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Southern California Nutrition Incentive Program (SCNIP)

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ClinicalTrials.gov Identifier: NCT02976389
Recruitment Status : Not yet recruiting
First Posted : November 29, 2016
Last Update Posted : November 29, 2016
Sponsor:
Collaborators:
The California Endowment
The Ecology Center
Center for Good Food Purchasing
Northgate Gonzalez Markets
Latino Health Access
California Department of Health Services
United States Department of Agriculture (USDA)
Information provided by (Responsible Party):
Kay Rhee, University of California, San Diego

Brief Summary:
The specific aims of this proposal are to implement SCNIP in 6 Northgate Gonzalez Markets across San Diego, Orange and LA counties (2 in each county), and determine which level of financial incentive rebate (specifically, $10/month, $20/month, or $40/month) optimally increases the purchase and consumption of SNAP eligible fruits and vegetables.

Condition or disease Intervention/treatment Phase
Food Insecurity Other: Financial Incentive: High Other: Financial Incentive: Middle Other: Financial Incentive: Low Not Applicable

Detailed Description:
The University of California San Diego (UCSD) Center for Community Health, in collaboration with Northgate Gonzalez Markets and its regional partners, will implement a Food Insecurity Nutrition Incentive program in Los Angeles, Orange and San Diego Counties - the Southern California Nutrition Incentive Program (SCNIP). This program will develop, implement and evaluate a multi-tiered model that will enable low-income, SNAP-eligible consumers to make healthier food choices and purchase more fruits and vegetables. This model will include: tier 1) an innovative fruit and vegetable financial incentive rebate program that utilizes the consumer's Northgate Gonzalez Market customer loyalty card, electronic benefit transfer (EBT) card, and electronic wallet (e-wallet); tier 2) fruit and vegetable promotions that include discount pricing; and tier 3) SNAP-Ed programming (e.g., in-store cooking classes, tours, and healthy food self-labeling system) to educate and support the purchasing behaviors of SNAP-eligible families. Through the use of the customer loyalty card, EBT card, and e-wallet, the rebate program will be able to track the purchase of SCNIP eligible fruits and vegetables and provide a rebate at the point-of-sale that can be used to purchase additional fruits and vegetables, thus increasing the purchasing power of SNAP-eligible families for healthy food options. Earned and dispensed rebate dollars will be stored on the e-wallet enabling the tracking of purchasing behaviors and dollars spent on healthy fruits and vegetables in this program. With this data, we will be able to determine what level of financial incentive rebate ($10/month, $20/month, or $40/month) (tier 1) optimally increased SNAP families' per capita spending on fruits and vegetables in conjunction with the fruit and vegetable promotions (tier 2) and nutrition education activities (tier 3).

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 3780 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Southern California Nutrition Incentive Program
Study Start Date : January 2017
Estimated Primary Completion Date : July 2019
Estimated Study Completion Date : May 2020

Arm Intervention/treatment
Experimental: $40/month
Financial incentives: Participants will be randomized to receive $40/month in incentive dollars for the purchase of SNAP eligible fruits and vegetables. Purchasing behaviors will be tracked.
Other: Financial Incentive: High
dlParticipants in this group will receive an additional $40/month to use towards the purchase of SNAP eligible fruits and vegetables. They will be able to access these dollars through an electronic wallet (e-wallet) that is tied to their customer loyalty card. They will also have access to the fruit and vegetable promotions that include discount pricing and SNAP-Ed programming (e.g., in-store cooking classes, tours, and healthy food self-labeling system) to educate and support the purchasing behaviors of SNAP-eligible families.
Other Name: Mas Fresco

Active Comparator: $20/month
Financial Incentives: Participants will be randomized to receive $20/month in incentive dollars for the purchase of SNAP eligible fruits and vegetables. Purchasing behaviors will be tracked.
Other: Financial Incentive: Middle
Participants in this group will receive an additional $20/month to use towards the purchase of SNAP eligible fruits and vegetables. They will be able to access these dollars through an electronic wallet (e-wallet) that is tied to their customer loyalty card. They will also have access to the fruit and vegetable promotions that include discount pricing and SNAP-Ed programming (e.g., in-store cooking classes, tours, and healthy food self-labeling system) to educate and support the purchasing behaviors of SNAP-eligible families.
Other Name: Mas Fresco

Active Comparator: $10/month
Financial Incentives: Participants will be randomized to receive $10/month in incentive dollars for the purchase of SNAP eligible fruits and vegetables. Purchasing behaviors will be tracked.
Other: Financial Incentive: Low
Participants in this group will receive an additional $10/month to use towards the purchase of SNAP eligible fruits and vegetables. They will be able to access these dollars through an electronic wallet (e-wallet) that is tied to their customer loyalty card. They will also have access to the fruit and vegetable promotions that include discount pricing and SNAP-Ed programming (e.g., in-store cooking classes, tours, and healthy food self-labeling system) to educate and support the purchasing behaviors of SNAP-eligible families.
Other Name: Mas Fresco




Primary Outcome Measures :
  1. Dollars spent on Fruits and Vegetables [ Time Frame: 1 year ]
    Total amount of incentive dollars spent on Fruits and Vegetables per month

  2. Quantity of Fruits and Vegetables [ Time Frame: 1 year ]
    total quantity of fruits and vegetables purchased per month with incentive dollars


Secondary Outcome Measures :
  1. Dietary intake [ Time Frame: 1 year ]
    Change in self-reported fruit and vegetable consumption during the intervention

  2. Six-item short form of the Food Security Survey Module [ Time Frame: 1 year ]
    Change in food insecurity score at the end of the intervention period



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Northgate Gonzalez Market customer who currently receives SNAP benefits and has a valid EBT card
  • 18 years of age or older
  • Speaks and reads in English or Spanish
  • Shops at the selected Northgate Gonzalez Market regularly, at least two times per month

Exclusion Criteria:

  • Does not receive SNAP benefits
  • Unable to complete surveys in English or Spanish
  • Another immediate family member living in the same household is already recruited into the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02976389


Locations
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United States, California
University of California, San Diego
La Jolla, California, United States, 92093
Sponsors and Collaborators
University of California, San Diego
The California Endowment
The Ecology Center
Center for Good Food Purchasing
Northgate Gonzalez Markets
Latino Health Access
California Department of Health Services
United States Department of Agriculture (USDA)

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Responsible Party: Kay Rhee, Associate Professor of Pediatrics, University of California, San Diego
ClinicalTrials.gov Identifier: NCT02976389     History of Changes
Other Study ID Numbers: 2016-70025-25247
First Posted: November 29, 2016    Key Record Dates
Last Update Posted: November 29, 2016
Last Verified: November 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description: Data will be shared with USDA on a quarterly basis. Data will include number of participants recruited, amount of incentive dollars used. USDA will determine when this data will be released

Keywords provided by Kay Rhee, University of California, San Diego:
Supplemental Nutrition Assistance Program
Food insecurity
fruit and vegetable
healthy diet