Trial Outcomes & Findings for Impact of BC Farmers' Market Nutrition Coupon Program on Diet Quality and Psychosocial Well-being of Low-income Adults (NCT NCT03952338)

NCT ID: NCT03952338

Last Updated: 2024-12-16

Results Overview

Difference between intervention and control groups in mean overall diet quality by Healthy Eating Index-2015 scores immediately post-intervention (10-15 weeks). Healthy Eating Index-2015 scores are calculated from 24-hour dietary recalls and can range from 0-100, with a higher score indicating higher diet quality.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

285 participants

Primary outcome timeframe

post-intervention (10-15 weeks).

Results posted on

2024-12-16

Participant Flow

Community partners recruited study participants throughout BC from June to August 2019 from among their existing clients who were on the FMNCP waitlist in-person or via phone or email. Those who were interested in participating were provided details about the study and screened for eligibility. The first participant was enrolled on June 3, 2019 and the last participant was enrolled on August 23, 2019.

285 participants agreed to participate in the study following completion of the informed consent process and were randomized.

Participant milestones

Participant milestones
Measure
FMNCP Group
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Overall Study
STARTED
143
142
Overall Study
COMPLETED
130
124
Overall Study
NOT COMPLETED
13
18

Reasons for withdrawal

Reasons for withdrawal
Measure
FMNCP Group
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Overall Study
Lost to Follow-up
11
17
Overall Study
Withdrawal by Subject
1
1
Overall Study
Protocol Violation
1
0

Baseline Characteristics

Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Total
n=285 Participants
Total of all reporting groups
Age, Continuous
43.7 years
STANDARD_DEVIATION 16.0 • n=143 Participants
41.5 years
STANDARD_DEVIATION 16.2 • n=142 Participants
42.6 years
STANDARD_DEVIATION 16.1 • n=285 Participants
Sex: Female, Male
Female
130 Participants
n=143 Participants
128 Participants
n=142 Participants
258 Participants
n=285 Participants
Sex: Female, Male
Male
13 Participants
n=143 Participants
14 Participants
n=142 Participants
27 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · White
47 Participants
n=143 Participants
50 Participants
n=142 Participants
97 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Black
3 Participants
n=143 Participants
5 Participants
n=142 Participants
8 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · East or Southeast Asian
14 Participants
n=143 Participants
11 Participants
n=142 Participants
25 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · South or West Asian
46 Participants
n=143 Participants
44 Participants
n=142 Participants
90 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Indigenous
15 Participants
n=143 Participants
10 Participants
n=142 Participants
25 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Other
4 Participants
n=143 Participants
8 Participants
n=142 Participants
12 Participants
n=285 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Missing
14 Participants
n=143 Participants
14 Participants
n=142 Participants
28 Participants
n=285 Participants
Region of Enrollment
Canada
143 participants
n=143 Participants
142 participants
n=142 Participants
285 participants
n=285 Participants
Healthy Eating Index 2015 scores
60.1 units on a scale
STANDARD_DEVIATION 14.3 • n=143 Participants
60.4 units on a scale
STANDARD_DEVIATION 14.7 • n=142 Participants
60.2 units on a scale
STANDARD_DEVIATION 14.5 • n=285 Participants
Household food insecurity
Food secure
24 Participants
n=143 Participants
36 Participants
n=142 Participants
60 Participants
n=285 Participants
Household food insecurity
Marginal food insecurity
15 Participants
n=143 Participants
9 Participants
n=142 Participants
24 Participants
n=285 Participants
Household food insecurity
Moderate food insecurity
57 Participants
n=143 Participants
59 Participants
n=142 Participants
116 Participants
n=285 Participants
Household food insecurity
Severe food insecurity
38 Participants
n=143 Participants
32 Participants
n=142 Participants
70 Participants
n=285 Participants
Household food insecurity
Missing
9 Participants
n=143 Participants
6 Participants
n=142 Participants
15 Participants
n=285 Participants
Malnutrition risk
Low
101 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
94 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
195 Participants
n=248 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
Malnutrition risk
Medium
14 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
18 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
32 Participants
n=248 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
Malnutrition risk
High
8 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
11 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
19 Participants
n=248 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
Malnutrition risk
Missing
1 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
1 Participants
n=124 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
2 Participants
n=248 Participants • Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.
Mental Well-being
48.1 units on a scale
STANDARD_DEVIATION 10.4 • n=143 Participants
49.4 units on a scale
STANDARD_DEVIATION 10.5 • n=142 Participants
48.8 units on a scale
STANDARD_DEVIATION 10.5 • n=285 Participants
Sense of community
29.6 units on a scale
STANDARD_DEVIATION 5.5 • n=143 Participants
29.4 units on a scale
STANDARD_DEVIATION 6.0 • n=142 Participants
29.5 units on a scale
STANDARD_DEVIATION 5.8 • n=285 Participants
Subjective social status
6.0 units on a scale
STANDARD_DEVIATION 2.1 • n=143 Participants
6.0 units on a scale
STANDARD_DEVIATION 2.2 • n=142 Participants
6.0 units on a scale
STANDARD_DEVIATION 2.1 • n=285 Participants

PRIMARY outcome

Timeframe: post-intervention (10-15 weeks).

Difference between intervention and control groups in mean overall diet quality by Healthy Eating Index-2015 scores immediately post-intervention (10-15 weeks). Healthy Eating Index-2015 scores are calculated from 24-hour dietary recalls and can range from 0-100, with a higher score indicating higher diet quality.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Overall Diet Quality by Healthy Eating Index-2015 Scores Immediately Post-intervention (10-15 Weeks)
63.6 score on a scale
Standard Error 1.3
62.1 score on a scale
Standard Error 1.3

PRIMARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Difference between intervention and control groups in mean overall diet quality by Healthy Eating Index-2015 scores at 16 weeks post-intervention (26-31 weeks). Healthy Eating Index-2015 scores are calculated from 24-hour dietary recalls and can range from 0-100, with a higher score indicating higher diet quality.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Overall Diet Quality by Healthy Eating Index-2015 Scores at 16 Weeks Post-intervention (26-31 Weeks)
62.0 score on a scale
Standard Error 1.4
59.2 score on a scale
Standard Error 1.4

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Items on the 14-item Warwick-Edinburgh Mental Well-Being Scale are self-reported over the past two weeks. There are 14 items with 5 response categories (1=none of the time; 5=all of the time), summed to provide a single score ranging from 14-70. A higher score indicates higher perceived mental well-being.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Mental Well-being Scores by Warwick-Edinburgh Mental Well-Being Scale Immediately Post-intervention (10-15 Weeks)
48.8 score on a scale
Standard Error 0.8
48.3 score on a scale
Standard Error 0.8

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Items on the 14-item Warwick-Edinburgh Mental Well-Being Scale are self-reported over the past two weeks. There are 14 items with 5 response categories (1=none of the time; 5=all of the time), summed to provide a single score ranging from 14-70. A higher score indicates higher perceived mental well-being.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Mental Well-being Scores by Warwick-Edinburgh Mental Well-Being Scale at 16 Weeks Post-intervention (26-31 Weeks)
49.5 score on a scale
Standard Error 0.9
48.8 score on a scale
Standard Error 0.9

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Items on the 8-item Brief Sense of Community Scale are self-reported in which each item is scored using a Likert Scale of 1 (strongly disagree) to 5 (strongly agree). Scores can range from 8-40. A higher score indicates a stronger sense of community.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Sense of Community by the Brief Sense of Community Scale Immediately Post-intervention (10-15 Weeks)
28.8 score on a scale
Standard Error 0.5
27.9 score on a scale
Standard Error 0.5

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Items on the 8-item Brief Sense of Community Scale are self-reported in which each item is scored using a Likert Scale of 1 (strongly disagree) to 5 (strongly agree). Scores can range from 8-40. A higher score indicates a stronger sense of community.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Sense of Community by the Brief Sense of Community Scale at 16 Weeks Post-intervention (26-31 Weeks)
29.1 score on a scale
Standard Error 0.5
29.4 score on a scale
Standard Error 0.5

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Difference between intervention and control groups in the odds of experiencing household food insecurity immediately post-intervention (10-15 weeks). Items on the 18-item Household Food Security Survey Module are self-reported in relation to experiences in the past month.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Food secure
46 Participants
35 Participants
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Food insecure
88 Participants
87 Participants
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Missing
9 Participants
20 Participants

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Difference between intervention and control groups in the odds of experiencing household food insecurity at 16 weeks post-intervention (26-31 weeks). Items on the 18-item Household Food Security Survey Module are self-reported in relation to experiences in the past month.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Food secure
49 Participants
48 Participants
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Food insecure
74 Participants
73 Participants
Difference Between Intervention and Control Groups in the Odds of Experiencing Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Missing
20 Participants
21 Participants

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Population: Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages

Items on the Malnutrition Universal Screening Tool are self-reported and based on BMI (scored as 0= \>20, 1= 18.5-20, 2 = \<18.5) and percent of unplanned weight loss in the past 3-4 months (scored as 0 = \<5%, 1 = 5-10%, 2 = \>10%). Overall risk of malnutrition will be scored as 0=low risk, 1= medium risk, and \>= 2= high risk.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=122 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=124 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
Medium/high malnutrition risk
26 Participants
20 Participants
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
Low malnutrition risk
87 Participants
91 Participants
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
Missing
9 Participants
13 Participants

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Population: Participants who were pregnant or breastfeeding were excluded given the changes in weight and body composition throughout these life stages.

Items on the Malnutrition Universal Screening Tool are self-reported and based on BMI (scored as 0= \>20, 1= 18.5-20, 2 = \<18.5) and percent of unplanned weight loss in the past 3-4 months (scored as 0 = \<5%, 1 = 5-10%, 2 = \>10%). Overall risk of malnutrition will be scored as 0=low risk, 1= medium risk, and \>= 2= high risk.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=123 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=124 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
Medium/high malnutrition risk
24 Participants
19 Participants
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
Low malnutrition risk
83 Participants
86 Participants
Difference Between Intervention and Control Groups in the Odds of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
Missing
16 Participants
19 Participants

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Healthy Eating Index (HEI)-2015 scores are calculated from 24-hour dietary recalls. HEI-2015 total scores can range from 0-100, with a higher score indicating a higher diet quality. HEI-2015 total scores are calculated by summing subscores for adequacy components (total fruits, whole fruits, total vegetables, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, fatty acids) and moderation components (refined grains, sodium, added sugars, saturated fats). Possible subscale scores are as follows: Adequacy components (higher score indicates a higher intake): Total vegetables (0-5) Greens and beans (0-5) Total fruits (0-5) Whole fruits (0-5) Whole grains (0-10) Dairy (0-10) Total protein foods (0-5) Seafood and plant proteins (0-5) Fatty acids (0-10) Moderation components (higher score indicates a lower intake) Sodium (0-10) Refined grains (0-10) Saturated fats (0-10) Added sugars (0-10)

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Fatty acids
6.0 score on a scale
Standard Error 0.4
5.8 score on a scale
Standard Error 0.4
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Greens and beans
3.3 score on a scale
Standard Error 0.2
2.9 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Total fruits
3.4 score on a scale
Standard Error 0.2
3.0 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Whole grains
4.9 score on a scale
Standard Error 0.4
4.3 score on a scale
Standard Error 0.3
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Dairy
5.7 score on a scale
Standard Error 0.3
6.0 score on a scale
Standard Error 0.3
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Total protein
4.3 score on a scale
Standard Error 0.1
4.2 score on a scale
Standard Error 0.1
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Seafood and plant proteins
3.2 score on a scale
Standard Error 0.2
3.0 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Sodium
3.2 score on a scale
Standard Error 0.3
3.7 score on a scale
Standard Error 0.3
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Added sugars
8.9 score on a scale
Standard Error 0.2
8.7 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Total vegetables
4.3 score on a scale
Standard Error 0.1
4.1 score on a scale
Standard Error 0.1
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Whole fruits
3.6 score on a scale
Standard Error 0.2
3.1 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Refined grains
6.2 score on a scale
Standard Error 0.3
6.8 score on a scale
Standard Error 0.3
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 Immediately Post-intervention (10-15 Weeks)
Saturated fats
6.6 score on a scale
Standard Error 0.3
6.5 score on a scale
Standard Error 0.3

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Healthy Eating Index (HEI)-2015 scores are calculated from 24-hour dietary recalls. HEI-2015 total scores can range from 0-100, with a higher score indicating a higher diet quality. HEI-2015 total scores are calculated by summing subscores for adequacy components (total fruits, whole fruits, total vegetables, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, fatty acids) and moderation components (refined grains, sodium, added sugars, saturated fats). Possible subscale scores are as follows: Adequacy components (higher score indicates a higher intake): Total vegetables (0-5) Greens and beans (0-5) Total fruits (0-5) Whole fruits (0-5) Whole grains (0-10) Dairy (0-10) Total protein foods (0-5) Seafood and plant proteins (0-5) Fatty acids (0-10) Moderation components (higher score indicates a lower intake) Sodium (0-10) Refined grains (0-10) Saturated fats (0-10) Added sugars (0-10)

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Greens and beans
3.4 score on a scale
Standard Error 0.2
3.0 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Total protein
4.2 score on a scale
Standard Error 0.2
4.2 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Seafood and plant proteins
3.1 score on a scale
Standard Error 0.2
2.9 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Fatty acids
5.2 score on a scale
Standard Error 0.4
6.0 score on a scale
Standard Error 0.4
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Sodium
2.9 score on a scale
Standard Error 0.3
3.8 score on a scale
Standard Error 0.3
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Refined grains
6.3 score on a scale
Standard Error 0.4
5.7 score on a scale
Standard Error 0.4
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Saturated fats
6.1 score on a scale
Standard Error 0.3
6.4 score on a scale
Standard Error 0.3
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Added sugars
8.8 score on a scale
Standard Error 0.2
8.5 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Total vegetables
4.2 score on a scale
Standard Error 0.1
4.1 score on a scale
Standard Error 0.1
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Total fruits
2.8 score on a scale
Standard Error 0.2
2.6 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Whole fruits
3.3 score on a scale
Standard Error 0.2
2.8 score on a scale
Standard Error 0.2
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Whole grains
5.3 score on a scale
Standard Error 0.4
3.9 score on a scale
Standard Error 0.4
Difference Between Intervention and Control Groups in Mean Diet Quality Subscores by Healthy Eating Index-2015 at 16 Weeks Post-intervention (26-31 Weeks)
Dairy
6.4 score on a scale
Standard Error 0.3
5.1 score on a scale
Standard Error 0.3

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Difference between intervention and control groups in the risk of experiencing marginal, moderate, or severe household food insecurity (relative to being food secure) immediately post-intervention (10-15 weeks). Items on the 18-item Household Food Security Survey Module are self-reported in relation to experiences in the past month.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Food secure
46 Participants
35 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Marginal food insecurity
25 Participants
24 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Moderate food insecurity
39 Participants
35 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Severe food insecurity
24 Participants
28 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity Immediately Post-intervention (10-15 Weeks)
Missing
9 Participants
20 Participants

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Difference between intervention and control groups in the risk of experiencing marginal, moderate, or severe household food insecurity (relative to being food secure) at 16 weeks post-intervention (26-31 weeks). Items on the 18-item Household Food Security Survey Module are self-reported in relation to experiences in the past month.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Food secure
49 Participants
48 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Marginal food insecurity
19 Participants
14 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Moderate food insecurity
38 Participants
31 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Severe food insecurity
17 Participants
28 Participants
Difference Between Intervention and Control Groups in the Risk of Experiencing Marginal, Moderate, or Severe Household Food Insecurity at 16 Weeks Post-intervention (26-31 Weeks)
Missing
20 Participants
21 Participants

SECONDARY outcome

Timeframe: post-intervention (10-15 weeks).

Population: Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.

Difference between intervention and control groups in the risk of being at a medium or high risk of malnutrition (relative to being at low risk of malnutrition) by Malnutrition Universal Screening Tool immediately post-intervention (10-15 weeks). Items on the Malnutrition Universal Screening Tool are self-reported and based on BMI (scored as 0= \>20, 1= 18.5-20, 2 = \<18.5) and percent of unplanned weight loss in the past 3-4 months (scored as 0 = \<5%, 1 = 5-10%, 2 = \>10%). Overall risk of malnutrition was scored as 0=low risk, 1= medium risk, and \>= 2= high risk.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=122 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=124 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
Low malnutrition risk
87 Participants
91 Participants
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
Medium malnutrition risk
18 Participants
9 Participants
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
High malnutrition risk
8 Participants
11 Participants
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool Immediately Post-intervention (10-15 Weeks)
Missing
9 Participants
13 Participants

SECONDARY outcome

Timeframe: 16 weeks post-intervention (26-31 weeks).

Population: Participants who were pregnant or breastfeeding (n=39) were excluded given the changes in weight and body composition throughout these life stages.

Difference between intervention and control groups in the risk of being at a medium or high risk of malnutrition (relative to being at low risk of malnutrition) by Malnutrition Universal Screening Tool at 16 weeks post-intervention (26-31 weeks). Items on the Malnutrition Universal Screening Tool are self-reported and based on BMI (scored as 0= \>20, 1= 18.5-20, 2 = \<18.5) and percent of unplanned weight loss in the past 3-4 months (scored as 0 = \<5%, 1 = 5-10%, 2 = \>10%). Overall risk of malnutrition was scored as 0=low risk, 1= medium risk, and \>= 2= high risk.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=123 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=124 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
Low malnutrition risk
83 Participants
86 Participants
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
Medium malnutrition risk
14 Participants
14 Participants
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
High malnutrition risk
10 Participants
5 Participants
Difference Between Intervention and Control Groups in the Risk of Being at a Medium or High Risk of Malnutrition by Malnutrition Universal Screening Tool at 16 Weeks Post-intervention (26-31 Weeks)
Missing
16 Participants
19 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: post-intervention (10-15 weeks).

The MacArthur Scale of Subjective Social Status community ladder consists of a self-reported visual analog scale, whereby respondents place themselves on a ladder rung according to their perceived social standing relative to others in their community. Responses can take a value from 1-10, with a higher score indicating higher perceived social status in relation to others' within ones' community.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Subjective Social Status by the MacArthur Scale of Subjective Social Status Community Ladder Immediately Post-intervention (10-15 Weeks)
5.7 score on a scale
Standard Error 0.2
5.7 score on a scale
Standard Error 0.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 16 weeks post-intervention (26-31 weeks)

The MacArthur Scale of Subjective Social Status community ladder consists of a self-reported visual analog scale, whereby respondents place themselves on a ladder rung according to their perceived social standing relative to others in their community. Responses can take a value from 1-10, with a higher score indicating higher perceived social status in relation to others' within ones' community.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Difference Between Intervention and Control Groups in Mean Subjective Social Status by the MacArthur Scale of Subjective Social Status Community Ladder at 16 Weeks Post-intervention (26-31 Weeks)
5.9 score on a scale
Standard Error 0.2
5.8 score on a scale
Standard Error 0.2

OTHER_PRE_SPECIFIED outcome

Timeframe: post-intervention (10-15 weeks)

Population: Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported sex.

Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported sex immediately post-intervention (10-15 weeks). Healthy Eating Index (HEI)-2015 scores are calculated from 24-hour dietary recalls. HEI-2015 total scores can range from 0-100, with a higher score indicating a higher diet quality. HEI-2015 total scores are calculated by summing subscores for adequacy components (total fruits, whole fruits, total vegetables, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, fatty acids) and moderation components (refined grains, sodium, added sugars, saturated fats). Adequacy and moderation components are each scored from 0-5, except for whole grains, dairy, and fatty acids, which are each scored from 0-10. For adequacy components, a higher score indicates a higher intake, whereas, for moderation components, a higher score indicates a lower intake.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Sex Immediately Post-intervention (10-15 Weeks)
Males
58.8 score on a scale
Standard Error 11.7
62.1 score on a scale
Standard Error 12.9
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Sex Immediately Post-intervention (10-15 Weeks)
Females
62.2 score on a scale
Standard Error 15.2
62.8 score on a scale
Standard Error 14.8

OTHER_PRE_SPECIFIED outcome

Timeframe: post-intervention (10-15 weeks)

Population: Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported age.

Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported age immediately post-intervention (10-15 weeks). Healthy Eating Index (HEI)-2015 scores are calculated from 24-hour dietary recalls. HEI-2015 total scores can range from 0-100, with a higher score indicating a higher diet quality. HEI-2015 total scores are calculated by summing subscores for adequacy components (total fruits, whole fruits, total vegetables, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, fatty acids) and moderation components (refined grains, sodium, added sugars, saturated fats). Adequacy and moderation components are each scored from 0-5, except for whole grains, dairy, and fatty acids, which are each scored from 0-10. For adequacy components, a higher score indicates a higher intake, whereas, for moderation components, a higher score indicates a lower intake.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Age Immediately Post-intervention (10-15 Weeks)
Age 18-59 years
61.6 score on a scale
Standard Deviation 15.4
62.0 score on a scale
Standard Deviation 15.0
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Age Immediately Post-intervention (10-15 Weeks)
Age 60+ years
62.9 score on a scale
Standard Deviation 13.5
65.3 score on a scale
Standard Deviation 12.9

OTHER_PRE_SPECIFIED outcome

Timeframe: 16 weeks post-intervention (26-31 weeks)

Population: Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported sex

Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported sex at 16 weeks post-intervention (26-31 weeks). Healthy Eating Index-2015 scores are calculated from 24-hour dietary recalls.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Sex at 16 Weeks Post-intervention (26-31 Weeks)
Males
59.1 score on a scale
Standard Deviation 11.5
59.7 score on a scale
Standard Deviation 13.7
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Sex at 16 Weeks Post-intervention (26-31 Weeks)
Females
59.9 score on a scale
Standard Deviation 15.0
60.3 score on a scale
Standard Deviation 14.9

OTHER_PRE_SPECIFIED outcome

Timeframe: 16 weeks post-intervention (26-31 weeks)

Population: Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported age.

Subgroup analysis for impact of intervention on overall diet quality (assessed by Healthy Eating Index-2015) by self-reported age at 16 weeks post-intervention (26-31 weeks). Healthy Eating Index-2015 scores are calculated from 24-hour dietary recalls.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Age at 16 Weeks Post-intervention (26-31 Weeks)
18-59 years
59.3 score on a scale
Standard Deviation 15.2
59.6 score on a scale
Standard Deviation 14.9
Subgroup Analysis for Impact of Intervention on Overall Diet Quality (Assessed by Healthy Eating Index-2015) by Age at 16 Weeks Post-intervention (26-31 Weeks)
60+ years
61.5 score on a scale
Standard Deviation 12.8
62.7 score on a scale
Standard Deviation 13.9

OTHER_PRE_SPECIFIED outcome

Timeframe: post-intervention (10-15 weeks)

Self-reported frequency of purchasing food in farmers' markets. "How often did you buy food at a farmers' market (using coupons or money)?"

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Frequency of Purchasing Food in Farmers' Markets
Never
5 Participants
60 Participants
Frequency of Purchasing Food in Farmers' Markets
Less than once per month
6 Participants
11 Participants
Frequency of Purchasing Food in Farmers' Markets
Once or twice per month
38 Participants
27 Participants
Frequency of Purchasing Food in Farmers' Markets
One per week
76 Participants
18 Participants
Frequency of Purchasing Food in Farmers' Markets
More than once per week
9 Participants
4 Participants
Frequency of Purchasing Food in Farmers' Markets
Missing
9 Participants
22 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: post-intervention (10-15 weeks)

Population: Includes only participants who reported purchasing foods from farmers' markets

Self-reported frequency of money spent at farmers' markets (excluding coupons) among participants who reported purchasing foods from farmers' markets. "How often did you spend household money at a farmers' market? Do not include items you bought with coupons (if applicable)."

Outcome measures

Outcome measures
Measure
FMNCP Group
n=129 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=60 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Frequency of Money Spent at Farmers' Markets at Post-intervention (Excluding Coupons)
Never
43 Participants
6 Participants
Frequency of Money Spent at Farmers' Markets at Post-intervention (Excluding Coupons)
Less than once per month
21 Participants
12 Participants
Frequency of Money Spent at Farmers' Markets at Post-intervention (Excluding Coupons)
Once or twice per month
36 Participants
22 Participants
Frequency of Money Spent at Farmers' Markets at Post-intervention (Excluding Coupons)
One per week
23 Participants
15 Participants
Frequency of Money Spent at Farmers' Markets at Post-intervention (Excluding Coupons)
More than once per week
4 Participants
4 Participants
Frequency of Money Spent at Farmers' Markets at Post-intervention (Excluding Coupons)
Missing
2 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: post-intervention (10-15 weeks)

Population: Includes only participants who reported spending money at farmers' markets.

Self-reported amount of money spent at farmers' markets using coupons and own money

Outcome measures

Outcome measures
Measure
FMNCP Group
n=84 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=53 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Amount of Money Spent at Farmers' Markets
$1 - $5
17 Participants
2 Participants
Amount of Money Spent at Farmers' Markets
$6 - $10
25 Participants
9 Participants
Amount of Money Spent at Farmers' Markets
$11 - $19
26 Participants
25 Participants
Amount of Money Spent at Farmers' Markets
$20 or more
14 Participants
14 Participants
Amount of Money Spent at Farmers' Markets
Missing
2 Participants
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Assessed at post-intervention (10-15 weeks)

Number of coupons redeemed to purchase vegetables, fruit, meat and fish, eggs, dairy, cut herbs, and nuts.

Outcome measures

Outcome measures
Measure
FMNCP Group
n=12106 Coupons redeemed
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Vegetables
4718 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Fruits
2125 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Meat and fish
1348 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Eggs
1225 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Dairy
452 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Cut herbs
57 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Nuts
2 Coupons
Objective Data (From Coupons) on Foods Purchased Using Coupons at Farmers' Markets
Unmarked coupons
2179 Coupons

OTHER_PRE_SPECIFIED outcome

Timeframe: Assessed at post-intervention (10-15 weeks)

Population: Includes only participants who reported purchasing foods from farmers' markets

Self-Reported Foods Purchased at Farmers' Markets using own money (excluding coupons).

Outcome measures

Outcome measures
Measure
FMNCP Group
n=82 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=53 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Vegetables
28 Participants
31 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Fruits
12 Participants
9 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Meat
13 Participants
3 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Dairy
4 Participants
3 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Eggs
4 Participants
1 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Cut herbs
1 Participants
0 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Nuts
0 Participants
0 Participants
Foods Purchased at Farmers' Markets Using Own Money (Excluding Coupons)
Other
20 Participants
6 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Assessed at post-intervention (10-15 weeks)

Self-reported data on attendance to nutrition skill-building activities ("Did you go to nutrition skill building activities offered by your community partner?")

Outcome measures

Outcome measures
Measure
FMNCP Group
n=143 Participants
Study participants in the FMNCP group received 16 coupon sheets valued at CAD $21/sheet over 10-15 weeks to purchase healthy foods from farmers' markets and were eligible to participate in nutrition skill-building activities.
Control Group
n=142 Participants
Study participants in the control group did not receive coupons and were not eligible to participate in nutrition skill-building activities.
Nutrition Skill-building Activity Attendance
Yes
45 Participants
29 Participants
Nutrition Skill-building Activity Attendance
No
81 Participants
90 Participants
Nutrition Skill-building Activity Attendance
Missing
17 Participants
23 Participants

Adverse Events

FMNCP Group

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

Control Group

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

Dr. Dana Lee Olstad

University of Calgary

Phone: 403-210-8673

Results disclosure agreements

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