The goal of this study is to understand the best practices for implementing produce prescriptions among adults with overweight or obesity experiencing nutrition insecurity. Enrolled participants will receive an 8-week intervention aimed at increasing nutrition knowledge, self-efficacy for healthy eating, and barriers to healthy food access. Participants will be randomly assigned to one of two produce prescription implementation strategies: Program 1: Participants will receive weekly produce vouchers that are redeemable at a local vendor. Program 2. Participants will receive fresh produce delivered directly to the participant's home. These boxes will be tailored based on household size, cooking and preparation preferences, and produce the participant prefers to receive. Researchers will compare engagement in and adherence to the intervention and the patterns of difference in 8-week changes in fruit and vegetable consumption and weight.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
48
Participants will receive a produce box delivered weekly to the participants home customized based on the participants cooking preferences and household size. Participants will also receive a daily text message aimed to support a healthy diet and lifestyle. These texts will include information to build participants' knowledge and skills for healthy eating. The participants will also include weekly goals that focus on eating a healthy diet. Participants will receive automated, personalized feedback via text messages based on participant goal attainment and daily responses.
Participants will receive a weekly produce voucher redeemable at a local market vendor for fresh produce of the participant's choice. Participants will also receive a daily text message aimed to support a healthy diet and lifestyle. These texts will include information to build participants' knowledge and skills for healthy eating. The participants will also include weekly goals that focus on eating a healthy diet. Participants will receive automated, personalized feedback via text messages based on goal attainment and daily responses.
Northeast Market
Baltimore, Maryland, United States
Number of Participants Reached
The investigators will track the number of referrals, number of screening completions, number of eligible participants, and number of randomized participants, in addition to number of participants retained.
Time frame: 8 weeks
Nutrition insecurity as assessed by the 4-item Nutrition Security Screening Questionnaire
Nutrition insecurity will be assessed using Center for Nutrition Health and Impact questionnaire with a 4-item scale that has a score range of 0-16. The higher the score, the greater the level of food security and control an individual has over their nutrition.
Time frame: Baseline, 4 weeks, 8 weeks
Change in Fruit and Vegetable Consumption as assessed by the 9-item Mini-Eating Assessment Tool (EAT)
Consumption of food groups will be assessed using the 9-item Mini-Eating Assessment Tool (EAT) questionnaire. Each food group is assessed using a 9-point Likert scale ranging from I do not eat it at all to 6 or more servings per day. The survey is scored from 0-90 where a higher score indicates a healthier diet and a better outcome.
Time frame: Baseline, 4 weeks, and 8 weeks
Weight (kg)
Weight will be taken by study staff and measured to the nearest 0.1 kg.
Time frame: Baseline, 8 weeks
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