Evidence map›Paper›PMID 35533876›Full record

Trial reportJournal of the Academy of Nutrition and Dietetics2022

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.

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 and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the Academy of Nutrition and Dietetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 31% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
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

11 authors at 4 institutions in 1 country.

Jennifer R BailCollege of Nursing, University of Alabama in Huntsville, Huntsville, AL; Department of Nutrition Sciences, University of Alabama, Birmingham, AL.
Cindy K BlairDepartment of Internal Medicine, University of New Mexico, Albuquerque, NM.
Kerry P SmithAlabama Cooperative Extension System, Auburn University, Auburn, AL.
Robert A OsterDivision of Preventive Medicine, Department of Medicine, University of Alabama, Birmingham, AL.
Harleen KaurDepartment of Nutrition Sciences, University of Alabama, Birmingham, AL.
Julie L LocherDivision of Geriatrics, Department of Medicine, University of Alabama, Birmingham, AL.
Andrew D FrugéDepartment of Nutrition Sciences, University of Alabama, Birmingham, AL; Department of Nutrition, Dietetics & Hospitality Management, Auburn University, Auburn, AL.
Gabrielle RocqueDepartment of Medicine, University of Alabama, Birmingham, AL.
Maria PisuDivision of Preventive Medicine, Department of Medicine, University of Alabama, Birmingham, AL.
Harvey Jay CohenDepartment of Medicine, Duke University Medical Center, Durham, NC.
Wendy Demark-WahnefriedDepartment of Nutrition Sciences, University of Alabama, Birmingham, AL. Electronic address: demark@uab.edu.
University of Alabama at Birmingham · USAuburn University System · USDuke Medical Center · USUniversity of New Mexico · US

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Omer Jamy · 1985 to 2026
$165.9M
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
UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
Harvest for Health in Older Cancer SurvivorsR01CA201362 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY · 2016 to 2021
$2.8M
Improving Physical Functioning in Older Cancer Survivors Through Light-Intensity Physical ActivityK07CA215937 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BLAIR, CINDY KAY · 2018 to 2022
$772k
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 K07 CA215937NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA201362NCI NIH HHS R25 CA047888NCI NIH HHS R25 CA076023NCI NIH HHS T32 CA047888NIA NIH HHS K07 AG043588
6 · The paper itself

Abstract

backgroundAccelerated 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.

objectiveThe 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.

designHarvest for Health is a 2-year, 2-arm, single-blinded, wait-list controlled RCT with cross-over. PARTICIPANTS/

settingMedicare-eligible survivors of cancers with ≥60% 5-year survival were recruited across Alabama from October 1, 2016 to February 8, 2021.

interventionParticipants 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 measuresAlthough 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: χ

resultsOlder cancer survivors (n = 9,708) were contacted via mail and telephone; 1,460 indicated interest (15% response rate), 473 were screened eligible and consented, and 381 completed baseline assessments and were randomized. Enrollees did not differ from nonrespondents/refusals by race and ethnicity, or rural-urban status, but comprised significantly higher numbers of comparatively younger survivors, those who were female, and survivors of breast cancer (P < .001). Although COVID-19 delayed trial completion, protocol modifications overcame this barrier and study completion is anticipated by June 2022.

conclusionsThis RCT will provide evidence on the effects of a mentored vegetable gardening program among older cancer survivors. If efficacious, Harvest for Health represents a novel, multifaceted approach to improve lifestyle behaviors and health outcomes among cancer survivors-one with capacity for sustainability and widespread dissemination.

Indexed as

Breast NeoplasmsCancer SurvivorsCOVID-19AlabamaFemaleGardeningHumansMaleVegetablesCancerDietOlder adultsPhysical activityPhysical functionSurvivorship

Identifiers

PMID35533876
PMCPMC10656755
OpenAlexW4229007557

What OpenQuestion holds

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Registered trials

None linked

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.