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Nutrition Education and e-Texting to Increase Access to Fresh Produce ((NEAT))

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04065646
Recruitment Status : Completed
First Posted : August 22, 2019
Last Update Posted : August 22, 2019
Sponsor:
Collaborators:
Yale University
Cornell University
Information provided by (Responsible Party):
Sofia Segura-Pérez, Hispanic Health Council, Inc.

Brief Summary:
The proposed project, Nutrition Ed, Access and Texting (NEAT): Combining the Hartford Mobile Market with e-Marketing , uses an e-technology social marketing strategy to promote use of a recently launched mobile produce market among SNAP-Ed recipients. This study will potentially increase fresh produce access and intake by combining an innovative food system change (produce mobile market) with existing SNAP-Ed nutrition education curriculum and the use of e-marketing technology.

Condition or disease Intervention/treatment Phase
Healthy Eating Other: Mobile Not Applicable

Detailed Description:
The proposed project, Nutrition Ed, Access and Texting (NEAT): Combining the Hartford Mobile Market with e-Marketing uses an e-technology social marketing strategy to promote use of a recently launched mobile produce market among SNAP-Ed recipients. This study will potentially increase fresh produce access and intake by combining an innovative food system change (produce mobile market) with existing SNAP-Ed nutrition education curriculum and the use of e-marketing technology. Thus, the study combines key elements that have been deemed necessary for increasing produce intake among low income communities. The goal of the NEAT study is to assess the impact of a texting-based social marketing campaign on SNAP-Ed participants' access to and purchase of fresh produce on a recently launched mobile produce market, and their subsequent produce intake. Objectives include: 1) Compare the impact of nutrition education alone to nutrition education plus promotional text messaging on purchase of fruits and vegetables; 2) Compare the impact of nutrition education alone to nutrition education plus promotional text messaging on consumption of fruits and vegetables; and 3) Assess the effectiveness of coupon distribution on coupon redemption at a mobile produce market. The NEAT design will be a randomized controlled trial using a pre-post assessment comparing change in behavior. Both intervention and control groups will receive SNAP-Ed education as currently delivered by the Hispanic Health Council. The intervention group will receive additional promotional text messaging related to use of the mobile market. The control group will receive text messaging about free activities taking place at the Hartford Public Library and other community locations. Participants will be interviewed via phone at baseline, then randomized to intervention and control groups, and re-interviewed again 6 weeks after they start receiving the text messages, which it will be 2 weeks after the one-month texting period ends.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Baseline interviews will be conducted after participation in nutrition education activity. Upon completing baseline, participants will be randomized into intervention (HMM text messaging) or control (non-health-related texting) groups. Texting will begin the day after randomization is completed and will occur once daily during business days for a duration of one month. In addition to HMM access messages, intervention group participants will receive texts with links to four $5.00 incentive coupons for the Hartford Mobile Market, one during each of the four weeks that the texting will take place. Follow-up interviews will be conducted two weeks after the end of the one-month texting period.
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Nutrition Ed, Access and Texting (NEAT): Combining the Hartford Mobile Market With e-Marketing
Actual Study Start Date : October 23, 2015
Actual Primary Completion Date : September 30, 2016
Actual Study Completion Date : September 30, 2016

Arm Intervention/treatment
Experimental: Intervention
The intervention group will receive daily text messages with information on: (i) HMM stop locations and schedule; (ii) information on HMM weekly produce specials and sales; (iii) motivational messages encouraging use of the HMM; and (iv) links to produce coupons that they can exchange at HMM- $5 coupons received weekly for the four-week texting period.
Other: Mobile
No Intervention: Control
The control group will receive the same dosage of daily text messages covering free activities taking place at the Hartford Public Library and other community locations. The control group will not receive incentive coupons.



Primary Outcome Measures :
  1. Change in consumption of fruits [ Time Frame: Baseline and 6 weeks follow up ]
    Measured with one question about daily consumption of fruits from a seven item fruit and vegetable checklist developed by Townsend et.al.

  2. Change in consumption of vegetables. [ Time Frame: Baseline and 6 weeks follow up ]
    Measured with a one question from a seven item fruit and vegetable checklist developed by Townsend et.al.

  3. Change in fruits eating behaviors Increase consumption of fruits and vegetables [ Time Frame: Baseline and 6 weeks follow up ]
    Measured with a readiness 5 item continuous scale item for fruits from fruit and vegetable inventory validated by Townsend et.al.

  4. Change in vegetables eating behaviors. Increase consumption of fruits and vegetables [ Time Frame: Baseline and 6 weeks follow up ]
    Measured with a 5 item continuous scale from vegetables from fruit and vegetable inventory validated by Townsend et.al.

  5. Change in amount of money spent on fruits and vegetables. [ Time Frame: Baseline and at 6 week follow up ]
    self-reported amount of money spent on fresh produce per month.

  6. Change in amount of money spent on fruits. [ Time Frame: Baseline and at 6 week follow up ]
    self-reported amount of money spent on fruit per week.

  7. Change in amount of money spent on vegetables. [ Time Frame: Baseline and at 6 week follow up ]
    self-reported amount of money spent on vegetables per week.

  8. Change in self reported usage of the Hartford Mobile Market for buying fresh produce [ Time Frame: baseline and at 6 weeks follow up ]
    self-reported participant's usage of mobile market (yes/no)


Secondary Outcome Measures :
  1. Participant utilization of coupons [ Time Frame: 6 week follow up ]
    Based on one yes/no question about coupon redemption

  2. Participant's satisfaction with e-texting messages (likeness) [ Time Frame: 6 weeks follow up ]
    Self reported satisfaction with nutrition messages using a 5- likert scale (like it very much to dislike it very much)

  3. Participant's assessment of usefulness of the messages [ Time Frame: 6 weeks follow up ]
    Self reported continuous 4 likert scale from not useful to very much useful.

  4. Participant's assessment of usefulness of the coupons [ Time Frame: 6 week follow up ]
    Self reported continuous 4 likert scale from not useful to very much useful.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • SNAP eligible participants with children under 5 years old living at home.
  • Living in Hartford, CT.
  • Having a cell phone with unlimited smart phone data plans.

Exclusion Criteria:

  • Not living in Hartford Less than 18 years old
Additional Information:
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Responsible Party: Sofia Segura-Pérez, Associate Nutrition Unit Director, Hispanic Health Council, Inc.
ClinicalTrials.gov Identifier: NCT04065646    
Other Study ID Numbers: HHCNEAT2015
First Posted: August 22, 2019    Key Record Dates
Last Update Posted: August 22, 2019
Last Verified: August 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Sofia Segura-Pérez, Hispanic Health Council, Inc.:
Food Access
Food Security
Fruits and Vegetables
Low-Income