Clinical trial NCT06828445: Increasing Affordable Fruits and Vegetables for Families With Food Insecurity
Official title: Increasing Use of SNAP Fruit and Vegetable Incentive Programs for Families With Food Insecurity
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: PHASE1
Conditions: Diet
Keywords: food insecurity
diet
Supplemental Nutrition Assistance Program
fruit
vegetable
healthy eating
pediatrician
Lead sponsor: University of South Carolina
Sponsor class: OTHER
Collaborators: name: Virginia Commonwealth University
name: Cornell University
name: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
First posted: 2025-02-14
Enrollment: 296
Sex: ALL
Minimum age (years): 2
Maximum age (years): 10
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Investigator will test an intervention to increase use of a fruit and vegetable incentive program in South Carolina for families in the Supplemental Nutrition Assistance Program (SNAP) experiencing food insecurity. Caregivers are randomized to an intervention or an education-only, wait-list control group. The investigators hypothesize the intervention will improve diet-related outcomes, above and beyond the education-only wait-list control.

Detailed description: This study will test an intervention to increase use of a fruit and vegetable incentive program for families in the Supplemental Nutrition Assistance Program (SNAP) using a randomized controlled trial design. Caregivers are randomized to the intervention or an education-only wait-list control group. All caregivers are given brief education about a SNAP fruit and vegetable incentive program. Caregivers in the intervention are also given an initial "free trial" of this program and free home delivery. The primary aim is to examine intervention efficacy on diet-related outcomes.

Eligibility criteria: Inclusion Criteria:

* Primary caregiver 18+ years of age
* Has a child 2-10 years of age
* Speaks English
* Screens positive for food insecurity
* Currently enrolled in the Supplemental Nutrition Assistance Program (SNAP)
* Lives with a feasible radius for home delivery
* Consistent access to a phone that receives text messages

Exclusion Criteria:

* Anticipate no longer being enrolled in SNAP during the study duration
* Recent use of the SNAP fruit and vegetable incentive program
* Caregiver or child has a medical condition that impacts their ability to eat fruits and vegetables
* Caregiver or child has a significant food allergy, preference, or intolerance that impacts their ability to eat fruits and vegetables

Primary outcomes:
measure: Child diet quality
timeFrame: Baseline, 6, 18, and 30 weeks
Secondary outcomes:
measure: Caregiver diet quality
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Child Eating Behaviors
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Process metrics
timeFrame: Through study completion, an average of 3 years
measure: Intervention utilization
timeFrame: Through study completion, an average of 3 years
measure: Perspectives of the intervention
timeFrame: Through study completion, an average of 3 years
measure: Food security
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Availability Pillar of Food Security
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Utilization Pillar of Food Security
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Stability Pillar of Food Security
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Nutrition Security
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Household Healthfulness Choice
timeFrame: Baseline, 6, 18, and 30 weeks
measure: Dietary Choice
timeFrame: Baseline, 6, 18, and 30 weeks
measure: SNAP fruit and vegetable incentive program utilization
timeFrame: Through study completion, an average of 3 years
Other outcomes:
Locations:
city: Columbia
country: United States
facility: University of South Carolina
state: South Carolina
Study officials:
References: