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N/A N=285 Randomized Double-blind Prevention

Impact of BC Farmers' Market Nutrition Coupon Program on Diet Quality and Psychosocial Well-being of Low-income Adults

Diet, Healthy · Health Risk Behaviors

Enrolled (actual)
285
Serious AEs
Results posted
Dec 2024
Primary outcome: Primary: Difference Between Intervention and Control Groups in Mean Overall Diet Quality by Healthy Eating Index-2015 Scores Immediately Post-intervention (10-15 Weeks) — 63.6; 62.1 score on a scale — p=0.97

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Food coupons (Other); Nutrition skill-building (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Calgary
Primary completion
Mar 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Difference Between Intervention and Control Groups in Mean Overall Diet Quality by Healthy Eating Index-2015 Scores Immediately Post-intervention (10-15 Weeks)
63.6; 62.1 0.97
PRIMARY
Difference Between Intervention and Control Groups in Mean Overall Diet Quality by Healthy Eating Index-2015 Scores at 16 Weeks Post-intervention (26-31 Weeks)
62.0; 59.2 0.57
SECONDARY
Difference Between Intervention and Control Groups in Mean Mental Well-being Scores by Warwick-Edinburgh Mental Well-Being Scale Immediately Post-intervention (10-15 Weeks)
48.8; 48.3 0.09
SECONDARY
Difference Between Intervention and Control Groups in Mean Mental Well-being Scores by Warwick-Edinburgh Mental Well-Being Scale at 16 Weeks Post-intervention (26-31 Weeks)
49.5; 48.8 0.08
SECONDARY
Difference Between Intervention and Control Groups in Mean Sense of Community by the Brief Sense of Community Scale Immediately Post-intervention (10-15 Weeks)
28.8; 27.9 0.09
SECONDARY
Difference Between Intervention and Control Groups in Mean Sense of Community by the Brief Sense of Community Scale at 16 Weeks Post-intervention (26-31 Weeks)
29.1; 29.4 0.95
SECONDARY
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
46; 35; 88; 87; 9; 20 0.01 sig
SECONDARY
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
49; 48; 74; 73; 20; 21 0.04 sig
SECONDARY
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
26; 20; 87; 91; 9; 13 0.236
SECONDARY
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
24; 19; 83; 86; 16; 19 0.220
SECONDARY
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
4.3; 4.1; 3.3; 2.9; 3.4; 3.0 0.70
SECONDARY
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
4.2; 4.1; 3.4; 3.0; 2.8; 2.6 0.85
SECONDARY
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
46; 35; 25; 24; 39; 35 0.01 sig
SECONDARY
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
49; 48; 19; 14; 38; 31 0.10
SECONDARY
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
87; 91; 18; 9; 8; 11 0.15
SECONDARY
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
83; 86; 14; 14; 10; 5 0.74

Summary

The British Columbia (BC) Farmers' Market Nutrition Coupon Program (FMNCP) provides low-income households with $21/week in coupons to purchase healthy foods at farmers' markets and supportive nutrition skill-building activities. This randomized controlled trial will assess the impact of the BC FMNCP on the overall diet quality (primary outcome), diet quality subscores, mental well-being, sense of community, experiences of food insecurity, risk of malnutrition (secondary outcomes) and subjective social status (exploratory outcome) of low-income adults immediately post-intervention and 16 weeks post-intervention.

Eligibility Criteria

Individuals will be eligible to participate if they meet the following criteria:

  • Adults (age ≥ 18 years)
  • Low-income as determined by community-specific thresholds (~$18,000/year annual household income before taxes)
  • No expected change in household income prior to study completion (March 2020)
  • 8 or fewer people living in the home (including the participant)
  • No expected change in household composition prior to study completion (March 2020)
  • Primary food shopper for the household
  • Does not have self-reported dementia or Alzheimer's Disease
  • Able to speak, read and write in English (or have someone who can assist them)
  • No plans to move from principal residence prior to study completion (March 2020)
  • Has not previously participated in the BC FMNCP

Exclusion Criteria

  • Does not meet one or more inclusion criteria
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03952338). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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