Progress 09/15/23 to 09/14/24
Outputs
Target Audience:The Fresh Choice Prescription Produce project will reach individuals in Mingo County, West Virginia and surrounding communities. According to 2019 America's Health Rankings data, West Virginia has the highest rates of diabetes (16.2%), obesity (39.5%), and high blood pressure (43.5%) in the nation. According to U.S. Census Bureau data, Mingo County's population is 0.1% American Indian/Alaskan Native, 0.3% Asian, 0.9% Hispanic/Latino, 2% Black, and 96.3% White. Residents in rural Mingo County have mostly grown up and lived their whole lives in the service area. Individuals who have traditionally experienced health disparities may include minority populations. In 2019, the median household income was $32,764 for a Mingo County resident and 24.9% of the population experienced poverty in their daily lives, over twice the estimated national average. Changes/Problems:The team has some questions about if the required survey for participants is asking the right questions of the participants. This required survey is part of the NTAE prescription produce survey guidelines, and the NTAE has talked about changing the survey questions in the future. As we approach ways to succeed with increasing fruit and vegetable consumption among the target population for the research study, the survey instrument is a tool that we continue to have questions about. We will be interested to see how and when NTAE updates the required survey instrument for prescription produce programs. What opportunities for training and professional development has the project provided?The study team worked with the Nutrition Incentive Hub to compile a list of publications for a literature review in order to prepare for future publications. The connection with technical assistance providers helped to introduce our team to research about prescription produce programs that was not previously known by our study team. How have the results been disseminated to communities of interest?The study team has not yet produced any publications. The study team has partnered with the Nutrition Incentive Hub to share study data, especially slef reported survey data through a Qualtrics platform. What do you plan to do during the next reporting period to accomplish the goals?The study team will continue to clean data sets for cohort 1-3 and will enroll cohorts 4 and 5. The study team is in the process of making a slight amendment to the protocol to switch "optional education classes" to "required education classes." The study team also is awaiting approval on a new syllabus for required education to be approved. The new syllabus is part of a collaboration with Family Cook Productions: Deliciously Healthy which includes promising practices for inspiring behavior change with regards to healthy eating and consumption of more fruits and vegetables. The team will also work on an initial protocol paper to publish as a process paper which the team will try to release prior to any publications that will be focused on presenting outcome data.
Impacts
What was accomplished under these goals?
During the report period, the study team accomplished tasks for the project to include: 1. Increase fruit and vegetable consumption Eligible individuals were enrolled in prescription produce cohorts. Data including biometrics (HbA1c, BP), pre/post surveys and monthly produce prescription uptake/redemption was tracked. Optional education classes were offered Healthy eating goals were set and discussedwith patients The study team convened on a regular basis to monitor study results and guide improvement 2. Improve access to healthy food in an Opportunity Zone The Fresh Choice Market implementedthe Prescription Produce program in an Opportunity Zone where fresh fruit and vegetables were made available and accessible to program participants. 3. Improve healthcare utilization among participants as demonstrated by healthcare claims data Aetna better health provided claims data for their beneficiaries who were part of the study and the study team began data cleaning for the initial analysis of the data to determine the impact of the program based on claims. 4. Share results broadly The study team connected withprescription produce programs statewide and engaged in peer learning about the research study. The study team completed a literature review and discussion of creating an initial publication related to the study.
Publications
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Progress 09/15/22 to 09/14/23
Outputs
Target Audience:The Fresh Choice Prescription Produce project reached the intended target audience including patients of a rural health center who are at-risk or diagnosed with chronic disease.According to 2019 America's Health Rankings data, West Virginia has the highest rates of diabetes (16.2%), obesity (39.5%), and high blood pressure (43.5%) in the nation.In 2019, the median household income was $32,764 for a Mingo County resident and 24.9% of the population experienced poverty in their daily lives, over twice the estimated national average. Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?The study team at UVA including Principal Investigator Rupa Valdez and statistician Rachel Jin assisted with training our team at a rural health center on how to conduct prescription produce research. Rupa Valdez showed the study team how to develop the protocol and Rachel Jin showed how to create a data dictionary and data collection tools for the study. 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?During the report period, cohort 1 will close and data analysis for the first cohort will begin. As data for the first cohort is analyzed the recruitment process will begin to gain consents for the next cohort. This process will continue through 5 cohorts. Cohort 4-5 of this research study are funded by this opportunity. We will share results with NTAE as the study proceeds, and continue with monthly reporting requirements. The prescription produce study is labor intensive and we anticipate good results in the end.
Impacts
What was accomplished under these goals?
During the performance period, the protocol was approved and the first cohort was launched. However, this grant funds later cohorts in the study which are under the same protocol. For this reason, there are no major updates on Goals 1-4. Those updates will be reported when the later cohorts funded by this opportunity are announced. Within goal 4, the study team hasconnected with WV Farmers Market Association and other statewide partners to engage in peer learning about prescription produce projects, sharing the model for the research study with those who come to visit and learn more.
Publications
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