Trial Outcomes & Findings for Designing Food Voucher Programs to Reduce Disparities in Healthy Diets (NCT NCT02843178)

NCT ID: NCT02843178

Last Updated: 2019-08-28

Results Overview

Fruit and vegetable intake (measured in Cup-equivalents) at the end of month 6 of the trial, assessed by 24-hour dietary recall

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

359 participants

Primary outcome timeframe

Baseline and Month 6

Results posted on

2019-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
1: Distributed, Targeted Vouchers
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Overall Study
STARTED
86
90
92
91
Overall Study
COMPLETED
78
82
85
87
Overall Study
NOT COMPLETED
8
8
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
1: Distributed, Targeted Vouchers
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Overall Study
Lost to Follow-up
8
8
6
3
Overall Study
Withdrawal by Subject
0
0
1
1

Baseline Characteristics

Designing Food Voucher Programs to Reduce Disparities in Healthy Diets

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Total
n=359 Participants
Total of all reporting groups
Age, Continuous
52.2 years
STANDARD_DEVIATION 13.1 • n=5 Participants
50.7 years
STANDARD_DEVIATION 13.4 • n=7 Participants
52.4 years
STANDARD_DEVIATION 14.1 • n=5 Participants
50.9 years
STANDARD_DEVIATION 13.5 • n=4 Participants
51.5 years
STANDARD_DEVIATION 13.5 • n=21 Participants
Sex: Female, Male
Female
56 Participants
n=5 Participants
60 Participants
n=7 Participants
61 Participants
n=5 Participants
57 Participants
n=4 Participants
234 Participants
n=21 Participants
Sex: Female, Male
Male
30 Participants
n=5 Participants
30 Participants
n=7 Participants
31 Participants
n=5 Participants
34 Participants
n=4 Participants
125 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=5 Participants
14 Participants
n=7 Participants
13 Participants
n=5 Participants
15 Participants
n=4 Participants
56 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
72 Participants
n=5 Participants
76 Participants
n=7 Participants
79 Participants
n=5 Participants
76 Participants
n=4 Participants
303 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
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 (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
9 Participants
n=21 Participants
Race (NIH/OMB)
Asian
17 Participants
n=5 Participants
17 Participants
n=7 Participants
13 Participants
n=5 Participants
14 Participants
n=4 Participants
61 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
24 Participants
n=5 Participants
24 Participants
n=7 Participants
21 Participants
n=5 Participants
21 Participants
n=4 Participants
90 Participants
n=21 Participants
Race (NIH/OMB)
White
35 Participants
n=5 Participants
28 Participants
n=7 Participants
40 Participants
n=5 Participants
39 Participants
n=4 Participants
142 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
8 Participants
n=7 Participants
8 Participants
n=5 Participants
7 Participants
n=4 Participants
25 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
11 Participants
n=7 Participants
5 Participants
n=5 Participants
8 Participants
n=4 Participants
30 Participants
n=21 Participants
Region of Enrollment
United States
86 participants
n=5 Participants
90 participants
n=7 Participants
92 participants
n=5 Participants
91 participants
n=4 Participants
359 participants
n=21 Participants
SNAP participation
22 Participants
n=5 Participants
26 Participants
n=7 Participants
26 Participants
n=5 Participants
25 Participants
n=4 Participants
99 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline and Month 6

Fruit and vegetable intake (measured in Cup-equivalents) at the end of month 6 of the trial, assessed by 24-hour dietary recall

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Change in Cup-equivalents of Fruit and Vegetable Intake From Baseline to Month 6
0.18 Change in Cup-equivalents, mo 0 to mo 6
Interval -0.004 to 0.36
0.08 Change in Cup-equivalents, mo 0 to mo 6
Interval -0.09 to 0.26
0.09 Change in Cup-equivalents, mo 0 to mo 6
Interval -0.09 to 0.26
0.04 Change in Cup-equivalents, mo 0 to mo 6
Interval -0.13 to 0.21

SECONDARY outcome

Timeframe: Baseline and Month 12

Fruit and vegetable intake (measured in Cup-equivalents) at the end of month 12 of the trial (6 months after voucher program has ended), assessed by 24-hour dietary recall.

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Change in Cup-equivalents of Fruit and Vegetable Intake From Baseline to Month 12
0.0316 Change in Cup-equivalents, mo 0 to mo 12
Interval -0.1529 to 0.2161
0.0180 Change in Cup-equivalents, mo 0 to mo 12
Interval -0.1655 to 0.2015
-0.0849 Change in Cup-equivalents, mo 0 to mo 12
Interval -0.2689 to 0.0991
0.2112 Change in Cup-equivalents, mo 0 to mo 12
Interval 0.0315 to 0.3909

SECONDARY outcome

Timeframe: Baseline and Month 6

Healthy Eating Index (a composite metric of nutrition quality) estimated from 24-hour dietary recall. The scores range from 0 to 100. An ideal overall Healthy Eating Index score of 100 reflects that the set of foods aligns with key dietary recommendations from the Dietary Guidelines for Americans (DGA).

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Change in Healthy Eating Index From Baseline to Month 6
1.2 change in Index from mo 0 to mo 6
Interval -0.9 to 3.3
0.7 change in Index from mo 0 to mo 6
Interval -1.3 to 2.7
2.1 change in Index from mo 0 to mo 6
Interval 0.1 to 4.0
-0.3 change in Index from mo 0 to mo 6
Interval -2.3 to 1.7

SECONDARY outcome

Timeframe: Months 1-6 of intervention

Percent of vouchers utilized by participants in each study arm

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Voucher Utilization Rate
66.8 Percent of vouchers utilized
Interval 61.6 to 72.0
81.8 Percent of vouchers utilized
Interval 76.6 to 86.9
67.8 Percent of vouchers utilized
Interval 62.8 to 72.9
80.4 Percent of vouchers utilized
Interval 75.4 to 85.5

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Survey of how easy participants found it to use vouchers. This is a composite score ranging from 0 (hard) to 3 (easy) based on individual scores of 0 (hard) or 1 (easy) in response to three questions at month 6 (the questions are in the appendix), which assessed participants' understanding of how to use the vouchers, ability to determine which foods were redeemable, and ease of redeeming the voucher with a cashier.

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Voucher Ease of Use Survey
2.87 score on a scale
Interval 2.75 to 2.99
2.72 score on a scale
Interval 2.6 to 2.83
2.56 score on a scale
Interval 2.45 to 2.68
2.58 score on a scale
Interval 2.47 to 2.69

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Self-reported height by phone survey.

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Self-reported Height Survey
65.64 inches
Interval 64.7 to 66.57
66.03 inches
Interval 65.14 to 66.91
66.14 inches
Interval 65.23 to 67.05
66.17 inches
Interval 64.43 to 66.91

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Month 6, and Month 12

This is the 6-item United States Department of Agriculture food security scale; the survey questions are in the appendix under "Main Survey." Each of the responses to the 6 questions were scored as a 1 or 0, depending of the particular question. The individual scores were then totaled, and individuals could receive a score anywhere from 0 indicating the most food security to 6 indicating the least food security. Then, the totaled individual 0 to 6 scores (fs\_total) were broken into two categories, 0-1 being food secure, and 2-6 being food insecure. The number of participants below reflects the total number of participants who were food secure (that is, scored fs\_total = 0-1) at Baseline, Month 6, and Month 12, respectively.

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Food Security Survey
baseline
24 Participants
27 Participants
37 Participants
29 Participants
Food Security Survey
month 6
27 Participants
30 Participants
42 Participants
38 Participants
Food Security Survey
month 12
29 Participants
32 Participants
31 Participants
33 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Month 6

Self-reported weight by phone survey.

Outcome measures

Outcome measures
Measure
1: Distributed, Targeted Vouchers
n=86 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
2: Lump Sum, Targeted Vouchers
n=90 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher is restricted to pay for fruits and vegetables. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
3: Distributed, Untargeted Vouchers
n=92 Participants
Participants receive four $5 vouchers each valid for a subsequent week of the month (i.e., one voucher valid for week 1 only, a second for week 2 only, a third for week 3 only, and a fourth for week 4 only), starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
4: Lump Sum, Untargeted Vouchers
n=91 Participants
Participants receive four $5 vouchers each valid for an entire month, starting in month 1 and continuing every month through month 6. The voucher can pay for any food but not tobacco, alcohol or prepared foods. Vouchers: A voucher is given that can be used at the cashier of participating grocery stores, corner stores, and farmer's markets, enabling a participant to have the voucher's value subtracted from their grocery bill.
Self-reported Weight Survey
181.30 pounds
Interval 169.67 to 192.93
172.77 pounds
Interval 163.37 to 182.17
178.50 pounds
Interval 166.44 to 190.56
174.43 pounds
Interval 164.63 to 184.23

Adverse Events

1: Distributed, Targeted Vouchers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

2: Lump Sum, Targeted Vouchers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

3: Distributed, Untargeted Vouchers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

4: Lump Sum, Untargeted Vouchers

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

Mandy Murphy Carroll, Study Coordinator

Stanford University

Phone: (650) 509-0004

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place