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

University of Michigan177 enrolled

Overview

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.

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 Type

INTERVENTIONAL

Allocation

Masking

NONE

Enrollment

177

Conditions

Food Insecurity Non-use of Existing State-wide SNAP Incentive Program

Interventions

EducationBEHAVIORAL

Educational intervention about an existing SNAP healthy food incentive program

voucherBEHAVIORAL

$10 voucher to spend on produce at farmers markets

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

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 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

Locations (1)

Ypsilanti Health Center, University of Michigan

Ypsilanti, Michigan, United States

Outcomes

Primary Outcomes

Prevalence of participant DUFB use over time, as assessed by an interviewer-administered survey using structured open-ended questions

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.

Time frame: 5 months

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

Through an iterative process, three team members will independently conduct thematic analyses, compared codes, resolve discrepancies, and summarize key thematic findings.

Time frame: 12 months

Secondary Outcomes

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

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

Time frame: baseline, 1.5 months, 3 months, 5 months

Data from ClinicalTrials.gov

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