Cardiovascular Risk Reduction for Adults With Food Insecurity Using Structured Incentives

NCT ID: NCT06818669

Last Updated: 2026-02-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-01

Study Completion Date

2031-06-30

Brief Summary

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The overarching aim of this proposal is to test the efficacy and cost-effectiveness of CVD-FIT, a novel, multi-component intervention that includes three components: 1) monthly income supplementation; 2) weekly structured incentive for the purchase of healthy food options; and 3) evidence-based telephone delivered CVD risk reduction education and skills training in African Americans with food insecurity.

Detailed Description

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Study Overview: 200 African American adults at risk for CVD with food insecurity will be randomized 1:1 to CVD-FIT or enhanced usual care (CVD risk reduction education). Each patient will be followed for 12 months, with study visits at baseline, 3, 6, and 12 months. The primary outcome will be 10-year CVD risk using the Pooled Cohort Equation at 12 months post-randomization while the secondary outcomes will be quality of life at 12 months post-randomization and cost-effectiveness of the CVD-FIT intervention compared to enhanced usual care.

Patient Randomization. A permuted block randomization method will be used to assign subjects to intervention or control. All subjects who are randomized will be entered into the study database and analyzed according to CONSORT guidelines.

Description of the CVD-FIT Intervention: The CVD-FIT intervention will incorporate 1) $100 monthly income supplementation; 2) $50 weekly structured incentive for the purchase of healthy food options; and 3) evidence-based telephone delivered CVD risk reduction education and skills training.

Enhanced Usual Care Control Group: Participants randomized to the enhanced usual care group will receive the same mailed education and health educator delivered education and skills training sessions as the CVD-FIT intervention group.

Conditions

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Cardiovascular Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be randomized 1:1 to CVD-FIT (a multi-component intervention that includes three components: 1) monthly income supplementation; 2) weekly structured incentive for the purchase of healthy food options; and 3) evidence-based telephone delivered CVD risk reduction education and skills training) or enhanced usual care (CVD risk reduction education).
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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CVD-FIT

The structured incentive will include monthly supplemental income plus weekly reimbursement for the purchase of healthy food options. Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.

Group Type EXPERIMENTAL

CVD-FIT

Intervention Type BEHAVIORAL

The structured incentive will include monthly supplemental income plus weekly reimbursement for the purchase of healthy food options. Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.

Enhanced Usual Care

Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.

Group Type ACTIVE_COMPARATOR

Enhanced Usual Care

Intervention Type BEHAVIORAL

Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.

Interventions

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CVD-FIT

The structured incentive will include monthly supplemental income plus weekly reimbursement for the purchase of healthy food options. Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.

Intervention Type BEHAVIORAL

Enhanced Usual Care

Education for CVD risk reduction will include mailed education and telephone calls with a trained health educator.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* self-report as African American/non-Hispanic Black
* screen positive for food insecurity over the past 12-months using a food insecurity risk tool developed through completion of the research team's current NIH funded R01 (R01MD013826)
* at risk for CVD defined as age ≥40 years and having a clinical diagnosis of diabetes, or hypertension, or hyperlipidemia, or being overweight/obese (defined as a BMI\>25), or being a current smoker
* able to communicate in English.

Exclusion Criteria

* Mental confusion on interview suggesting significant dementia
* Participation in other cardiovascular disease clinical trials
* Alcohol or drug abuse/dependency based on screening using CAGE questionnaire
* Active psychosis or acute mental disorder based on self-report
* Life expectancy \<12 months.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Minority Health and Health Disparities (NIMHD)

NIH

Sponsor Role collaborator

State University of New York at Buffalo

OTHER

Sponsor Role lead

Responsible Party

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Rebekah Jo Walker

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University at Buffalo

Buffalo, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Rebekah J Walker, PhD

Role: CONTACT

716-829-5741

Jocelyn Stooks, MPH

Role: CONTACT

716-829-2364

Facility Contacts

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Rebekah J Walker, PhD

Role: primary

716-829-5741

Other Identifiers

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1R01MD018721-01A1

Identifier Type: NIH

Identifier Source: secondary_id

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R01MD018721

Identifier Type: NIH

Identifier Source: org_study_id

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