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A digital behavioral intervention to reduce sugar-sweetened beverage consumption: a randomized, controlled trial
Jamie M Zoellner1, Wen You2, Kathleen Porter1
1Department of Public Health Sciences, UVA Cancer Center Research and Outreach Office, University of Virginia, Christiansburg, VA, United States.
The American Journal of Clinical Nutrition
|June 13, 2025
Summary
A digital intervention effectively reduced sugar-sweetened beverage (SSB) consumption in Appalachian adults. This method also led to significant weight reduction, showing promise for public health initiatives.
Area of Science:
- Public Health
- Behavioral Science
- Digital Health Interventions
Background:
- Reducing sugar-sweetened beverage (SSB) consumption is a global public health priority.
- Appalachia exhibits significant disparities in SSB consumption patterns.
Purpose of the Study:
- To measure the efficacy of a digital behavioral intervention in reducing SSB intake.
- To explore the intervention's impact on weight and quality of life (QOL).
Main Methods:
- A two-group randomized-controlled trial (RCT) involved adults in Appalachia.
- Participants received either a digital intervention or a static education website.
- SSB intake, QOL, and weight were assessed at baseline, 9 weeks, and 6 months.
Main Results:
- Digital intervention participants showed significant reductions in SSB consumption at 9 weeks and 6 months.
- The digital intervention group experienced a significant reduction in body weight at 6 months.
- High engagement and retention rates were observed in the digital intervention group.
Conclusions:
- A digital behavioral intervention proved effective in reducing SSB consumption among Appalachian adults.
- The intervention demonstrated high engagement and retention, suggesting its potential for broader application.
- Further evaluation in populations with high SSB consumption is recommended.
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