Project Powerfood: Promoting Food Security, Equity, and Health

Not Applicable

Completed

• Conditions: Diabetes; Obesity
• Interventions: Other: Spring Group; Other: Autumn Group

• Registration Number: NCT03246997
• Lead Sponsor: Icahn School of Medicine at Mount Sinai

Brief Summary

Project Powerfood is a pilot program aimed at addressing food insecurity and food access in primary care through the implementation of a food prescription program in collaboration with a number of community partners. The objectives of this project are:

1. Implement screening for food insecurity in adult and pediatric primary care practices at Mount Sinai.

2. Provide fresh fruit and vegetable "prescriptions" to be redeemed for farm shares from local partner, the Corbin Hill Food Project. Prescriptions will provide 50% off of a fruit and vegetable box. Participants will have the option to purchase 2 boxes per month for 6 months.

3. Pilot prescriptions with 50 adult patients with poorly-controlled diabetes and 50 obese children who are food insecure and/or receive SNAP and/or WIC benefits. Examine/evaluate:

1. Feasibility of program in a busy primary care practice

2. Outcomes before and after the intervention (at baseline, 6 and 12 months), including diet, diabetes control, and body mass index (BMI)

3. Outcomes in a comparison group (that will receive the food prescriptions beginning at 6 months)

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2017-06-21
• Study First Submitted: 2017-08-08
• Study First Submitted QC: 2017-08-10
• Study First Posted: 2017-08-11
• Primary Completion: 2019-03-29
• Study Completion: 2019-03-29
• Status Verified: 2019-07
• Last Update Submitted: 2019-07-25
• Last Update Posted: 2019-07-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 95

Inclusion Criteria

• Food insecure and/or receive SNAP and/or WIC
• Adult patients: poorly-controlled diabetes (hemoglobin A1c greater than 8.0%)
• Pediatric patients: obesity, ages 5-11
• Speak English or Spanish

Read More

Exclusion Criteria

• Food secure and do not receive SNAP or WIC
• Adult Patients: do not have diabetes
• Pediatric Patients: not obese, under 5 years old or between 11 and 18
• Speak neither English or Spanish
• Severe kidney disease (Chronic Kidney Disease (CKD Stage IV or V)

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Spring Group	Spring Group	Delayed Intervention
Autumn Group	Autumn Group	Intervention Group

Primary Outcome Measures

Name	Time	Method
Number of farm shares picked-up	up to 12 months	Number of farm shares picked-up
Overall satisfaction score	up to 12 months	overall satisfaction with the program measured by likelihood of recommending the program to a friend on a 4 point scale 1 = not likely at all, 2 = somewhat likely, 3 = likely 4 = very likely

Secondary Outcome Measures

Name	Time	Method
Health Eating Index	up to 12 months	Diet quality, defined by the Health Eating Index which will be derived from the completion of 2 24-hour dietary recalls
USDA US Household Food Security Survey	up to 12 months	Food Insecurity as measured by an 18-item Self reported concern about being able to afford food or have access to food at the end of a given month. Responses to the questions in the food security survey module are combined into a scale using non-linear statistical methods based on the Rasch measurement model.
Hemoglobin A1c level	up to 12 months	The adult participant's glycemic control (as measured by hemoglobin A1c)
The Stanford Patient Education Research Center Diabetes Self-Efficacy Scale	up to 12 months	Diabetes Self Efficacy as measured by Self reported feelings on one's ability to control and manage their diabetes. 8-item survey, total range from 8 (not at all confident) to 80 (totally confident).
Self Efficacy for Eating/Cooking Fruit and Vegetables by Condrasky	up to 12 months	Cooking attitudes as measured by self reported attitudes about cooking and the use of the provided fresh fruits and vegetables to provide food to themselves and or their families.
BMI	up to 12 months	The child participant's body mass index

Trial Locations

Locations (1)

Icahn School of Medicine at Mount Sinai; 🇺🇸 New York, New York, United States