Trial Outcomes & Findings for Online WIC Nutrition Education to Promote Farmers' Market Fruit and Vegetable Purchases and Consumption (NCT NCT02565706)
NCT ID: NCT02565706
Last Updated: 2019-10-30
Results Overview
The state WIC agency is providing data on FMNP voucher redemption.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
744 participants
Primary outcome timeframe
6 months (2015 farmers' market season [June to November 2015])
Results posted on
2019-10-30
Participant Flow
Participant milestones
| Measure |
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.
|
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.
|
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.
|
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.
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
178
|
172
|
193
|
201
|
|
Overall Study
COMPLETED
|
101
|
90
|
104
|
116
|
|
Overall Study
NOT COMPLETED
|
77
|
82
|
89
|
85
|
Reasons for withdrawal
| Measure |
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.
|
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.
|
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.
|
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.
|
|---|---|---|---|---|
|
Overall Study
Withdrawal by Subject
|
5
|
7
|
7
|
11
|
|
Overall Study
Lost to Follow-up
|
72
|
75
|
82
|
74
|
Baseline Characteristics
Online WIC Nutrition Education to Promote Farmers' Market Fruit and Vegetable Purchases and Consumption
Baseline characteristics by cohort
| Measure |
WIC Fresh Start Program
n=178 Participants
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.
|
Existing Online Health Education
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
Total
n=744 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
28.83 years
STANDARD_DEVIATION 7.31 • n=5 Participants
|
28.89 years
STANDARD_DEVIATION 6.56 • n=7 Participants
|
29.25 years
STANDARD_DEVIATION 6.44 • n=5 Participants
|
28.91 years
STANDARD_DEVIATION 7.03 • n=4 Participants
|
28.97 years
STANDARD_DEVIATION 6.83 • n=21 Participants
|
|
Sex: Female, Male
Female
|
178 Participants
n=5 Participants
|
172 Participants
n=7 Participants
|
193 Participants
n=5 Participants
|
201 Participants
n=4 Participants
|
744 Participants
n=21 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
0 Participants
n=21 Participants
|
|
Race/Ethnicity, Customized
African American
|
59 Participants
n=5 Participants
|
47 Participants
n=7 Participants
|
47 Participants
n=5 Participants
|
68 Participants
n=4 Participants
|
221 Participants
n=21 Participants
|
|
Race/Ethnicity, Customized
Hispanic
|
103 Participants
n=5 Participants
|
99 Participants
n=7 Participants
|
124 Participants
n=5 Participants
|
110 Participants
n=4 Participants
|
436 Participants
n=21 Participants
|
|
Race/Ethnicity, Customized
White or other
|
9 Participants
n=5 Participants
|
22 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
18 Participants
n=4 Participants
|
66 Participants
n=21 Participants
|
|
Race/Ethnicity, Customized
Two or more races
|
4 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
4 Participants
n=4 Participants
|
14 Participants
n=21 Participants
|
|
Race/Ethnicity, Customized
Missing
|
3 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
7 Participants
n=21 Participants
|
|
Region of Enrollment
United States
|
178 participants
n=5 Participants
|
172 participants
n=7 Participants
|
193 participants
n=5 Participants
|
201 participants
n=4 Participants
|
744 participants
n=21 Participants
|
PRIMARY outcome
Timeframe: 6 months (2015 farmers' market season [June to November 2015])The state WIC agency is providing data on FMNP voucher redemption.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
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.
|
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.
|
|---|---|---|---|---|
|
Number of Participants Who Redeemed FMNP Vouchers
|
84 participants
|
77 participants
|
—
|
—
|
PRIMARY outcome
Timeframe: Pretest, posttest (2 weeks after pretest), and 3- and 6-month follow-upTimes per day fruits and vegetable are consumed as assessed by a validated food frequency questionnaire.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Frequency of Fruit and Vegetable Intake
Posttest
|
3.71 Times per day consumed
Standard Error .18
|
4.00 Times per day consumed
Standard Error .18
|
3.88 Times per day consumed
Standard Error .16
|
3.90 Times per day consumed
Standard Error .17
|
|
Frequency of Fruit and Vegetable Intake
3-month follow-up
|
3.85 Times per day consumed
Standard Error .19
|
3.44 Times per day consumed
Standard Error .20
|
3.70 Times per day consumed
Standard Error .18
|
3.51 Times per day consumed
Standard Error .17
|
|
Frequency of Fruit and Vegetable Intake
6-month follow-up
|
3.90 Times per day consumed
Standard Error .22
|
3.78 Times per day consumed
Standard Error .23
|
3.41 Times per day consumed
Standard Error .21
|
3.26 Times per day consumed
Standard Error .20
|
PRIMARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upPopulation: Data are reported for the 6-month follow-up assessment.
Cups per day consumed of fruits and vegetables as assessed by a validated fruit and vegetable screener.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Quantity of Fruit and Vegetable Intake
Posttest
|
4.49 Cups per day consumed
Standard Error .21
|
4.61 Cups per day consumed
Standard Error .21
|
4.54 Cups per day consumed
Standard Error .19
|
4.44 Cups per day consumed
Standard Error .19
|
|
Quantity of Fruit and Vegetable Intake
3-month follow-up
|
4.87 Cups per day consumed
Standard Error .23
|
4.67 Cups per day consumed
Standard Error .23
|
4.93 Cups per day consumed
Standard Error .21
|
4.75 Cups per day consumed
Standard Error .20
|
|
Quantity of Fruit and Vegetable Intake
6-month follow-up
|
4.74 Cups per day consumed
Standard Error .26
|
4.91 Cups per day consumed
Standard Error .27
|
4.76 Cups per day consumed
Standard Error .24
|
4.88 Cups per day consumed
Standard Error .23
|
SECONDARY outcome
Timeframe: 6 months (2015 farmers' market season [June to November 2015])The state WIC agency is providing data on cash value voucher redemption.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=371 Participants
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.
|
Existing Online Health Education (FMNP)
n=373 Participants
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.
|
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.
|
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.
|
|---|---|---|---|---|
|
Number of Participants Who Redeemed Cash Value Vouchers at Farmers' Markets
|
7 Participants
|
1 Participants
|
—
|
—
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upIndex of Knowledge of the FMNP Score range: 0-6 Higher scores indicates greater knowledge
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format.
6-month follow-up
|
4.67 Units on a scale
Standard Error .10
|
4.82 Units on a scale
Standard Error .10
|
5.11 Units on a scale
Standard Error .09
|
4.90 Units on a scale
Standard Error .09
|
|
Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format.
Posttest
|
4.88 Units on a scale
Standard Error .08
|
4.45 Units on a scale
Standard Error .08
|
5.07 Units on a scale
Standard Error .07
|
4.85 Units on a scale
Standard Error .07
|
|
Response to Survey Items Assessing Knowledge of the WIC Farmers' Market Nutrition Program Using a True/False Format.
3-month follow-up
|
4.79 Units on a scale
Standard Error .09
|
4.71 Units on a scale
Standard Error .09
|
5.07 Units on a scale
Standard Error .08
|
5.01 Units on a scale
Standard Error .08
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upPopulation: The WIC Fresh Start Program (FMNP) arm is being compared with each other study arm for this analysis.
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.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=201 Participants
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.
|
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.
|
|---|---|---|---|---|
|
Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format.
Posttest
|
1.85 Odds ratio
Interval 0.95 to 3.58
|
4.51 Odds ratio
Interval 2.42 to 8.42
|
2.44 Odds ratio
Interval 1.29 to 4.62
|
—
|
|
Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format.
3-month follow-up
|
2.25 Odds ratio
Interval 1.04 to 4.9
|
5.06 Odds ratio
Interval 2.4 to 10.69
|
2.18 Odds ratio
Interval 1.01 to 4.71
|
—
|
|
Response to an Item Assessing Knowledge of WIC-authorized Farmers' Markets Using a Yes/no Format.
6-month follow-up
|
1.50 Odds ratio
Interval 0.64 to 3.52
|
4.41 Odds ratio
Interval 2.0 to 9.71
|
1.52 Odds ratio
Interval 0.68 to 3.42
|
—
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upAttitudes towards Farmers' Market Fruits and Vegetables Score range: 6-42 Higher scores indicate more favorable attitudes
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales.
Posttest
|
12.27 Units on a scale
Standard Error .66
|
10.70 Units on a scale
Standard Error .65
|
11.05 Units on a scale
Standard Error .59
|
11.10 Units on a scale
Standard Error .60
|
|
Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales.
3-month follow-up
|
11.92 Units on a scale
Standard Error .70
|
11.48 Units on a scale
Standard Error .73
|
10.24 Units on a scale
Standard Error .65
|
11.42 Units on a scale
Standard Error .63
|
|
Response to Survey Items Assessing Attitudes Towards Farmers' Market Fruits and Vegetables Using 7-point Likert Rating Scales.
6-month follow-up
|
12.03 Units on a scale
Standard Error .78
|
11.45 Units on a scale
Standard Error .81
|
10.19 Units on a scale
Standard Error .73
|
12.27 Units on a scale
Standard Error .70
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upFamiliarity with Locally Grown Seasonal Items Score range: 0-3 Higher scores indicate greater familiarity
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format.
Posttest
|
2.81 Units on a scale
Standard Error .05
|
2.70 Units on a scale
Standard Error .05
|
2.82 Units on a scale
Standard Error .04
|
2.67 Units on a scale
Standard Error .04
|
|
Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format.
3-month follow-up
|
2.79 Units on a scale
Standard Error .05
|
2.76 Units on a scale
Standard Error .05
|
2.86 Units on a scale
Standard Error .05
|
2.75 Units on a scale
Standard Error .05
|
|
Response to Survey Items Assessing Awareness of Locally Grown, Seasonal Fruits and Vegetables Using a Yes/no Format.
6-month follow-up
|
2.81 Units on a scale
Standard Error .06
|
2.80 Units on a scale
Standard Error .06
|
2.93 Units on a scale
Standard Error .05
|
2.70 Units on a scale
Standard Error .05
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upFruit and Vegetable Food Safety Skills Score range: 19-85 Higher scores indicate greater skills
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Fruit and Vegetable Food Safety Skills Using 7-point Likert Rating Scales.
Posttest
|
67.80 Units on a scale
Standard Error .92
|
63.99 Units on a scale
Standard Error .91
|
68.47 Units on a scale
Standard Error .82
|
63.49 Units on a scale
Standard Error .84
|
|
Response to Survey Items Assessing Fruit and Vegetable Food Safety Skills Using 7-point Likert Rating Scales.
3-month follow-up
|
66.70 Units on a scale
Standard Error .98
|
64.13 Units on a scale
Standard Error 1.01
|
66.58 Units on a scale
Standard Error .91
|
62.59 Units on a scale
Standard Error .88
|
|
Response to Survey Items Assessing Fruit and Vegetable Food Safety Skills Using 7-point Likert Rating Scales.
6-month follow-up
|
69.11 Units on a scale
Standard Error 1.10
|
66.13 Units on a scale
Standard Error 1.13
|
66.44 Units on a scale
Standard Error 1.02
|
65.23 Units on a scale
Standard Error .80
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upFarmers' Market Asking Skills Score range: 0-3 Higher scores indicate greater skills
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Farmers' Market Asking Skills Using a Yes/no Format.
Posttest
|
.55 Units on a scale
Standard Error .33
|
.45 Units on a scale
Standard Error .32
|
.92 Units on a scale
Standard Error .25
|
1.14 Units on a scale
Standard Error .28
|
|
Response to Survey Items Assessing Farmers' Market Asking Skills Using a Yes/no Format.
3-month follow-up
|
.49 Units on a scale
Standard Error .35
|
1.31 Units on a scale
Standard Error .56
|
.85 Units on a scale
Standard Error .33
|
.68 Units on a scale
Standard Error .34
|
|
Response to Survey Items Assessing Farmers' Market Asking Skills Using a Yes/no Format.
6-month follow-up
|
1.29 Units on a scale
Standard Error .40
|
1.30 Units on a scale
Standard Error .59
|
1.31 Units on a scale
Standard Error .45
|
1.60 Units on a scale
Standard Error .46
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upPositive Outcome Expectations for Consuming Locally Grown Fruit and Vegetables Score range:0-3 Higher scores indicate more favorable ratings
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Positive Outcome Expectations for Consuming Locally Grown Fruits and Vegetables Using a Yes/no Format.
6-month follow-up
|
2.95 Units on a scale
Standard Error .04
|
2.97 Units on a scale
Standard Error .04
|
2.97 Units on a scale
Standard Error .04
|
2.96 Units on a scale
Standard Error .03
|
|
Response to Survey Items Assessing Positive Outcome Expectations for Consuming Locally Grown Fruits and Vegetables Using a Yes/no Format.
Posttest
|
2.91 Units on a scale
Standard Error .03
|
2.86 Units on a scale
Standard Error .03
|
2.93 Units on a scale
Standard Error .03
|
2.88 Units on a scale
Standard Error .03
|
|
Response to Survey Items Assessing Positive Outcome Expectations for Consuming Locally Grown Fruits and Vegetables Using a Yes/no Format.
3-month follow-up
|
2.85 Units on a scale
Standard Error .03
|
2.92 Units on a scale
Standard Error .04
|
2.92 Units on a scale
Standard Error .03
|
2.90 Units on a scale
Standard Error .03
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upPopulation: The WIC Fresh Start (FMNP) arm is being compared with the three other study arms.
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.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=201 Participants
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.
|
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.
|
|---|---|---|---|---|
|
Response to an Item Assessing Whether the Participant Ever Purchased Fruits and Vegetables at a Farmers' Market Using a Yes/no Format.
Posttest
|
1.78 Odds ratio
Interval 0.9 to 3.53
|
1.06 Odds ratio
Interval 0.52 to 2.17
|
1.31 Odds ratio
Interval 0.66 to 2.58
|
—
|
|
Response to an Item Assessing Whether the Participant Ever Purchased Fruits and Vegetables at a Farmers' Market Using a Yes/no Format.
3-month follow-up
|
8.70 Odds ratio
Interval 3.06 to 25.0
|
6.04 Odds ratio
Interval 2.06 to 17.76
|
3.36 Odds ratio
Interval 1.13 to 10.04
|
—
|
|
Response to an Item Assessing Whether the Participant Ever Purchased Fruits and Vegetables at a Farmers' Market Using a Yes/no Format.
6-month follow-up
|
1.65 Odds ratio
Interval 0.61 to 4.48
|
1.50 Odds ratio
Interval 0.53 to 4.24
|
1.05 Odds ratio
Interval 0.37 to 2.96
|
—
|
SECONDARY outcome
Timeframe: 2 weeksFarmers' Market Fruit and Vegetable Preparation Skills Score range:12-84 Higher scores indicate greater skills
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Farmers' Market Fruit and Vegetable Preparation Skills Using 7-point Likert Rating Scales.
Posttest
|
72.50 Units on a scale
Standard Error .02
|
71.72 Units on a scale
Standard Error .91
|
72.19 Units on a scale
Standard Error .82
|
69.63 Units on a scale
Standard Error .84
|
|
Response to Survey Items Assessing Farmers' Market Fruit and Vegetable Preparation Skills Using 7-point Likert Rating Scales.
3-month follow-up
|
73.06 Units on a scale
Standard Error .98
|
72.53 Units on a scale
Standard Error 1.01
|
72.33 Units on a scale
Standard Error .90
|
71.55 Units on a scale
Standard Error .97
|
|
Response to Survey Items Assessing Farmers' Market Fruit and Vegetable Preparation Skills Using 7-point Likert Rating Scales.
6-month follow-up
|
73.27 Units on a scale
Standard Error 1.09
|
73.07 Units on a scale
Standard Error 1.13
|
72.99 Units on a scale
Standard Error 1.01
|
71.40 Units on a scale
Standard Error .97
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upPopulation: The WIC Fresh Start (FMNP) arm is being compared with the three other study arms.
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.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=201 Participants
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.
|
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.
|
|---|---|---|---|---|
|
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.
6-month follow-up
|
.44 Odds ratio
Interval 0.17 to 1.13
|
.68 Odds ratio
Interval 0.25 to 1.9
|
.78 Odds ratio
Interval 0.3 to 2.04
|
—
|
|
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.
Posttest
|
1.07 Odds ratio
Interval 0.59 to 1.96
|
2.18 Odds ratio
Interval 1.14 to 4.16
|
1.25 Odds ratio
Interval 0.71 to 2.21
|
—
|
|
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.
3-month follow-up
|
.81 Odds ratio
Interval 0.39 to 1.69
|
2.23 Odds ratio
Interval 0.91 to 5.47
|
1.07 Odds ratio
Interval 0.53 to 2.16
|
—
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upPopulation: The WIC Fresh Start Program (FMNP) arm is being compared with the three other study arms.
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.
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=201 Participants
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.
|
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.
|
|---|---|---|---|---|
|
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.
Posttest
|
2.92 Odds ratio
Interval 1.41 to 6.02
|
5.16 Odds ratio
Interval 2.57 to 10.35
|
2.02 Odds ratio
Interval 0.97 to 4.22
|
—
|
|
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.
3-month follow-up
|
2.04 Odds ratio
Interval 1.1 to 3.8
|
2.35 Odds ratio
Interval 1.25 to 4.41
|
.98 Odds ratio
Interval 0.52 to 1.87
|
—
|
|
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.
6-month follow-up
|
.97 Odds ratio
Interval 0.54 to 1.77
|
.96 Odds ratio
Interval 0.52 to 1.78
|
1.09 Odds ratio
Interval 0.62 to 1.92
|
—
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upKnowledge of Locally Grown Seasonal Fruits and Vegetables found at Farmers' Markets in July Score range:0-9 Higher scores indicate greater knowledge
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Knowledge of Locally Grown Seasonal Fruits and Vegetables Found at Farmers' Markets in July Using a Yes/no Format.
Posttest
|
8.08 Units on a scale
Standard Error .11
|
7.99 Units on a scale
Standard Error .11
|
8.22 Units on a scale
Standard Error .11
|
7.80 Units on a scale
Standard Error .10
|
|
Response to Survey Items Assessing Knowledge of Locally Grown Seasonal Fruits and Vegetables Found at Farmers' Markets in July Using a Yes/no Format.
3-month follow-up
|
8.14 Units on a scale
Standard Error .12
|
7.85 Units on a scale
Standard Error .12
|
7.91 Units on a scale
Standard Error .11
|
7.95 Units on a scale
Standard Error .11
|
|
Response to Survey Items Assessing Knowledge of Locally Grown Seasonal Fruits and Vegetables Found at Farmers' Markets in July Using a Yes/no Format.
6-month follow-up
|
8.17 Units on a scale
Standard Error .30
|
7.98 Units on a scale
Standard Error .14
|
8.17 Units on a scale
Standard Error .12
|
8.05 Units on a scale
Standard Error .12
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upFood-specific Knowledge Score range: 2-13 Higher scores indicate greater knowledge
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Food-specific Knowledge Using a True/False Format
Posttest
|
10.42 Units on a scale
Standard Error .14
|
9.47 Units on a scale
Standard Error .14
|
10.31 Units on a scale
Standard Error .13
|
9.33 Units on a scale
Standard Error .13
|
|
Response to Survey Items Assessing Food-specific Knowledge Using a True/False Format
3-month follow-up
|
9.76 Units on a scale
Standard Error .15
|
9.40 Units on a scale
Standard Error .16
|
10.11 Units on a scale
Standard Error .14
|
9.31 Units on a scale
Standard Error .14
|
|
Response to Survey Items Assessing Food-specific Knowledge Using a True/False Format
6-month follow-up
|
9.83 Units on a scale
Standard Error .17
|
9.92 Units on a scale
Standard Error .18
|
10.01 Units on a scale
Standard Error .16
|
9.44 Units on a scale
Standard Error .15
|
SECONDARY outcome
Timeframe: Pretest, posttest, and 3- and 6-month follow-upFarmers' Market-specific Knowledge Score range:0-2 Higher scores indicate greater knowledge
Outcome measures
| Measure |
WIC Fresh Start Program (FMNP)
n=178 Participants
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.
|
Existing Online Health Education (FMNP)
n=172 Participants
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.
|
WIC Fresh Start Program (FMNP)
n=193 Participants
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.
|
Existing Online Health Education (FMNP)
n=201 Participants
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.
|
|---|---|---|---|---|
|
Response to Survey Items Assessing Knowledge of Area Farmers' Markets
Posttest
|
1.37 Units on a scale
Standard Error .08
|
1.39 Units on a scale
Standard Error .09
|
1.65 Units on a scale
Standard Error .07
|
1.51 Units on a scale
Standard Error .08
|
|
Response to Survey Items Assessing Knowledge of Area Farmers' Markets
3-month follow-up
|
1.42 Units on a scale
Standard Error .09
|
1.51 Units on a scale
Standard Error .10
|
1.75 Units on a scale
Standard Error .08
|
1.63 Units on a scale
Standard Error .08
|
|
Response to Survey Items Assessing Knowledge of Area Farmers' Markets
6-month follow-up
|
1.51 Units on a scale
Standard Error .10
|
1.35 Units on a scale
Standard Error .11
|
1.69 Units on a scale
Standard Error .09
|
1.68 Units on a scale
Standard Error .09
|
Adverse Events
WIC Fresh Start Program
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Existing Online Health Education
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
WIC Fresh Start Program (FMNP)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Existing Online Health Education (FMNP)
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place