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Ripe for Revival: Outcomes Evaluation of a Mobile Produce Market With Vouchers

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North Carolina State University

Status

Enrolling

Conditions

Diet Interventions
Nutrition Security
Fruit and Vegetable Intake
Food Security

Treatments

Behavioral: Mobile Market Voucher Outcomes Study

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Increasing access to healthy foods is crucial to combating chronic disease in rural communities. The Ripe for Revival mobile market, a non-profit eastern NC-based mobile market, seeks to improve healthy food access among those at greatest risk of food insecurity and poor health. By implementing vouchers at the mobile market, this study will help make healthy food affordable and accessible. This project is poised to improve diet and health among rural residents in eight counties and promote sustainable local food systems in North Carolina.

Full description

Increasing fruit and vegetable (FV) intake and reducing saturated fat, salt, and added sugar are central lifestyle recommendations in the Dietary Guidelines for Americans to prevent chronic disease. Yet, while diet is modifiable, rural families face structural and systemic inequities that make accessing affordable, healthy food more difficult.

Recognizing these disparities and adverse impacts, there is a clear need to create opportunities for improved nutrition through comprehensive solutions that account for rurality, affordability, and accessibility. One potential strategy to improve rural food access is mobile markets. Ripe for Revival is a 501(c)3 based in Rocky Mount, North Carolina, with a mission to increase access to fresh foods in lower-resourced communities with a mobile market model. Ripe for Revival owns and operates a produce farm, purchases excess food from eastern NC farmers, and then sells fresh foods to patrons at roughly 20% discounted prices through its mobile market. The mobile market (a retrofitted school bus) offers fresh produce, eggs, meat, and milk weekly in eastern and central NC counties This project continues NC State Extension's partnership with Ripe for Revival to implement vouchers to help increase mobile market affordability and assess program impacts among rural NC families. The specific aims of this proposed study include:

Aim 1. Determine the nutrition-related impacts of mobile market vouchers among Ripe for Revival patrons in six rural eastern NC counties (Bertie, Halifax, Hertford, Lenoir, Northampton, and Washington).

Aim 2. Examine voucher redemption rates, volume and dollars of local produce purchased, and suggestions for mobile market improvements among Ripe for Revival mobile market customers.

This proposed project will promote health and advance equity among underserved rural families. The project addresses barriers to equitable food access, promotes a balanced diet to prevent chronic disease, and fosters sustainable local agriculture through a mobile market model.

Enrollment

150 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 18 years of age or older
  • Communicates fluently in English or Spanish
  • An active participant in an NC Cooperative Extension program May 2025 - June 2027
  • At risk of food insecurity
  • Willing to shop at or visit a Ripe for Revival mobile produce market
  • Willing to use the provided $20 monthly voucher to shop at the Ripe for Revival mobile produce market
  • Works or lives in a North Carolina county where this study is being conducted, including Bertie, Halifax, Hertford, Jones, Lenoir, Northampton, Warren, or Washington

Exclusion criteria

  • Individuals who do not meet the inclusion criteria above cannot participate

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

150 participants in 1 patient group

Voucher Recipients
Experimental group
Description:
Voucher participants will be referred by Extension professionals who serve lower-resourced individuals during routine programs
Treatment:
Behavioral: Mobile Market Voucher Outcomes Study

Trial contacts and locations

1

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Central trial contact

Basheerah Enahora, PhD, RDN, LDN

Data sourced from clinicaltrials.gov

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