Fruit and Vegetable Prescription Program

Title:Fruit and Vegetable Prescription Program
Status:Completed
Topic:Community;Cooking/Culinary Arts;Nutrition / Diet;Worksite Wellness
Funding Source:Centers for Disease Control and Prevention (CDC)
Funding Period:2016-2019
Study Design:Pre/post
Purpose:The purpose was to determine the effectiveness of a worksite-based Fruit & Vegetable Prescription (Rx) program designed to increase intake of fruits, vegetables, and other health-promoting foods and improve diet quality and health outcomes. This project was a subset of our Community Health Opportunities Organized with Schools at the Epicenter (CHOOSE) core research project, with the Griffin Hospital worksite serving as a community portal.
Further Study Details:The PRC partnered with Wholesome Wave® to adapt and pilot test a Fruit and Vegetable Rx program offered elsewhere by Wholesome Wave® in clinical settings. The 58 study participants (Griffin Hospital employees) were randomly assigned to either Fruit and Vegetable Rx or control/no intervention. The Fruit and Vegetable Rx group attended 10 educational/skill-building sessions (45 minutes each) and received vouchers to buy fruits and vegetables. Sessions focused on nutritious, affordable, easy-to-prepare meals and cooking demonstrations. Control group members maintained their usual habits, and did not receive any incentives. All participants received a $50 gift card at each data collection time point (3 for the intervention group, 2 for the control group).
Findings:After the intervention: Overall diet quality increased by 5.3 points out of 100 in the intervention group, and by 1.7 points in the control group, but the difference was not statistically significant. Intervention group members significantly reduced their intake of “empty calories” as compared to those in the control group. There were no effects on weight, waist circumference, body fat percentage, blood pressure, blood lipids, or hemoglobin A1c.  More than 90% of intervention group members said the program helped them to increase their fruit and vegetable intake, and 78% said their diet was somewhat or much more healthful than before starting the program. There were no differences between groups in terms of cooking skills or household meal practices.By 3 months after the intervention: The reduction in empty calories was maintained in the intervention group, but no longer significantly different from the change in the control group (who also reduced their intake of empty calories).
Eligibility:Griffin Hospital employees who were willing/able to participate in weekly lunch & learn nutrition and cooking sessions for a 10-week period.
Evaluation:Outcome measures included body mass index, waist circumference, blood pressure, body fat, blood lipids, hemoglobin A1C, and diet quality based on 24-hour diet recalls. All participants were asked to complete surveys on their food and beverage intake, household meal practices, cooking skills, physical activity, and medication use. Those in the fruit and vegetable group completed a brief survey at each session.

Changed at:3/27/2020 3:42 PMChanged by:
Created at:11/30/2017 6:33 AMCreated by:Lisa Seaberg

Community-Based Cooking Classes for Children

Title:Community-Based Cooking Classes for Children
Status:Completed
Topic:Cooking/Culinary Arts;Nutrition / Diet
Funding Source:Centers for Disease Control and Prevention (CDC) Valley YMCA (through funding from the Katherine Matthies Foundation)
Funding Period:2014-2017
Study Design:Pre/post
Purpose:This project was conducted as a subset of the CHOOSE project, with community settings serving as “portals” for offering healthful cooking classes to children.  In recent decades, children have had fewer opportunities to learn to prepare healthful meals due to demographic shifts, family time constraints, availability of packaged and take-out foods, and a decline in home economics education. A recent review article suggests that cooking programs can positively influence children’s food-related preferences, attitudes, and behaviors. Training motivated youths or college students to serve as peer educators is a potentially effective strategy to teach children cooking skills, due to their potential to serve as socially relevant agents for change. 
Further Study Details: In 2016, we partnered with the Valley YMCA in Ansonia, CT on a pilot of cooking classes offered at its summer day camp. It included 6 weekly classes offered to 70 children ages 5 to 12 years (taught in small groups based on age) during the 10-week camp. Each class focused on making a healthful snack, beverage, salad or side dish. The foods were affordable and simple to prepare. We combined instruction by a lead chef/instructor during week 1, with subsequent instruction by college students trained to offer the classes. YMCA staff provided assistance and oversight. We evaluated the impact of the classes with a pre/post survey administered to the older children (age 8-12 years). We assessed program feasibility through facilitated discussions with the instructors and the day camp coordinator.
Findings:The classes led to increased preferences for certain foods (particularly black beans and tomatoes) and increased self-efficacy in making healthful snacks and salads, measuring ingredients, trying new foods, and preparing meals at home.
Eligibility:Children attending the 2016 Summer Day Camp at the Valley YMCA 

Changed at:3/27/2020 3:51 PMChanged by:
Created at:3/1/2017 4:02 AMCreated by:Lisa Seaberg

A Prescription for Health Equity: A Healthcare Provider-based Produce Prescription Program for People with Prediabetes and Type 2 Diabetes

Title:A Prescription for Health Equity: A Healthcare Provider-based Produce Prescription Program for People with Prediabetes and Type 2 Diabetes
Status:Current
Topic:Cooking/Culinary Arts;Diabetes / Insulin Resistance
Published Article:Nutrition Education Content for E-Blasts and Websites full.pdf
Eligibility:To qualify for this study, you must:

Changed at:7/28/2023 3:53 PMChanged by:Christian Meagher
Created at:7/28/2023 3:48 PMCreated by:Christian Meagher