Barriers to healthy food access: Associations with household income and cooking behavior.
Julia A Wolfson, Rebecca Ramsing, Caroline R Richardson...
https://pubmed.ncbi.nlm.nih.gov/30792944/Actively Recruiting
Led by North Carolina State University · Updated on 2025-10-27
30
Participants Needed
1
Research Sites
N/A
Total Duration
This research aims to explore how PhytoRx Families, an innovative produce prescription program, can impact nutrition, health, and healthcare use among families in rural North Carolina facing food insecurity. The study focuses on adults and school-aged children, addressing barriers like limited access to affordable healthy food in lower-resourced rural communities. Participants include 30 adult-child pairs with children aged 8 to 14 years. Healthcare providers at local clinics will refer eligible families who screen positive for food insecurity. The program provides fresh produce boxes and nutrition education over a 16-week period, aiming to improve fruit and vegetable intake and related health outcomes. During the study, participants will complete dietary recalls and health assessments at the start and end of the 16 weeks. Researchers will measure fruit and vegetable intake, diet quality, food security, blood pressure, HbA1C, body mass index, and various nutrition-related behaviors. The study will also track healthcare usage and evaluate changes over the intervention period.
CONDITIONS
A Food As Medicine Approach to Address Food Insecurity in Rural North Carolina
B
Basheerah Enahora, PhD
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North Carolina State University
Lead Sponsor
East Carolina University
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Fresh Food Prescription + Nutrition Education | Usual Care (Food Pantry or Standard Support) |
|---|---|---|
| What it is | A structured pilot program providing weekly boxes of fresh produce plus direct nutrition education for adults and children at risk of food insecurity. | Standard support typically consists of access to emergency food through food pantries, food banks, or informal nonprofit relief—without linked structured nutrition education or regular fresh produce boxes. |
| Role in study or context | Directly studied to assess feasibility, acceptability, and preliminary impact on diet, health, and food security in rural North Carolina. | Represents what eligible adults and children would typically access outside a formal produce prescription—usually ad-hoc food relief or pantry services. |
| Primary use or purpose | To improve fruit and vegetable intake, nutrition, and food security for families at risk, with added education on healthy eating. | Immediate reduction of food insecurity by providing food items; may not specifically target nutrition education or produce intake. |
| How it is given or performed | Fresh produce boxes are distributed to households on a regular schedule, paired with structured nutrition education classes for adult-child pairs. | Most food pantries provide shelf-stable foods on an as-needed, walk-in or scheduled basis; some provide limited or variable produce, rarely combined with formal education. |
| Evidence status | Pilot-testing stage; effectiveness under evaluation. Similar fresh food prescription programs in mixed settings have shown improved fruit and vegetable intake and food security. | Standard support can provide short-term food access, but consistently lower fruit/vegetable intake, poorer diet quality, and persistent food insecurity are common in rural communities. |
| Important limitations | Pilot program tested in a small, specific group with limited geographic reach; sustainability and long-term impact outside the trial setting remain uncertain. | Standard food aid may not address root causes of food insecurity or diet quality, and often fails to provide enough fruits and vegetables or education. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or virtual) for eligibility and consent
Duration - 16 weeks
Participants receive a produce prescription program that includes access to fresh produce and nutrition education classes aimed at improving fruit and vegetable intake and overall diet quality.
Baseline visit and end of study visit at 16 weeks
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
PREVENTION
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/33521534/North Carolina State University
Lead Sponsor
East Carolina University
Collaborating Sponsor