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Effectiveness and Implementation of a Research Tested Mobile Produce Market Designed to Improve Diet in Underserved Communities

Award Number: R37CA215232
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Abstract Lower-income and minority groups face significant health disparities with respect to obesity, cancer, heart disease and other diet-related chronic conditions. Poor diets, low in fruits and vegetables (F&V) and high in saturated fat, sodium and sugar, contribute to many of the health problems faced by vulnerable groups. While socioeconomic status and other individual level factors (i.e., food preferences, time and skills to prepare healthy food, etc.) can lead to reduced F&V consumption, these must be viewed in an environmental context. Compared with higher-income neighborhoods, lower-income and minority neighborhoods are less likely to have stores that sell a variety of F&V and other healthy foods. And when stores are available, produce may not be affordable, high quality or culturally appropriate. Farmers' markets and mobile produce markets (MM) have become increasingly popular strategies to alleviate food access concerns in underserved communities. However, it is unclear if these programs have the necessary components to have an appreciable impact on diet. Our research team recently completed one of the first randomized controlled trials of a MM program called the Veggie Van. Veggie Van was run in partnership with our team and a small non-profit organization in North Carolina; it delivered boxes of fresh, locally grown produce and food-focused education to communities with significant barriers to F&V consumption including availability, affordability, quality and knowledge. In this small cluster-randomized trial in 12 communities (N=201), we saw impressive changes in F&V intake with intervention participants eating almost 1 more cups per day of F&Vs than the control group. Intervention participants also reported increases in perceived access to healthy foods and Veggie Van customers attributed many dietary changes to the MM program. While these results are very promising, we believe it is important to test the effectiveness of the Veggie Van program when implemented by different organizations in multiple communities. If shown to be effective, we can create a research-tested intervention toolkit which can be disseminated to communities across the country. For this research, we will use a request for proposals process to identify 8 organizations nationwide that are well-qualified to implement the Veggie Van model. Organizations will identify appropriate sites for MM deliveries (32 total) and we will randomize them to either an implementation or planning condition. With the help of our team's technical assistance and provided funding, partner organizations will engage community members in the process and initiate a MM program. We will use a Type 1 Hybrid Effectiveness-Implementation to measure effectiveness (diet, BMI, dermal carotenoids) and implementation (customer reach and sales, process measures, qualitative interviews with MM staff). We will also examine sustainability of MM financial models and determine implementation standards (i.e., dose needed to maintain impact) for inclusion in our MM toolkit for future dissemination.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $664,683 )
2024	2024	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	004	7	4/17/2024	NON-COMPETING CONTINUATION	$32,714
2024	2024	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	003	7	11/28/2023	SUPPLEMENT FOR EXPANSION	$40,845
2024	2024	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	002	7	11/27/2023	NON-COMPETING CONTINUATION	$588,854
2024	2024	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	005	7	4/18/2024	SUPPLEMENT FOR EXPANSION	$2,270
2024	2023	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	001	6	10/11/2023	EXTENSION WITH OR WITHOUT FUNDS	$150,567
2024	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	5	10/11/2023	NON-COMPETING CONTINUATION	-$150,567
														Subtotal = $664,683

Issue Date FY: 2023 ( Subtotal = $723,848 )
2023	2023	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	001	6	7/31/2023	SUPPLEMENT FOR EXPANSION	$82,247
2023	2023	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	6	3/3/2023	EXTENSION WITH OR WITHOUT FUNDS	$638,764
2023	2023	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	002	6	9/11/2023	EXTENSION WITH OR WITHOUT FUNDS	$2,837
														Subtotal = $723,848

Issue Date FY: 2022 ( Subtotal = $679,280 )
2022	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	003	5	4/26/2022	NON-COMPETING CONTINUATION	$12,046
2022	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	5	11/18/2021	NON-COMPETING CONTINUATION	$542,032
2022	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	004	5	6/2/2022	SUPPLEMENT FOR EXPANSION	$77,024
2022	2022	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	002	5	4/25/2022	NON-COMPETING CONTINUATION	$48,178
2022	2021	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	001	4	12/14/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $679,280

Issue Date FY: 2021 ( Subtotal = $692,549 )
2021	2021	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	001	4	1/21/2021	NON-COMPETING CONTINUATION	$34,628
2021	2021	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	4	12/1/2020	NON-COMPETING CONTINUATION	$657,921
														Subtotal = $692,549

Issue Date FY: 2020 ( Subtotal = $682,598 )
2020	2020	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	003	3	4/30/2020	NON-COMPETING CONTINUATION	$0
2020	2020	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	001	3	1/14/2020	NON-COMPETING CONTINUATION	$63,101
2020	2020	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	3	11/27/2019	NON-COMPETING CONTINUATION	$567,904
2020	2020	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	002	3	2/27/2020	SUPPLEMENT FOR EXPANSION	$51,593
														Subtotal = $682,598

Issue Date FY: 2019 ( Subtotal = $619,033 )
2019	2019	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	2	11/26/2018	NON-COMPETING CONTINUATION	$619,033
														Subtotal = $619,033

Issue Date FY: 2018 ( Subtotal = $655,400 )
2018	2018	RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK, THE	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Cancer Detection and Diagnosis Research	000	1	12/13/2017	NEW	$655,400
														Subtotal = $655,400

Grand Total All Awards = $4,717,391

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Effectiveness and Implementation of a Research Tested Mobile Produce Market Designed to Improve Diet in Underserved Communities

Award Number: R37CA215232

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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