Evidence map›Paper›PMID 29932460›Full record

Trial reportCancer2018

A home-based mentored vegetable gardening intervention demonstrates feasibility and improvements in physical activity and performance among breast cancer survivors.

Jennifer R Bail, Andrew D Frugé, Mallory G Cases, Jennifer F De Los Santos, Julie L Locher, Kerry P Smith, Alan B Cantor, Harvey J Cohen, Wendy Demark-Wahnefried

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02985411 (Harvest for Health in Older Cancer Survivors), which is not on this map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02985411 nacompletednot on this map

Harvest for Health in Older Cancer Survivors

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2016 to 2022Enrolled381ConditionsCancer SurvivorArmsImmediate Gardening Intervention, Delayed Gardening Intervention
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Community-based interventions designed to optimize health behaviors among cancer survivors: an integrative systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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  11. Social prescribing for people recovering from treatment for cancer: a systematic scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  18. Interactions with Nature, Good for the Mind and Body: A Narrative Review.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jennifer R BailDepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0001-7613-9648
Andrew D FrugéDepartment of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, Alabama.
Mallory G CasesDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Jennifer F De Los SantosDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Julie L LocherDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Kerry P SmithAlabama Cooperative Extension System, Auburn University, Auburn, Alabama.
Alan B CantorDepartment of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Harvey J CohenDeparment of Medicine, Duke University, Durham, North Carolina.
Wendy Demark-WahnefriedDepartment of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0001-5241-932X

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI W Timothy GARVEY · 2013 to 2026
$19.5M
Cancer Prevention & Control Training ProgramR25CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY, MENESES, KAREN M · 1988 to 2016
$11.2M
UAB CANCER RESEARCH EXPERIENCES FOR STUDENTS(CARES)R25CA076023 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SMITH, PETER R., WATERBOR, JOHN W · 1999 to 2020
$5.6M
Harvest for Health in Older Cancer SurvivorsR01CA201362 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY · 2016 to 2021
$2.8M
Translational Nutrition and Aging Research Academic Career Leadership AwardK07AG043588 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCHER, JULIE L. · 2012 to 2016
$583k
NCI NIH HHS R01 CA201362NCI NIH HHS R25 CA047888NCI NIH HHS R25 CA076023NIA NIH HHS K07 AG043588NIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

backgroundThe current study assessed the feasibility of a mentored home-based vegetable gardening intervention and examined changes in health-related outcomes among breast cancer survivors (BCS).

methodsBCS were randomized to either a year-long vegetable gardening intervention to begin immediately or a wait-list control. Master Gardeners mentored participants in planning, planting, and maintaining 3 seasonal gardens over the course of 1 year. Participant accrual, retention, and satisfaction rates of ≥80% served as feasibility (primary outcome) benchmarks. Secondary outcomes (ie, vegetable consumption, physical activity, performance and function, anthropometrics, biomarkers, and health-related quality of life) were collected at baseline and post-intervention (1-year follow-up) using subjective and objective measures.

resultsThe trial surpassed all feasibility benchmarks at 82% of targeted accrual, 95% retention, and 100% satisfaction (ie, experience ratings of "good to excellent" and willingness to "do it again"). Compared with the controls, intervention participants reported significantly greater improvements in moderate physical activity (+14 vs -17 minutes/week) and demonstrated improvements in the 2-Minute Step Test (+22 vs + 10 steps), and Arm Curl (+2.7 vs + 0.1 repetitions) (P values < .05). A trend toward improved vegetable consumption was observed (+0.9 vs + 0.2 servings/day; P = .06). Approximately 86% of participants were continuing to garden at the 2-year follow-up.

conclusionsThe results of the current study suggest that a mentored, home-based vegetable gardening intervention is feasible and offers an integrative and durable approach with which to improve health behaviors and outcomes among BCS. Harvest for Health led to the establishment of a group of trained Master Gardeners and gave rise to local and global community-based programs. Larger studies are needed to confirm the results presented herein and to define applicability across broader populations of survivors.

Indexed as

Cancer SurvivorsGardeningHome Care ServicesMentoringPhysical Functional PerformanceAdultAgedAged, 80 and overBreast NeoplasmsExerciseFeasibility StudiesFemaleHealth BehaviorHumansMiddle AgedPatient Education as Topicbreast cancernutritionphysical functionsurvivorshipvegetable gardening

Identifiers

PMID29932460
PMCPMC6108896

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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.