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| Name | Class |
|---|---|
| USDA Food and Nutrition Service | FED |
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This study is evaluating the WIC Fresh Start program, a theory-driven, web-based nutrition education lesson to promote farmers' market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).
This study is evaluating the WIC Fresh Start program, a theory-driven, web-based nutrition education lesson to promote fruit and vegetable (FV) consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Designed to leverage vouchers provided to WIC participants for FV purchases through the Farmers' Market Nutrition Program (FMNP) and monthly cash value vouchers (CVVs) redeemable at farmers' markets, the lesson is conceptually grounded in formative research on knowledge, attitudes and skills influencing farmers' market FV purchases and consumption and theoretical understanding of approaches for modifying them. Lesson content delivery is primarily through short video segments and audio output to increase accessibility for low-literate learners. Informed by a community-based participatory research approach, WIC participants are engaged as full partners in the development of the lesson and the delivery of content (videos feature WIC participants). The setting is a large WIC agency serving three New Jersey counties. Separate samples of women were recruited to participate in 1) focus groups for guiding lesson content development (N = 56 participants) and pretesting the resulting content (N = 52 participants), 2) cognitive testing to assess the clarity and interpretability of items and response formats in measures of knowledge, attitudes and skills developed for the study (N = 15), 3) one-on-one sessions to assess reactions to initial versions of video segments developed for the lesson (N = 20), and 4) the outcome evaluation (N = 744). Stratified based on FMNP voucher receipt, participants are randomized to receive the lesson or existing online health education. Outcome measures (administered orally to reduce literacy demands of the response task) are completed at pretest (immediately before the lesson), posttest (two weeks after the lesson), and 3 and 6 months after posttesting. Short- and long-term lesson effects on FV intake, FMNP voucher redemption and the redemption of CVVs at farmers' markets will be evaluated. Evidence for mediation by knowledge, attitudes, and skills of lesson effects on FV intake and voucher redemption, dose-response relationships, and user satisfaction with the lesson also will be examined.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WIC Fresh Start Program | Active Comparator | Participants in this arm receive the Fresh Start program. |
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| Existing Online Health Education | Active Comparator | Participants in this arm receive existing online WIC health education. |
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| WIC Fresh Start Program (FMNP) | Experimental | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. |
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| Existing Online Health Education (FMNP) | Active Comparator | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WIC Fresh Start Program | Behavioral | The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Redeemed FMNP Vouchers | The state WIC agency is providing data on FMNP voucher redemption. | 6 months (2015 farmers' market season [June to November 2015]) |
| Frequency of Fruit and Vegetable Intake | Times per day fruits and vegetable are consumed as assessed by a validated food frequency questionnaire. | Pretest, posttest (2 weeks after pretest), and 3- and 6-month follow-up |
| Quantity of Fruit and Vegetable Intake | Cups per day consumed of fruits and vegetables as assessed by a validated fruit and vegetable screener. | Pretest, posttest, and 3- and 6-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Redeemed Cash Value Vouchers at Farmers' Markets | The state WIC agency is providing data on cash value voucher redemption. | 6 months (2015 farmers' market season [June to November 2015]) |
| Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Di Noia, PhD | Professor, Department of Sociology, William Paterson University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Joseph's WIC Program | Paterson | New Jersey | 07524 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32153828 | Background | Di Noia J, Monica D, Sikorskii A, Cullen KW. Outcomes of a randomized controlled trial of nutrition education to promote farmers' market fruit and vegetable purchases and consumption among women enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). BMC Nutr. 2017 Jun 21;3:48. doi: 10.1186/s40795-017-0172-0. eCollection 2017. | |
| 27560723 |
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The data sets used and/or analyzed during this study are available from the corresponding author on reasonable request.
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Data are available for sharing.
Contact the PI with requests (dinoiaj@wpunj.edu).
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| ID | Title | Description |
|---|---|---|
| FG000 | WIC Fresh Start Program | Participants in this arm receive the Fresh Start program. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Fresh Start Program: The intervention is an online lesson to promote farmers' market fruit and vegetable (FV) purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Existing Online Health Education | Behavioral | Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
|
Index of Knowledge of the FMNP Score range: 0-6 Higher scores indicates greater knowledge |
| Pretest, posttest, and 3- and 6-month follow-up |
| Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format. | Knowledge of a farmers' market with farmers approved by WIC to accept WIC farmers' Market Nutrition Program and Cash Value vouchers Scores: No (0) and yes (1). Higher scores (yes responses) indicate that the respondent knows of a farmers' market with farmers approved by WIC to accept WIC farmers' Market Nutrition Program and Cash Value vouchers. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (knowledge of such markets) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales. | Attitudes towards Farmers' Market Fruits and Vegetables Score range: 6-42 Higher scores indicate more favorable attitudes | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format. | Familiarity with Locally Grown Seasonal Items Score range: 0-3 Higher scores indicate greater familiarity | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Fruit and Vegetable Food Safety Skills Using 7-point Likert Rating Scales. | Fruit and Vegetable Food Safety Skills Score range: 19-85 Higher scores indicate greater skills | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Farmers' Market Asking Skills Using a Yes/no Format. | Farmers' Market Asking Skills Score range: 0-3 Higher scores indicate greater skills | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Positive Outcome Expectations for Consuming Locally Grown Fruits and Vegetables Using a Yes/no Format. | Positive Outcome Expectations for Consuming Locally Grown Fruit and Vegetables Score range:0-3 Higher scores indicate more favorable ratings | Pretest, posttest, and 3- and 6-month follow-up |
| Response to an Item Assessing Whether the Participant Ever Purchased Fruits and Vegetables at a Farmers' Market Using a Yes/no Format. | Lifetime Farmers' Market Fruit and Vegetable Purchases Scores: No (0), Yes (1). Higher scores (yes responses) indicate indicate that the respondent has ever purchased fruits and vegetables at a farmers' market. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (having ever purchased fruits and vegetables at a farmers' market) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Farmers' Market Fruit and Vegetable Preparation Skills Using 7-point Likert Rating Scales. | Farmers' Market Fruit and Vegetable Preparation Skills Score range:12-84 Higher scores indicate greater skills | 2 weeks |
| Response to an Item Assessing Whether the Participant Purchased Fruits and Vegetables at a Farmers' Market in the Past Two Weeks Using a Yes/no Format. | Recent Farmers' Market Fruit and Vegetable Purchases Scores: No (0), Yes (1). Higher scores (yes responses) indicate that the respondent purchased fruits and vegetables at a farmers' market in the past two weeks. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (having purchased fruits and vegetables at a farmers' market in the past two weeks) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | Pretest, posttest, and 3- and 6-month follow-up |
| Response to an Item Assessing Behavioral Intentions to Purchase Fruits and Vegetables at a Farmers' Market in the Next Two Weeks Using a Yes/no Format. | Intentions to Purchase Fruits and Vegetables at a Farmers' Market Scores: no (0), Yes (1). Higher scores (yes responses) indicate that the respondent intends to purchase fruits and vegetables at a farmers' market in the next two weeks. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (intending to purchase fruits and vegetables at a farmers' market in the next two weeks) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Knowledge of Locally Grown Seasonal Fruits and Vegetables Found at Farmers' Markets in July Using a Yes/no Format. | Knowledge of Locally Grown Seasonal Fruits and Vegetables found at Farmers' Markets in July Score range:0-9 Higher scores indicate greater knowledge | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Food-specific Knowledge Using a True/False Format | Food-specific Knowledge Score range: 2-13 Higher scores indicate greater knowledge | Pretest, posttest, and 3- and 6-month follow-up |
| Response to Survey Items Assessing Knowledge of Area Farmers' Markets | Farmers' Market-specific Knowledge Score range:0-2 Higher scores indicate greater knowledge | Pretest, posttest, and 3- and 6-month follow-up |
| Di Noia J, Monica D, Cullen KW, Perez-Escamilla R, Gray HL, Sikorskii A. Differences in Fruit and Vegetable Intake by Race/Ethnicity and by Hispanic Origin and Nativity Among Women in the Special Supplemental Nutrition Program for Women, Infants, and Children, 2015. Prev Chronic Dis. 2016 Aug 25;13:E115. doi: 10.5888/pcd13.160130. |
| 27665255 | Background | Di Noia J, Cullen KW, Monica D. Social Desirability Trait Is Associated with Self-Reported Vegetable Intake among Women Enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children. J Acad Nutr Diet. 2016 Dec;116(12):1942-1950. doi: 10.1016/j.jand.2016.07.008. Epub 2016 Sep 21. |
| 28760184 | Background | Di Noia J, Monica D, Cullen KW, Thompson D. Perceived Influences on Farmers' Market Use among Urban, WIC-enrolled Women. Am J Health Behav. 2017 Sep 1;41(5):618-629. doi: 10.5993/AJHB.41.5.11. |
| 27663256 | Result | Di Noia J, Monica D, Gray HL, Cullen KW. The Special Supplemental Nutrition Program for Women, Infants, and Children Fresh Start Randomized Controlled Trial: Baseline Participant Characteristics and Reliability of Measures. J Acad Nutr Diet. 2016 Dec;116(12):1899-1913. doi: 10.1016/j.jand.2016.07.020. Epub 2016 Sep 20. |
| FG001 | Existing Online Health Education | Participants in this arm receive existing online WIC health education. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
| FG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| FG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | WIC Fresh Start Program | Participants in this arm receive the Fresh Start program. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| BG001 | Existing Online Health Education | Participants in this arm receive existing online WIC health education. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
| BG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| BG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Who Redeemed FMNP Vouchers | The state WIC agency is providing data on FMNP voucher redemption. | Posted | Number | participants | 6 months (2015 farmers' market season [June to November 2015]) |
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| Primary | Frequency of Fruit and Vegetable Intake | Times per day fruits and vegetable are consumed as assessed by a validated food frequency questionnaire. | Posted | Least Squares Mean | Standard Error | Times per day consumed | Pretest, posttest (2 weeks after pretest), and 3- and 6-month follow-up |
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| Primary | Quantity of Fruit and Vegetable Intake | Cups per day consumed of fruits and vegetables as assessed by a validated fruit and vegetable screener. | Data are reported for the 6-month follow-up assessment. | Posted | Least Squares Mean | Standard Error | Cups per day consumed | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Number of Participants Who Redeemed Cash Value Vouchers at Farmers' Markets | The state WIC agency is providing data on cash value voucher redemption. | Posted | Count of Participants | Participants | 6 months (2015 farmers' market season [June to November 2015]) |
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| Secondary | Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format. | Index of Knowledge of the FMNP Score range: 0-6 Higher scores indicates greater knowledge | Posted | Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format. | Knowledge of a farmers' market with farmers approved by WIC to accept WIC farmers' Market Nutrition Program and Cash Value vouchers Scores: No (0) and yes (1). Higher scores (yes responses) indicate that the respondent knows of a farmers' market with farmers approved by WIC to accept WIC farmers' Market Nutrition Program and Cash Value vouchers. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (knowledge of such markets) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | The WIC Fresh Start Program (FMNP) arm is being compared with each other study arm for this analysis. | Posted | Number | 95% Confidence Interval | Odds ratio | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales. | Attitudes towards Farmers' Market Fruits and Vegetables Score range: 6-42 Higher scores indicate more favorable attitudes | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format. | Familiarity with Locally Grown Seasonal Items Score range: 0-3 Higher scores indicate greater familiarity | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Fruit and Vegetable Food Safety Skills Using 7-point Likert Rating Scales. | Fruit and Vegetable Food Safety Skills Score range: 19-85 Higher scores indicate greater skills | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Farmers' Market Asking Skills Using a Yes/no Format. | Farmers' Market Asking Skills Score range: 0-3 Higher scores indicate greater skills | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Positive Outcome Expectations for Consuming Locally Grown Fruits and Vegetables Using a Yes/no Format. | Positive Outcome Expectations for Consuming Locally Grown Fruit and Vegetables Score range:0-3 Higher scores indicate more favorable ratings | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to an Item Assessing Whether the Participant Ever Purchased Fruits and Vegetables at a Farmers' Market Using a Yes/no Format. | Lifetime Farmers' Market Fruit and Vegetable Purchases Scores: No (0), Yes (1). Higher scores (yes responses) indicate indicate that the respondent has ever purchased fruits and vegetables at a farmers' market. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (having ever purchased fruits and vegetables at a farmers' market) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | The WIC Fresh Start (FMNP) arm is being compared with the three other study arms. | Posted | Number | 95% Confidence Interval | Odds ratio | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Farmers' Market Fruit and Vegetable Preparation Skills Using 7-point Likert Rating Scales. | Farmers' Market Fruit and Vegetable Preparation Skills Score range:12-84 Higher scores indicate greater skills | Posted | Least Squares Mean | Standard Error | Units on a scale | 2 weeks |
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| Secondary | Response to an Item Assessing Whether the Participant Purchased Fruits and Vegetables at a Farmers' Market in the Past Two Weeks Using a Yes/no Format. | Recent Farmers' Market Fruit and Vegetable Purchases Scores: No (0), Yes (1). Higher scores (yes responses) indicate that the respondent purchased fruits and vegetables at a farmers' market in the past two weeks. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (having purchased fruits and vegetables at a farmers' market in the past two weeks) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | The WIC Fresh Start (FMNP) arm is being compared with the three other study arms. | Posted | Number | 95% Confidence Interval | Odds ratio | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to an Item Assessing Behavioral Intentions to Purchase Fruits and Vegetables at a Farmers' Market in the Next Two Weeks Using a Yes/no Format. | Intentions to Purchase Fruits and Vegetables at a Farmers' Market Scores: no (0), Yes (1). Higher scores (yes responses) indicate that the respondent intends to purchase fruits and vegetables at a farmers' market in the next two weeks. Odds ratios and 95% confidence intervals indicate the likelihood of the outcome (intending to purchase fruits and vegetables at a farmers' market in the next two weeks) among those in the WIC Fresh Start (FMNP) arm relative to the comparator arm. | The WIC Fresh Start Program (FMNP) arm is being compared with the three other study arms. | Posted | Number | 95% Confidence Interval | Odds ratio | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Knowledge of Locally Grown Seasonal Fruits and Vegetables Found at Farmers' Markets in July Using a Yes/no Format. | Knowledge of Locally Grown Seasonal Fruits and Vegetables found at Farmers' Markets in July Score range:0-9 Higher scores indicate greater knowledge | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Food-specific Knowledge Using a True/False Format | Food-specific Knowledge Score range: 2-13 Higher scores indicate greater knowledge | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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| Secondary | Response to Survey Items Assessing Knowledge of Area Farmers' Markets | Farmers' Market-specific Knowledge Score range:0-2 Higher scores indicate greater knowledge | Posted | Least Squares Mean | Standard Error | Units on a scale | Pretest, posttest, and 3- and 6-month follow-up |
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Adverse events were monitored through study completion, i.e., for 6.5 months after baseline (baseline [pretest], posttest [two weeks after pretest] and 3 and 6 months after the posttest [6.5 months total]).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | WIC Fresh Start Program | Participants in this arm receive the Fresh Start program. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. | 0 | 178 | 0 | 178 | 0 | 178 |
| EG001 | Existing Online Health Education | Participants in this arm receive existing online WIC health education. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. | 0 | 172 | 0 | 172 | 0 | 172 |
| EG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. | 0 | 193 | 0 | 193 | 0 | 193 |
| EG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. | 0 | 201 | 0 | 201 | 0 | 201 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jennifer Di Noia | William Paterson University | 973.720.3714 | dinoiaj@wpunj.edu |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D009369 | Neoplasms |
| D003924 | Diabetes Mellitus, Type 2 |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Male |
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| Hispanic |
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| White or other |
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| Two or more races |
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| Missing |
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| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 |
| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 |
| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| OG002 | WIC Fresh Start Program (FMNP) | Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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| WIC Fresh Start Program (FMNP) |
Participants in this arm receive the Fresh Start program and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. WIC Fresh Start Program: The intervention is an online lesson to promote farmers' market FV purchases and consumption. The lesson comprises three modules, each consisting of 1) behavior change content presented through a video segment featuring WIC participants, and 2) an interactive activity to build targeted knowledge, attitudes, and skills. |
| OG003 | Existing Online Health Education (FMNP) | Participants in this arm receive existing online WIC health education and WIC Farmers' Market Nutrition Program (FMNP) vouchers redeemable at farmers' markets. Existing Online Health Education: Any of seven existing online WIC health education lessons (lessons are available on breastfeeding, being active, fruits and vegetables, calcium, cholesterol, oral health and iron). The lessons consist of an introductory segment presented with online text and graphics. After reading this material, viewers have the option to complete one of four lesson activities. The activities provide opportunities for viewers to read further on the topic and are designed to reinforce key points of the lesson. |
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