Source: FAMILIES ANCHORED IN TOTAL HARMONY INC submitted to NRP
FAITH FOOD IS MEDICINE PROGRAM
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1029453
Grant No.
2022-70424-38546
Cumulative Award Amt.
$500,000.00
Proposal No.
2022-06991
Multistate No.
(N/A)
Project Start Date
Sep 15, 2022
Project End Date
Sep 14, 2025
Grant Year
2022
Program Code
[PPR]- Produce Prescription
Recipient Organization
FAMILIES ANCHORED IN TOTAL HARMONY INC
201 E 5TH AVE
GARY,IN 46402
Performing Department
(N/A)
Non Technical Summary
Families Anchored in Totally Harmony, Inc., in partnership with Methodist Hospitals at its Northlake and Midlake campuses, along with local farmers--Carl's Small Farms and Baby Greens Family Farms--are providing the FAITH Food is Medicine Program, a prescription food program. The program is focused on diabetes, digestive, heart, and vascular specialties led by Methodist physicians prescribing healthy produce on a weekly basis, accessed through refrigerated lockers located conveniently at Northlake & Midlake campuses, and a third community location at Bilco's Barbershop at 2448 Broadway, Gary, IN 46407.The FAITH Food is Medicine Program is focused on African-American adult men and women that are patients at Methodist with at least one diagnosed concern related to diabetes, digestive, heart, and vascular diseases. FAITH Food is Medicine is prescribed to Methodist patients by multi-specialty physicians at Midlake campus. Program participants can pick up produce from refrigerated produce lockers upon completion of their specialty appointment at Midlake Campus, post-discharge from Northlake hospital, or even before or after their hair appointment at Bilco's Barbershop.FAITH Food is Medicine Program participants receive a packaged produce box worth $20 in produce. Participants are provided an access code to refrigerated lockers weekly (mechanism includes a swipe card, app or texted code) and can pick up a produce box each week over the two-year program. Participants respond to surveys on recommended recipes and produce selection to receive each additional week's locker code to access produce. Participants receive recipes and nutrition education to support consumption of the provided produce and encourage overall healthful eating. The program aims to increase fruit and vegetable consumption, reduce food insecurity, and reduce medical utilization and medical costs.
Animal Health Component
100%
Research Effort Categories
Basic
0%
Applied
100%
Developmental
0%
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70360101010100%
Knowledge Area
703 - Nutrition Education and Behavior;

Subject Of Investigation
6010 - Individuals;

Field Of Science
1010 - Nutrition and metabolism;
Goals / Objectives
Goal 1: Year 1 - FAITH Food is Medicine Program shall serve a total of 75 patients.Goal 2: Year 2 - FAITH Food is Medicine Program shall serve a total of 100 patients.Objective A: 50% of enrolled patients shall remain in the program for six months or longer.Outcome: Heart and Vascular participants show improvement in blood pressure compared to start of program and trended quarterly.Outcome: Diabetes participants show improvement in HbA1C compared to start of program and trended quarterly.Outcome: Digestive participants show improvement in Gastric manometry and gut transit time compared to start of program and trended quarterly.Objective B: 80% of active program participants shall show an increase in overall health education.Activity: Survey provided weekly with disease state specific health education; improvement measured quarterly based on survey results.Objective C: 80% of active program participants shall show an increase in food nutrition education.Activity: Survey provided weekly with actual food nutrition education; improvement measured quarterly based on survey results.Long-Term Impacts :Healthy selection of produce prioritized over other food choices.Practice of behavior change first - what I can control before pharmacological or surgical interventions.
Project Methods
Physicians refer patients to programParticipating physicians will identify potential patient participants during patient encounters or by reviewing patient medical charts. Upon confirming eligibility and interest, the physician will refer the patient by completing a short online form. FAITH CDC will provide the patient instructions to complete surveys and access produce.Patient completes weekly survey andreceives weekly box of fresh produceProgram participants must complete short surveys on health education competency, recipe preference, and produce selection to "unlock" their code for next week's produce access at the refrigerated locker. Surveys are provided on the Qualtrics platform and texted to participants. Direct text response is available or form completion on computing device. The access code delivery is part of the refrigerated locker user interface. The access code provisioning will be completed by Project Director.Produce managementThe fulfillment of produce boxes will be completed by Produce Delivery staff members and the packaging of produce boxes will be completed by Produce Packaging staff. FAITH CDC will be responsible for back-end program management, including inventory management as well as e-commerce selection and tracking of produce. Given the partnerships with other local farms, a simple purchase order and invoice process will be utilized.Patient receives ongoing educationPatients will receive aligned recipes in their weekly box. They will also receive nutrition education provided by a Methodist Hospital Registered Dietitian Nutritionist. Examples of education topics include benefits of consuming fruits and vegetables and how to healthfully prepare produce.Impact of program is measured.The Center for Urban and Regional Excellent (CURE) at IU Northwest will participate as a research partner. This will include the standard IU IRB review process. Professor Ellen Szarleta, the Director of CURE, will lead this research.Professor Frank Nierwicki at Indiana University Bloomington has agreed to serve as the evaluator. The evaluation will assess program processes and effectiveness related to the GusNIP goals: increased fruit and vegetable intake, reduced food insecurity, and reduced healthcare utilization and costs.Data to measure impact will originate from surveys managed by FAITH CDC and utilization and cost analysis conducted by Methodist Hospital.

Progress 09/15/23 to 09/14/24

Outputs
Target Audience:Since Program inception we have serviced 100 participants various diagnosis, Cardivasculr, Diabetes , Gi Disorders via physician referrals, Live cooking demonstrattions montly, nutrtion education, heart healthy low sodium low,cholesterol, low carb recipies . We have bypassed our first year projected goals of participants , apporoved a no cost extention until sept 2025 Box Produce distribution bi-weekly 50 participants per cohort- we are now close to ending our second co-hort waiting in que are 75 partcipants with additonal physician referrals coming in wekly Changes/Problems:Only major change was increasing box incentive from 20 dollars to 40 dollarsbeyond that theintitial proposal we are following the original process . What opportunities for training and professional development has the project provided?Nurtritioneducation Monthly, Live cooking demonstrations low carb, low cholesterol, low sodium usingproduce in distribution box,Faith has become a blood presssyre Hub in Partnership with the American heat association pop up blood pressure screenings with box distribution, participants provided logs for home screening, Participants offered instruction on my chart education.any laboratory data provided volunterally from praticioants. How have the results been disseminated to communities of interest?I.R.B Indiana university tracking data from monthly progress reports , Partnership with private physicinas, Meeting with Mehotidst Hospital leadeship team. and F.Q.H.C.'S all recieve copies of overall porgress reports . Health Fairs information booths on P.P.R. N.I.F.A. programs . Speaking engagements What do you plan to do during the next reporting period to accomplish the goals?Continue Box Progress reports note any changes for documentation .reach out to physician partnerships

Impacts
What was accomplished under these goals? We are on tract for program participatio year one goals , we have an overage of 25 participants. 75 participants waiting in que for January start with additional referralscoming in weekly expected goal to be meant for year 2 Objective A. surpassed 100% participation no drop offs , Reports from partcipants show 32% reported hgb A1c decrease Outcome : Digestive reproted data from 10% of participants show gastric motility stabilization based on diagnosis Objective B 69% of Partcipants show increase in knowledge od overall health education working towards goal of 80% Objective C 72% report increased knowledge of nutrtion education working towards goal of 80% 49 % report behavorial chnages decrease in anxious feelings able to afford more food in home due to produce boxes decrease in food insecurity stabilizing mental health will work towards goal of 80% 71% report prioritizing healthy selections ove high cholesterol,r high carb, high fructose options ,

Publications


    Progress 09/15/22 to 09/14/23

    Outputs
    Target Audience: Nothing Reported Changes/Problems: Nothing Reported 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?Starting referral process convene meetingwith physicians to build capacity. Meeting with nutrition educator NP to build nutrition education schedule .Implement qualtrics pre-survey, order needed supplies for produce dustrinution schedule distribution dates and times.

    Impacts
    What was accomplished under these goals? Nothing to report Just Received I.R.B. approval December 2023 now taking referrals for project start

    Publications