Clinical trial

Penn Medicine Food Market Study

Active, not recruiting · Not applicable · 1 countries · Registry ID NCT06283394

Active, not recruitingNot applicableInterventional

What this study is about

The goal of this interventional study is to test ways to improve the effectiveness of a healthy foods prescription program in increasing the purchase of healthy foods for patients who have both obesity (BMI \>or= 30) and diabetes (last A1C\>8 in the 90 days from data pull). The main questions it aims to answer are: Aim 1: Examine feasibility and engagement among participants by assessing percent enrollment among those identified as eligible, rates of Instacart platform use, amount of the subsidy used each week, and amounts of healthy foods ordered. Aim 2: Examine strategies to optimize the user experience of trial participation, including communication strategies and on-boarding, to increase uptake and engagement in this and subsequent studies. Usual Care (Control): Participants in the usual care arm will not receive weekly subsidies on Instacart, and they will not receive any modifications to the virtual storefront on Instacart. They will have access to the standard Instacart platform and Instacart + memberships with $5 per week to cover service and delivery fees and delivery tips for 3 months. Intervention Arms: The four treatment groups will also each receive a $160 subsidy per month for 3 months to be used on produce (fruits and vegetables).

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age30 Years to 70 Years

SexAll

Healthy volunteersNot accepted

ConditionObesity, Diabetes

Full registry criteria

Inclusion Criteria: * Between the ages of 30 and 70 * Patients in the Penn Medicine system who have obesity (BMI\>or=30) and diabetes (last A1C\>8 in the 90 days prior to data pull) * Self-report being comfortable online shopping * Have a backup payment option available to use in registering for Instacart Exclusion Criteria: * Not fluent in English * Opted out of research * The patient does not have a Primary care provider assigned * The patient is part of a Penn primary care practice engaged with the Healthy Heart Program

Treatments and study arms

Storefront Choice Architecture

Behavioral

An Instacart storefront with choice architecture manipulation (healthy items for diabetics appear first and less healthy items are less visible)

Fresh Funds

Behavioral

The treatment groups will each receive a $160 subsidy per month for 3 months to be used on produce through Instacart.

Loss Framing

Behavioral

They will receive text messages detailing how much of their $160 subsidy is left (beginning of weeks 1, 2, 3, and 4 and following end of the month).

Primary outcomes

The primary outcome will be the total expenditures spent on fruits and vegetables (dollars spent inclusive of application of subsidies)At the end of the 3 month intervention

The primary outcome will be the total expenditures spent on fruits and vegetables (dollars spent inclusive of application of subsidies)

Study locations

1 locations were listed when this page was built. The first 40 are shown.

The University of Pennsylvania🇺🇸 Philadelphia, Pennsylvania, United States

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