Evaluating Use of a Farmers Market Incentive Program Among Low-Income Health Center Patients

Not Applicable

Completed

• Conditions: Non-use of Existing State-wide SNAP Incentive Program; Food Insecurity
• Interventions: Behavioral: Education; Behavioral: voucher

• Registration Number: NCT02558660
• Lead Sponsor: University of Michigan

Brief Summary

The purpose of this study is to evaluate the impact of a brief clinic-based educational intervention on utilization of Double Up Food Bucks (DUFB)-a Michigan-wide Supplemental Nutrition Assistance Program (SNAP) healthy food incentive--among low income health center patients at a community health center in Southeast Michigan.

Detailed Description

Study participants were provided a 3-5 minute explanation of DUFB, written program materials, and initial $10 market voucher. Participants were surveyed four times over five months, and a subset are also participating in post-intervention focus groups.

Study Timeline

• Study Start: 2014-08
• Study First Submitted: 2015-09-04
• Study First Submitted QC: 2015-09-22
• Study First Posted: 2015-09-24
• Primary Completion: 2015-10
• Study Completion: 2015-10
• Status Verified: 2015-12
• Last Update Submitted: 2015-12-24
• Last Update Posted: 2015-12-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 177

Inclusion Criteria

• patient or family member of patient
• at least 18 years of age
• currently SNAP-enrolled
• identifies as one of primary food shoppers for household
• English or Spanish-speaking

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Exclusion Criteria

• under 18
• not currently SNAP-enrolled
• not one of primary food shoppers for household
• unable to complete a telephone survey in English or Spanish
• unable to provide a working telephone number where they could be contacted

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Double Up Food Bucks	Education	Clinic-based educational intervention about an existing SNAP healthy food incentive program, as well as a $10 voucher to spend on produce at farmers markets
Double Up Food Bucks	voucher	Clinic-based educational intervention about an existing SNAP healthy food incentive program, as well as a $10 voucher to spend on produce at farmers markets

Primary Outcome Measures

Name	Time	Method
Prevalence of participant DUFB use over time, as assessed by an interviewer-administered survey using structured open-ended questions	5 months	Use of DUFB at baseline assessed with yes/no response. At each of the the 3 follow-up surveys waves (1.5 months, 3 months, and 5 months), participants will be asked if they have used DUFB in the past month (yes/no), and if yes, how many times.
Participant-perceived barriers and facilitators to DUFB use following educational intervention, as assessed by an interviewer-administered survey using structured open-ended questions and semi-structured focus group questions	12 months	Through an iterative process, three team members will independently conduct thematic analyses, compared codes, resolve discrepancies, and summarize key thematic findings.

Secondary Outcome Measures

Name	Time	Method
Change from baseline fruit and vegetable consumption at 1.5 months, 3 months, and 5 months, as assessed by a validated 2 question fruit and vegetable screener	baseline, 1.5 months, 3 months, 5 months	Servings/day range from 0 to \>=4 (scale applied separately to fruit consumption and vegetable consumption. Change will be calculated from two time points at each of three follow-up periods (1.5 months, 3 months, and 5 months) minus the baseline

Trial Locations

Locations (1)

Ypsilanti Health Center, University of Michigan; 🇺🇸 Ypsilanti, Michigan, United States