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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02585336
Other study ID # 15-16880
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 28, 2015
Est. completion date October 16, 2016

Study information

Verified date January 2021
Source University of California, San Francisco
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Sugar-sweetened beverages (SSBs) have been epidemiologically linked to serious health problems including heart disease, liver disease, and diabetes. This study will recruit frequent SSB drinkers who are employees at the University of California, San Francisco (UCSF) and measure markers of metabolic health on two occasions, 10 months apart. During this time, UCSF will cease selling SSBs at all campus and medical center locations. Additionally, at the first assessment half of participants will be randomly assigned to a brief intervention to help reduce SSB consumption, consisting of a 10-20 minute semi-structured interview designed to share health information about SSBs, elicit motivations to reduce consumption, and help set concrete plans to reduce consumption. The investigators will be able to compare changes in metabolic health among those who do and do not reduce SSB consumption. This will make a unique contribution to the growing evidence regarding both the effects of SSB consumption on health and the modifiability of SSB-related health conditions.


Description:

Sugar-sweetened beverages (SSBs) have been epidemiologically linked to serious health problems including heart disease, liver disease, and diabetes. This study will recruit frequent SSB drinkers who are employees at the University of California, San Francisco (UCSF) and measure markers of metabolic health on two occasions, 10 months apart. During this time, UCSF will cease selling SSBs at all campus and medical center locations. Additionally, at the first assessment half of participants will be randomly assigned to a brief intervention to help reduce SSB consumption, consisting of a 10-20 minute semi-structured interview designed to share health information about SSBs, elicit motivations to reduce consumption, and help set concrete plans to reduce consumption. We will be able to compare changes in metabolic health among those who do and do not reduce SSB consumption. This will make a unique contribution to the growing evidence regarding both the effects of SSB consumption on health and the modifiability of SSB-related health conditions. Two key clarifications about the design of this study: 1. The cessation of sugar-sweetened beverage sales is a pre-existing workplace initiative. This study is taking advantage of its initiation but it is not part of the study intervention. 2. The primary predictor in this study is SSB consumption, not condition assignment. Although we will report on the efficacy of the brief intervention, the main goal of the study is to examine the correlational relationship between changes in SSB consumption and changes in health, whether the reduction is associated with the intervention or with other factors. Planned analyses: 1. For all outcomes other than sugar consumption and SSB consumption (see below), the primary analytic strategy will be to correlate changes in SSB consumption with changes in the outcome. 2. We will additionally assess the efficacy of the university initiative and the brief counseling intervention using a linear mixed regression model estimating the effects of 1) time (pre to post), representing the effect of the university SSB initiative, and 2) assignment to the brief intervention interacting with time. For both types of analysis, we will include demographic and job-related covariates based on fit criteria to guide model selection.


Recruitment information / eligibility

Status Completed
Enrollment 214
Est. completion date October 16, 2016
Est. primary completion date October 16, 2016
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: - Employed at UCSF - Reports drinking an average of 60oz or more of sugar-sweetened beverages per week (approximately 8oz/day), over the past month. Exclusion Criteria: - Unwilling or medically advised not to fast in preparation for a fasting blood draw - Reports vasovagal response (fainting) following blood draws or needle sticks in the past. - Pregnant (health outcome measures from pre- to post-partum will not be comparable). - Diagnosed with diabetes (type 1 or type 2) - Not fluent in English

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Brief intervention
An interviewer provides health information, elicits motivation to reduce SSB consumption, and helps participants make implementation plans. Booster phone calls occur at 1 week after the intervention visit, and at 2 weeks and 24 weeks following the date on which SSBs sales ended at the participant's work location.

Locations

Country Name City State
United States University of California, San Francisco San Francisco California

Sponsors (1)

Lead Sponsor Collaborator
University of California, San Francisco

Country where clinical trial is conducted

United States, 

References & Publications (1)

Epel ES, Hartman A, Jacobs LM, Leung C, Cohn MA, Jensen L, Ishkanian L, Wojcicki J, Mason AE, Lustig RH, Stanhope KL, Schmidt LA. Association of a Workplace Sales Ban on Sugar-Sweetened Beverages With Employee Consumption of Sugar-Sweetened Beverages and — View Citation

Outcome

Type Measure Description Time frame Safety issue
Other Reward-based eating drive self-report measure of hedonic drive in eating 10 month minus baseline
Other Consumption of sugar-sweetened beverages In most analyses treated as a predictor, but used as an outcome when testing the efficacy of the intervention 10 month minus baseline
Other Total dietary sugar consumption In most analyses treated as a predictor, but used as an outcome when testing the efficacy of the intervention 10 month minus baseline
Other Glycated hemoglobin (HbA1c) Indicator of long-term glycemic control 10 month minus baseline
Other Fasting triglycerides Marker of metabolic health and cardiovascular risk 10 month minus baseline
Primary Homeostatic Model Assessment ratio (HOMA) insulin sensitivity measure derived from fasting glucose and insulin 10 month minus baseline
Secondary Waist-hip circumference ratio A measure of abdominal adiposity 10 month minus baseline
Secondary Consumption of sugar-sweetened beverages outcome for intervention efficacy analysis only 2 weeks post-SSB sales ban (1-3 months after initial visit) minus baseline
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