Comparing the Effectiveness of Two Produce Prescription Approaches On Fruit and Vegetable Intake and Food Security, While Exploring Implementation Outcomes Such as Reach, Implementation, Sustainability, and Cost

NCT06263751 | Completed

• 2 other identifiers: 20240109624FIM1268045
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 1

Brief Summary

The produce prescription program is one type of food is medicine (FIM) programs, where healthcare providers "prescribe" fruits and vegetables (F\&V) to patients with low household incomes, experience food insecurity, and one or more diet-related diseases. NutriConnect seeks to compare the effectiveness of two produce prescription approaches on F\&V intake and food security: credit to Rewards account (NutriConnect Credit) vs. produce box delivery (NutriConnect Delivery), while exploring implementation outcomes such as reach, sustainability, implementation, and cost.

Conditions

Food Insecurity

Outcome Measures

Primary Outcomes (1)

• change in F&V intake

  pre- and post-changes in F\&V consumption (cups/day, continuous).

  6-month

Secondary Outcomes (1)

• Household food insecurity

  6-month

Other Outcomes (1)

• Self-reported health status

  6-month

Study Arms (3)

Usual Care (Control)

NO INTERVENTION

Patient is screened for food or financial insecurity, if positive, social worker will refer him/her to community service programs.

NutriConnect Credit

EXPERIMENTAL

Patient is given $20 credit to their Schnucks (grocery) Reward account every other week for F\&V shopping.

Other: Product prescription program- NutriConnect Credit

NutriConnect Delivery

EXPERIMENTAL

Patient receives produce (F\&V) box (with equivalent $20 value) delivered to home every other week.

Other: Product prescription program- NutriConnect Delivery

Interventions

Product prescription program- NutriConnect Credit OTHER

Patient is given $20 credit to their Schnucks (grocery) Rewards account every other week for F\&V shopping. The Rewards credit can be used either through the Schnucks App or in store.

NutriConnect Credit

Product prescription program- NutriConnect Delivery OTHER

Patient receives produce (F\&V) box (equivalent $20 value) delivered to home every other week. The items in the box will be pre-selected by Schnucks and the NutriConnect dieticians.

NutriConnect Delivery

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults (\>= 18 years)
• Received care at either medical floors or observation unit at the Bares Jewish Hospital (BJH), and discharged to home.
• Being screened positive for food or financial insecurity.
• Have elevated cardiovascular risk, i.e., self-reported diabetes, hypertension, hyperglycemia, or calculated BMI meeting obesity.

You may not qualify if:

• Does not have competence to provide informed consent.
• Is under suicide watch.
• Is in police custody.
• In hospice or palliative care.
• Not have a stable home.
• Is pregnant.

Sponsors & Collaborators

• Washington University School of Medicine: lead
• Schnuck Markets, Inc.: collaborator
• BJC HealthCare: collaborator

Study Sites (1)

Barnes Jewish Hospital

St Louis, Missouri, 63110, United States

Location

Related Publications (1)

• Yoo SGK, Tabak RG, Mazzucca-Ragan S, Primo A, Bohannon D, Hashimoto D, Goss CW, Wu JH, Eromosele E, Hassanieh I, Hively A, Martinez A, Wang J, Huffman MD, Li J. NutriConnect: Enhancing health and food security through sustainable solutions and partnerships: Design and protocol of a pragmatic comparative effectiveness trial. Contemp Clin Trials. 2025 Nov;158:108083. doi: 10.1016/j.cct.2025.108083. Epub 2025 Sep 17.

  PMID: 40972889 DERIVED

Study Officials

• Jing Li, MD, DrPH, MS

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Due to the open study design, the NutriConnect team will not be able to have either patient or research coordinator/Schnucks intervention delivers blinded on group assignment. However, the assignment will be hidden from research faculty, the study biostatistician, and study analyst.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 240 patients will be randomized to three arms: "usual care," NutriConnect Credit, and NutriConnect Delivery with equivalent monetary value to credit. The interventions will last 6 months.

Study Record Dates

• First Submitted: February 8, 2024
• First Posted: February 16, 2024
• Study Start: March 25, 2024
• Primary Completion: October 23, 2025
• Study Completion: October 23, 2025
• Last Updated: January 16, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ANALYTIC CODE
• Time Frame: Data will become available after 06/30/2025, and for 2 years.
• Access Criteria: research protocol review and approval

Locations

US (1)