Tato stránka byla automaticky přeložena a přesnost překladu není zaručena. Podívejte se prosím na anglická verze pro zdrojový text.

Online WIC Nutrition Education to Promote Farmers' Market Fruit and Vegetable Purchases and Consumption

25. října 2019 aktualizováno: Jennifer Di Noia, William Paterson University of New Jersey
This study is evaluating the WIC Fresh Start program, a theory-driven, web-based nutrition education lesson to promote farmers' market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).

Přehled studie

Postavení

Dokončeno

Podmínky

Intervence / Léčba

Detailní popis

This study is evaluating the WIC Fresh Start program, a theory-driven, web-based nutrition education lesson to promote fruit and vegetable (FV) consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Designed to leverage vouchers provided to WIC participants for FV purchases through the Farmers' Market Nutrition Program (FMNP) and monthly cash value vouchers (CVVs) redeemable at farmers' markets, the lesson is conceptually grounded in formative research on knowledge, attitudes and skills influencing farmers' market FV purchases and consumption and theoretical understanding of approaches for modifying them. Lesson content delivery is primarily through short video segments and audio output to increase accessibility for low-literate learners. Informed by a community-based participatory research approach, WIC participants are engaged as full partners in the development of the lesson and the delivery of content (videos feature WIC participants). The setting is a large WIC agency serving three New Jersey counties. Separate samples of women were recruited to participate in 1) focus groups for guiding lesson content development (N = 56 participants) and pretesting the resulting content (N = 52 participants), 2) cognitive testing to assess the clarity and interpretability of items and response formats in measures of knowledge, attitudes and skills developed for the study (N = 15), 3) one-on-one sessions to assess reactions to initial versions of video segments developed for the lesson (N = 20), and 4) the outcome evaluation (N = 744). Stratified based on FMNP voucher receipt, participants are randomized to receive the lesson or existing online health education. Outcome measures (administered orally to reduce literacy demands of the response task) are completed at pretest (immediately before the lesson), posttest (two weeks after the lesson), and 3 and 6 months after posttesting. Short- and long-term lesson effects on FV intake, FMNP voucher redemption and the redemption of CVVs at farmers' markets will be evaluated. Evidence for mediation by knowledge, attitudes, and skills of lesson effects on FV intake and voucher redemption, dose-response relationships, and user satisfaction with the lesson also will be examined.

Typ studie

Intervenční

Zápis (Aktuální)

744

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

  • Spojené státy
    • New Jersey
      • Paterson, New Jersey, Spojené státy, 07524
        • Saint Joseph's WIC Program

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

  • Dítě
  • Dospělý
  • Starší dospělý

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Ženský

Popis

Inclusion Criteria:

  • Pregnant or postpartum WIC participant
  • Female caregiver of infant/child WIC participant

Exclusion Criteria:

  • Restrictions on food intake
  • Classified by WIC as high risk/requiring an individualized nutrition care plan

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Prevence
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Dvojnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Aktivní komparátor: WIC Fresh Start Program
Participants in this arm receive the Fresh Start program.
Behaviorální: WIC Fresh Start Program
The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills.
Aktivní komparátor: Existing Online Health Education
Participants in this arm receive existing online WIC health education.
Behaviorální: Existing Online Health Education
Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson.
Experimentální: WIC Fresh Start Program (FMNP)
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets.
Behaviorální: WIC Fresh Start Program
The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills.
Aktivní komparátor: Existing Online Health Education (FMNP)
Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets.
Behaviorální: Existing Online Health Education
Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson.

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Number of Participants Who Redeemed FMNP Vouchers
Časové okno: 6 months (2015 farmers' market season [June to November 2015])
The state WIC agency is providing data on FMNP voucher redemption.
6 months (2015 farmers' market season [June to November 2015])
Frequency of Fruit and Vegetable Intake
Časové okno: Pretest, posttest (2 weeks after pretest), and 3- and 6-month follow-up
Times per day fruits and vegetable are consumed as assessed by a validated food frequency questionnaire.
Pretest, posttest (2 weeks after pretest), and 3- and 6-month follow-up
Quantity of Fruit and Vegetable Intake
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Cups per day consumed of fruits and vegetables as assessed by a validated fruit and vegetable screener.
Pretest, posttest, and 3- and 6-month follow-up

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Number of Participants Who Redeemed Cash Value Vouchers at Farmers' Markets
Časové okno: 6 months (2015 farmers' market season [June to November 2015])
The state WIC agency is providing data on cash value voucher redemption.
6 months (2015 farmers' market season [June to November 2015])
Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Index of Knowledge of the FMNP Score range: 0-6 Higher scores indicates greater knowledge
Pretest, posttest, and 3- and 6-month follow-up
Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Knowledge of a farmers' market with farmers approved by WIC to accept WIC farmers' Market Nutrition Program and Cash Value vouchers Scores: No (0) and yes (1). Higher scores (yes responses) indicate that the respondent knows of a farmers' market with farmers approved by WIC to accept WIC farmers' Market Nutrition Program and Cash Value vouchers. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (knowledge of such markets) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm.
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Attitudes towards Farmers' Market Fruits and Vegetables Score range: 6-42 Higher scores indicate more favorable attitudes
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Familiarity with Locally Grown Seasonal Items Score range: 0-3 Higher scores indicate greater familiarity
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Fruit and Vegetable Food Safety Skills Using 7-point Likert Rating Scales.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Fruit and Vegetable Food Safety Skills Score range: 19-85 Higher scores indicate greater skills
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Farmers' Market Asking Skills Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Farmers' Market Asking Skills Score range: 0-3 Higher scores indicate greater skills
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Positive Outcome Expectations for Consuming Locally Grown Fruits and Vegetables Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Positive Outcome Expectations for Consuming Locally Grown Fruit and Vegetables Score range:0-3 Higher scores indicate more favorable ratings
Pretest, posttest, and 3- and 6-month follow-up
Response to an Item Assessing Whether the Participant Ever Purchased Fruits and Vegetables at a Farmers' Market Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Lifetime Farmers' Market Fruit and Vegetable Purchases Scores: No (0), Yes (1). Higher scores (yes responses) indicate indicate that the respondent has ever purchased fruits and vegetables at a farmers' market. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (having ever purchased fruits and vegetables at a farmers' market) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm.
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Farmers' Market Fruit and Vegetable Preparation Skills Using 7-point Likert Rating Scales.
Časové okno: 2 weeks
Farmers' Market Fruit and Vegetable Preparation Skills Score range:12-84 Higher scores indicate greater skills
2 weeks
Response to an Item Assessing Whether the Participant Purchased Fruits and Vegetables at a Farmers' Market in the Past Two Weeks Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Recent Farmers' Market Fruit and Vegetable Purchases Scores: No (0), Yes (1). Higher scores (yes responses) indicate that the respondent purchased fruits and vegetables at a farmers' market in the past two weeks. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (having purchased fruits and vegetables at a farmers' market in the past two weeks) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm.
Pretest, posttest, and 3- and 6-month follow-up
Response to an Item Assessing Behavioral Intentions to Purchase Fruits and Vegetables at a Farmers' Market in the Next Two Weeks Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Intentions to Purchase Fruits and Vegetables at a Farmers' Market Scores: no (0), Yes (1). Higher scores (yes responses) indicate that the respondent intends to purchase fruits and vegetables at a farmers' market in the next two weeks. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (intending to purchase fruits and vegetables at a farmers' market in the next two weeks) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm.
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Knowledge of Locally Grown Seasonal Fruits and Vegetables Found at Farmers' Markets in July Using a Yes/no Format.
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Knowledge of Locally Grown Seasonal Fruits and Vegetables found at Farmers' Markets in July Score range:0-9 Higher scores indicate greater knowledge
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Food-specific Knowledge Using a True/False Format
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Food-specific Knowledge Score range: 2-13 Higher scores indicate greater knowledge
Pretest, posttest, and 3- and 6-month follow-up
Response to Survey Items Assessing Knowledge of Area Farmers' Markets
Časové okno: Pretest, posttest, and 3- and 6-month follow-up
Farmers' Market-specific Knowledge Score range:0-2 Higher scores indicate greater knowledge
Pretest, posttest, and 3- and 6-month follow-up

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

William Paterson University of New Jersey

Spolupracovníci

USDA Food and Nutrition Service

Vyšetřovatelé

  • Vrchní vyšetřovatel: Jennifer Di Noia, PhD, Professor, Department of Sociology, William Paterson University

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Obecné publikace

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia

1. července 2014

Primární dokončení (Aktuální)

1. června 2016

Dokončení studie (Aktuální)

1. června 2016

Termíny zápisu do studia

První předloženo

29. září 2015

První předloženo, které splnilo kritéria kontroly kvality

30. září 2015

První zveřejněno (Odhad)

1. října 2015

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

30. října 2019

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

25. října 2019

Naposledy ověřeno

1. října 2019

Více informací

Termíny související s touto studií

Klíčová slova

Další relevantní podmínky MeSH

Další identifikační čísla studie

  • WIC NEI-12-TX (Jiný identifikátor: UC Davis)

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

Ano

Popis plánu IPD

The data sets used and/or analyzed during this study are available from the corresponding author on reasonable request.

Časový rámec sdílení IPD

Data are available for sharing.

Kritéria přístupu pro sdílení IPD

Contact the PI with requests (dinoiaj@wpunj.edu).

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

Klinické studie na WIC Fresh Start Program

Prohledejte podobné pokusy

Sponzoři a spolupracovníci

Zdravotní podmínky

Drogové intervence

CROs by country

CROs in Estonia

Podmínky

Vzácné nemoci

Drogové intervence

Doplňky stravy

Sponzor / Spolupracovníci

Místa

Předplatit