Brighter Bites & University of Texas Physicians Produce Rx Extension: Evaluating the Effectiveness of a Prospective Clinical Nutrition Study With Produce Prescriptions
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Shreela Sharma, PhD
- Phone Number: (713) 500-9344
- Email: Shreela.V.Sharma@uth.tmc.edu
Study Contact Backup
- Name: Mallika Mathur
- Phone Number: (713) 500-5666
- Email: Mallika.Mathur@uth.tmc.edu
Study Locations
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Texas
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Houston, Texas, United States, 77030
- The University of Texas Health Science Center at Houston
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Must be a patient at University of Texas Physicians Greens Clinic or University of Texas Physicians Pediatric Primary Care in Houston, Texas
- BMI>85th percentile
- reside within a 10-mile radius of a Brighter Bites school
- Medicaid recipients or low-income uninsured
- parents must be able to read and write in English or Spanish to complete surveys
Exclusion Criteria:
- currently participating in Brighter Bites
- a family member/sibling currently participating in Brighter Bites
- child is currently attending a school that offers Brighter Bites
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Standard of Care
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Standard of care includes routine lab work collection and weight and diet counseling for overweight or obese children.
Additionally, referrals placed to community resources for those identified with Social Determinants of Health(SDOH) needs.
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Experimental: Produce prescription program
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Boxes of fresh fruit and vegetables (F&V), each containing approximately 50 servings of F&V, will be assembled by Brighter Bites at school sites using donated produce and delivered to houses using DoorDash.
F&V boxes will be distributed to families every 2 weeks over 32 weeks.
Participants will also receive nutrition education using the Brighter Bites app which includes recipes for a variety of meal types or produce types, all of which are searchable.
Recipes include the average cost to prepare, the number of servings, and the calories for the recipe.
The Brighter Bites app also includes healthy living "Brighter Choices" suggestions such as tips for how to store different types of foods, gardening tips, and tips to pack a healthy lunchbox.
In addition to the Brighter Bites app, trained staff will facilitate virtual nutrition education for patient families.
Standard of care includes routine lab work collection and weight and diet counseling for overweight or obese children.
Additionally, referrals placed to community resources for those identified with Social Determinants of Health(SDOH) needs.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Change in body mass index (BMI)
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
|
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Change in systolic blood pressure
Time Frame: baseline , post intervention (32 weeks after baseline)
|
baseline , post intervention (32 weeks after baseline)
|
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Change in diastolic blood pressure
Time Frame: baseline , post intervention (32 weeks after baseline)
|
baseline , post intervention (32 weeks after baseline)
|
|
Change in level of hemoglobin A1c in milligrams per deciliter (mg/dL) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
|
baseline , post intervention (32 weeks after baseline)
|
|
Change in level of Aspartate transaminase (AST) in units per liter (U/L) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
|
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Change in level of Alanine transaminase (ALT) in units per liter (U/L) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
|
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Change in level of low-density lipoprotein(LDL) in milligrams per deciliter (mg/dl) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
|
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Change in levels of high-density lipoprotein(HDL) in milligrams per deciliter (mg/dl) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
|
baseline , post intervention (32 weeks after baseline)
|
|
Change in levels of total cholesterol in milligrams per deciliter (mg/dl) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
|
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Change in levels of triglycerides in milligrams per deciliter (mg/dl) as assessed by blood work
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Change in amount of fruit and vegetable intake
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
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Change in amount of junk food consumed
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
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Change in number of times subject eats out at restaurants
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
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Change in parent feeding practices as assessed by the number of times parent has cooked food from scratch
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
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Change in parent feeding practices as assessed by the number of times parent has used nutrition facts labels to make purchasing decisions
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
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Change in parent feeding practices as assessed by the number of times parent has eaten meals with their referent child
Time Frame: baseline , post intervention (32 weeks after baseline)
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baseline , post intervention (32 weeks after baseline)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Shreela Sharma, PhD, The University of Texas Health Science Center, Houston
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HSC-SPH-24-0129
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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