None listed
Conditions
Brief summary
In developed countries, such as Aotearoa New Zealand (NZ), poverty affects more than 300,000 NZ children and places more than one in five NZ households, and two in five Maori (indigenous NZers) households, at risk of losing their right to food that prevents chronic disease. The NZ Ministry of Health estimates that 8,000-9,000 deaths per year can be attributed to nutrition-related causes. NZ research attempts to address nutrition and food security have limited to retail-based supermarket price discounts or food vouchers which have had nil to poor outcomes for Maori. The primary purpose of this study is to increase fruit and vegetable consumption for Maori people who do not have reliable access to fruit and vegetables. Participants will be randomly allocated to one of four groups: • Group 1 will receive the Food Package free; • Group 2 will receive the Food package free and wananga; • Group 3 can order weekly packs of NZ$5 worth of fruit and vegetables up to the maximum number of packages based on the size of the family. • Group 4 can order weekly packs of NZ$5 worth of fruit and vegetables up to the maximum number of packages based on the size of the family and wananga. The aims of this proposal are to: 1) Observe household consumption of fruit and vegetables supplied. 2) Measure the difference in consumption between four groups: free food, free food + education, at-cost food, and at-cost food + education. The hypothesis is that participants in the free food + education group will consume more servings of fruit and vegetables than the other groups.
Interventions
The study design follows a four-arm, randomised trial, superiority approach. There are 2 main components:
• Food packages: all groups will be offered weekly fruit (3 serves) and vegetable (6 serves) packages up to the recommended number of servings for the composition of the household. For example:
o For a family of 2 adults and 3 children, up to 15 serves of fruit and 30 serves of vegetables can be ordered
• Wananga: eight interactive wananga (seminar) will be held, including topics such as, ho
The study design follows a four-arm, randomised trial, superiority approach. There are 2 main components: • Food packages: all groups will be offered weekly fruit (3 serves) and vegetable (6 serves) packages up to the recommended number of servings for the composition of the household. For example: o For a family of 2 adults and 3 children, up to 15 serves of fruit and 30 serves of vegetables can be ordered • Wananga: eight interactive wananga (seminar) will be held, including topics such as, how to cook and prepare provided foods, how to grow foods, sources of cheap or free foods. The wananga will be on average 3 hours long The food packages will be ordered and delivered every week over 26 weeks. Eight wananga will be held during that 26 weeks, as suitable. • Forty households will be randomly assigned to one of four groups. • Group 1 will receive the Food Package free; • Group 2 will receive the Food package free and wananga; • Group 3 can order weekly packs of NZ$5 worth of fruit and vegetables up to the maximum number of packages based on the size of the family. • Group 4 can order weekly packs of NZ$5 worth of fruit and vegetables up to the maximum number of packages based on the size of the family and wananga. Each week, all participants will be contacted to order food, which will be recorded in a spreadsheet. Each week, a group reminder will be sent each week, in addition to follow up as preferred by the participants. If participants are not responding to contact attempts, a NC (not contactable) will be recorded in the spreadsheet. Every participant will be contacted every week, irrespective of if they responded the previous week. A co-ordinator, currently working with Te Wakahuia o Manawatu Trust (TWMT), will be employed to support research work and organise the intervention. The job will include: • Contacting food providers, sourcing weekly foods, organising pick up, packing and delivery. • Organise recruitment • Provide support with designing research material • Organise data collection • Organise wananga In addition, up to 2 people will be employed to pick up, package, deliver and return weekly foods. Food supply All groups will receive a package of fruit and vegetables over a period of six-months. Each week households will be contacted to order fruit and vegetables. The order will be delivered to the door of each participating household and at the same time food not consumed from the preceding week will be retrieved. Wananga In addition to the supply of food, eight wananga (group education) will be held to provide the following to groups 2 and 4: - Recipes for cooking foods - Methods for preparing and cooking ‘uncommon, inexpensive foods’ such as legumes - Assistance with setting up a vegetable garden The wananga will be facilitated by enlisted local experts and will be held in a facility local to participants.
Sponsors
Geoff Kira
Study design
Allocation
Randomised controlled trial
Intervention model
Factorial
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
Yes
Inclusion criteria
The inclusion criteria includes: - Households identifying as Maori - the main participant being minimum 18 years old and have at least one child (less than 18 years of age), living in their household - In Highbury area in Palmerston North, Manawatu, NZ - Likely to be able to remain in the study for 6 months - If allocated to the “at-cost” condition, likely to be able to pay for a $5 pack of food most weeks - In high need o “high need” will be established through motivational interviewing technique conducted by recruiter.
Exclusion criteria
Food secure
Outcome results
None listed