Feasibility and Impact of the FOOD4MOMS Produce Prescription Program Among Pregnant Latina Women

Study Overview
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Brief Summary
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The study will include women enrolled during the second trimester of pregnancy who will be provided with a specific amount per month for 10 months to purchase produce. Women will be provided with up to three nutrition education sessions and will be sent text message reminders to redeem their incentives every month and to provide them with nutrition tips. The study will use a co-design approach to utilize feedback from potential participants as well as participants at multiple time points in the process to improve the intervention and make it more relevant and impactful to our population.

Detailed Description
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This protocol describes the implementation of an intervention to improve access to fruits and vegetables among pregnant Latina women in Hartford CT in partnership with Wholesome Wave of Bridgeport CT, a national leader in nutrition incentive programming and policy. The target population are pregnant Latina women living in Hartford CT. Having access to the right foods as well as enough food during pregnancy promotes optimal fetal development. A prescription program that provides increased fruit and vegetable access to low-income pregnant women can help improve the diet of women during pregnancy. Nutrition education sessions (either virtual or in person) will be attended by all participants with one session required and up to two additional sessions optional. Fruits and vegetables may be purchased at diverse community locations or online for home delivery.

Official Title
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Feasibility and Impact of the FOOD4MOMS Produce Prescription Program Among Pregnant Latina Women

Conditions
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Food Selection, Food Preferences, Food Insecurity

Intervention / Treatment
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* Behavioral: Produce purchase incentive


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: during first or second trimester of pregnancy live in the city of Hartford low income (participating or enrolled in WIC, SNAP or Medicaid) speak English or Spanish. Exclusion Criteria: Any individual not meeting any of this criterion will be excluded from the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pregnant Latina women<br>Pregnant Latina women in Hartford CT enrolled during the first or second trimester of pregnancy. Participants will be provided with up to three nutrition education sessions and will be sent text message reminders to redeem their incentives every month and to provide them with nutrition tips. | Behavioral: Produce purchase incentive<br>* Participants will be provided with a specific incentive amount per month for 10 months to purchase produce, nutrition education sessions and will be sent text message reminders to redeem their incentives every month and to provide them with nutrition tips.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in amount of produce purchased or accessed | The amount of produce purchased or accessed will be asses using a self-report survey. An increase in produce purchased or accessed indicates a positive outcome. | baseline and month 10 | 
| Change in Produce Intake | Change in Produce Intake will be assessed using a self-report survey. An increase in produce intake indicates a positive outcome. | baseline and month 10 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in household food insecurity | Change in household food insecurity assessed using a self-report survey. Less food insecurity indicates a positive outcome. | baseline and month 10 |