Prepared by:
Research Triangle Institute, Research TrianglePark, NC (RTI)-University of North Carolina at Chapel Hill, NC (UNC) Evidence-based Practice Center
Alice Ammerman, Dr. P.H., R.D.
Principal Investigator (UNC)
Christine Lindquist, Ph.D.
Co-Principal Investigator (RTI)
James Hersey, Ph.D. (RTI)
Anne M. Jackman, M.S.W. (UNC)
Norma I. Gavin, Ph.D. (RTI)
Cristina Garces, B.A. (RTI)
Kathleen N. Lohr, Ph.D. (RTI)
Timothy S. Cary, M.D., M.P.H (UNC)
B. Lynn Whitener, Dr. PH, M.S.L.S. (UNC)
File Name Description Software Version File Size __________________________________________________________________________________________________________ 01front.doc Microsoft Word® Document MS Word® 97 SR-1 27KB 4 pages Contents: Front Cover, Title Page, Preface 02abstr.doc Microsoft Word® Document MS Word® 97 SR-1 27KB 2 pages Contents: Structured Abstract 03conts.doc Microsoft Word® Document MS Word® 97 SR-1 26KB 2 pages Contents: Table of Contents 04summ.doc Microsoft Word® Document MS Word® 97 SR-1 42KB 7 pages Contents: Summary 05chap1.doc Microsoft Word® Document MS Word® 97 SR-1 155KB 7 pages Contents: Chapter 1. Introduction: Background and Significance; Analytic Framework; Primary Objectives and Scope of the Evidence Report; Key Clinical Questions; Technical Expert Advisory Group (TEAG); Organization of the Report; Figure 1. Hypothesized Analytical Framework: Efficacy of Behavioral Dietary Interventions to Reduce Cancer Risk 06chap2.doc Microsoft Word® Document MS Word® 97 SR-1 166KB 35 pages Contents: Chapter 2. Methodology: Literature Identification; Literature Search; Inclusion/Exclusion Criteria; Data Collection; Abstractors and Training; Change in Abstraction Process; Data Abstraction Form; Rating the Quality of the Evidence; Development of the Evidence Tables; Analysis Approach; Meta-Analysis; Standardized Analysis of the Magnitude of the Intervention Effect; Analysis of the Significance of the Intervention Effect; Relative Effectiveness of Interventions; Table 1. Expanded literature search results using MEDLINE (1966 to present); Table 2. Literature search results using EMBASE (Excerpta Medica); Table 3. Literature search results using PsycINFO; Table 4. Literature search results using Cumulative Index to Nursing and Allied Health Literature (CINAHL); Table 5. Literature search results using AGELINE; Table 6. Literature search results using AGRICOLA; Table 7. Literature search results pertaining to "Meta-Analysis and Diet Counseling" using MEDLINE; Table 8. Literature search results pertaining to "Counseling" using MEDLINE; Table 9. Literature search results pertaining to "Meta-Analysis and Cancer" using MEDLINE; Table 10. Literature search results pertaining to "Diet and Cancer" using MEDLINE; Table 11. Literature search results pertaining to "Diet Therapy" using MEDLINE; Table 12. Literature search summary; Table 13. Inclusion/exclusion criteria; Table 14. Reasons for Exclusion; Table 15. Illustration of the Calculation of the Difference in Change in Total Fat Intake Between Groups; Table 16. Illustration of the Calculation of the Difference in Percentage Change in Fruit and Vegetable Intake Between Groups at Multiple Follow-Up Periods 07chap3.doc Microsoft Word® Document MS Word® 97 SR-1 1.9MB 93 pages Contents: Chapter 3. Results: General Overview of Interventions Reviewed; Intervention Setting and Population Characteristics; Intervention Characteristics and Study Quality; Dietary Outcomes; Fruit and Vegetable Consumption; Meta-Analysis; Standardized Analysis of the Magnitude of the Intervention Effect; Overall Magnitude of Effects; Duration of Effects; Effects by Population Characteristics; Effects by Intervention Characteristics; Analysis of the Significance of the Intervention Effect; Overall Magnitude of Effects; Effects by Population Characteristics; Effects by Intervention Characteristics; Dietary Fat Consumption; Meta-Analysis; Group 1. School-Based Interventions with Healthy Children; Group 2. Worksite and Community Interventions with Healthy Adults; Group 3. Healthcare Setting Interventions with Healthy Adults; Group 4. Healthcare Setting Interventions with High-Risk Adults; Group 5. Healthcare Setting Interventions with Adults Diagnosed with Specific Diseases; Summary of Meta-Analysis Findings; Standardized Analysis of the Magnitude of the Intervention Effect; Overall Magnitude of Effects; Duration of Effects; Effects by Population Characteristics; Effects by Intervention Characteristics; Corroboration of Changes in Dietary Fat Outcomes Using Biochemical Indicators; Analysis of the Significance of the Intervention Effect; Overall Magnitude of Effects; Effects by Population Characteristics; Effects by Intervention Characteristics; Figure 2. Plotted Estimates of the Mean Differences in Change in Total Fat Intake (Percentage of Energy) Between Intervention and Control Groups for Group 1 (School-Based Interventions with Healthy Children); Figure 3. Plotted Estimates of the Mean Differences in Change in Total Fat Intake (Percentage of Energy) Between Intervention and Control Groups for Group 2 (Worksite and Communit Interventions with Healthy Adults); Figure 4. Plotted Estimates of the Mean Differences in Change in Total Fat Intake (Percentage of Energy) Between Intervention and Control Groups for Group 3 (Health Care Setting Interventions with Healthy Adults); Figure 5. Plotted Estimates of the Mean Differences in Change in Total Fat Intake (Percentage of Energy) Between Intervention and Control Groups for Group 4 (Health Care Setting Interventions with High-Risk Adults); Figure 6. Plotted Estimates of the Mean Differences in Change in Total Fat Intake (Percentage of Energy) Between Intervention and Control Groups for Group 5 (Health Care Setting Interventions with Disease-Diagnosed Adults); Table 17. Median differences between intervention and control groups in percentage change in fruit and vegetable intake; Table 18. Median differences in percentage change in fruit and vegetable intake between intervention and control groups at Follow-Up 1 and 2; Table 19. Median differences in percentage change in fruit and vegetable outcomes by demographic and intervention characteristics; Table 20. Differences in the proportion of studies reporting significant intervention effects for fruit and vegetable outcomes by demographic and intervention characteristics; Table 21. Mean differences in change in total fat (percentage of energy) between intervention and control groups; Table 22. Median differences in percentage change in dietary fat intake between intervention and control groups; Table 23. Median differences in percentage change in dietary fat intake between intervention and control groups at Follow-Up 1 and 2; Table 24. Median differences in percentage change in dietary fat outcomes by demographic and intervention characteristics; Table 25. Median differences in percentage change in dietary fat outcomes and total blood cholesterol; Table 26. Differences in the proportion of studies reporting a significant intervention effect for change in dietary fat outcomes by demographic and intervention characteristics 08chap4.doc Microsoft Word® Document MS Word® 97 SR-1 53KB 8 pages Contents: Chapter 4. Conclusions: Fruits and Vegetables; Key Questions Addressed in the Report; Key Questions Addressed in the Report; Question 1: Comparative Effectiveness of Interventions; Question 2: Effectiveness of Interventions by Subgroups; Question 3: Cost-Effectiveness of Interventions; Our Analytic Approach--Advantages, Disadvantages, and Interpretation; Broad Impact of Behavioral Dietary Interventions to Reduce Cancer Risk; Meta-Analysis Results; Other Analyses; Conclusions Based on Key Questions; Question 1: Comparative Effectiveness of Interventions; Question 2: Effectiveness of Interventions by Subgroups; Question 3: Cost-Effectiveness of Interventions; Possible Harm 09chap5.doc Microsoft Word® Document MS Word® 97 SR-1 41KB 6 pages Contents: Chapter 5. Future Research: Interventions and Population Subgroups Requiring Additional Study; Intervention Setting; Cost-Effectiveness; Intervention Intensity, Follow-Up, and Maintenance; Understudied Population Subgroups; Recommendations About Study Design, Measurement, and Reporting; Study Design; Measures; Reporting; Summary 10refs.doc Microsoft Word® Document MS Word® 97 SR-1 57KB 7 pages Contents: References 11biblio.doc Microsoft Word® Document MS Word® 97 SR-1 258KB 42 pages Contents: Bibliography 12appa.doc Microsoft Word® Document MS Word® 97 SR-1 37KB 6 pages Contents: Appendix A. Acknowledgments 13appb.doc Microsoft Word® Document MS Word® 97 SR-1 205KB 29 pages Contents: Appendix B. Data Abstraction Form 14appc.doc Microsoft Word® Document MS Word® 97 SR-1 28KB 2 pages Contents: Appendix C. Quality Rating Form 15appd.doc Microsoft Word® Document MS Word® 97 SR-1 45KB 7 pages Contents: Appendix D. Description of Evidence Tables 16appe.doc Microsoft Word® Document MS Word® 97 SR-1 33KB 3 pages Contents: Appendix E. Glossary 17frntv2.doc Microsoft Word® Document MS Word® 97 SR-1 23KB 3 pages Contents: Volume 2 Cover and Title Page 18etbl1.doc Microsoft Word® Document MS Word® 97 SR-1 245KB 56 pages Contents: Evidence Table 1. Interventions to modify dietary behavior: School settings 19etbl2.doc Microsoft Word® Document MS Word® 97 SR-1 689KB 183 pages Contents: Evidence Table 2. Interventions to modify dietary behavior: Health care settings 20etbl3.doc Microsoft Word® Document MS Word® 97 SR-1 165KB 36 pages Contents: Evidence Table 3. Interventions to modify dietary behavior: Worksite settings 21etbl4.doc Microsoft Word® Document MS Word® 97 SR-1 354KB 101 pages Contents: Evidence Table 4. Interventions to modify dietary behavior: Community/other settings __________________________________________________________________________________________________________
AHRQ Publication No. 01-E029
Current as of June 2001
Internet Citation:
The Efficacy of Interventions to Modify Dietary Behavior Related to Cancer Risk. File Inventory, Evidence Report/Technology Assessment Number 25. AHRQ Publication No. 01-E029, June 2001. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/dietbinv.htm
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