Food Insecurity, Non-use of Existing State-wide SNAP Incentive Program
Conditions
Keywords
Supplemental Nutrition Incentive Program (SNAP), economic incentive
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALEducation
Educational intervention about an existing SNAP healthy food incentive program
BEHAVIORALvoucher
$10 voucher to spend on produce at farmers markets
Sponsors
Robert Wood Johnson Foundation
University of Michigan
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of participant DUFB use over time, as assessed by an interviewer-administered survey using structured open-ended questions | 5 months | 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. |
| 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 | 12 months | Through an iterative process, three team members will independently conduct thematic analyses, compared codes, resolve discrepancies, and summarize key thematic findings. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 | baseline, 1.5 months, 3 months, 5 months | 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 |
Countries
United States
Outcome results
None listed