Food Insecurity
Conditions
Keywords
Produce prescription, Food security, Quasi-experimental study
Brief summary
The goal of this study is to test whether a produce prescription program (FS4H) influences health behaviors and food security. FS4H engages a total of 4 cohorts to receive fresh local produce and nutrition lessons.
Detailed description
This project aims to evaluate the effectiveness and implementation of a produce prescription (PRx) program on health behaviors and food security. The PRx program being evaluated, known as FreshStart for Health (FS4H), offers participants nutrition education lessons and access to fresh local produce (fruits and vegetables) across multiple cohorts, each with varying durations (8, 12, 18, or 24 weeks). FS4H is administered by Buffalo Go Green, serving eligible Kaleida Health employees in Buffalo, New York.
Interventions
At random (using a random number generator), participants will be assigned to join a cohort to receive a weekly produce prescription for 8, 12, 18, or 24 weeks. Produce prescriptions can be picked up at a specified location or they can be delivered to participants' home.
Participants will attend eight (8), one-hour nutrition education classes. Nutrition education classes will be held primary in-person although a virtual (Zoom) option will be made available if necessary. The classes will be recorded. Nutrition education classes range in topics from eating healthy on a budget to cooking and recipe demonstrations, which entail attending a lecture portion that is combined with hands-on activities during each session.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-65 years. * Be enrolled in Kaleida's Highmark Blue Cross Blue Shield health plan. * Having one of the following: * Prediabetes. * Diabetes. * Prehypertension. * Hypertension. * Obesity. * Food Insecurity. * Financial insecurity.
Exclusion criteria
* Not being enrolled in Kaleida's Highmark Blue Cross Blue Shield health plan. * Having no chronic health condition. * Being food secure. * Having financial stability.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fruit and vegetable intake | Up to 24 weeks. | Participants will complete the short form of the Dietary Screener Questionnaire (10 items) at baseline and post-intervention. |
| Food security | Up to 24 weeks. | Participants will complete the 6-item USDA Household Food Security Module to assess food security status at baseline and post-intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physical and mental health outcomes | Up to 24 weeks. | Participants will complete a set of validated scales at baseline and after completion of nutrition education classes. |
Countries
United States
Contacts
Cornell University