Bolsillo Saludable: Feasibility of a Healthy Food Subsidy on Healthy Eating in Low-Income Households in Chile
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Percentage of the monetary subsidy spent daily by each household, based on the records from the subsidy delivery platform.
研究概览
简要总结
Feasibility Study
Objective:
The objective of this feasibility study is to develop and evaluate the feasibility and acceptability of a healthy food subsidy program within the Chilean context. The program, called Healthy Wallet, is a smartphone app-based initiative aimed at incentivizing low-income families to purchase fruits and vegetables at open markets. The findings from this study are intended to inform and potentially accelerate the implementation of similar policies in other countries.
Methods:
This study assessed the feasibility of implementing the Healthy Wallet subsidy program, designed to promote healthy eating habits among low-income families. The program incentivized the purchase of fruits and vegetables at local ferias (open markets) and was delivered through a smartphone application. The research adopted a community-based approach, leveraging existing social support systems to identify eligible beneficiaries and streamline the distribution of benefits. Open markets served as redemption sites for the subsidies.
The study engaged 30 families and 8 vendors in an 8-week pilot program conducted from June to August 2024. Data collection included pre- and post-implementation surveys, as well as focus group discussions: three with participating families and one with vendors. These methods aimed to evaluate the app's effectiveness, user experience, and overall feasibility of the program. Insights from the study will guide recommendations for scaling the initiative to a national level and beyond.
详细描述
Study Design:
This study employed an eight-week feasibility approach (Healthy Wallet) utilizing a mixed-methods assessment. The quantitative component consisted of a pre-post single-arm study, while the qualitative component involved focus group discussions with both vendors and participants.
Intervention:
The Healthy Wallet program is a mobile-based initiative aimed at promoting healthy eating habits among low-income families by incentivizing the purchase of fruits and vegetables at open markets. The program provides a monthly electronic transfer of 16,000 CLP (approximately 17 USD) for each eligible household member, including children under 18, students under 25, and individuals with disabilities. The primary food purchaser in each household receives the transfer, which is exclusively redeemable at registered stalls in the open market.
To ensure seamless transactions, registered vendors display a distinctive Healthy Wallet identification sign with a unique code. Beneficiaries use the mobile application to view available funds and complete purchases by entering the vendor's stall code. A separate vendor application tracks sales and maintains transaction records for efficient invoicing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Households that are beneficiaries of the Bolsillo Familiar Electrónico program in 2023-2024 and have children under 5 years of age.
- •Availability to shop at the local open-air market (feria libre).
排除标准
- •Individuals who are market vendors (feria vendors).
结局指标
主要结局
Percentage of the monetary subsidy spent daily by each household, based on the records from the subsidy delivery platform.
时间窗: Daily throughout the two months of follow-up
Percentage of the monetary subsidy spent daily by each household, based on the records from the subsidy delivery platform.
Percentage of households that used the monetary subsidy at least once per month, based on the records from the subsidy delivery platform
时间窗: Weekly throughout the two months of follow-up
Percentage of households that used the monetary subsidy at least once per month, based on the records from the subsidy delivery platform
Perceived utility of the subsidy program among beneficiaries, evaluated through online surveys
时间窗: At the end of the study, at two months of follow-up
Perceived utility of the subsidy program among beneficiaries, evaluated through online surveys (Likert scale)
Perceived utility of the subsidy program among vendors, evaluated through online surveys
时间窗: At the end of the study, at two months of follow-up
Perceived utility of the subsidy program among vendors, evaluated through online surveys (Yes/No questionnaire)
Self-reported satisfaction of the subsidy program among beneficiaries, evaluated through focus groups
时间窗: At the end of the study, at two months of follow-up
Self-reported satisfaction of the subsidy program among beneficiaries, evaluated through focus groups
Self-reported satisfaction of the subsidy program among vendors, evaluated through focus groups
时间窗: At the end of the study, at two months of follow-up
Self-reported satisfaction of the subsidy program among vendors, evaluated through focus groups
Perceived utility of the subsidy platform among beneficiaries, evaluated through online surveys
时间窗: At the end of the study, at two months of follow-up
Perceived utility of the subsidy program among beneficiaries, evaluated through online surveys (Likert scale)
Perceived utility of the subsidy platform among vendors, evaluated through online surveys
时间窗: At the end of the study, at two months of follow-up
Perceived utility of the subsidy program among vendors, evaluated through online surveys (Yes/No questionnaire)
Self-reported satisfaction of the subsidy platform among beneficiaries, evaluated through focus groups
时间窗: At the end of the study, at two months of follow-up
Self-reported satisfaction of the subsidy platform among beneficiaries, evaluated through focus groups
Self-reported satisfaction of the subsidy platform among vendors, evaluated through focus groups
时间窗: At the end of the study, at two months of follow-up
Self-reported satisfaction of the subsidy platform among vendors, evaluated through focus groups
次要结局
未报告次要终点