Increasing Adoption of Fruits and Vegetables Into Family Diet

NCT04827654 | Completed

• 1 other identifier: 00000566
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 7

Brief Summary

The investigators are interested in maximizing the consumption of fruits and vegetables (F\&V) in elementary school children by increasing the access to F\&V by providing them in the home environment via direct delivery (F\&V bag \& recipes) and a gift card to purchase preferred choices. This also decreases barriers to trying F\&V and switching to a more F\&V-focused diet, e.g., access, cost, knowledge of what to do with fruits and vegetables by their families in household diet, and a period of time to try and get used to more F\&V in the diet without worrying about access and cost. We hypothesize that at the end of 4 weeks, children in families that were given access to a F\&V produce box with associated recipes, a gift card to purchase preferred choices, and a cooking incentive kit, consumed significantly better diets as measured with a diet composite score compared with children in families who did not receive increased F\&V access.

Conditions

Diet, Healthy

Outcome Measures

Primary Outcomes (1)

• School Physical Activity and Nutrition (SPAN) questionnaire elementary version

  dietary recall measure for fruit and vegetables scale of 0-12 with higher scores equating to more vegetable consumption

  24 hours

Study Arms (2)

Intervention group

EXPERIMENTAL

Families in the intervention arm will receive a program of 4 weeks of access to fruit and vegetables through direct access (produce box) and a gift card to the grocery store for purchase of preferred produce.

Dietary Supplement: Weekly produce box and gift card

Control Group

NO INTERVENTION

Families in the control group will not receive any produce boxes or gift cards during the study period. At the end of the study period they will receive gift cards of equivalent amount.

Interventions

Weekly produce box and gift card DIETARY_SUPPLEMENT

Weekly box of produce (5-10 lbs) and $10.00 gift card to a local grocery store to purchase preferred produce. If progress on self-goals completed, an additional $10.00 card provided, weekly, for 3 weeks.

Intervention group

Eligibility Criteria

• Age: 4 Years - 11 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Families must be participants in the Boys and Girls "Club on the Go" program. They could sign up to become a participant while we are recruiting.
• Caregiver must be able to come to the same "Club on the Go" site every week.
• At least one child in the family must be k-5 student.
• Caregiver must be able to read and write in English or Spanish to answer assessments.

You may not qualify if:

• Reference child with any medical condition in which they have to follow a specific diet.
• Caregiver cannot read and write in English or Spanish.
• Reference child not living with caregiver for majority of time (75% or greater).

Sponsors & Collaborators

• University of Texas at Austin: lead
• Boys and Girls Club of Austin: collaborator

Study Sites (7)

Booker T. Washington

Austin, Texas, 78702, United States

Location

Chalmers Court

Austin, Texas, 78702, United States

Location

Meadowbrook Elementary School

Austin, Texas, 78704, United States

Location

Home Club

Austin, Texas, 78723, United States

Location

Walnut Creek Elementary School

Austin, Texas, 78753, United States

Location

NYOS Kramer

Austin, Texas, 78758, United States

Location

Elgin High School

Elgin, Texas, 78621, United States

Location

Related Publications (4)

• 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 RESULT

• Sharma SV, Markham C, Chow J, Ranjit N, Pomeroy M, Raber M. Evaluating a school-based fruit and vegetable co-op in low-income children: A quasi-experimental study. Prev Med. 2016 Oct;91:8-17. doi: 10.1016/j.ypmed.2016.07.022. Epub 2016 Jul 25.

  PMID: 27471022 RESULT

• Seligman HK, Smith M, Rosenmoss S, Marshall MB, Waxman E. Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial. Am J Public Health. 2018 Sep;108(9):1227-1234. doi: 10.2105/AJPH.2018.304528. Epub 2018 Jul 19.

  PMID: 30024798 RESULT

• Kahlon MK, Aksan NS, Aubrey R, Barnes J, Clark N, Cowley-Morillo M, Engelman L, Guerra J, Guevara A, Marshall A, Hoelscher DM. Effect of Brief Produce Exposure and Unconstrained Grocery Gift Cards on Caregiver Influence on Diet of Elementary Age Children: A Randomized Clinical Trial. JAMA Netw Open. 2022 May 2;5(5):e2212973. doi: 10.1001/jamanetworkopen.2022.12973.

  PMID: 35622367 DERIVED

Study Officials

• Maninder Kahlon, PhD

  University of Texas at Austin

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Individuals collecting data will be blinded to the participant randomization status.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Randomized controlled trial, outcomes on reference child and reference caregiver; In the intervention arm, fruits and vegetables and vouchers cover more than 1 cup a day increase for families, using an average of 5 people as family size.

Study Record Dates

• First Submitted: March 29, 2021
• First Posted: April 1, 2021
• Study Start: March 31, 2021
• Primary Completion: June 30, 2021
• Study Completion: July 31, 2021
• Last Updated: September 29, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)