Fresh Start: Increasing Produce Access and Intake Among WIC-eligible Children in West Philadelphia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Number of participants in both groups who continue to participate in the program weekly in different pricing models
研究概览
简要总结
Nearly 22% of children in Philadelphia live in food-insecure (FI) households, often leading to reliance on inexpensive, nutrient-poor foods and associated poor health outcomes. Despite this, utilization of food benefit programs is often low, including the Special Supplemental Nutrition Program Women, Infants, and Children (WIC) Farmer's Market Nutrition Program (FMNP). In the prior qualitative study, Investigators found that parents desire to increase their children's intake of produce but face many barriers to produce access; caregivers described a preference for delivery-based, low-or-no cost food programs to increase produce access and intake among children. This pilot trial seeks to assess the effectiveness of a short-term, tiered-fee produce delivery program in retaining participants and increasing produce access and intake among families with WIC-eligible children
详细描述
Investigators are piloting a produce box delivery program to approximately 50 WIC-eligible, low-income families in West Philadelphia in partnership with the Farm to Families Initiative (St. Christopher's Foundation for Children) and Food Connect, a local food delivery program. Both partnerships have been previously established and are maintained through the Office of Community Relations. The program will be 8 weeks in duration; in the first 4 weeks, all families will receive a free, weekly produce box from Farm to Families. In the second two weeks, the 50 families will be randomized into two groups, each with 25 participants. One group will be asked to pay $5 for the produce box and the other group will pay $10, using food benefits or their own income. Recipes that include foods in the produce box will be included with the delivery along with children's activities (books, coloring pages, card games, etc.) related to fruits and vegetables. Participating parents will complete three online surveys throughout the program. These pre-, mid-, and post-intervention surveys will assess the effect of the program and participant satisfaction.
The expected goals are to:
- Evaluate the effect of different pricing models on participation of low-income, WIC-eligible families in a produce delivery program
- Evaluate the efficacy of a low-cost produce delivery program to increase perceived intake of produce among low-income young children.
- Evaluate efficacy of a low-cost produce delivery program to increase perceived access to produce among low-income families in West Philadelphia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Subjects must:
- •Be over 18 years of age
- •Be the parent or guardian for children ages 0 to 5 years of age who receive or are eligible to receive WIC benefits
- •Be the parent or guardian for children ages 0 to 5 years of age who receive pediatric care at CHOP Primary Care - Cobbs Creek
- •Live or have access to an address where packages can be delivered
- •Have access to an electronic device and internet in order to access the online produce box ordering portal
- •Be willing to complete three 10-15 minute surveys throughout the intervention either online or via telephone
- •Consent to have their contact information shared with Farm to Families and Food Connect
排除标准
- •Subjects must not:
- •Be participating in another intervention which provides produce just prior to or simultaneous with participation in this study (e.g. Farm Food Box Program, etc.)
- •Be subjects who, in the opinion of the Investigator(s), may be non-compliant with study schedules or procedures Subjects that do not meet all of the enrollment criteria may not be enrolled. Any violations of these criteria must be reported in accordance with IRB Policies and Procedures.
结局指标
主要结局
Number of participants in both groups who continue to participate in the program weekly in different pricing models
时间窗: 8 weeks
Participant ordering in each group will be tracked weekly in RedCap for week 1, 2, 3, 4, 5, 6, 7, and 8.
次要结局
- Assess participant satisfaction with the Fresh Start produce delivery program(Up to 6 months)
- Evaluate the impact of the produce delivery program on perceived intake and enjoyment of fruits and vegetables(Up to 6 months)
- Assess self-efficacy among the study population in regards to preparing home-cooked meals, particularly with fruits and vegetables.(Up to 6 months)
- Evaluate the efficacy of the produce delivery program in improving perceived produce access, including attainability and cost, among the study population(Up to 6 months)
- Assess the efficacy of the produce delivery program in improving perceived diet(Up to 6 months)
- Determine if the Fresh Start produce delivery program leads to changes in food purchasing patterns among the study population.(Up to 6 months)
- Evaluate for changes in reported food insecurity among the stated study population.(Up to 6 months)