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| Name | Class |
|---|---|
| New York Common Pantry | UNKNOWN |
| Corbin Hill Food Project | UNKNOWN |
| Wholesome Wave | OTHER |
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Project Powerfood is a pilot program aimed at addressing food insecurity and food access in primary care through the implementation of a food prescription program in collaboration with a number of community partners. The objectives of this project are:
Implement screening for food insecurity in adult and pediatric primary care practices at Mount Sinai.
Provide fresh fruit and vegetable "prescriptions" to be redeemed for farm shares from local partner, the Corbin Hill Food Project. Prescriptions will provide 50% off of a fruit and vegetable box. Participants will have the option to purchase 2 boxes per month for 6 months.
Pilot prescriptions with 50 adult patients with poorly-controlled diabetes and 50 obese children who are food insecure and/or receive SNAP and/or WIC benefits. Examine/evaluate:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Autumn Group | Other | Intervention Group |
|
| Spring Group | Other | Delayed Intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Autumn Group | Other | The intervention is participating in a fruit and vegetable farm share for 6 months. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of farm shares picked-up | Number of farm shares picked-up | up to 12 months |
| Overall satisfaction score | overall satisfaction with the program measured by likelihood of recommending the program to a friend on a 4 point scale 1 = not likely at all, 2 = somewhat likely, 3 = likely 4 = very likely | up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Health Eating Index | Diet quality, defined by the Health Eating Index which will be derived from the completion of 2 24-hour dietary recalls | up to 12 months |
| BMI | The child participant's body mass index |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Victoria Mayer, MD, MS | Icahn School of Medicine at Mount Sinai | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | United States |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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Participants are enrolled in the study and randomly assigned to the immediate intervention or the delayed intervention group. Participants in the immediate intervention group will receive the intervention for 6 months with a 6-month and 12-month follow-up starting from day one of enrollment. Participants in the delayed intervention group will receive the intervention beginning 6 months after enrollment with a 6-month and 12-month follow-up starting from day one of enrollment.
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| Spring Group | Other | The intervention is participating in a fruit and vegetable farm share for 6 months. |
|
|
| up to 12 months |
| USDA US Household Food Security Survey | Food Insecurity as measured by an 18-item Self reported concern about being able to afford food or have access to food at the end of a given month. Responses to the questions in the food security survey module are combined into a scale using non-linear statistical methods based on the Rasch measurement model. | up to 12 months |
| Hemoglobin A1c level | The adult participant's glycemic control (as measured by hemoglobin A1c) | up to 12 months |
| The Stanford Patient Education Research Center Diabetes Self-Efficacy Scale | Diabetes Self Efficacy as measured by Self reported feelings on one's ability to control and manage their diabetes. 8-item survey, total range from 8 (not at all confident) to 80 (totally confident). | up to 12 months |
| Self Efficacy for Eating/Cooking Fruit and Vegetables by Condrasky | Cooking attitudes as measured by self reported attitudes about cooking and the use of the provided fresh fruits and vegetables to provide food to themselves and or their families. | up to 12 months |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |