Trial reportPsycho-oncology2013
Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity.
Trial report in Psycho-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00044980 (Fresh Start), which is not on this map. Cited by 44 papers, 6 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
Who cites it
44 citing papers in PubMed, 6 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Psychosocial correlates of physical activity in cancer survivors: a systematic review and meta-analysis.Journal of cancer survivorship : research and practice · 2025Pooled it
- Theory-based physical activity and/or nutrition behavior change interventions for cancer survivors: a systematic review.Journal of cancer survivorship : research and practice · 2024Pooled it
- Dietary interventions for adult cancer survivors.The Cochrane database of systematic reviews · 2019Pooled it
- A systematic review of physical activity-based behaviour change interventions reaching men with prostate cancer.Journal of cancer survivorship : research and practice · 2018Pooled it
- Effectiveness of psychological interventions to improve quality of life in people with long-term conditions: rapid systematic review of randomised controlled trials.BMC psychology · 2018Pooled it
- Toward the optimal strategy for sustained weight loss in overweight cancer survivors: a systematic review of the literature.Journal of cancer survivorship : research and practice · 2017Pooled it
- Trial
- Mediators of physical activity maintenance during a 12-month randomized controlled trial among breast Cancer survivors.Journal of behavioral medicine · 2023Trial
- 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.Journal of the Academy of Nutrition and Dietetics · 2022Trial
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- Facilitators of behavior change and weight loss in an intervention for African American Breast Cancer Survivors.Cancer causes & control : CCC · 2020Trial
- Outcomes of a text message, Fitbit, and coaching intervention on physical activity maintenance among cancer survivors: a randomized control pilot trial.Journal of cancer survivorship : research and practice · 2020Trial
- Using a cultural dance program to increase sustainable physical activity for breast cancer survivors-A pilot study.Complementary therapies in medicine · 2019Trial
- Mediators of Weight Loss Maintenance in the Keep It Off Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018Trial
- A randomized controlled trial of two mail-based lifestyle interventions for breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Trial
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- Trial
- Risky, protective, and screening health behaviours among childhood cancer survivors: A cross-sectional survey in Australia and New Zealand.Journal of cancer survivorship : research and practice · 2026Article
- Dietary indices to measure diet quality in older cancer survivors: A scoping review on tools, their components and association with health outcomes.Archives of gerontology and geriatrics · 2025Article
- Barriers and confidence among colorectal and prostate cancer survivors participating in two behavioral intervention studies.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
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 at 4 institutions in 1 country.
Funding
Abstract
backgroundThis study examined whether changes in self-efficacy explain the effects of a mailed print intervention on long-term dietary practices of breast and prostate cancer survivors. The relationship between change in self-efficacy and long-term physical activity (PA) also was examined.
methodsBreast and prostate cancer survivors (N = 543) from 39 US states and two Canadian provinces participated in the FRESH START intervention trial. Participants were randomly assigned to receive a 10-month program of mailed print materials on diet and PA available in the public domain or a 10-month program of tailored materials designed to increase fruit and vegetable (F&V) intake, decrease fat intake, and/or increase PA. Changes in self-efficacy for F&V intake and fat restriction were analyzed as potential mediators of the intervention's effects on diet at 2-year follow-up. Because we previously found that change in self-efficacy for PA did not vary by group assignment, the relationship between change in self-efficacy and PA at 2-year follow-up was examined across study conditions.
resultsResults suggest that change in self-efficacy for fat restriction partially explained the intervention's effect on fat intake (mean indirect effect = -0.28), and change in self-efficacy for F&V consumption partially explained the intervention's effect on daily F&V intake (mean indirect effect = .11). Change in self-efficacy for fat restriction partially accounted for the intervention's impact on overall diet quality among men only (mean indirect effect = 0.60). Finally, change in self-efficacy for PA predicted PA at 2-year follow-up.
conclusionsFindings suggest that self-efficacy may influence long-term maintenance of healthy lifestyle practices among cancer survivors.
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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.