Trial reportPloS one2026
Behavior change intervention targeting physical activity and diet improves stress and sleep.
Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01249989 (Make Better Choices), which is not on this map. Not yet cited in PubMed.
What it found
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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.
Make Better Choices (MBC) - Multiple Behavior Change in Diet and Activity
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundPoor diet, low physical activity, high stress, and poor sleep are prevalent modifiable risk factors for chronic diseases. Synergistic effects of interventions targeting diet and activity on other health risk behaviors such as stress and sleep are understudied. PURPOSE: To conduct a secondary data analysis to investigate whether interventions targeting diet and activity produce collateral improvements in stress and sleep.
methodsMake Better Choices 2 was a randomized clinical trial to test a technology-assisted coaching intervention with modest incentives to improve diet and activity, as compared to a matched intervention targeting improved stress and sleep. Participants (n = 212) were adults (76.4% female, 59% non-white minority, mean age = 40.8 years) with multiple diet and activity risk behaviors. For 7 days at baseline, 3-, 6-, and 9-months, participants reported perceived sleep duration, stress, diet, and activity through a smartphone application. Outcomes were evaluated by linear mixed models. The study was registered on clinicaltrials.gov (NCT01249989).
resultsBoth interventions produced significant, statistically comparable improvements in average daily stress rating (z = 1.35, p = .177). Reduction in average daily stress rating was 1.68 following diet/activity intervention (z = -12.25, P < .001) and 2.08 following stress/sleep intervention (z = -7.83, P < .001) on an 11-point Likert scale. Though changes in sleep duration for both groups were clinically meaningful, the stress/sleep intervention produced statistically larger improvements in sleep as compared to the diet/activity intervention (z = -3.79, P < .001). Sleep duration increased 26.39 minutes following diet/activity intervention (z = 3.16, P = 0.002) and 92.65 minutes following stress/sleep intervention (z = 5.912, P < 0.001).
conclusionsFindings suggest that diet and activity behavior change interventions can effectively improve outcomes within and between the behavior domains they directly target. Future research should identify common mechanistic pathways to inform development of interventions that efficiently change multiple health behaviors implicated in chronic disease morbidity and mortality.
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