针对营养不安全的超重或肥胖成年人的农产品处方计划研究

实验性的：生产凭证

行为短信计划+制作优惠券

行为的：行为短信计划并制作优惠券

参与者将收到每周一次的农产品代金券，可在当地市场供应商处兑换参与者选择的新鲜农产品。 参与者还将收到旨在支持健康饮食和生活方式的每日短信。 这些文本将包括帮助参与者建立健康饮食知识和技能的信息。 参与者还将制定每周目标，重点关注健康饮食。 参与者将通过短信收到基于目标实现情况和每日回复的自动个性化反馈。

实验性的：农产品盒

行为短信计划+农产品盒配送

行为的：行为短信和农产品箱交付

参与者将收到一个每周送到参与者家中的农产品箱，该箱是根据参与者的烹饪偏好和家庭规模定制的。 参与者还将收到旨在支持健康饮食和生活方式的每日短信。 这些文本将包括帮助参与者建立健康饮食知识和技能的信息。 参与者还将制定每周目标，重点关注健康饮食。 参与者将根据参与者的目标实现情况和每日回复，通过短信收到自动的个性化反馈。

Number of Participants Reached

The investigators will track the number of number of screening completions, number of eligible participants, and number of randomized participants, in addition to number of participants retained.

重量（公斤）

研究人员将测量体重并精确到 0.1 公斤。

Nutrition Insecurity as Assessed by the 4-item Nutrition Security Screening Questionnaire

Nutrition insecurity will be assessed using Center for Nutrition Health and Impact questionnaire with a 4-item scale. The higher the score, the greater the level of food security and control an individual has over their nutrition. The four items within the measure are scored from 0 to 4. Then, the measure's score is simply the mean of the responses.

Fruit and Vegetable Consumption as Assessed by the 9-item Mini-Eating Assessment Tool (EAT)

Consumption of food groups will be assessed using the 9-item Mini-Eating Assessment Tool (EAT) questionnaire. Evaluates consumption of key food groups. Fruit and vegetable consumption were each based on two questions within the MINI eat scale, not subscales. Fruit ranges from 1 to 7 where 1 = less than 1 serving per week, and 7 = 4 or more servings per day. Vegetables range from 1 to 6 where 1 = less than 3 servings per week, and 6 = 4 or more servings per day. Mini-EAT score range 0-90. Higher scores better consumption.

Blood Pressure (mmHg)

Blood pressure was measured using the Omron 10 Series ® Upper Arm Blood Pressure Monitor. Participants were instructed to rest for five minutes before two blood pressure readings were taken on the upper arm, one minute apart. Measurements were averaged for analysis.

Health Self-Efficacy as Assessed by the 11-item Healthy Eating and Weight Self-Efficacy Scale

Self-efficacy was measured using the 11-item Healthy Eating and Weight Self-Efficacy Scale. Responses were rated on a Likert scale that ranged from "Strongly Disagree" to "Strongly Agree". Responses were summed to create a total score ranging from 11 to 55, with higher scores representing greater self-efficacy.