Trial reportJournal of the American Dietetic Association2011
Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors.
Trial report in Journal of the American Dietetic Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Fresh Start: Promoting Health in Prostate Cancer Survivors
A Study of Lifestyle Intervention in Overweight or Obese Women With Early Stage Breast Cancer
Expanding Our Cancer Prevention and Control Infrastructure to Reduce Cancer and Other Chronic Disease Health Disparities in the Deep South
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Diet, nutrition, and hormone therapy for prostate cancer: a systematic review with implications for future interventions.JNCI cancer spectrum · 2026Pooled it
- Dietary interventions for adult cancer survivors.The Cochrane database of systematic reviews · 2019Pooled it
- Telephone, print, and Web-based interventions for physical activity, diet, and weight control among cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2015Pooled it
- A systematic review and meta-analysis of social cognitive theory-based physical activity and/or nutrition behavior change interventions for cancer survivors.Journal of cancer survivorship : research and practice · 2015Pooled it
- Physical activity and/or dietary interventions in breast cancer survivors: a systematic review of the maintenance of outcomes.Journal of cancer survivorship : research and practice · 2013Pooled it
- Long-term effects of a web-based cancer aftercare intervention on moderate physical activity and vegetable consumption among early cancer survivors: a randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2017Trial
- Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity.Psycho-oncology · 2013Trial
- Promoting colorectal cancer screening discussion: a randomized controlled trial.American journal of preventive medicine · 2013Trial
- Long-term physical activity outcomes of home-based lifestyle interventions among breast and prostate cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012Trial
- Food Insecurity and Overall Survival in Locally Advanced Breast Cancer Patients Receiving Comprehensive Nodal Irradiation: The Food Insecurity-Obesity Paradox.Advances in radiation oncology · 2026Article
- Plant-Based Diets and Disease Progression in Men With Prostate Cancer.JAMA network open · 2024Observational
- Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective.International journal of environmental research and public health · 2022Article
- Diet and lifestyle considerations for patients with prostate cancer.Urologic oncology · 2020Review
- Assessing the nutritional needs of men with prostate cancer.Nutrition journal · 2019Article
- Comparison of two theory-based, fully automated telephone interventions designed to maintain dietary change in healthy adults: study protocol of a three-arm randomized controlled trial.JMIR research protocols · 2014Article
- A biobehavioral model of weight loss associated with meditative movement practice among breast cancer survivors.Health psychology open · 2014Article
- Energy balance and metabolism after cancer treatment.Seminars in oncology · 2013Review
- A walnut-enriched diet reduces the growth of LNCaP human prostate cancer xenografts in nude mice.Cancer investigation · 2013Article
- Eight ways to stay healthy after cancer: an evidence-based message.Cancer causes & control : CCC · 2013Article
- Cancer caregivers' perceptions of an exercise and nutrition program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundCancer survivors are at increased risk for secondary cancers and other diseases. Healthy dietary practices may improve cancer survivors' health and well-being.
objectiveThe durability of the effects of the FRESH START intervention, a program of sequentially tailored mailed materials, and standardized mailed materials (for controls) on cancer survivors' dietary outcomes was assessed over a 2-year period. Greater dietary gains were expected for FRESH START participants relative to controls.
designParticipants were randomized to receive tailored vs standardized 10-month mailed print interventions promoting diet and exercise behaviors. Data were collected at baseline and 1- and 2-year follow-ups. PARTICIPANTS/
settingBreast and prostate cancer survivors (n=543) were recruited from 39 states and two provinces within North America. A total of 489 participants completed the 2-year follow-up assessment (10% attrition).
interventionParticipants were randomly assigned to either a 10-month program of tailored mailed print materials promoting fruit and vegetable consumption, reduced total and saturated fat intake, and/or increased exercise or to a 10-month program of publicly available mailed materials on diet and exercise.
main outcome measuresTelephone surveys (supported with blood biomarkers) assessed dietary habits at baseline and 1- and 2-year follow-ups. STATISTICAL ANALYSES PERFORMED: Paired-samples t tests were conducted to examine the durability of the intervention's effects on dietary outcomes within each study arm. Arm differences in follow-up outcomes were then tested with the general linear model, controlling for the baseline value of the outcomes.
resultsBoth arms reported decreased saturated fat intake, increased servings of fruits and vegetables, and better overall diet quality at year 2 relative to baseline. However, FRESH START participants reported better overall diet quality and lower total and saturated fat intake compared to controls at the 2-year follow-up.
conclusionsResults suggest that mailed material interventions, especially those that are tailored, can produce long-term dietary improvement among cancer survivors.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.