Online WIC Nutrition Education to Promote Farmers' Market Fruit and Vegetable Purchases and Consumption
1 other identifier
interventional
744
1 country
1
Brief Summary
This study is evaluating the WIC Fresh Start program, a theory-driven, web-based nutrition education lesson to promote farmers' market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable cardiovascular-diseases
Started Jul 2014
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2014
CompletedFirst Submitted
Initial submission to the registry
September 29, 2015
CompletedFirst Posted
Study publicly available on registry
October 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedResults Posted
Study results publicly available
October 30, 2019
CompletedOctober 30, 2019
October 1, 2019
1.9 years
September 29, 2015
May 15, 2018
October 25, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Number of Participants Who Redeemed FMNP Vouchers
The state WIC agency is providing data on FMNP voucher redemption.
6 months (2015 farmers' market season [June to November 2015])
Frequency of Fruit and Vegetable Intake
Times per day fruits and vegetable are consumed as assessed by a validated food frequency questionnaire.
Pretest, posttest (2 weeks after pretest), and 3- and 6-month follow-up
Quantity of Fruit and Vegetable Intake
Cups per day consumed of fruits and vegetables as assessed by a validated fruit and vegetable screener.
Pretest, posttest, and 3- and 6-month follow-up
Secondary Outcomes (15)
Number of Participants Who Redeemed Cash Value Vouchers at Farmers' Markets
6 months (2015 farmers' market season [June to November 2015])
Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format.
Pretest, posttest, and 3- and 6-month follow-up
Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format.
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales.
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format.
Pretest, posttest, and 3- and 6-month follow-up
- +10 more secondary outcomes
Study Arms (4)
WIC Fresh Start Program
ACTIVE COMPARATORParticipants in this arm receive the Fresh Start program.
Existing Online Health Education
ACTIVE COMPARATORParticipants in this arm receive existing online WIC health education.
WIC Fresh Start Program (FMNP)
EXPERIMENTALParticipants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets.
Existing Online Health Education (FMNP)
ACTIVE COMPARATORParticipants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets.
Interventions
The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills.
Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson.
Eligibility Criteria
You may qualify if:
- Pregnant or postpartum WIC participant
- Female caregiver of infant/child WIC participant
You may not qualify if:
- Restrictions on food intake
- Classified by WIC as high risk/requiring an individualized nutrition care plan
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Saint Joseph's WIC Program
Paterson, New Jersey, 07524, United States
Related Publications (5)
Di Noia J, Monica D, Sikorskii A, Cullen KW. Outcomes of a randomized controlled trial of nutrition education to promote farmers' market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). BMC Nutr. 2017 Jun 21;3:48. doi: 10.1186/s40795-017-0172-0. eCollection 2017.
PMID: 32153828BACKGROUNDDi Noia J, Monica D, Cullen KW, Perez-Escamilla R, Gray HL, Sikorskii A. Differences in Fruit and Vegetable Intake by Race/Ethnicity and by Hispanic Origin and Nativity Among Women in the Special Supplemental Nutrition Program for Women, Infants, and Children, 2015. Prev Chronic Dis. 2016 Aug 25;13:E115. doi: 10.5888/pcd13.160130.
PMID: 27560723BACKGROUNDDi Noia J, Cullen KW, Monica D. Social Desirability Trait Is Associated with Self-Reported Vegetable Intake among Women Enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children. J Acad Nutr Diet. 2016 Dec;116(12):1942-1950. doi: 10.1016/j.jand.2016.07.008. Epub 2016 Sep 21.
PMID: 27665255BACKGROUNDDi Noia J, Monica D, Cullen KW, Thompson D. Perceived Influences on Farmers' Market Use among Urban, WIC-enrolled Women. Am J Health Behav. 2017 Sep 1;41(5):618-629. doi: 10.5993/AJHB.41.5.11.
PMID: 28760184BACKGROUNDDi Noia J, Monica D, Gray HL, Cullen KW. The Special Supplemental Nutrition Program for Women, Infants, and Children Fresh Start Randomized Controlled Trial: Baseline Participant Characteristics and Reliability of Measures. J Acad Nutr Diet. 2016 Dec;116(12):1899-1913. doi: 10.1016/j.jand.2016.07.020. Epub 2016 Sep 20.
PMID: 27663256RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Jennifer Di Noia
- Organization
- William Paterson University
Study Officials
- PRINCIPAL INVESTIGATOR
Jennifer Di Noia, PhD
Professor, Department of Sociology, William Paterson University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
September 29, 2015
First Posted
October 1, 2015
Study Start
July 1, 2014
Primary Completion
June 1, 2016
Study Completion
June 1, 2016
Last Updated
October 30, 2019
Results First Posted
October 30, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will share
- Time Frame
- Data are available for sharing.
- Access Criteria
- Contact the PI with requests (dinoiaj@wpunj.edu).
The data sets used and/or analyzed during this study are available from the corresponding author on reasonable request.