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| Name | Class |
|---|---|
| Michigan State University | OTHER |
| Colorado School of Public Health | OTHER |
| University of South Carolina | OTHER |
| Colorado State University |
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The investigators previous studies show that community gardening is associated with reduction of key health behaviors for cancer prevention in diverse populations. Community gardeners eat more fruits and vegetables per day, are more physically active, and are more likely to avoid age-associated increase in body mass index (BMI). The effect is partially explained by the finding that gardeners are more socially involved, and feel more social support than non-gardeners.
The investigators propose a randomized controlled trial to determine whether community gardening improves cancer-preventive behaviors among a multi-ethnic, low-income adult population and elucidate the pathways that shape cancer-preventive behaviors. A randomized controlled trial is needed to demonstrate that the observed behavioral differences are due to the effect of gardening as an intervention rather than self-selection by gardeners.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Community Garden Intervention Group | Experimental | Participants randomized to the Community Garden Intervention Group will receive the garden intervention. Participants will be assigned a plot for one season and will receive a standard package of services and amenities to support participation in the community garden. |
|
| Wait List Control Group | No Intervention | Participants randomized to the Wait List Control Group will remain on community gardening waiting lists and will not receive the garden intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Community Garden Intervention | Behavioral | The investigators will recruit prospective adult gardeners who have not been gardening for the past two years and who are listed on Denver Urban Gardens (DUG) wait lists. Individuals randomized to the garden intervention will receive a standardized garden resource package, which includes the following:
The Wait List Control group will remain on the community gardening wait lists and will not receive these resources. Duration of the intervention is 1 year. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in fruit and vegetable intake from baseline at 20 weeks and 52 weeks | 9 24-hour diet recalls will be collected randomly | Measurements will occur during weeks 1-2 (3 random recalls) and week 20 (3 random recalls) and week 48 (3 random recalls) |
| Change in sedentary time from baseline at 20 weeks and 48 weeks | Accelerometers will be adhered to thigh and collect data for 7 days | 3 measurements over one year, T1 (week 1), T2 (week 20), T3 (week 52) |
| Change in fiber Intake from baseline at 20 weeks and 52 weeks | 9 24-hour diet recalls will be collected randomly | Measurements will occur during weeks 1-2 (3 random recalls) and week 20 (3 random recalls) and week 48 (3 random recalls) |
| Change in Healthy Eating Index (HEI) from baseline at 20 weeks and 52 weeks | 9 24-hour diet recalls will be collected randomly | Measurements will occur during weeks 1-2 (3 random recalls) and week 20 (3 random recalls) and week 48 (3 random recalls) |
| Change in moderate-to-vigorous physical activity (MVPA) from baseline to 20 weeks | Accelerometers will be adhered to thigh and collect data for 7 days | 3 measurements over one year, T1 (week 1), T2 (week 20), T3 (week 52) |
| Change in waist circumference from baseline to 20 weeks and 52 weeks | Measurement of waist circumference (cm) | 3 measurements over one year, T1 (week 1), T2 (week 20), T3 (week 52) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Perceived Stress from baseline to 20 weeks and 52 weeks | Validated scale of perceived stress will be completed | 3 measurements over one year, T1 (week 1), T2 (week 20), T3 (week 52) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jill S Litt, PhD | University of Colorado, Boulder | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Colorado Boulder | Boulder | Colorado | 80303 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38871715 | Derived | Coringrato E, Alaimo K, Leiferman JA, Villalobos A, Buchenau H, Decker E, Fahnestock L, Quist P, Litt JS. A process evaluation of a randomized-controlled trial of community gardening to improve health behaviors and reduce stress and anxiety. Sci Rep. 2024 Jun 13;14(1):13620. doi: 10.1038/s41598-024-63889-w. | |
| 37215644 | Derived |
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The investigators will store all Individual Participant Data in a HIPPA compliant database separate from the study database. All analysis will be conducted on an analytic data set, stripped of indirect and direct identifiers.
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D009765 | Obesity |
| D057185 | Sedentary Behavior |
| D009043 | Motor Activity |
| D015438 | Health Behavior |
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| OTHER |
| Denver Urban Gardens | UNKNOWN |
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|
| Change in weight (kg) from baseline to 20 weeks and 52 weeks |
Objective measurement of weight will be collected |
| 3 measurements over one year, T1 (week 1), T2 (week 20), T3 (week 52) |
| Alaimo K, Beavers AW, Coringrato E, Lacy K, Ma W, Hurley TG, Hebert JR. Community Gardening Increases Vegetable Intake and Seasonal Eating From Baseline to Harvest: Results from a Mixed Methods Randomized Controlled Trial. Curr Dev Nutr. 2023 Apr 15;7(5):100077. doi: 10.1016/j.cdnut.2023.100077. eCollection 2023 May. |
| 36608945 | Derived | Litt JS, Alaimo K, Harrall KK, Hamman RF, Hebert JR, Hurley TG, Leiferman JA, Li K, Villalobos A, Coringrato E, Courtney JB, Payton M, Glueck DH. Effects of a community gardening intervention on diet, physical activity, and anthropometry outcomes in the USA (CAPS): an observer-blind, randomised controlled trial. Lancet Planet Health. 2023 Jan;7(1):e23-e32. doi: 10.1016/S2542-5196(22)00303-5. |
| 31799473 | Derived | Villalobos A, Alaimo K, Erickson C, Harrall KK, Glueck DH, Buchenau H, Buchenau M, Coringrato E, Decker E, Fahnestock L, Hamman RF, Hebert JR, Hurley TG, Leiferman JA, Li K, Quist P, Litt JS. CAPS on the move: Crafting an approach to recruitment for a randomized controlled trial of community gardening. Contemp Clin Trials Commun. 2019 Nov 8;16:100482. doi: 10.1016/j.conctc.2019.100482. eCollection 2019 Dec. |
| 29563043 | Derived | Litt JS, Alaimo K, Buchenau M, Villalobos A, Glueck DH, Crume T, Fahnestock L, Hamman RF, Hebert JR, Hurley TG, Leiferman J, Li K. Rationale and design for the community activation for prevention study (CAPs): A randomized controlled trial of community gardening. Contemp Clin Trials. 2018 May;68:72-78. doi: 10.1016/j.cct.2018.03.005. Epub 2018 Mar 18. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |