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Titre : | Harvest for Health, a Randomized Controlled Trial Testing a Home-Based, Vegetable Gardening Intervention Among Older Cancer Survivors Across Alabama: An Analysis of Accrual and Modifications Made in Intervention Delivery and Assessment During COVID-19 (2022) |
Auteurs : | Jennifer R. Bail ; Cindy K. Blair ; Kerry P. Smith ; Robert A. Oster ; Harleen Kaur ; Julie L. Locher ; Andrew D. Frugé ; Gabrielle Rocque ; Maria Pisu ; Harvey Jay Cohen ; Wendy Demark-wahnefried |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) |
Article en page(s) : | p. 1629-1643 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Régime alimentaire ; Tumeurs |
Mots-clés: | Survivorship ; Older adults ; Physical function |
Résumé : | Background Accelerated functional decline is a concern among older cancer survivors that threatens independence and quality of life. Pilot studies suggest that vegetable gardening interventions ameliorate functional decline through improved diet and physical activity. Objective The aim of this article was to describe the rationale, recruitment challenges, and enrollment for the Harvest for Health randomized controlled trial (RCT), which will test the impact of a home-based, vegetable gardening intervention on vegetable and fruit consumption, physical activity, and physical functioning among older cancer survivors. Modifications made to the intervention and assessments to assure safety and continuity of the RCT throughout the COVID-19 pandemic also are reported. Design Harvest for Health is a 2-year, 2-arm, single-blinded, wait-list controlled RCT with cross-over. Participants/setting Medicare-eligible survivors of cancers with ?60% 5-year survival were recruited across Alabama from October 1, 2016 to February 8, 2021. Intervention Participants were randomly assigned to a wait-list control or a 1-year home-based gardening intervention and individually mentored by extension-certified master gardeners to cultivate spring, summer, and fall vegetable gardens. Main outcome measures Although the RCT?s primary end point was a composite measure of vegetable and fruit consumption, physical activity, and physical functioning, this article focuses on recruitment and modifications made to the intervention and assessments during COVID-19. Statistical analyses performed ?2 and t tests (? |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002684 |