Promoting Nutrition Security and Chronic Disease Management Through a Produce Prescription Program

Virginia Commonwealth University (VCU)

Status: Invitation-only

Conditions: Dietary Intervention; Social Needs Screening; Produce Prescription; Chronic Disease Management

Treatments: Behavioral: Prescription Produce Plan; Behavioral: Culturally Tailored Cooking Classes

Study type: Interventional

Funder types: Other

Identifiers

NCT07117201

VCU HM20032577

Details and patient eligibility

About

The goal of this study is to assess the feasibility to implement a prescription produce program (PPP) over 12-months within a community-based health and wellness program. The main questions it aims to answer are: a) does participation in the PPP improve participants' nutrition and food security status, health outcomes, diet quality and chronic disease management between baseline and 12 months after participating in the PPP? b) what is the cost-benefit analysis of the PPP implementation?

Full description

Expanding the PPP over 12 months, incorporating additional healthy food items to increase variety, and including cooking skill sessions within the PPP will enhance participants' confidence in preventing and managing their chronic diseases. This initial assessment of the program will provide essential data for expansion and implementation. This PPP intervention will promote health equity by expanding the reach of our program and helping participants overcome SDOH, such as food insecurity, that prevent optimal diet quality and management of chronic diseases. Furthermore, continuous or more frequent monitoring of SDOH, provision of a variety of healthy food items, and lifestyle behavior change education should increase participant adherence to a more nutritious diet and medication management required for chronic disease management, and improve participants' chronic disease self-efficacy.

Enrollment: 30 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• a participant in the Mobile Health and Wellness Program;
• an English-speaking adult aged 18 or over
• diagnosed with hypertension, high cholesterol, diabetes type 2 or pre-diabetes, arthritis, obesity, CHF, and/or COPD
• taking medication for at least one of the eligible chronic conditions listed previously.

Exclusion criteria

• a prior diagnosis of dementia-related conditions: Alzheimer's disease, Lewy body, Parkinson's, or vascular dementia
• unwilling or unable to attend at least half of the 24 team visits during the study period.

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Standard Prescription Produce Program (PPP)

Active Comparator group

Description:

The preliminary clinical effectiveness of the program on nutrition and food security status, diet quality as well as chronic disease management of individuals participating in the study

Treatment:

Behavioral: Prescription Produce Plan

Standard Prescription Produce Program (PPP) + Cooking Classes

Experimental group

Description:

The preliminary clinical effectiveness of the program on nutrition and food security status, diet quality as well as chronic disease management of individuals participating in the study AND cooking classes offered by Delicious Legacy.

Treatment:

Behavioral: Culturally Tailored Cooking Classes

Behavioral: Prescription Produce Plan