Increasing Adoption of Fruits and Vegetables Into Family Diet

Study Overview
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Brief Summary
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The investigators are interested in maximizing the consumption of fruits and vegetables (F&V) in elementary school children by increasing the access to F&V by providing them in the home environment via direct delivery (F&V bag & recipes) and a gift card to purchase preferred choices. This also decreases barriers to trying F&V and switching to a more F&V-focused diet, e.g., access, cost, knowledge of what to do with fruits and vegetables by their families in household diet, and a period of time to try and get used to more F&V in the diet without worrying about access and cost. We hypothesize that at the end of 4 weeks, children in families that were given access to a F&V produce box with associated recipes, a gift card to purchase preferred choices, and a cooking incentive kit, consumed significantly better diets as measured with a diet composite score compared with children in families who did not receive increased F&V access.

Official Title
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The Impact of Providing Choices for Fruits and Vegetable Access on Child Diet

Conditions
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Diet, Healthy

Intervention / Treatment
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* Dietary Supplement: Weekly produce box and gift card


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Families must be participants in the Boys and Girls Club on the Go program. They could sign up to become a participant while we are recruiting. Caregiver must be able to come to the same Club on the Go site every week. At least one child in the family must be k-5 student. Caregiver must be able to read and write in English or Spanish to answer assessments. Exclusion Criteria: Reference child with any medical condition in which they have to follow a specific diet. Caregiver cannot read and write in English or Spanish. Reference child not living with caregiver for majority of time (75% or greater). Families that do not meet the inclusion criteria

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 11 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial, outcomes on reference child and reference caregiver; In the intervention arm, fruits and vegetables and vouchers cover more than 1 cup a day increase for families, using an average of 5 people as family size.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Families in the intervention arm will receive a program of 4 weeks of access to fruit and vegetables through direct access (produce box) and a gift card to the grocery store for purchase of preferred produce. | Dietary Supplement: Weekly produce box and gift card<br>* Weekly box of produce (5-10 lbs) and $10.00 gift card to a local grocery store to purchase preferred produce. If progress on self-goals completed, an additional $10.00 card provided, weekly, for 3 weeks.<br>|
| No Intervention: Control Group<br>Families in the control group will not receive any produce boxes or gift cards during the study period. At the end of the study period they will receive gift cards of equivalent amount. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| School Physical Activity and Nutrition (SPAN) questionnaire elementary version | dietary recall measure for fruit and vegetables scale of 0-12 with higher scores equating to more vegetable consumption | 24 hours |