Clinical trial NCT04065646: Nutrition Education and e-Texting to Increase Access to Fresh Produce
Official title: Nutrition Ed, Access and Texting (NEAT): Combining the Hartford Mobile Market With e-Marketing
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy Eating
Keywords: Food Access
Food Security
Fruits and Vegetables
Low-Income
Lead sponsor: Hispanic Health Council, Inc.
Sponsor class: OTHER
Collaborators: name: Yale University
name: Cornell University
First posted: 2019-08-22
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Baseline interviews will be conducted after participation in nutrition education activity. Upon completing baseline, participants will be randomized into intervention (HMM text messaging) or control (non-health-related texting) groups. Texting will begin the day after randomization is completed and will occur once daily during business days for a duration of one month. In addition to HMM access messages, intervention group participants will receive texts with links to four $5.00 incentive coupons for the Hartford Mobile Market, one during each of the four weeks that the texting will take place. Follow-up interviews will be conducted two weeks after the end of the one-month texting period.
Primary purpose: OTHER

Brief summary: The proposed project, Nutrition Ed, Access and Texting (NEAT): Combining the Hartford Mobile Market with e-Marketing , uses an e-technology social marketing strategy to promote use of a recently launched mobile produce market among SNAP-Ed recipients. This study will potentially increase fresh produce access and intake by combining an innovative food system change (produce mobile market) with existing SNAP-Ed nutrition education curriculum and the use of e-marketing technology.

Detailed description: The proposed project, Nutrition Ed, Access and Texting (NEAT): Combining the Hartford Mobile Market with e-Marketing uses an e-technology social marketing strategy to promote use of a recently launched mobile produce market among SNAP-Ed recipients. This study will potentially increase fresh produce access and intake by combining an innovative food system change (produce mobile market) with existing SNAP-Ed nutrition education curriculum and the use of e-marketing technology. Thus, the study combines key elements that have been deemed necessary for increasing produce intake among low income communities. The goal of the NEAT study is to assess the impact of a texting-based social marketing campaign on SNAP-Ed participants' access to and purchase of fresh produce on a recently launched mobile produce market, and their subsequent produce intake. Objectives include: 1) Compare the impact of nutrition education alone to nutrition education plus promotional text messaging on purchase of fruits and vegetables; 2) Compare the impact of nutrition education alone to nutrition education plus promotional text messaging on consumption of fruits and vegetables; and 3) Assess the effectiveness of coupon distribution on coupon redemption at a mobile produce market. The NEAT design will be a randomized controlled trial using a pre-post assessment comparing change in behavior. Both intervention and control groups will receive SNAP-Ed education as currently delivered by the Hispanic Health Council. The intervention group will receive additional promotional text messaging related to use of the mobile market. The control group will receive text messaging about free activities taking place at the Hartford Public Library and other community locations. Participants will be interviewed via phone at baseline, then randomized to intervention and control groups, and re-interviewed again 6 weeks after they start receiving the text messages, which it will be 2 weeks after the one-month texting period ends.

Eligibility criteria: Inclusion Criteria:

* SNAP eligible participants with children under 5 years old living at home.
* Living in Hartford, CT.
* Having a cell phone with unlimited smart phone data plans.

Exclusion Criteria:

* Not living in Hartford Less than 18 years old

Primary outcomes:
measure: Change in consumption of fruits
timeFrame: Baseline and 6 weeks follow up
measure: Change in consumption of vegetables.
timeFrame: Baseline and 6 weeks follow up
measure: Change in fruits eating behaviors Increase consumption of fruits and vegetables
timeFrame: Baseline and 6 weeks follow up
measure: Change in vegetables eating behaviors. Increase consumption of fruits and vegetables
timeFrame: Baseline and 6 weeks follow up
measure: Change in amount of money spent on fruits and vegetables.
timeFrame: Baseline and at 6 week follow up
measure: Change in amount of money spent on fruits.
timeFrame: Baseline and at 6 week follow up
measure: Change in amount of money spent on vegetables.
timeFrame: Baseline and at 6 week follow up
measure: Change in self reported usage of the Hartford Mobile Market for buying fresh produce
timeFrame: baseline and at 6 weeks follow up
Secondary outcomes:
measure: Participant utilization of coupons
timeFrame: 6 week follow up
measure: Participant's satisfaction with e-texting messages (likeness)
timeFrame: 6 weeks follow up
measure: Participant's assessment of usefulness of the messages
timeFrame: 6 weeks follow up
measure: Participant's assessment of usefulness of the coupons
timeFrame: 6 week follow up
Other outcomes:
Locations:
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