Fresh to You: Multilevel Approaches in Low Income Housing to Increase F&V Intake

NCT02669472 | Completed Phase 2

• 2 other identifiers: NCIR01CA134903
• Study Type: interventional
• Target: 1,598
• Locations: 0 countries
• Sites: N/A

Brief Summary

Live Well, Viva Bien (LWVB) is an NCI-funded, cluster randomized controlled trial (RCT) that was conducted in 15 subsidized housing complexes to evaluate the efficacy of a multicomponent intervention comprised of a year-round, discount, mobile fresh F\&V market -'Fresh To You' (FTY)- that was paired with a nutrition education component including included educational newsletters, campaigns, taste-testings and videos in both English and Spanish. The primary aim of the LWVB grant was to study the efficacy of FTY combined with a motivational/educational intervention to see if it increased F\&V consumption compared to a Comparison intervention (attention placebo).

Conditions

Dietary Habits; Dietary Modification

Outcome Measures

Primary Outcomes (2)

• Change in Fruit and Vegetable Intake

  Measured by National Cancer Institute Eating at America's Table All Day Screener

  Baseline, 6 and 12 months

• Change in Fruit and Vegetable Intake

  Two-Item Cup F\&V intake screener

  Baseline, 6 and 12 months

Secondary Outcomes (1)

• Change in fruit and vegetable behaviors

  Baseline, 6 and 12 months

Study Arms (2)

F&V Intervention

EXPERIMENTAL

Housing complexes randomized to the intervention arm received a multicomponent intervention comprised of a year-round, discount, mobile fresh fruit and vegetable market ('Fresh To You') that was paired with nutrition education interventions including educational newsletters, recipe cards, campaigns, taste-testings and videos in both English and Spanish.

Other: Environmental Intervention; Behavioral: Educational Intervention

Control Intervention

EXPERIMENTAL

Housing complexes randomized to the comparison arm received a year-long intervention on physical activity and stress reduction including educational campaigns and materials in both English and Spanish.and a YMCA membership for those who joined the campaigns.

Behavioral: Control

Interventions

Environmental Intervention OTHER

Intervention sites received regularly-scheduled, discount, fresh F\&V markets for one year during the first two weeks of each month. The markets brought between 50-70 different produce items, including culturally desired ethnic produce. Markets at the senior and disabled housing complexes were held indoors as were markets at family housing complexes during inclement weather. In good weather, markets were held outside at the family complexes using a mobile retrofitted car trailer. The produce items were set up in racks on three sides of the trailer and shoppers entered through the rear door. FTY markets accepted cash, debit/credit cards and EBT cards (SNAP). Each market lasted two hours and the produce was sold at prices 15%-25% lower than local retail supermarket prices.

Also known as: Fresh To You fruit and vegetable markets

F&V Intervention

Educational Intervention BEHAVIORAL

Each household in the housing site received a reusable shopping bag that contained a binder with: an overview page, sleeves to store 12 newsletters, three DVDs and 48 recipe cards. The 20-minute DVDs included cooking demonstrations, tips and testimonials. A two-page, full-color newsletter was delivered each household each month. It had information about a particular F\&V in season as well as other tips and recipes. Two 6-week long educational and motivational campaigns were also offered: ''Just Add 2', and 'Color Your Plate'. Both campaigns included full-color campaign booklets, goal-setting activities, educational and motivational content, and F\&V trackers with incentives/prizes for completing and turning in the trackers. All materials were provided in English and Spanish.

Also known as: Nutrition education interventions

F&V Intervention

Control BEHAVIORAL

We contracted with the Greater Providence YMCA to bring to provide physical activity and stress reduction programming. Two, six-week campaigns followed the same format and timing of the intervention group campaigns. Campaigns participants received a free, 6-week membership to the YMCA. The 'Take 10!' campaign aimed to increase participants' daily physical activity by 10 minutes per day until they reached the goal of at least 30-60 minutes per day. The second campaign was 'Stress Less' aimed to help participants reduce the amount of stress that they experienced by including relaxation activity into their daily routine.

Also known as: Physical Activity and Stress Reduction campaigns

Control Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Live in the Housing complex;
• Speak English or Spanish
• Ability to read study materials

You may not qualify if:

• Health issues that would not allow increases in fruit and vegetable intake

Sponsors & Collaborators

• Brown University: lead
• University of Connecticut: collaborator
• National Cancer Institute (NCI): collaborator

Related Publications (2)

• Gans KM, Risica PM, Keita AD, Dionne L, Mello J, Stowers KC, Papandonatos G, Whittaker S, Gorham G. Multilevel approaches to increase fruit and vegetable intake in low-income housing communities: final results of the 'Live Well, Viva Bien' cluster-randomized trial. Int J Behav Nutr Phys Act. 2018 Aug 20;15(1):80. doi: 10.1186/s12966-018-0704-2.

  PMID: 30126463 DERIVED

• Gans KM, Gorham G, Risica PM, Dulin-Keita A, Dionne L, Gao T, Peters S, Principato L. A multi-level intervention in subsidized housing sites to increase fruit and vegetable access and intake: Rationale, design and methods of the 'Live Well, Viva Bien' cluster randomized trial. BMC Public Health. 2016 Jun 28;16:521. doi: 10.1186/s12889-016-3141-7.

  PMID: 27353149 DERIVED

MeSH Terms

Conditions

Feeding Behavior

Interventions

Milieu Therapy; Early Intervention, Educational; Exercise

Condition Hierarchy (Ancestors)

Behavior, Animal; Behavior

Intervention Hierarchy (Ancestors)

Socioenvironmental Therapy; Psychotherapy; Behavioral Disciplines and Activities; Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator/Adjunct Professor

Study Record Dates

• First Submitted: January 19, 2016
• First Posted: February 1, 2016
• Study Start: April 1, 2009
• Primary Completion: October 1, 2014
• Study Completion: June 1, 2015
• Last Updated: February 1, 2016

Record last verified: 2016-01

Data Sharing

• IPD Sharing: Will not share