6) and PASE-score |
Recreation/sports PA (min/week) | |||||||
Σ household activities (0–6) PASE-score (0–400) | |||||||
Winett, 2007 [34] | USA | Participants [1071] recruited from churches | C No intervention | ? | Pedometer | Daily step counts | LT (7 and 16 months) Significant effect on PA in EXP2 compared to C |
EXP1 CT advice | ES (7 months): 0.23 | ||||||
EXP2 CT advice + church support | ES (16 months): 0.27 | ||||||
B. Fat consumption | |||||||
Blair Irvine, 2004 [71] | USA | Participants [517] recruited from a large hospital | C No intervention | Yes | 21-item Diet Habits Questionnaire | Fat eating habits/behavior score | ST Significant effects on fat eating habits/behavior |
EXP1 CT advice | ES (1-month): −0.49 | ||||||
ES (2-months): −0.18 | |||||||
Dutton, 2008 [77] | USA | Sedentary women [280] recruited from the general population | C Generic HE | Yes | National Cancer Institute Screeners | Fat intake (en%) | MT/LT No significant effects on fat intake |
EXP1 Self-help booklet | |||||||
EXP2 CT advice | |||||||
Elder, 2005 [26] | USA | Latinas [357] recruited from the general population | C Generic HE | Yes | Nutrition data system: 24 h dietary recall interview | % calories from fat | ST Significant effects on total and saturated fat intake in EXP2 compared to EXP1 |
Elder, 2006 [39] | EXP1 CT advice | Total and saturated fat intake (g) | LT No sustained significant effects | ||||
EXP2 CT advice + Promotoras | |||||||
Fries, 2005 [70] | USA | Participants [754] (18–72) recruited from physician practices | C No intervention | ? | Fat and fiber behavior-related questionnaire | Score from 0–3 | ST Significant effect on dietary fat behavior |
EXP1 CT advice | ES: −0.41 | ||||||
MT Significant effect on dietary fat behavior | |||||||
ES: −0.29 | |||||||
LT Significant effect on dietary fat behavior | |||||||
ES: −0.23 | |||||||
Gans, 2009 [75] | USA | Participants [1841] with low income, recruited from waiting rooms of public health clinics | C Generic HE | Yes | Adapted Food Habits Questionnaire | Fat intake (Food Habits Questionnaire score: low score = high prevalence fat-lowering behavior, thus lower fat intake) | MT Significant effect on fat intake in EXP2 and EXP3 compared to C |
EXP1 CT advice (at once) | ES (EXP2-C): −0.31 | ||||||
EXP2 CT advice (in 4 installments) | ES (EXP3-C): −0.31 | ||||||
EXP3 EXP2 with retailoring | |||||||
Jacobs, 2004 [61] | USA | Women [511] (50–64) recruited from nutrition and PA program (WISEWOMAN) | C Generic HE | Yes | 54-item Dietary risk assessment | Score from 54-item scale: 0–108 not very atherogenic (0) to very atherogenic diet (108) | LT No significant effect on saturated fat and cholesterol intake |
EXP1 CT advice | |||||||
Kroeze, 2008 [72] | The Netherlands | Participants [442] (18–65) recruited from companies and general population | C Generic HE | Yes | 104-item FFQ | Total fat intake (g/day, en%) | ST Significant effects on total fat and saturated fat intake in EXP1 compared to C |
EXP1 CT advice (interactive CD-ROM) | Saturated fat intake (g/day, %en) | ES (total fat): −0.31 | |||||
EXP2 CT advice (print) | ES (saturated fat): −0.22 | ||||||
ST Significant effects on total fat intake among risk consumers in EXP1 compared to C | |||||||
ES: −0.41 | |||||||
ST Significant effects on total fat in EXP2 compared to C | |||||||
ES: −0.23 | |||||||
ST Significant effects on total fat and saturated fat intake among risk consumers in EXP2 compared to C | |||||||
ES (total fat): −0.49 | |||||||
ES (saturated fat): −0.42 | |||||||
MT Significant effect on total fat and saturated fat intake among risk consumers in EXP2 compared to C | |||||||
ES (total fat): −0.53 | |||||||
ES (saturated fat): −0.54 | |||||||
Kroeze, 2008 [73] | The Netherlands | Participants [574] (18–65) recruited from large companies and the general population | C Generic HE | Yes | 104-item FFQ | Total fat intake (g/day) | ST Significant effect on awareness of fat intake in EXP1 and EXP3 compared to C |
EXP1 CT advice (personal) | 1-item | Saturated fat intake (g/day) | ES (EXP1): 0.30 | ||||
EXP2 CT advice (personal–normative) | Self-rated fat intake (awareness) (−2 to +2) | ES (EXP3): 0.41 | |||||
EXP3 CT advice (personal–normative–action) | ST Significant effect on fat intake and saturated fat intake in EXP3 compared to C | ||||||
ES (fat intake): −0.52 | |||||||
ES (saturated fat intake): −0.46 | |||||||
MT Significant effect on fat intake in EXP1, EXP2 and EXP3 compared to C | |||||||
ES (EXP1): 0.34 | |||||||
ES (EXP2): 0.55 | |||||||
ES (EXP3): 0.53 | |||||||
MT Significant effect on saturated fat intake in EXP3 compared to C | |||||||
ES: −0.51 | |||||||
MT Significant effect on fat and saturated fat intake among underestimators in EXP3 compared to C | |||||||
ES (fat intake): −0.64 | |||||||
ES (saturated fat intake): -0.63 | |||||||
Ni Mhurchu, 2010 [53] | New Zealand | Participants [1,104] recruited from a selection of customers registered to use the Shop ‘N Go System and in-store and community-based recruitment | C No intervention | ? | Electronic scanner (Shop ‘N Go system) | % of energy from saturated fats in purchases | MT No significant effect on saturated fat purchases |
EXP1 CT advice EXP2 CT advice + discount | |||||||
EXP3 Discount | |||||||
Oenema, 2008 [60] | The Netherlands | Participants [2,159] (>30) recruited from online research panel | C No intervention | Yes | 35-item FFQ | Saturated fat intake (fat points/day from 0 to 80) | ST Significant effect on saturated fat intake |
EXP1 CT advice | 1-item | Self-rated intake (scale from −2 to +2) | ES: −0.16 | ||||
ST Significant effect on saturated fat intake in at-risk group (those who did not comply with the recommended level of saturated fat intake at baseline) | |||||||
ES: −0.23 | |||||||
Prochaska, 2005 [30] | USA | Sedentary primary care patients [5,407] at risk for at least one of the target behaviors recruited from primary care practices (Prochaska, 2005-458). | C No intervention | ||||
Prochaska, 2004 [29] | Parents of teenagers [2,460] at risk for at least one of the target behaviors recruited from schools (Prochaska, 2005-486) | EXP1 CT advice | Yes | 22-item Dietary Behavior Questionnaire | Score on subscales: avoidance substitution modification | Among sedentary primary care patients | |
LT (12 months) Significant effects on avoidance, modification and substitution | |||||||
ES (avoidance):0.24 | |||||||
ES (modification):0.18 | |||||||
ES (substitution):0.22 | |||||||
LT (24 months) Significant effects on avoidance | |||||||
ES (avoidance):0.27 | |||||||
ES (substitution):0.20 | |||||||
Among parents of teenagers | |||||||
LT (12 months) Significant effects on avoidance and substitution | |||||||
ES (avoidance): 0.16 | |||||||
ES (substitution): 0.19 | |||||||
LT (24 months) Significant effects on avoidance and substitution | |||||||
ES (avoidance): 0.18 | |||||||
ES (substitution): 0.23 | |||||||
Smeets, 2007 [33] | The Netherlands | Participants [2,827] (18–65) recruited from companies and the general population | C Generic HE | Yes | FFQ | Fat intake (g) | MT Significant effect on fat intake in EXP1 compared to C |
De Vries, 2008 [32] | EXP1 CT advice (once delivered in 3 months (Smeets, 2007) | Saturated fat intake (g) | ES: −0.12 | ||||
EXP2 CT advice (3 times delivered in 9 months (De Vries, 2008) | % compliant to guidelines for saturated fat intake | LT Significant effect on % compliant to guideline on saturated fat intake in EXP2 compared to C | |||||
ES: −0.18 | |||||||
Sternfeld, 2009 [36] | USA | Participants [787] recruited from administration offices of a large healthcare organization | C No intervention | Yes | Diet questionnaire based on Block Food Questionnaire | Saturated fats (g/day) | ST Significant effect on saturated and trans fat intake |
EXP1 CT advice | Trans fats (g/day) | ST Significant effect on saturated and trans fat intake among those who chose the fats/sugar path of the intervention | |||||
MT Significant effect on saturated and trans fat intake | |||||||
ES: N/A | |||||||
De Bourdeaudhuij, 2007 [74] | Belgium | Participants [539] recruited from companies | C No intervention | Yes | 48-item FFQ | Total fat intake (g/day) | MT Significant effect on energy from fat and total fat intake in EXP1 compared to C1 and C2 |
EXP1 CT advice on PA and fat intake sequentially delivery | Energy from fat (%) | ||||||
EXP2 CT advice on PA and fat intake simultaneously delivered | Fat intake (seperate food groups) (g/day) | ||||||
EXP3 CT advice only on fat intake | EXP1 compared to C1 | ||||||
ES (energy from fat): −0.37 | |||||||
ES (total fat intake): −0.32 | |||||||
EXP1 compared to C2 | |||||||
ES (energy from fat): −0.13 | |||||||
ES (total fat intake): 0.09 | |||||||
MT Significant difference in energy from fat between C1 and C2 | |||||||
ES: −0.24 | |||||||
MT Significant effect on energy from fat and total fat intake among participants who meet/do not meet fat intake recommendations in EXP1 compared to C1 and C2 | |||||||
ES: N/A | |||||||
Walker, 2009 [24] | USA | Women [225] (50–69) recruited from the general population | C Generic HE | Yes | Web-based Block98 FFQ | % calories from fat | LT (6 months) Significant effect on % calories from saturated fat |
Walker, 2010 [25] | EXP1 CT advice | % calories from saturated fat | ES: −0.30 | ||||
LT (12 months) Significant effect on % calories from saturated fat | |||||||
ES: −0.49 | |||||||
LT (18 months) Significant effect on % calories from saturated fat | |||||||
ES: −0.56 | |||||||
Werkman, 2010 [56] | The Netherlands | Recent retirees [415] (55–65) recruited from pre-retirement workshops | C Generic HE | ||||
EXP1 CT advice | Yes | Semi quantitative | Fat intake (en%) | LT No significant effects on fat intake | |||
FFQ | |||||||
Winett, 2007 [34] | USA | Participants [1,071] recruited from churches | C No intervention | Yes | Block98 FFQ | % kcal from fat | LT No significant effects on fat intake |
EXP1 CT advice | Food shopping receipts | ||||||
EXP2 CT advice + church support | |||||||
C. Fruit and vegetable consumption | |||||||
Alexander, 2010 [80] | USA | Participants [2,540] (21–65) recruited from health plans | C Generic HE | Yes | 16-item FFQ by National Cancer Institute | Fruit and vegetables intake (servings in past month) | LT Significant effect on fruit and vegetables intake in the past month in EXP2 compared to C |
EXP1 CT advice | 2-item | Fruit and vegetables intake (servings on a typical day) | ES: 0.10 | ||||
EXP2 CT advice + personal counseling | LT Significant effect on fruit and vegetables intake on a typical day in EXP1 and EXP2 compared to C | ||||||
ES (EXP1): 0.08 | |||||||
ES (EXP2): 0.13 | |||||||
Blair Irvine, 2004 [71] | USA | Participants [517] recruited from a large hospital | C No intervention | Yes | 5-A-Day Screener | Fruit and vegetables consumption score | ST Significant effects on fruit and vegetables consumption |
EXP1 CT advice | ES (1 month): 0.21 | ||||||
ES (2 months): 0.04 | |||||||
Dutton, 2008 [71] | USA | Sedentary women [280] recruited from the general population | C Generic HE | Yes | National Cancer Institute Screeners | Fruit and vegetables intake (daily servings) | MT/LT No significant effects on fruit and vegetables intake |
EXP1 Self-help booklet | |||||||
EXP2 CT advice | |||||||
Gans, 2009 [75] | USA | Participants [1,841] with low income, recruited from waiting rooms of public health clinics | C Generic HE | ? | 7-item National Cancer Institute fruit and vegetables screener assessment tool | Fruit and vegetables intake (servings/day) | MT Significant effect on fruit and vegetables intake in EXP1 and EXP2 compared to C and EXP3 |
EXP1 CT advice (at once) | ES (EXP1-C): 0.18 | ||||||
EXP2 CT advice (in 4 installments) | ES (EXP1-EXP3): 0.20 | ||||||
EXP3 EXP2 with retailoring | ES (EXP2-C): 0.12 | ||||||
ES (EXP2-EXP3): 0.14 | |||||||
LT Significant effect on fruit and vegetables intake in EXP2 compared to C | |||||||
ES: 0.17 | |||||||
Heimendinger, 2005 [81] | USA | Participants [3.402] (18+) recruited through Cancer Information Service offices (callers) | C Generic HE (1 booklet) | Yes | 1-item | Fruit and vegetables intake (daily servings) | LT Significant effect on fruit and vegetables intake in EXP2 and EXP3 compared to C |
EXP1 CT advice (1 booklet) | 7-item FFQ | ES: N/A | |||||
EXP2 CT advice (4 booklets) | |||||||
EXP3 CT advice (4 booklets + retailoring) | |||||||
Kreuter, 2005 [79] | USA | Lower-income African–American women [1,227] (18–65) from 10 urban public health centers | C No intervention | Yes | 13-item FFQ | Fruit and vegetables intake (servings/day) | MT No significant effects on fruit and vegetables intake |
EXP1 CT advice tailored on behavioral constructs | LT Significant effect on fruit and vegetables intake in EXP3 compared to other groups | ||||||
EXP2 CT advice tailored on cultural factors | LT Significant effect among lower motivated women on fruit and vegetables intake in EXP3 compared to other groups | ||||||
EXP3 EXP1 + EXP2 | ES: N/A | ||||||
Nitzke, 2007 [78] | USA | Participants [2,024] (18–24) recruited from non-college venues | C No intervention | Yes | 5 A Day Screener | Fruit and vegetables intake (servings) | MT Significant effects on fruit and fruit and vegetables intake and perceived vegetables intake ES (fruit intake): 0.12 |
Do, 2008 [31] | EXP1 CT advice | 2-item | Perceived daily intake | ES (fruit and vegetables intake): 0.14 | |||
26-item FFQ | Variety in fruit and vegetables intake (number of different items consumed at least once a month, regardless of amount) | ES (perceived vegetables intake): 0.08 | |||||
LT Significant effects on fruit and fruit and vegetables intake and perceived intake of vegetables and fruit and vegetables | |||||||
ES (fruit intake): 0.15 | |||||||
ES (fruit and vegetables intake): 0.13 | |||||||
ES (perceived vegetables intake): 0.11 | |||||||
ES (perceived intake fruit and vegetables): 0.12 | |||||||
LT Significant effects on variety in fruit and vegetables consumption, consumption of seasonal fruits, juices and high beta-carotene vegetables | |||||||
ES (variety fruit) >1.00 | |||||||
ES (variety vegetables) >1.00 | |||||||
ES (seasonal fruits consumption) >1.00 | |||||||
ES (juices consumption) >1.00 | |||||||
ES (high beta-carotene vegetables consumption) > 1.00 | |||||||
Prochaska, 2005 [30] | USA | Sedentary primary care patients [5,407] at risk for at least one of the target behaviors recruited from primary care practices | C No intervention | Yes | 22-item Dietary Behavior Questionnaire | Score on subscale fruit and vegetables | LT No significant effect on fruit and vegetables in both study samples |
Prochaska, 2004 [29] | Parents of teenagers [2,460] at risk for at least one of the target behaviors recruited from schools | EXP1 CT advice | |||||
Smeets, 2007 [33] | The Netherlands | Participants [2,827] (18–65) recruited from companies and the general population | C Generic HE | Yes | FFQ | Fruit intake (pieces/day) | MT Significant effect on fruit intake among participants who did not meet recommendations for any behavior in EXP1 compared to C |
De Vries, 2008 [32] | EXP1 CT advice (once delivered in 3 months (Smeets et al.)) | Vegetables intake (g/day) | ES: 0.30 | ||||
EXP2 CT advice (3 times delivered in 9 months (De Vries et al.)) | % compliant to guidelines for fruit intake (at least 2 pieces of fruit for 7 days/week) | MT Significant effect on vegetables intake in EXP1 compared to C | |||||
Vegetables intake | ES: 0.10 | ||||||
% compliant to guidelines for vegetables intake (at least 200 g of vegetables/day for 7 days/week) | LT Significant effect on fruit intake and % compliant to fruit guidelines in EXP2 compared to C | ||||||
ES: 0.35 | |||||||
ES: 0.24 | |||||||
LT Significant effect on vegetable intake and % compliant to vegetables guidelines in EXP2 compared to C | |||||||
ES: 0.32 | |||||||
ES: 0.08 | |||||||
Sternfeld, 2009 [36] | USA | Participants [787] recruited from administration offices of a large healthcare organization | C No intervention | Yes | Diet questionnaire based on Block Food Questionnaire | Fruit and vegetables intake (cup-equivalents/day) | ST Significant effect on fruit and vegetables intake |
EXP1 CT advice | ST Significant effect on fruit and vegetables intake among those who chose the fruit and vegetables path of the intervention | ||||||
MT Significant effect on fruit and vegetables intake | |||||||
ES: N/A | |||||||
Van Keulen, 2011 [65] | The Netherlands | Participants [1,629] (45–70) recruited from general practices | C1 No intervention | Yes | 16-item short questionnaire | Fruit intake (servings/day) | MT Significant effect on fruit intake of EXP1 compared to C1 and C3 |
C2 Coaching | Vegetables (g/day) | ES (EXP1-C1): 0.19 | |||||
C3 C2 + EXP1 | ES (EXP1-C3): 0.18 | ||||||
EXP1 TC advice | MT Significant effect on vegetables intake of EXP1 compared to C1 and C3 | ||||||
ES (EXP1-C1): 0.10 | |||||||
ES (EXP1-C3): 0.12 | |||||||
LT (~11 months) Significant effect on fruit intake of EXP1 compared to C1 | |||||||
ES: 0.32 | |||||||
LT (~11 months) Significant effect on vegetables intake of EXP1 compared to C1, C2 and C3 | |||||||
ES (EXP1-C1): 0.33 | |||||||
ES (EXP1-C2): 0.24 | |||||||
ES (EXP1-C3): 0.19 | |||||||
LT (~18 months) Significant effect on fruit intake of EXP1 compared to C1, C2 and C3 | |||||||
ES (EXP1-C1): 0.35 | |||||||
ES (EXP1-C2): 0.22 | |||||||
ES (EXP1-C3): 0.24 | |||||||
LT (~18 months) Significant effect on vegetables intake of EXP1 compared to C1 | |||||||
ES: 0.27 | |||||||
Walker, 2009 [24] | USA | Women [225] (50–69) recruited from the general population | C Generic HE | Yes | Web-based Block98 FFQ | Fruit and vegetables intake (daily servings) | LT (6 months) Significant effect on fruit and vegetables intake |
Walker, 2010 [25] | EXP1 CT advice | ES: 0.22 | |||||
LT (12 months) Significant effect on fruit and vegetables intake | |||||||
ES: 0.41 | |||||||
LT (18 months) Significant effect on fruit and vegetables intake | |||||||
ES: 0.40 | |||||||
Werkman, 2010 [56] | The Netherlands | Recent retirees [415] (55–65) recruited from pre-retirement workshops | C Generic HE | Yes | Semi quantitative | Fruit and vegetables intake (g/MJ) | LT No significant effect on fruit and vegetables intake |
EXP1 CT advice | FFQ | ||||||
Winett, 2007 [34] | USA | Participants [1,071] recruited from churches | C No intervention | Yes | Block98 FFQ | Fruit and vegetables intake (g/1000 kcal) | LT (7 months) Significant effect on fruit and vegetables intake in EXP1 compared to C |
EXP1 CT advice | Food shopping receipts | ES: 0.44 | |||||
EXP2 CT advice + church support | Significant effect on fruit and vegetables intake in EXP2 compared to C | ||||||
ES: 0.57 | |||||||
LT (16 months) Significant effect on fruit and vegetables intake in EXP1 compared to C | |||||||
ES: 0.12 | |||||||
Significant effect on fruit and vegetables intake in EXP2 compared to C | |||||||
ES: 0.32 | |||||||
D. Other dietary topics | |||||||
Adachi, 2007 [28] | Japan | Overweight Japanese women [205] recruited from the general population (Adachi, 2007) | C1 Self-help booklet | ? | Weight parameters | BMI (kg/m2) | ST Significant effect on BMI in EXP1 & EXP2 compared to C1 & C2 among overweigh Japanese women |
Tanaka, 2010 [27] | Overweight Japanese men [51] recruited from the general population (Tanaka, 2010) | C2 C + self- monitoring of weight and walking | BMI | ||||
EXP1 CT advice | ES EXP1-C1: −0.60 | ||||||
EXP2 f CT advice + self- monitoring of weight and walking | ES EXP1-C2: −0.48 | ||||||
ES EXP2-C1: −0.77 | |||||||
ES EXP2-C2: −0.66 | |||||||
ST Significant effect on BMI in EXP2 compared to C1among overweigh Japanese men | |||||||
BMI | |||||||
ES EXP2-C1: −0.69 | |||||||
MT Significant effect on BMI in EXP2 compared to C1 & C2 among overweight Japanese women | |||||||
BMI | |||||||
ES EXP2-C1: −0.70 | |||||||
ES EXP2-C2: −0.58 | |||||||
LT Significant effect on BMI in EXP2 compared to C1 and C2 among overweight Japanese women | |||||||
BMI | |||||||
ES EXP2-C1: −0.59 | |||||||
ES EXP2-C2: −0.55 | |||||||
LT No significant effect on BMI in EXP2 compared to C1among overweigh Japanese men | |||||||
Elder, 2005 [26] | USA | Latinas [357] recruited from the general population | C Generic HE | Yes | Nutrition data system (NDS): 24 h dietary recall interview | Total energy intake (kcal) | ST/LT No significant effects |
Elder, 2006 [39] | EXP1 CT advice | Total carbohydrates intake (g) | |||||
EXP2 CT advice + promotoras | |||||||
Fries, 2005 [70] | USA | Participants [754] (18–72) recruited from physician practices | C No intervention | ? | Fat and fiber behavior-related questionnaire | Score from 0–3 | ST Significant effect on fiber behavior |
EXP1 CT advice | ES: −0.35 | ||||||
MT Significant effect on fiber behavior | |||||||
ES: −0.24 | |||||||
Haapala 2009 [55] | Finland | Overweight participants [125] (25-44) from the general population | C Generic HE | Weight parameters | Body weight (kg) | LT Significant effect on weight loss and waist circumference | |
EXP1 CT advice | % Weight loss | ES (weight loss): −0.14 | |||||
Waist circumference | ES (waist circumference): −0.18 | ||||||
Kroeze, 2008 [72] | The Netherlands | Participants [442] (18–65) recruited from companies and general population | C Generic HE | Yes | 104-item FFQ | Energy intake (MJ/day) | ST Significant effects on energy intake in EXP1 and EXP2 compared to C |
EXP1 CT advice (CD-ROM) | ES: −0.28 | ||||||
EXP2 CT advice (print) | ES: −0.38 | ||||||
ST Significant effects on energy intake among risk consumers in EXP1 and EXP2 compared to C | |||||||
ES: −0.50 | |||||||
ES: −0.66 | |||||||
MT Significant effects on energy intake among risk consumers in EXP1 and EXP2 compared to C | |||||||
ES: −0.68 | |||||||
ES: −0.44 | |||||||
MT Significant effects on energy intake in EXP2 compared to C | |||||||
ES: −0.26 | |||||||
Poddar, 2010 [82] | USA | College students [294] recruited from a land grant, research-intensive university | C No intervention | ? | 7 day food records | Average daily dairy servings | MT No significant effect |
EXP1 CT advice | |||||||
Prochaska, 2008 [54] | USA | Participants [1400] at risk for at least one risk behavior (exercise, stress, BMI >25 kg/m2 and smoking) recruited from a major medical university | C Health Risk Assesment | Yes | Self-report | % above/below BMI = 25 kg/m2 | MT No significant effect on BMI |
EXP1 C + coaching | |||||||
EXP2 C + TTM-based feedback | |||||||
Rothert, 2006 [38] | USA | Overweight and obese (BMI = 27–40 kg/m2) participants [2862] recruited from health care delivery system | C Generic HE | ? | Self-report | % of baseline weight lost | MT/LT Significant effect on % of baseline weight lost |
EXP1 CT advice | ES > 1.00 | ||||||
Sternfeld, 2009 [36] | USA | Participants [787] recruited from administration offices of a large healthcare organization | C No intervention | Yes | Diet questionnaire based on Block Food Questionnaire | Added sugars (g/day) | ST/MT No significant effects on added sugars |
EXP1 CT advice | |||||||
Walker, 2009 [24] | USA | Women [225] (50–69) recruited from the general population | C Generic HE | Yes | Web-based Block98 FFQ | Whole-grain intake (daily servings) | LT No significant effects |
EXP1 CT advice | Bioelectrical impedance analysis | % Body fat | |||||
Weight parameters | BMI (kg/m2) | ||||||
Werkman, 2010 [56] | The Netherlands | Recent retirees [415] (55–65) recruited from pre-retirement workshops | C Generic HE | Yes | Weight parameters | Waist circumference (cm), BMI (kg/m2) | LT Significant effect on waist circumference among men with low education |
EXP1 CT advice | Semi quantitative | Energy intake (MJ/day) | |||||
FFQ | |||||||
Winett, 2007 [34] | USA | Participants [1,071] recruited from churches | C No intervention | Yes | Block98 FFQ | Fiber intake (g/1,000 kcal) | LT (7 months) |
EXP1 CT advice | Weight parameters | Weight (lb) | Significant effect on fruit and vegetables intake in EXP1 compared to C | ||||
EXP2 CT advice + church support | Food shopping receipts | ES: 0.35 | |||||
Significant effect on fruit and vegetables intake in EXP2 compared to C | |||||||
ES: 0.44 | |||||||
Significant effect on weight | |||||||
In EXP2 compared to C | |||||||
ES: 0.21 | |||||||
LT (16 months) | |||||||
Significant effect on fruit and vegetables intake in EXP1 compared to C | |||||||
ES: 0.20 | |||||||
Significant effect on fruit and vegetables intake in EXP2 compared to C | |||||||
ES: 0.28 |
C control condition, EXP1 experimental condition 1, EXP2 experimental condition 2, EXP3 experimental condition 3, ES effect size, [125] 125 participants, (50–69) 50 to 69 years old, HE health education, (L/M/V/MV) PA (low-/moderate-/vigorous-/moderate to vigorous-intensity) physical activity, CT computer-tailored, VO2max maximal oxygen uptake, MET metabolic equivalent, FFQ food frequency questionnaire, IPAQ International Physical Activity Questionnaire, SQUASH Short Questionnaire Assessing Health-enhancing physical activity, AQuAA Activity Questionnaire for Adolescents and Adults, BMI body mass index, N/A not available
aSome publications reported on the characteristics and effects of the same intervention and are therefore clustered in one cell
bNo intervention equals no info in the 2006 review; generic HE equals generic info in the 2006 review
cSignificant effect = effect that reached statistical significance (p<0.05)
dEffect sizes were calculated when mean and SD were available at post-test and a significant effect in favor of tailoring had been found. ES is interpreted according to Cohen’s guidelines [67] based on an application in Dolan et al. [69]; cutoff values of 0.2–0.5 = small, 0.5–0.8 = moderate, and >0.8 = large effects
eShort term (ST), <3 months; medium term (MT), 3–6 months; long term (LT), >6 months
fIn the study of Tanaka et al. [27], only EXP2 versus the self-help booklet was tested