Clinical trial Recruiting at 1 site Interventional Ages 18 to 100

A program to improve health choices for rural Appalachians

Official title: Implementing the Make Better Choices 2 mHealth Energy Balance Intervention for Rural Appalachians

Run by University of Kentucky · NCT04309461 · Data updated 2026-11-12

This study is testing a new program that uses a mobile app and coaching to help adults in rural Appalachia eat healthier and be more active.

Quick facts

Study typeInterventional
Ages18 Years to 100 Years
SexAll
Enrollment279 (estimated)
SponsorUniversity of Kentucky
Academic / other
Locations1 site (Benham, Kentucky)
StatusRecruiting
StartedAugust 1, 2020
Main results expectedApril 30, 2027
Study endsApril 30, 2027
Registry record updatedNovember 10, 2026
Trial IDNCT04309461 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults living in Appalachian Kentucky who are willing to engage with technology to improve their health behaviors.

Probably not a fit

Patients with unstable medical conditions, cognitive impairments, or those who are pregnant or lactating may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This intervention program targets health behavior improvements among adults in rural Appalachia, specifically focusing on increasing fruit and vegetable intake, reducing saturated fat consumption, enhancing physical activity, and decreasing sedentary screen time. The program utilizes a mobile app, accelerometer, personalized health coaching, and behavioral incentives to facilitate these changes. Participants will be randomized to either the adapted Make Better Choices 2 (MBC2) program or a stress management control group, with the primary outcome being improvements in diet and activity levels. The study aims to leverage technology to address the significant health challenges faced by this population.

Why it matters

Potential benefit: If successful, this program could lead to improved dietary habits and increased physical activity, ultimately reducing the risk of chronic diseases among rural Appalachian residents.

How similar studies have gone: Previous studies have shown success with similar mHealth interventions in improving health behaviors, making this approach promising yet still relatively novel in this specific population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* adults residing in Appalachian Kentucky
* willingness to use smart phone to record and modify diet and activity
* willingness to wear an accelerometer
* consume \<4.5 cups fruit/vegetables daily
* consume \>8% daily calories from fat
* engage in \<150 minutes of moderate-intensity physical activity weekly
* spend \>90 minutes daily on non-work, non-education-related sedentary recreational use of screen time.

Exclusion Criteria:

* unstable medical conditions
* cognitive impairment
* hospitalization for psychiatric disorder within the last 5 years
* active suicidal ideation
* substance use disorder other than nicotine dependence
* at risk for adverse cardiovascular events with moderate-intensity activity
* taking weight loss medication
* trying to get pregnant, pregnant or lactating
* active eating disorders
* using mobility assistive devices
* inability to read study materials

Where it's running

  • MBC2 Field Office University of Kentucky
    Benham, Kentucky, United States
    Recruiting

Study contacts

  • Principal investigator: Nancy Schoenberg, PhD — University of Kentucky
  • Study coordinator: Susan C Westneat, MA
  • Email: swest1@email.uky.edu
  • Phone: 859 323 8282

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.