- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04767282
Assessment of a Fruit and Vegetable Prescription Program for Children
Innovative Nutrition Practices in Pediatric Health Care: Assessment of a Fruit and Vegetable Prescription Program for Children in Need
Study Overview
Status
Intervention / Treatment
Detailed Description
This study will evaluate a Fruit and Vegetable Prescription Program (FVPP). The program provides one $15 prescription for fresh produce to every child at every office visit. Prescriptions are redeemable at a local farmers' market and mobile market. To determine whether exposure to the FVPP is associated with improvements in dietary intake, food security, and health status, we will compare demographically similar pediatric patient groups with varying levels of exposure to the FVPP at baseline: high exposure (>24 months), moderate exposure (12-24 months), and no previous exposure. We will then introduce the FVPP to never exposed patients and collect, record, and compare changes in dietary intake, food security, and weight status over time. The central hypothesis is that exposure to the FVPP is associated with higher intake of fruits and vegetables, better food security, and lower rates of childhood obesity over time.
We propose the following three specific aims to test our hypothesis:
Aim 1 - Compare baseline dietary intake, food security, and weight status between pediatric patients with varying levels of exposure to the FVPP.
Aim 2 - Measure changes in diet, food security, and weight status when never exposed children are introduced to the FVPP.
Aim 3 - Compare mean follow-up measures of dietary intake, food security, and weight status in the initial no exposure group to baseline measures in the high exposure group.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
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Michigan
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Flint, Michigan, United States, 48502
- Hurley Children's Clinic
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Flint, Michigan, United States, 48503
- Mott Children's Health Center
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Flint, Michigan, United States, 48532
- Akpinar Children's Clinic
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Child between age 8 and 16 years and their caregiver;
- Child active patient at clinic;
- Child received at least one fruit and vegetable prescription;
- Child and caregiver English-speaking
Exclusion Criteria:
- Caregiver or child not English speaking;
- Legal guardian not present at enrollment;
- Child assent refused;
- Sibling previously enrolled (one caregiver and one child per household);
- Movement between participating clinics
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Fruit and Vegetable Prescription
Each program participant will receive a fruit and vegetable prescription that is written by pediatricians to exchange for $15 of fresh produce.
Prescriptions will be distributed during pediatric office visits and are redeemable at a local farmers' market and mobile market.
|
$15 voucher for fruit and vegetables
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline child-reported mean daily intake of fruits and vegetables at 12 months
Time Frame: 12 months
|
Dietary data from children will be collected via two non-consecutive dietary recalls and one validated food frequency questionnaire.
Two non-consecutive 24-hour dietary recalls will be collected using the Automated Self-Administered 24-Hour (ASA24®) Dietary Assessment Tool.
We will also administer Block Kids Food Screener, a food frequency questionnaire, to allow for the assessment of usual and long-term eating behaviors.
The Block Kids Food Screener will provide nutrient estimates and number of servings by food groups.
We will use this data to determine change in child-reported mean daily intake of total fruits and vegetables, total vegetables, total fruits, and whole fruits.
|
12 months
|
Change from baseline household food security at 12 months
Time Frame: 12 months
|
Caregivers will complete the US Household Food Security Survey Module: 6 Item Short Form (National Center for Health Statistics) to measure household food insecurity and hunger.
|
12 months
|
Change from baseline child-reported food security at 12 months
Time Frame: 12 months
|
The Self-Administered Food Security Survey Module for Youth will be used to estimate perceived food security among youth 12 years of age and older.
|
12 months
|
Change from baseline child-reported food security at 24 months
Time Frame: 24 months
|
The Self-Administered Food Security Survey Module for Youth will be used to estimate perceived food security among youth 12 years of age and older.
|
24 months
|
Change from baseline child-reported mean daily intake of fruits and vegetables at 24 months
Time Frame: 24 months
|
Dietary data from children will be collected via two non-consecutive dietary recalls and one validated food frequency questionnaire.
Two non-consecutive 24-hour dietary recalls will be collected using the Automated Self-Administered 24-Hour (ASA24®) Dietary Assessment Tool.
We will also administer Block Kids Food Screener, a food frequency questionnaire, to allow for the assessment of usual and long-term eating behaviors.
The Block Kids Food Screener will provide nutrient estimates and number of servings by food groups.
We will use this data to determine change in child-reported mean daily intake of total fruits and vegetables, total vegetables, total fruits, and whole fruits.
|
24 months
|
Change from baseline household food security at 24 months
Time Frame: 24 months
|
Caregivers will complete the US Household Food Security Survey Module: 6 Item Short Form (National Center for Health Statistics) to measure household food insecurity and hunger.
|
24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline child BMI at 12 months
Time Frame: 12 months
|
Youth weight and height will be measured without shoes or heavy outer garments.
On each occasion two measures will be made, and the averages will be recorded.
Height will be measured to the closest 0.1 cm using a portable stadiometer.
Weight will be measured to the closest 0.2 kg on a digital platform scale accurate to 200 kg.
Weight and height will be combined to report BMI in kg/m^2.
|
12 months
|
Change from baseline child BMI at 24 months
Time Frame: 24 months
|
Youth weight and height will be measured without shoes or heavy outer garments.
On each occasion two measures will be made, and the averages will be recorded.
Height will be measured to the closest 0.1 cm using a portable stadiometer.
Weight will be measured to the closest 0.2 kg on a digital platform scale accurate to 200 kg.
Weight and height will be combined to report BMI in kg/m^2.
|
24 months
|
Change from caregiver-reported baseline mean daily intake of fruits and vegetables at 12 months
Time Frame: 12 months
|
Dietary information will be collected from caregivers using the National Cancer Institute Fruit & Vegetable Intake "All Day" Screener which asks frequency and portion size questions about nine food items.
|
12 months
|
Change from caregiver-reported baseline mean daily intake of fruits and vegetables at 24 months
Time Frame: 24 months
|
Dietary information will be collected from caregivers using the National Cancer Institute Fruit & Vegetable Intake "All Day" Screener which asks frequency and portion size questions about nine food items.
|
24 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Amy Saxe-Custack, PhD, MPH, RD, Michigan State University
Publications and helpful links
General Publications
- Saxe-Custack A, Lofton HC, Hanna-Attisha M, Victor C, Reyes G, Ceja T, LaChance J. Caregiver perceptions of a fruit and vegetable prescription programme for low-income paediatric patients. Public Health Nutr. 2018 Sep;21(13):2497-2506. doi: 10.1017/S1368980018000964. Epub 2018 Apr 18.
- Saxe-Custack A, LaChance J, Hanna-Attisha M, Ceja T. Fruit and Vegetable Prescriptions for Pediatric Patients Living in Flint, Michigan: A Cross-Sectional Study of Food Security and Dietary Patterns at Baseline. Nutrients. 2019 Jun 25;11(6):1423. doi: 10.3390/nu11061423.
- Saxe-Custack A, LaChance J, Hanna-Attisha M. Child Consumption of Whole Fruit and Fruit Juice Following Six Months of Exposure to a Pediatric Fruit and Vegetable Prescription Program. Nutrients. 2019 Dec 20;12(1):25. doi: 10.3390/nu12010025.
- Saxe-Custack A, Sadler R, LaChance J, Hanna-Attisha M, Ceja T. Participation in a Fruit and Vegetable Prescription Program for Pediatric Patients is Positively Associated with Farmers' Market Shopping. Int J Environ Res Public Health. 2020 Jun 12;17(12):4202. doi: 10.3390/ijerph17124202.
- Saxe-Custack A, Todem D, Anthony JC, Kerver JM, LaChance J, Hanna-Attisha M. Effect of a pediatric fruit and vegetable prescription program on child dietary patterns, food security, and weight status: a study protocol. BMC Public Health. 2022 Jan 21;22(1):150. doi: 10.1186/s12889-022-12544-y.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- STUDY00003370
- R01HD102527 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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