Clinical trial NCT05381766: Building Access to Food Through Systems and Solidarity
Official title: Building Access to Food Through Systems and Solidarity (BASIS): a Subsidized and Culturally-adapted Produce Box Program for Immigrant Communities of Brooklyn, NY
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Diet Habit
Lead sponsor: NYU Langone Health
Sponsor class: OTHER
Collaborators: name: National Institute on Minority Health and Health Disparities (NIMHD)
First posted: 2022-05-19
Enrollment: 3200
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: BASIS aims to implement a whole-of-community intervention in Brooklyn for improving diet and the social and /built environments for English-, Chinese-, Spanish-, and Bangla-speaking communities. This is achieved through five main pillars: by 1) improving food access (subsidized, culturally tailored fresh produce box program), 2) providing nutrition education, 3) conducting experiential learning (gardening workshops, cooking demonstrations, farm tours, physical activity sessions, arts-based sessions), 4) assisting with economic security (SNAP/WIC enrollment, workforce development, small business owner engagement), and 5) contributing to policy.

Detailed description: This is a single-site program that will be evaluated over a period of 5 years using a multi-level, mixed methods approach. Each year, culturally appropriate produce will be provided weekly for 20 weeks to community members in Sunset Park and surrounding neighborhoods. Brooklyn Grange in Sunset Park will grow and provide Chinese specific produce and Angel Family Farm will grow and provide Mexican specific produce. Brooklyn Grange's CSA produce box will be valued at $25 and available on a sliding scale (for a fee ranging from $7 to $31 depending on the participant's self-identified situation). In a sliding scale model, each participant contributes the same percentage of income on food but participants can choose the price point they want to pay based on their individual situation and financial resources. Angel Family Farm's subsidized CSA produce box will be valued at $30 and available for a fee of up to $15, which was determined to be acceptable by community members. Participants that receive SNAP benefits can use their EBT card to cover their produce box fees. Education will be offered in the form of nutrition education, cooking tutorials, and farming information provided by staff at Brooklyn Grange.

There will be 3 comparison communities of Mexican and Chinese American individuals in NYC as part of the study's evaluation. Individuals from these communities will not be participating in the CSA produce box. For the Mexican community, we will focus on South Bronx where there are dense pockets of Mexican communities. For the Chinese community, we will focus on Chinatown, Manhattan and Flushing, Queens.

Eligibility criteria: Inclusion Criteria:

CSA:

* Adult age 18 years and over
* Resides in Zip codes: 11204, 11209, 11214, 11215, 11217, 11218, 11219, 11220, 11228, 11232
* Speak English, Mandarin, Cantonese, Spanish, or Bangla
* Willing and able to provide consent

Comparison Communities:

* Adult age 18 years and over
* Currently living in South Bronx (Zip codes 10454, 10455, 10451, 10456, 10459), Chinatown (Zip codes 10038, 10002, 10013, 10012), or Flushing (Zip codes 11354, 11355, 11356, 11357, 11360, 11359, 11358, 11365, 11367, 11368)
* Speak English, Mandarin, Cantonese, or Spanish
* Willing and able to provide consent

Exclusion Criteria:

• Unable to complete the baseline survey in English, Mandarin, Cantonese, Spanish or Bangla

Primary outcomes:
measure: Change in Fruit+Vegetable Intake as Measured by Skin Carotenoids
timeFrame: Baseline, Week 20
measure: Change in Fruit+Vegetable Intake as Measured by Self-Report
timeFrame: Baseline, Week 20
measure: Change in Neighborhood Social Cohesion
timeFrame: Baseline, Week 20
measure: Change in Sense of Belonging
timeFrame: Baseline, Week 20
measure: Change in Ethnic Pride
timeFrame: Baseline, Week 20
Secondary outcomes:
measure: Change in Cross-Cultural/Cross-Racial Understanding
timeFrame: Baseline, Week 20
Other outcomes:
Locations:
city: New York
country: United States
facility: NYU Langone Health
state: New York
Study officials:
affiliation: NYU Langone Health
name: Stella Yi, MD
role: PRINCIPAL_INVESTIGATOR
References: