Project Powerfood: Promoting Food Security, Equity, and Health

Icahn School of Medicine at Mount Sinai95 enrolled

Overview

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)

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Diabetes Obesity

Eligibility

Sex: ALLMin age: 5 YearsMax age: 18 Years

Medical Language ↔ Plain English

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 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)

Outcomes

Primary Outcomes

Number of farm shares picked-up

Time frame: up to 12 months

Overall satisfaction score

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

Time frame: up to 12 months

Secondary Outcomes

Health Eating Index

Diet quality, defined by the Health Eating Index which will be derived from the completion of 2 24-hour dietary recalls

Time frame: up to 12 months

BMI

The child participant's body mass index

Time frame: up to 12 months

USDA US Household Food Security Survey

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.

Time frame: up to 12 months

Hemoglobin A1c level

The adult participant's glycemic control (as measured by hemoglobin A1c)

Time frame: up to 12 months

The Stanford Patient Education Research Center Diabetes Self-Efficacy Scale

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).

Time frame: up to 12 months

Self Efficacy for Eating/Cooking Fruit and Vegetables by Condrasky

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.

Time frame: up to 12 months

Project Powerfood: Promoting Food Security, Equity, and Health

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes