Progress 09/15/22 to 01/24/25
Outputs
Target Audience:Low-income pre-diabetic and diabetic patients at Lone Star Circle of Care (FQHC) Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?Farmshare's project manager completed The Collaborative Institutional Training Initiative's course to train individual learners in research, ethics, regulatory oversight, responsible conduct of research, and research administration. This has opened up future collaborative opportunities for Farmshare to explore clinical, and research based nutrition intervention and incentive programs. Farmshare's food access director attended the project director's conference in New Orleans. Although this was mandatory training it was beneficial in understanding other approaches to nutrition incentive programs. The conference was useful in developing a vision for future Veggie Rx projects. How have the results been disseminated to communities of interest?Finalized results are still being compiled and will be shared with relevant communities as soon as possible. Notices to participants regarding any future opportunities for Veggie Rx participation has been sent out. This message also contained some preliminary data as shared above. What do you plan to do during the next reporting period to accomplish the goals?
Nothing Reported
Impacts
What was accomplished under these goals?
Farmshare, in collaboration with Lone Star Circle of Care (FQHC) and UT Dell Med has completed the Veggie Rx program with 100 participants with high A1C levels who identify as food insecure. Farmshare's Fresh for Less provided healthy food access through Mobile Markets and Home Delivery for the duration of the program to all participants who were actively engaged. Thirty-nine thousand dollars of incentives were distributed between May - August 2024. Of this total, $18,797 was used by participants during the 6-month period to purchase fruits and vegetables. Participants were given a $390 lump sum card to use at FFL Mobile Markets and Home Delivery. This approach allowed for participants to select the variety and quantity of food they prefer to suit their nutrition needs as best possible. Program Participation 100 participants consented into the program from Nov 2023 - February 2024. Of those 98 picked up their veggie RX card and received their educational material (handout from our community health worker). During the 6 month program period, 81/98(83%) used their card at least one time (46 from the mobile market, 17, home delivery, 18 both). 72 participants completed the posttest survey, with 64 using their card at least once and completing baseline and post-test assessments. This sample is what we will report for our outcome analyses in the final report. In our pilot project, participants reported an increased consumption of vegetables of about 1 serving per week. Variety of produce increase After completing the program, we asked participants to rate the following question on a scale of 1-5 (1=strongly disagree, 5= strongly agree): "As a result of shopping at the Fresh for Less Mobile Market or Home Delivery, the VARIETY of fresh fruits and vegetables my family eats has increased." On a scale of 1-5, program participants reported on average a 4.1 (standard deviation 1.3) to the statement "As a result of shopping at the Fresh for Less Mobile Market or Home Delivery, the VARIETY of fresh fruits and vegetables my family eats has increased." A Household food insecurity We administered the USDA 6-item household food insecurity screener at baseline and posttest, and 33% participants showed a decrease in household food insecurity (48% maintained, 19% increased). A1C Level Data Among card users with A1c values, Baseline HbA1c (n=54) was meanSD = 7.3(1.8) and Post HbA1c(n=31) was meanSD = 6.8(1.4). When looking at the subset of 19 individuals with both a pretest and post-test value, baseline A1c mean SD = 6.7(1.0) and post test A1c mean SD 6.7(1.4).
Publications
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Progress 09/15/22 to 01/15/25
Outputs
Target Audience:Low-income pre-diabetic and diabetic patients at Lone Star Circle of Care (FQHC) Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?Farmshare's project manager completed The Collaborative Institutional Training Initiative's course to train individual learners in research, ethics, regulatory oversight, responsible conduct of research, and research administration. This has opened up future collaborative opportunities for Farmshare to explore clinical, and research based nutrition intervention and incentive programs. Farmshare's food access director attended the project director's conference in New Orleans. Although this was mandatory training it was beneficial in understanding other approaches to nutrition incentive programs. The conference was useful in developing a vision for future Veggie Rx projects. How have the results been disseminated to communities of interest?Finalized results are still being compiled and will be shared with relevant communities as soon as possible. Notices to participants regarding any future opportunities for Veggie Rx participation has been sent out. This message also contained some preliminary data as shared above. What do you plan to do during the next reporting period to accomplish the goals?
Nothing Reported
Impacts
What was accomplished under these goals?
Farmshare, in collaboration with Lone Star Circle of Care (FQHC) and UT Dell Med has completed the Veggie Rx program with 100 participants with high A1C levels who identify as food insecure. Farmshare's Fresh for Less provided healthy food access through Mobile Markets and Home Delivery for the duration of the program to all participants who were actively engaged. Thirty-nine thousand dollars of incentives were distributed between May - August 2024. Of this total, $18,797 was used by participants during the 6-month period to purchase fruits and vegetables. Participants were given a $390 lump sum card to use at FFL Mobile Markets and Home Delivery. This approach allowed for participants to select the variety and quantity of food they prefer to suit their nutrition needs as best possible. Program Participation 100 participants consented into the program from Nov 2023 - February 2024. Of those 98 picked up their veggie RX card and received their educational material (handout from our community health worker). During the 6 month program period, 81/98(83%) used their card at least one time (46 from the mobile market, 17, home delivery, 18 both). 72 participants completed the posttest survey, with 64 using their card at least once and completing baseline and post-test assessments. This sample is what we will report for our outcome analyses in the final report. In our pilot project, participants reported an increased consumption of vegetables of about 1 serving per week. Variety of produce increase After completing the program, we asked participants to rate the following question on a scale of 1-5 (1=strongly disagree, 5= strongly agree): "As a result of shopping at the Fresh for Less Mobile Market or Home Delivery, the VARIETY of fresh fruits and vegetables my family eats has increased." On a scale of 1-5, program participants reported on average a 4.1 (standard deviation 1.3) to the statement "As a result of shopping at the Fresh for Less Mobile Market or Home Delivery, the VARIETY of fresh fruits and vegetables my family eats has increased." A Household food insecurity We administered the USDA 6-item household food insecurity screener at baseline and posttest, and 33% participants showed a decrease in household food insecurity (48% maintained, 19% increased). A1C Level Data Among card users with A1c values, Baseline HbA1c (n=54) was meanSD = 7.3(1.8) and Post HbA1c(n=31) was meanSD = 6.8(1.4). When looking at the subset of 19 individuals with both a pretest and post-test value, baseline A1c mean SD = 6.7(1.0) and post test A1c mean SD 6.7(1.4).
Publications
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Progress 09/15/23 to 09/14/24
Outputs
Target Audience:Low-incomepre-diabetic and diabetic patients at Lone Star Circle of Care (FQHC) Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?Farmshare's project manager completed The Collaborative Institutional Training Initiative's course to train individual learners in research, ethics, regulatory oversight, responsible conduct of research, and research administration. This has opened up future collaborative opportunities for Farmshare to explore clinical, and research based nutrition intervention and incentive programs. Farmshare's food access director attended the project director's conference in New Orleans. Although this was mandatory training it was beneficial in understanding other approaches to nutrition incentive programs. The conference was useful in developing a vision for future Veggie Rx projects. How have the results been disseminated to communities of interest?Finalized results are still being compiled and will be shared with relevant communities as soon as possible. Notices to participants regarding any future opportunities for Veggie Rx participation has been sent out. This message also contained some preliminary data as shared above. What do you plan to do during the next reporting period to accomplish the goals?During the month of December data will be finalized, and results will be shared.This is the final progress report for this program.
Impacts
What was accomplished under these goals?
Farmshare, in collaboration with Lone Star Circle of Care (FQHC) and UT Dell Med has completed the Veggie Rx program with 100 participants with high A1C levels who identify as food insecure. Farmshare's Fresh for Less provided healthy food access through Mobile Markets and Home Delivery for the duration of the program to all participants who were actively engaged. Thirty-nine thousand dollars of incentives were distributed between May - August 2024. Of this total, $18,797 was used by participants during the 6-month period to purchase fruits and vegetables. Participants were given a $390 lump sum card to use at FFL Mobile Markets and Home Delivery. This approach allowed for participants to select the variety and quantity of food they prefer to suit their nutrition needs as best possible. Program Participation 100 participants consented into the program from Nov 2023 - February 2024. Of those 98 picked up their veggie RX card and received their educational material (handout from our community health worker). During the 6 month program period, 81/98(83%) used their card at least one time (46 from the mobile market, 17, home delivery, 18 both). 72 participants completed the posttest survey, with 64 using their card at least once and completing baseline and post-test assessments. This sample is what we will report for our outcome analyses in the final report. In our pilot project, participants reported an increased consumption of vegetables of about 1 serving per week. Variety of produce increase After completing the program, we asked participants to rate the following question on a scale of 1-5 (1=strongly disagree, 5= strongly agree): "As a result of shopping at the Fresh for Less Mobile Market or Home Delivery, the VARIETY of fresh fruits and vegetables my family eats has increased." On a scale of 1-5, program participants reported on average a 4.1 (standard deviation 1.3) to the statement "As a result of shopping at the Fresh for Less Mobile Market or Home Delivery, the VARIETY of fresh fruits and vegetables my family eats has increased." A Household food insecurity We administered the USDA 6-item household food insecurity screener at baseline and posttest, and 33% participants showed a decrease in household food insecurity (48% maintained, 19% increased).
Publications
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Progress 09/15/22 to 09/14/23
Outputs
Target Audience:
Nothing Reported
Changes/Problems:IRB and contract document approval between our clinical and evaluation partners took an extremely long time, thus pushing back our implementation start date.Farmshare has been granted a one year no-cost extension for the Veggie Rx. What opportunities for training and professional development has the project provided?
Nothing Reported
How have the results been disseminated to communities of interest?
Nothing Reported
What do you plan to do during the next reporting period to accomplish the goals?Farmshare Austin has been able to secure a clinical partner, Lone Star Circle of Care, a Federally Qualified Health Center, along with an evaluation partner, The University of Texas Dell Medical to move forward with implementaiton of the Veggie Rx. IRB and other contract documents have been completed and we are prepared to move forward with our project.In subsequent reporting periods we anticipate recruiting, enrolling and distributing incentives to patients. At the time of this report, December 12, 2023, these efforts are underway.
Impacts
What was accomplished under these goals?
N/A
Publications
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Progress 09/15/22 to 08/22/23
Outputs
Target Audience:
Nothing Reported
Changes/Problems:Farmshare Austin formally requested a no cost extension on August 11, 2023. We are currently awaiting a response to continue our work with Lone Star Circle of Care, a Federally Qualified Health Center (FQHC) to participate as our clinical partner. After our initial clinical partner expressed that they were unable to participale Farmshare was met with considerable difficulty in finding a new clinical partner that was able to meet the requirements for this project. The process to establish a relationship with the new FQHC, determine workflow and data sharing, and receive legal and operational approval from the FQHC took an additional six months. We anticipate finalizing agreements with a new clinical partner, Lone Star Circle of Care Collinfield Clinic, in the next several months and will be able to get this program off the ground soon after that. There will be no additional reporting requirements anticipated in order to compy with the award terms and conditions so long as we are granted a one year extension. What opportunities for training and professional development has the project provided?
Nothing Reported
How have the results been disseminated to communities of interest?
Nothing Reported
What do you plan to do during the next reporting period to accomplish the goals?
Nothing Reported
Impacts
What was accomplished under these goals?
When Farmshare was initially awarded this grant we had established a relationship with a Federally Qualified Health Center (FQHC) to participate as our clinical partner. Unfortunately, they were unable to complete the requirements for this agreement and had to rescind their participation well into the timeline established for this grant. Finding a new clinical partner that was able to meet the requirements for this project took a few months. The process to establish a relationship with the new FQHC, determine workflow and data sharing, and receive legal and operational approval from the FQHC took an additional six months. We anticipate finalizing agreements with a new clinical partner, Lone Star Circle of Care Collinfield Clinic, in the next several months and will be able to get this program off the ground soon after that. We have already begun hosting a Mobile Market on site at Lone Star Circle of Care Collinfield Clinic with wide interest and community support. All financial reporting, IRBs, and progress reports are up to date as best possible and will be maintained as required through the duration of this agreement.?
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