<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04458350</url>
  </required_header>
  <id_info>
    <org_study_id>102728-00001</org_study_id>
    <nct_id>NCT04458350</nct_id>
  </id_info>
  <brief_title>SNAP Fruit and Vegetable Incentive Program Digital Promotions for Farmers' Markets</brief_title>
  <official_title>Impact of Randomized Digital Promotions of SNAP Fruit and Vegetable Incentive Program on Farmers' Market Patronage and Sales</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Tufts University</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>United States Department of Agriculture (USDA)</agency>
      <agency_class>U.S. Fed</agency_class>
    </collaborator>
  </sponsors>
  <source>Tufts University</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      The purpose of this study is to assess the impact of digital promotions of a Supplemental&#xD;
      Nutrition Assistance Program (SNAP) fruit and vegetable incentive program on SNAP participant&#xD;
      patronage and sales at farmers' markets. The study will analyze SNAP transactions from zip&#xD;
      codes that receive digital promotions compared to zip codes that receive no additional&#xD;
      promotions.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Supplemental Nutrition Assistance Program (SNAP) financial incentives for fruits and&#xD;
      vegetables (FV) increase FV purchases and consumption with long-term implications for&#xD;
      nutrition-related chronic disease. However, many SNAP participants are not aware of these&#xD;
      programs, leaving them underutilized. The investigators aim to assess if digital promotions&#xD;
      of SNAP incentive programs increase SNAP patronage and sales at farmers' markets. Eligible&#xD;
      farmers' markets in the New England Nutrition Incentives Collaborative (NENIC) will receive&#xD;
      digital promotions for their SNAP fruit and vegetable incentive programs on the Fresh EBT app&#xD;
      and Facebook, randomly assigned to nearby eligible zip codes. Eligible zip codes will be&#xD;
      randomized to receive the intervention (digital promotion) or serve as a comparison (no&#xD;
      additional promotion) with ads running for 13 weeks (Summer 2020 market season).&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">July 1, 2020</start_date>
  <completion_date type="Actual">September 30, 2020</completion_date>
  <primary_completion_date type="Actual">September 30, 2020</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Other</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Average number of market SNAP transactions by zip code for Summer 2020</measure>
    <time_frame>13 weeks</time_frame>
    <description>Participating farmers' markets record individual SNAP transactions, including zip code, and upload transaction data to FM Tracks, an online platform for managing farmers' market sales. Average number of SNAP transactions will be computed.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Average market SNAP-related sales by zip code for Summer 2020</measure>
    <time_frame>13 weeks</time_frame>
    <description>Participating farmers' markets record individual SNAP transactions, including zip code, and upload transaction data to FM Tracks, an online platform for managing farmers' market sales. Average SNAP Electronic Benefit sales and incentives distributed (in dollars) will be computed.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Average market new SNAP customers by zip code for Summer 2020</measure>
    <time_frame>13 weeks</time_frame>
    <description>Participating farmers' markets record individual SNAP transactions, including zip code, and upload transaction data to FM Tracks, an online platform for managing farmers' market sales. Average number of new customers will be computed.</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Actual">251966</enrollment>
  <condition>Fruit and Vegetable Intake</condition>
  <condition>Healthy Diet</condition>
  <condition>Food Insecurity</condition>
  <arm_group>
    <arm_group_label>Digital Promotions Group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Eligible zip codes (n=96) will be randomized using stratified randomization at the state level. The intervention will last 13 weeks (Summer 2020 market season) and consist of receiving digital ads on the Fresh EBT app and Facebook for SNAP fruit and vegetable incentive programs at farmers' markets.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Control Group</arm_group_label>
    <arm_group_type>No Intervention</arm_group_type>
    <description>No intervention administered. Eligible zip codes (n=96) will be randomized using stratified randomization at the state level.</description>
  </arm_group>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>Digital Promotions Group</intervention_name>
    <description>Digital promotions on the Fresh EBT app and Facebook will run for 13 weeks, advertising a SNAP fruit and vegetable incentive at farmers' markets in New England. The intervention will be applied to zip codes randomized to the intervention arm.</description>
    <arm_group_label>Digital Promotions Group</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Farmers' markets in the New England Nutrition Incentives Collaborative (NENIC) are&#xD;
             eligible to participate if they were data compliant in Summer 2019 (&gt;90% SNAP&#xD;
             transactions reported with zip codes) and have 2 or more nearby, target zip codes.&#xD;
&#xD;
          -  Zip codes are eligible if their zip code tabulation area (ZCTA) centroid is within a&#xD;
             7-mile (urban county) or 16-mile (rural county) travel distance of eligible NENIC&#xD;
             farmers' market and the zip code has at least 25 active users on the Fresh EBT app&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Zip code is not in Connecticut, Maine, New Hampshire, Rhode Island, or Vermont&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <location>
    <facility>
      <name>Tufts University Friedman School of Nutrition Science and Policy</name>
      <address>
        <city>Boston</city>
        <state>Massachusetts</state>
        <zip>02111</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <verification_date>October 2020</verification_date>
  <study_first_submitted>June 30, 2020</study_first_submitted>
  <study_first_submitted_qc>July 2, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">July 7, 2020</study_first_posted>
  <last_update_submitted>October 27, 2020</last_update_submitted>
  <last_update_submitted_qc>October 27, 2020</last_update_submitted_qc>
  <last_update_posted type="Actual">October 28, 2020</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>Tufts University</investigator_affiliation>
    <investigator_full_name>Parke Wilde</investigator_full_name>
    <investigator_title>Professor</investigator_title>
  </responsible_party>
  <keyword>Supplemental Nutrition Assistance Program</keyword>
  <keyword>Incentives</keyword>
  <keyword>Promotions</keyword>
  <patient_data>
    <sharing_ipd>Undecided</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04458350
org study id: 102728-00001
nct id: NCT04458350
lead sponsor: 
collaborator: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
The purpose of this study is to assess the impact of digital promotions of a Supplemental
      Nutrition Assistance Program (SNAP) fruit and vegetable incentive program on SNAP participant
      patronage and sales at farmers' markets. The study will analyze SNAP transactions from zip
      codes that receive digital promotions compared to zip codes that receive no additional
      promotions.
Supplemental Nutrition Assistance Program (SNAP) financial incentives for fruits and
      vegetables (FV) increase FV purchases and consumption with long-term implications for
      nutrition-related chronic disease. However, many SNAP participants are not aware of these
      programs, leaving them underutilized. The investigators aim to assess if digital promotions
      of SNAP incentive programs increase SNAP patronage and sales at farmers' markets. Eligible
      farmers' markets in the New England Nutrition Incentives Collaborative (NENIC) will receive
      digital promotions for their SNAP fruit and vegetable incentive programs on the Fresh EBT app
      and Facebook, randomly assigned to nearby eligible zip codes. Eligible zip codes will be
      randomized to receive the intervention (digital promotion) or serve as a comparison (no
      additional promotion) with ads running for 13 weeks (Summer 2020 market season).
allocation: Randomized
intervention model: Parallel Assignment
primary purpose: Other
masking: None (Open Label)
measure: Average number of market SNAP transactions by zip code for Summer 2020
time frame: 13 weeks
description: Participating farmers' markets record individual SNAP transactions, including zip code, and upload transaction data to FM Tracks, an online platform for managing farmers' market sales. Average number of SNAP transactions will be computed.
measure: Average market SNAP-related sales by zip code for Summer 2020
time frame: 13 weeks
description: Participating farmers' markets record individual SNAP transactions, including zip code, and upload transaction data to FM Tracks, an online platform for managing farmers' market sales. Average SNAP Electronic Benefit sales and incentives distributed (in dollars) will be computed.
measure: Average market new SNAP customers by zip code for Summer 2020
time frame: 13 weeks
description: Participating farmers' markets record individual SNAP transactions, including zip code, and upload transaction data to FM Tracks, an online platform for managing farmers' market sales. Average number of new customers will be computed.
arm group label: Digital Promotions Group
arm group type: Experimental
description: Eligible zip codes (n=96) will be randomized using stratified randomization at the state level. The intervention will last 13 weeks (Summer 2020 market season) and consist of receiving digital ads on the Fresh EBT app and Facebook for SNAP fruit and vegetable incentive programs at farmers' markets.
arm group label: Control Group
arm group type: No Intervention
description: No intervention administered. Eligible zip codes (n=96) will be randomized using stratified randomization at the state level.
intervention type: Behavioral
intervention name: Digital Promotions Group
description: Digital promotions on the Fresh EBT app and Facebook will run for 13 weeks, advertising a SNAP fruit and vegetable incentive at farmers' markets in New England. The intervention will be applied to zip codes randomized to the intervention arm.
arm group label: Digital Promotions Group
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: Accepts Healthy Volunteers
facility: 
country: United States
responsible party type: Principal Investigator
investigator affiliation: Tufts University
investigator full name: Parke Wilde
investigator title: Professor
sharing ipd: Undecided