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A community-based Produce Prescription intervention to improve nutrition security in populations with nutrition insecurity and obesity.

Award Number: K23DK144694
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/01/2026
PERIOD OF PERFORMANCE END DATE: 07/31/2031

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A community-based Produce Prescription intervention to improve nutrition security in populations with nutrition insecurity and obesity. - Project Abstract: Health disparities including socioeconomic status, health insurance status, and access to health care, to name a few, have a significant impact on health and disease. Nutrition insecurity is a major factor for obesity which is defined as individuals not having consistent access to affordable, healthy, and safe foods which are essential for health. This is of particular relevance for patients in urban settings. Based on a needs assessment of over 1000 patients from five safety net urban clinics in Providence, Rhode Island, including the study site for this proposed research, almost half of the patients (47%) reported regularly reducing meals or portion sizes due to a lack of food. Novel nutrition intervention efforts are needed to address these important health disparities to increase access and affordability of fruits and vegetables in order to combat obesity and improve nutrition security, which is the key premise behind this proposed research. To address this, the specific aims of this proposal are to 1) conduct focus groups to explore the acceptability and feasibility of a produce prescription program (PPR) with patient and health care providers in an urban clinic; 2) perform an open pilot of a PPR intervention focused on program utilization in 10-15 patients with obesity and nutrition insecurity; and 3) conduct a pilot randomized clinical trial (RCT) to evaluate the impact of a PPR intervention on produce consumption and clinically relevant health outcomes. The findings from the proposed research will support the development of novel and much needed approaches to improve produce consumption in populations impacted by obesity and nutrition insecurity. The proposal will support the mentoring and development of the PI to become an independently funded physician scientist who specializes in implementation of community-based interventions to improve healthy eating and reduce the impact of noncommunicable dietary related diseases in populations most impacted by obesity and nutrition insecurity. The proposed research builds upon the expectational resources and mentorship provided at the Warren Alpert Medical School of Brown University and Rhode Island Hospital, along with other institutions to provide the PI with training in key new areas of research, enhance applications for competitive grant funding, provide unique collaboration opportunities, and build the necessary foundation to attain research independence.


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: 2026 ( Subtotal = $195,370 )
2026	2026	RHODE ISLAND HOSPITAL	593 EDDY ST	PROVIDENCE	RI	02903	PROVIDENCE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	8/31/2026	NEW	$195,370
														Subtotal = $195,370

Grand Total All Awards = $195,370

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A community-based Produce Prescription intervention to improve nutrition security in populations with nutrition insecurity and obesity.

Award Number: K23DK144694

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/01/2026

PERIOD OF PERFORMANCE END DATE: 07/31/2031

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