USDA Healthy Incentives Pilot

NCT02651064 | Completed

• 1 other identifier: HIP
• Study Type: interventional
• Target: 55,095
• Locations: 0 countries
• Sites: N/A

Brief Summary

The USDA Healthy Incentives Pilot (HIP) evaluated the impact of a 30% financial incentive on fruit and vegetable intake among adult participants in the USDA Supplemental Nutrition and Assistance Program (SNAP).

Conditions

Dietary Modification

Keywords

Supplemental Nutrition Assistance Program (SNAP); fruits and vegetables; price incentive

Outcome Measures

Primary Outcomes (1)

• Targeted fruit and vegetable (TFV) intake

  Daily adult intake of fresh, canned, frozen, and dried fruits and vegetables without added sugars, fats, oils, or salt, excluding white potatoes, mature legumes (dried beans and peas), and 100% juice. In total and by USDA food pattern group (all targeted fruits; citrus, melon, and berries; other fruits; all targeted vegetables; dark green vegetables; red \& orange vegetables (including tomatoes and other red \& orange vegetables); starchy vegetables (excluding white potatoes); and other vegetables.) Assessed via computer-assisted telephone interview 24-hour dietary recall (Automated Multiple Pass Method). Measured in cup-equivalents based on USDA Food Pattern Equivalents Database (FPED). Secondary analyses assessed changes between follow-up rounds.

  Intake in prior 24 hours; assessed in two follow-up rounds (4-6 mo and 9-11 mo post-implementation) with 10% replicate subsample in each round; data pooled across two follow-up rounds and replicate samples for primary analysis

Secondary Outcomes (3)

• All fruit and vegetable intake

  Intake in prior 24 hours; assessed in two follow-up rounds (4-6 mo and 9-11 mo post-implementation) with 10% replicate subsample in each round; data pooled across two follow-up rounds and replicate samples for main analysis

• Intake of other foods

  Intake in prior 24 hours; assessed in two follow-up rounds (4-6 mo and 9-11 mo post-implementation) with 10% replicate subsample in each round; data pooled across two follow-up rounds and replicate samples for main analysis

• HEI-2010

  Calculated based on intake in prior 24 hours; assessed in two follow-up rounds (4-6 mo and 9-11 mo post-implementation) with 10% replicate subsample in each round; data pooled across two follow-up rounds and replicate samples for main analysis

Other Outcomes (8)

• Family food environment

  Assessed at baseline (1-3 mo prior to implementation) and two follow up rounds (4-6 mo and 9-11 mo post-implementation); data pooled across two follow-up rounds for main analysis

• Exposure to nutrition education and promotion

  Past 3 months; assessed at baseline (1-3 mo prior to implementation) and two follow up rounds (4-6 mo and 9-11 mo post-implementation); data pooled across two follow-up rounds for main analysis

• Food preferences and beliefs

  Assessed at baseline (1-3 mo prior to implementation) and two follow up rounds (4-6 mo and 9-11 mo post-implementation); data pooled across two follow-up rounds for main analysis

Study Arms (2)

HIP

EXPERIMENTAL

Received a 30% rebate on targeted fruits and vegetables (TFV) purchased using SNAP benefits in participating retailers. TFV earning the rebate included fresh, canned, frozen, and dried fruits and vegetables without added sugars, fats, oils, or salt, excluding white potatoes, mature legumes (dried beans and peas), and 100% juice.

Other: HIP

Non-HIP

NO INTERVENTION

Received SNAP benefits as usual.

Interventions

HIP OTHER

Also known as: Healthy Incentives Pilot, Financial incentives, Rebate, Price intervention

HIP

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Households with residential or mailing address in Hampden County, Massachusetts
• Receiving SNAP benefits in July 2011

You may not qualify if:

• Child-only cases (households not including at least one member aged 16 or older eligible to serve as SNAP head of household)
• Cases with benefits signed over to residential or treatment facilities

Sponsors & Collaborators

• Abt Associates: lead
• Tufts University: collaborator
• MAXIMUS: collaborator
• USDA Food and Nutrition Service: collaborator
• Massachusetts Department of Transitional Assistance: collaborator

Related Publications (7)

• Abt Associates Inc. Healthy Incentives Pilot: Updated Study Plan. USDA, Food and Nutrition Service, 2011. http://www.fns.usda.gov/sites/default/files/study_plan.pdf.

  BACKGROUND

• Bartlett S, Beauregard M, Logan C, Komarovsky M, Wommack T, Wilde P, Owens C, Melham M, McLaughlin T. Healthy Incentives Pilot (HIP): Early Implementation Report. USDA, Food and Nutrition Service, 2013. http://www.fns.usda.gov/sites/default/files/HIP_Early_Implementation.pdf.

  BACKGROUND

• Chu, A. Evaluation of the Healthy Incentives Pilot (HIP): Participant survey weighting methodology. Alexandria, VA: USDA, Food and Nutrition Service, Office of Policy Support, 2014.

  BACKGROUND

• Bartlett S, Klerman J, Olsho L, Logan C, Blocklin M, Beauregard M, Enver A, Wilde P, Owens C, Melhem M. Evaluation of the Healthy Incentives Pilot (HIP): Final Report. USDA, Food and Nutrition Service, 2014. http://www.fns.usda.gov/healthy-incentives-pilot-final-evaluation-report.

  RESULT

• Wilde P, Klerman JA, Olsho LEW, Bartlett S. Explaining the impact of USDA's Healthy Incentives Pilot on different spending outcomes. Appl Econ Perspect Policy 2015 (Epub ahead of print; DOI: Epub ahead of print; DOI: doi:10.1093/aepp/ppv028).

  RESULT

• Klerman JAK, Bartlett S, Wilde P, Olsho L. The short-run impact of the Healthy Incentives Pilot Program on fruit and vegetable intake. Am J Agr Econ 2015;96:1372-82.

  RESULT

• Olsho LE, Klerman JA, Wilde PE, Bartlett S. Financial incentives increase fruit and vegetable intake among Supplemental Nutrition Assistance Program participants: a randomized controlled trial of the USDA Healthy Incentives Pilot. Am J Clin Nutr. 2016 Aug;104(2):423-35. doi: 10.3945/ajcn.115.129320. Epub 2016 Jun 22.

  PMID: 27334234 DERIVED

Study Officials

• Susan Bartlett, PhD

  Abt Associates

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Associate

Study Record Dates

• First Submitted: January 4, 2016
• First Posted: January 8, 2016
• Study Start: June 1, 2010
• Primary Completion: November 1, 2012
• Study Completion: December 1, 2012
• Last Updated: January 8, 2016

Record last verified: 2016-01

Data Sharing

• IPD Sharing: Will share